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Original

Oxidative stress, erythrocyte ageing and plasma non-protein-bound iron in diabetic patients

, , , , &
Pages 716-724 | Received 20 Jun 2008, Published online: 07 Jul 2009
 

Abstract

Increased oxidative stress and decreased life span of erythrocytes (RBCs) are repeatedly reported in diabetes. In the aim to elucidate the mechanism of the latter, i.e. the events leading to erythrocyte ageing, this study determined in RBCs from diabetic patients iron release in a free desferrioxamine-chelatable form (DCI), methemoglobin (MetHb) formation, binding of autologous IgG to membrane proteins and in plasma non-protein-bound iron (NPBI), F2-Isoprostanes (F2-IsoPs) and advanced oxidation protein products (AOPP). DCI and MetHb were higher in diabetic RBCs than in controls and autologous IgG binding occurred in a much higher percentage of diabetic patients than controls. A significant correlation between DCI and IgG binding was found in diabetic RBCs. Plasma NPBI, esterified F2-IsoPs and AOPP were higher in diabetic patients and a significant correlation was found between plasma NPBI and intra-erythrocyte DCI. The increased DCI and autologous IgG binding appear to be important factors in the accelerated removal of RBCs from the blood stream in diabetes and the increase in plasma NPBI could play an important role in the increased oxidative stress.

Abbreviations
AGEs=

advanced glycation end-products

AOPP=

advanced oxidation protein products

NH2=

aminopropyl

BSA=

bovine serum albumin

BCIP-NBT=

5-bromo-4-chloro-3-indolyl phosphate/nitro blue tetrazolium

BHT=

butylated hydroxytoluene

DFO=

desferrioxamine

DCI=

desferrioxamine-chelatable iron

F2-IsoPs=

F2-Isoprostanes

HbA1c=

glycated haemoglobin

HPLC=

high performance liquid chromatography

IgG=

immunoglobulin G

LDL=

low density lipoproteins

MetHb=

methemoglobin

HEPES=

N-2-hydroxyethylpiperazine-N-2-ethanesulphonic acid

C18=

octadecylsilane

PBS=

phosphate buffered saline

NPBI=

plasma non-protein-bound iron

PGF2=

prostaglandin F2

RBCs=

red blood cells

Abbreviations
AGEs=

advanced glycation end-products

AOPP=

advanced oxidation protein products

NH2=

aminopropyl

BSA=

bovine serum albumin

BCIP-NBT=

5-bromo-4-chloro-3-indolyl phosphate/nitro blue tetrazolium

BHT=

butylated hydroxytoluene

DFO=

desferrioxamine

DCI=

desferrioxamine-chelatable iron

F2-IsoPs=

F2-Isoprostanes

HbA1c=

glycated haemoglobin

HPLC=

high performance liquid chromatography

IgG=

immunoglobulin G

LDL=

low density lipoproteins

MetHb=

methemoglobin

HEPES=

N-2-hydroxyethylpiperazine-N-2-ethanesulphonic acid

C18=

octadecylsilane

PBS=

phosphate buffered saline

NPBI=

plasma non-protein-bound iron

PGF2=

prostaglandin F2

RBCs=

red blood cells

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