Skip to main content

Serum Paraoxonase 1 as a Biomarker: Features and Applications in Type 2 Diabetes Mellitus

  • Living reference work entry
  • First Online:
Biomarkers in Diabetes

Abstract

Type 2 diabetes mellitus (T2DM) is a complex metabolic and endocrine disorder. Many factors are responsible for the formation and complications of T2DM. One of them is oxidative stress (OS). Recent studies show that paraoxonase (PON)1 activity, an antioxidant enzyme, plays a role in the onset and clinical progression of T2D. In addition to antioxidant properties of PON1, cardioprotective properties have also been demonstrated. These effects have been explained through many cellular mechanisms. At the same time, changes in enzyme activity as a result of PON1 polymorphism have been associated with the development and progression of T2DM. The decrease in PON1 activity has been shown not only in T2DM but also in many diseases such as Alzheimer’s and obesity. Both molecular mechanisms and clinical evidence suggest a strong association between PON1 and T2DM.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Abbreviations

ApoA-I:

Apolipoprotein A-I

ApoJ:

Apolipoprotein J

Ca:

Calcium

CAD:

Coronary artery disease

GLUT4:

Glucose transporter 4

HbA1c:

Glycosylated hemoglobin

HCTL:

Homocysteine ​​thiolactone

HDL:

High-density lipoprotein

HOMA-IR:

Homeostatic model of assessment-insulin resistance

HTLase:

Homocysteine ​​thiolactonase

IR:

Insulin resistance

IRS-1:

Insulin receptor substrate-1

LDL:

Low-density lipoprotein

MCP-1:

Monocyte chemotactic protein-1

MUFA:

Monounsaturated fatty acids

OS:

Oxidative stress

ox-LDL:

Oxidized-LDL

PON:

Paraoxonase

PUFA:

Polyunsaturated fatty acids

SNPs:

Single nucleotide polymorphisms

T2DM:

Type 2 Diabetes Mellitus

References

  • American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes care. 2021;44(Suppl 1):S15–33.

    Google Scholar 

  • Annema W, von Eckardstein A. Dysfunctional high-density lipoproteins in coronary heart disease: implications for diagnostics and therapy. Trans Res. 2016;173:30–57.

    Article  CAS  Google Scholar 

  • Aviram M, Billecke S, Sorenson R, Bisgaier C, Newton R, Rosenblat M, et al. Paraoxonase active site required for protection against LDL oxidation involves its free sulfhydryl group and is different from that required for its arylesterase/paraoxonase activities: selective action of human paraoxonase allozymes Q and R. Arterioscler Thromb Vasc Biol. 1998;18(10):1617–24.

    Article  CAS  PubMed  Google Scholar 

  • Baynes JW. Role of oxidative stress in development of complications in diabetes. Diabetes. 1991;40(4):405–12.

    Article  CAS  PubMed  Google Scholar 

  • Blaha-Nelson D, Krüger DM, Szeler K, Ben-David M, Kamerlin SCL. Active site hydrophobicity and the convergent evolution of paraoxonase activity in structurally divergent enzymes: the case of serum paraoxonase 1. J Am Chem Soc. 2017;139(3):1155–67.

    Article  CAS  PubMed  Google Scholar 

  • Brophy VH, Hastings MD, Clendenning JB, Richter RJ, Jarvik GP, Furlong CE. Polymorphisms in the human paraoxonase (PON1) promoter. Pharmacogenetics. 2001;11(1):77–84.

    Article  CAS  PubMed  Google Scholar 

  • Chiu KC, Chuang L-M, Chu A, Lu J, Hu J, Fernando S. Association of paraoxonase 1 polymorphism with beta-cell function: a case of molecular heterosis. Pancreas. 2004;28(4):e96–103.

    Article  PubMed  Google Scholar 

  • Crow JA, Meek EC, Wills RW, Chambers JE. A case-control study: the association of serum paraoxonase 1 activity and concentration with the development of type 2 diabetes mellitus. Diabetes Metab Res Rev. 2018;34(3):e2967.

    Google Scholar 

  • Deakin S, Leviev I, Gomaraschi M, Calabresi L, Franceschini G, James RW. Enzymatically active paraoxonase-1 is located at the external membrane of producing cells and released by a high affinity, saturable, desorption mechanism. J Biol Chem. 2002a;277(6):4301–8.

    Article  CAS  PubMed  Google Scholar 

  • Deakin S, Leviev I, Nicaud V, Brulhart Meynet M-C, Tiret L, James RW. Paraoxonase-1 L55M polymorphism is associated with an abnormal oral glucose tolerance test and differentiates high risk coronary disease families. J Clin Endocrinol Metab. 2002b;87(3):1268–73.

