Impaired Fasting Glucose & 8-Iso-Prostaglandin F2α in Diabetes Disease Progression
Herbert F. Jelinek *
Australian School of Advanced Medicine, Macquarie University, Sydney, Australia and School of Community Health and Centre for Research in Complex Systems, Charles Sturt University, Albury, Australia.
Dina A. Jamil
School of Community Health and Centre for Research in Complex Systems, Charles Sturt University, Albury, Australia.
Hayder A. Al-Aubaidy
School of Community Health and Centre for Research in Complex Systems, Charles Sturt University, Albury, Australia and School of Medicine, Faculty of Health, University of Tasmania, Hobart, Australia.
*Author to whom correspondence should be addressed.
Abstract
Aims: The objective of the present study was to evaluate the changes of 8-isoprostaglandin F2α and other markers of oxidative stress with impaired fasting glucose when compared to non-diabetic control participants.
Methodology: This is a cross-sectional study, conducted at Charles Sturt University, Albury, NSW, Australia and included 428 participants (female: male, 247:181) participants attending the Diabetes Complications Clinic in the School of Community Health for the period between January 2011 to October 2012.
Results: Urinary 8-isoprostaglandin F2α was significantly greater in the impaired fasting glucose group (1.4±1.3ng/ml) compared to control group (0.68±0.5ng/ml, P= .05). The increase in urinary 8-isoprostaglandin F2α was associated with a significant elevation in serum total cholesterol (4.7±1.1mol/L, P= .04) and a significant reduction in high density lipoprotein cholesterol (1.4±0.4mmol/L, P= .02) in the impaired fasting glucose group compared to the control group. A significant negative correlation was noted between urinary 8-isoprostaglandin F2α and high-density lipoprotein cholesterol among all the participants included in this study (P= .05).
Conclusions: The current study proves the importance of measuring markers of oxidative stress, expressed by urinary 8-isoprostaglandin F2α and serum lipids in managing cases of impaired fasting glucose and suggests a useful biomarker for assessing disease progression and/or remission, especially in the prediabetic state.
Keywords: Oxidative stress, impaired fasting glucose, 8-isoprostaglandin F2α, serum lipids.