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Evaluation of Serum Selenium and Copper Levels with Inflammatory Cytokines and Indices of Oxidative Stress in Type 2 Diabetes

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Abstract

Type 2 diabetes mellitus (T2DM) is a metabolic and multifactorial disease in which inflammatory markers, oxidative stress, and certain trace elements seem to have an essential role. This study investigated the relationship between serum selenium and copper level with inflammatory cytokines and oxidative stress in T2DM.

In this case–control study, 30 patients with T2DM and 30 healthy individuals were selected. Serum levels of copper and selenium were measured by atomic absorption spectrometry, and TNF-α and IL-6 and oxidative stress markers were measured by ELISA. The SPSS v.22 was used for data analysis and the significance level is less than 5%.

The mean age of patients was 52.9 ± 10.4 years, and the control group was 48.5 ± 10.4 years. In this study, 53.3% were female, and 46.7% were male. The levels of BMI (p = 0.002), systolic pressure (p = 0.034), insulin, selenium, malondialdehyde, and glutathione peroxidase (p = 0.0001; each), insulin resistance, copper, and superoxide dismutase, IL6, and TNF-α (p = 0.001; each) in T2DM were significantly higher than the control group. While levels of lipid profile, uric acid, creatinine, and diastolic pressure were not significantly different between the two groups. Selenium and copper are related to insulin resistance, and their increasing levels are associated with increased levels of markers of oxidative stress and inflammatory cytokines (p < 0.05).

Increased levels of copper and selenium are associated with T2DM and this increase is also associated with increased levels of TNF-α, IL-6, and oxidative stress in T2DM. Therefore, controlling these markers can lead us to control this disease better.

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References

  1. Association AD (2010 ) Standards of medical care in diabetes, in Diabetes care. p. S11–61

  2. Rossi G (2010) American Diabetes Association. Diagnosis and classification of diabetes mellitus. . Recenti progressi in medicina. 101: p. 274–6

  3. Saeedi P et al (2019) Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract 157:107843

    Article  Google Scholar 

  4. Esteghamati A et al (2017) Diabetes in Iran: prospective analysis from first nationwide diabetes report of National Program for Prevention and Control of Diabetes (NPPCD-2016). Sci Rep 7(1):1–10

    Article  CAS  Google Scholar 

  5. Kahn SE, Cooper ME, Del Prato S (2014) Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future. Lancet (London, England) 383(9922):1068–1083

    Article  CAS  Google Scholar 

  6. Mokdad AH et al (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289(1):76–79

    Article  Google Scholar 

  7. Kalousová M et al (2004) Oxidative stress, inflammation and autoimmune reaction in type 1 and type 2 diabetes mellitus. Prague Med Rep 105(1):21–28

    Google Scholar 

  8. Mirmiran P et al (2012) Effects of broccoli sprout with high sulforaphane concentration on inflammatory markers in type 2 diabetic patients: a randomized double-blind placebo-controlled clinical trial. J Funct Foods 4(4):837–841

    Article  CAS  Google Scholar 

  9. Amini M, Parvaresh E (2009) Prevalence of macro-and microvascular complications among patients with type 2 diabetes in Iran: a systematic review. Diabetes Res Clin Pract 83(1):18–25

    Article  Google Scholar 

  10. Gumieniczek A et al (2005) Antioxidative and anti-inflammatory effects of repaglinide in plasma of diabetic animals. Pharmacol Res 52(2):162–166

    Article  CAS  Google Scholar 

  11. Marchioli R et al (2001) Assessment of absolute risk of death after myocardial infarction by use of multiple-risk-factor assessment equations: GISSI-Prevenzione mortality risk chart. Eur Heart J 22(22):2085–2103

    Article  CAS  Google Scholar 

  12. Maiese, K., New insights for oxidative stress and diabetes mellitus. Oxidative Medicine and Cellular Longevity, 2015. 2015: p. 875961.

  13. Tiwari, B.K., et al., Markers of oxidative stress during diabetes mellitus. Journal of Biomarkers, 2013. 2013: p. 378790.

  14. Ruiz C et al (1998) Selenium, zinc and copper in plasma of patients with type 1 diabetes mellitus in different metabolic control states. J Trace Elem Med Biol 12(2):91–95

    Article  CAS  Google Scholar 

  15. Steinbrenner H, Speckmann B, Klotz L-O (2016) Selenoproteins: antioxidant selenoenzymes and beyond. Arch Biochem Biophys 595:113–119

    Article  CAS  Google Scholar 

  16. Sailaja Y, Baskar R, Saralakumari D (2003) The antioxidant status during maturation of reticulocytes to erythrocytes in type 2 diabetics. Free Radical Biol Med 35(2):133–139

    Article  CAS  Google Scholar 

  17. Bashan, N., et al., Positive and negative regulation of insulin signaling by reactive oxygen and nitrogen species. Physiological reviews, 2009.