    Article  CAS  PubMed  Google Scholar 

  • Draganov DI, Teiber JF, Speelman A, Osawa Y, Sunahara R, La Du BN. Human paraoxonases (PON1, PON2, and PON3) are lactonases with overlapping and distinct substrate specificities. J Lipid Res. 2005;46(6):1239–47.

    Article  CAS  PubMed  Google Scholar 

  • Eraldemir FC, Üren N, Kum T, Erbay B, Şahin D, Ergül E, et al. Association of serum paraoxonase 1 activities, polymorphisms and oxidative stress in breast cancer patients with type 2 diabetes mellitus. J Med Biochem. 2019;38(3):368–75.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Farbstein D, Levy AP. The genetics of vascular complications in diabetes mellitus. Cardiol Clin. 2010;28(3):477–96.

    Article  PubMed  PubMed Central  Google Scholar 

  • Flekac M, Skrha J, Žídková K, Lacinová Z, Hilgertová J. Paraoxonase 1 gene polymorphisms and enzyme activities in diabetes mellitus. Physiol Res. 2008;57(5):717–26.

    Article  CAS  PubMed  Google Scholar 

  • Furlong CE, Marsillach J, Jarvik GP, Costa LG. Paraoxonases-1, −2 and −3: what are their functions? Chem Biol Interact. 2016;259(Pt B):51–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Galicia-Garcia U, Benito-Vicente A, Jebari S, Larrea-Sebal A, Siddiqi H, Uribe KB, et al. Pathophysiology of type 2 diabetes mellitus. Int J Mol Sci. 2020;21(17):6275.

    Google Scholar 

  • García-Heredia A, Kensicki E, Mohney RP, Rull A, Triguero I, Marsillach J, et al. Paraoxonase-1 deficiency is associated with severe liver steatosis in mice fed a high-fat high-cholesterol diet: a metabolomic approach. J Proteome Res. 2013;12(4):1946–55.

    Article  PubMed  CAS  Google Scholar 

  • Gasecka A, Siwik D, Gajewska M, Jaguszewski MJ, Mazurek T, Filipiak KJ, et al. Early biomarkers of neurodegenerative and neurovascular disorders in diabetes. J Clin Med. 2020;9(9):2807.

    Google Scholar 

  • Gomathi P, Iyer AC, Murugan PS, Sasikumar S, Raj NBAJ, Ganesan D, et al. Association of paraoxonase-1 gene polymorphisms with insulin resistance in South Indian population. Gene. 2018;650:55–9.

    Article  CAS  PubMed  Google Scholar 

  • Gu W, Lu J, Yang G, Dou J, Mu Y, Meng J, et al. Plasma homocysteine thiolactone associated with risk of macrovasculopathy in Chinese patients with type 2 diabetes mellitus. Adv Ther. 2008;25(9):914–24.

    Article  CAS  PubMed  Google Scholar 

  • Inoue M, Suehiro T, Nakamura T, Ikeda Y, Kumon Y, Hashimoto K. Serum arylesterase/diazoxonase activity and genetic polymorphisms in patients with type 2 diabetes. Metab Clin Exp. 2000;49(11):1400–5.

    Article  CAS  PubMed  Google Scholar 

  • Karakaya P, Ozdemir B, Mert M, Okuturlar Y. Relation of Paraoxonase 1 activity with biochemical variables, brachial artery intima-media thickness in patients with diabetes with or without obesity. Obes Facts. 2018;11(1):56–66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kim DS, Burt AA, Ranchalis JE, Richter RJ, Marshall JK, Nakayama KS, et al. Dietary cholesterol increases paraoxonase 1 enzyme activity. J Lipid Res. 2012;53(11):2450–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Koren-Gluzer M, Aviram M, Hayek T. Paraoxonase1 (PON1) reduces insulin resistance in mice fed a high-fat diet, and promotes GLUT4 overexpression in myocytes, via the IRS-1/Akt pathway. Atherosclerosis. 2013;229(1):71–8.

    Article  CAS  PubMed  Google Scholar 

  • Kosaka T, Yamaguchi M, Motomura T, Mizuno K. Investigation of the relationship between atherosclerosis and paraoxonase or homocysteine thiolactonase activity in patients with type 2 diabetes mellitus using a commercially available assay. Clinica Chimica Acta. 2005;359(1–2):156–62.

    Article  CAS  Google Scholar 

  • Levy E, Trudel K, Bendayan M, Seidman E, Delvin E, Elchebly M, et al. Biological role, protein expression, subcellular localization, and oxidative stress response of paraoxonase 2 in the intestine of humans and rats. Am J Physiol Gastrointest Liver Physiol. 2007;293(6):G1252–61.