  18. Duntas LH (2009) Selenium and inflammation: underlying anti-inflammatory mechanisms. Horm Metab Res 41(6):443–447

    Article  CAS  Google Scholar 

  19. Ighodaro OM (2018) Molecular pathways associated with oxidative stress in diabetes mellitus. Biomed Pharmacother 108:656–662

    Article  CAS  Google Scholar 

  20. Kim H-N, Song S-W (2014) Concentrations of chromium, selenium, and copper in the hair of viscerally obese adults are associated with insulin resistance. Biol Trace Elem Res 158(2):152–157

    Article  CAS  Google Scholar 

  21. Lowe J, Taveira-da-Silva R, Hilário-Souza E (2017) Dissecting copper homeostasis in diabetes mellitus. IUBMB Life 69(4):255–262

    Article  CAS  Google Scholar 

  22. Siddiqui, K., N. Bawazeer, and S.S. Joy, Variation in macro and trace elements in progression of type 2 diabetes. TheScientificWorldJournal, 2014. 2014: p. 461591-461591

  23. Liu A et al (2020) High serum concentration of selenium, but not calcium, cobalt, copper, iron, and magnesium, increased the risk of both hyperglycemia and dyslipidemia in adults: a health examination center based cross-sectional study. J Trace Elem Med Biol 59:126470

    Article  CAS  Google Scholar 

  24. Omer, T.E., A.A. Saeed, and S.T.A. Elmukashfi, Assessment of serum zinc and copper levels among sudanese patients with diabetes mellitus type 2 in Khartoum State-Sudan. J Adv Med Med Res, 2020: 120–125.

  25. Havezov I (1996) Atomic absorption spectrometry (AAS)–a versatile and selective detector for trace element speciation. Fresenius J Anal Chem 355(5):452–456

    Article  CAS  Google Scholar 

  26. Catalani S et al (2018) Free copper in serum: an analytical challenge and its possible applications. J Trace Elem Med Biol 45:176–180

    Article  CAS  Google Scholar 

  27. Benito A, Carmena D (2005) Double-antibody sandwich ELISA using biotinylated antibodies for the detection of Echinococcus granulosus coproantigens in dogs. Acta Trop 95(1):9–15

    Article  CAS  Google Scholar 

  28. Jamilian M et al (2018) Effects of selenium supplementation on gene expression levels of inflammatory cytokines and vascular endothelial growth factor in patients with gestational diabetes. Biol Trace Elem Res 181(2):199–206

    Article  CAS  Google Scholar 

  29. Pradhan AD et al (2001) C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA 286(3):327–334

    Article  CAS  Google Scholar 

  30. Lin C-C et al (2014) Trace elements, oxidative stress and glycemic control in young people with type 1 diabetes mellitus. J Trace Elem Med Biol 28(1):18–22

    Article  Google Scholar 

  31. Salem M et al (2011) Malondialdehyde and trace element levels in patients with type 2 diabetes mellitus. Arch Hellenic Med 28(1):83–88

    Google Scholar 

  32. Rayman MP (2012) Selenium and human health. The Lancet 379(9822):1256–1268

    Article  CAS  Google Scholar 

  33. Rayman MP, Stranges S (2013) Epidemiology of selenium and type 2 diabetes: can we make sense of it? Free Radical Biol Med 65:1557–1564

    Article  CAS  Google Scholar 

  34. Ozdemır G et al (2005) Malondialdehyde, glutathione, glutathione peroxidase and homocysteine levels in type 2 diabetic patients with and without microalbuminuria. Ann Clin Biochem 42(2):99–104

    Article  Google Scholar 

  35. Sobczak AI et al (2019) Total plasma magnesium, zinc, copper and selenium concentrations in type-I and type-II diabetes. Biometals 32(1):123–138

    Article  CAS  Google Scholar 

  36. Brooks-Worrell BM et al (2011) Identification of autoantibody-negative autoimmune type 2 diabetic patients. Diabetes Care 34(1):168–173

    Article  Google Scholar 

  37. Goldfine AB, Fonseca V, Shoelson SE (2011) Therapeutic approaches to target inflammation in type 2 diabetes. Clin Chem 57(2):162–167

    Article  CAS  Google Scholar 

  38. Donath MY, Shoelson SE (2011) Type 2 diabetes as an inflammatory disease. Nat Rev Immunol 11(2):98–107

    Article  CAS  Google Scholar 

  39. Steinbrenner H et al (2015) Dietary selenium in adjuvant therapy of viral and bacterial infections. Adv Nutr 6(1):73–82

    Article  CAS  Google Scholar 

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Acknowledgements

The authors express their gratitude to all colleagues at Islamic Azad University, Mashhad branch for their help and support, especially all colleagues at Innovative Medical Research Center of Shahinfar, as well as colleagues at Imam Reza hospital in Mashhad.

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Correspondence to Vahid Pouresmaeil.

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Ethics Approval and Consent to Participate

The Ethical Committee approved the study protocol of the Mashhad Medical Sciences Branch, Islamic Azad University, Mashhad, Iran (registration no. IR.IAU.MSHD.REC.1399. 138).

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Patients who were willing to participate in the study were asked to sign written informed consent before participation in the study.

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The authors declare no competing interests.

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Vahid Pouresmaeil, Ali Hakem Al Abudi, and Ammar Hossein Mahimid have contributed equally to this work.

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Pouresmaeil, V., Al Abudi, A.H., Mahimid, A.H. et al. Evaluation of Serum Selenium and Copper Levels with Inflammatory Cytokines and Indices of Oxidative Stress in Type 2 Diabetes. Biol Trace Elem Res 201, 617–626 (2023). https://doi.org/10.1007/s12011-022-03191-w

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  • DOI: https://doi.org/10.1007/s12011-022-03191-w

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