    Article  CAS  PubMed  Google Scholar 

  • Li C, Gu Q. Protective effect of paraoxonase 1 of high-density lipoprotein in type 2 diabetic patients with nephropathy. Nephrology (Carlton). 2009;14(5):514–20.

    Article  CAS  Google Scholar 

  • Luo J-Q, Ren H, Liu M-Z, Fang P-F, Xiang D-X. European versus Asian differences for the associations between paraoxonase-1 genetic polymorphisms and susceptibility to type 2 diabetes mellitus. J Cell Mol Med. 2018;22(3):1720–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mackness M, Mackness B. Human paraoxonase-1 (PON1): gene structure and expression, promiscuous activities and multiple physiological roles. Gene. 2015;567(1):12–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mackness B, Durrington PN, Abuashia B, Boulton AJ, Mackness MI. Low paraoxonase activity in type II diabetes mellitus complicated by retinopathy. Clinical science (London, England : 1979). 2000;98(3):355–63.

    Google Scholar 

  • Mackness B, Hine D, Liu Y, Mastorikou M, Mackness M. Paraoxonase-1 inhibits oxidised LDL-induced MCP-1 production by endothelial cells. Biochem Biophys Res Commun. 2004;318(3):680–3.

    Article  CAS  PubMed  Google Scholar 

  • Mahrooz A, Hashemi-Soteh MB, Heydari M, Boorank R, Ramazani F, Mahmoudi A, et al. Paraoxonase 1 (PON1)-L55M among common variants in the coding region of the paraoxonase gene family may contribute to the glycemic control in type 2 diabetes. Clinica Chimica Acta. 2018;484:40–6.

    Article  CAS  Google Scholar 

  • Mahrooz A, Mackness M, Bagheri A, Ghaffari-Cherati M, Masoumi P. The epigenetic regulation of paraoxonase 1 (PON1) as an important enzyme in HDL function: the missing link between environmental and genetic regulation. Clin Biochem. 2019;73:1–10.

    Article  CAS  PubMed  Google Scholar 

  • McEvoy B, Sumayao R, Slattery C, McMorrow T, Newsholme P. Cystine accumulation attenuates insulin release from the pancreatic β-cell due to elevated oxidative stress and decreased ATP levels. J Physiol. 2015;593(23):5167–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Meneses MJ, Silvestre R, Sousa-Lima I, Macedo MP. Paraoxonase-1 as a regulator of glucose and lipid homeostasis: impact on the onset and progression of metabolic disorders. Int J Mol Sci. 2019;20(16):4049.

    Google Scholar 

  • Moya C, Máñez S. Paraoxonases: metabolic role and pharmacological projection. Naunyn Schmiedeberg’s Arch Pharmacol. 2018;391(4):349–59.

    Article  CAS  Google Scholar 

  • Navab M, Hama-Levy S, Van Lenten BJ, Fonarow GC, Cardinez CJ, Castellani LW, et al. Mildly oxidized LDL induces an increased apolipoprotein J/paraoxonase ratio. J Clin Invest. 1997;99(8):2005–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ng DS, Chu T, Esposito B, Hui P, Connelly PW, Gross PL. Paraoxonase-1 deficiency in mice predisposes to vascular inflammation, oxidative stress, and thrombogenicity in the absence of hyperlipidemia. Cardiovasc Pathol. 2008;17(4):226–32.

    Article  CAS  PubMed  Google Scholar 

  • Rehman K, Akash MSH. Mechanism of generation of oxidative stress and pathophysiology of type 2 diabetes mellitus: how are they interlinked? J Cell Biochem. 2017;118(11):3577–85.

    Article  CAS  PubMed  Google Scholar 

  • Rosenblat M, Karry R, Aviram M. Paraoxonase 1 (PON1) is a more potent antioxidant and stimulant of macrophage cholesterol efflux, when present in HDL than in lipoprotein-deficient serum: relevance to diabetes. Atherosclerosis. 2006;187(1):74–81.

    Article  CAS  PubMed  Google Scholar 

  • Rozenberg O, Shiner M, Aviram M, Hayek T. Paraoxonase 1 (PON1) attenuates diabetes development in mice through its antioxidative properties. Free Radic Biol Med. 2008;44(11):1951–9.

    Article  CAS  PubMed  Google Scholar 

  • Rudich A, Tirosh A, Potashnik R, Hemi R, Kanety H, Bashan N. Prolonged oxidative stress impairs insulin-induced GLUT4 translocation in 3T3-L1 adipocytes. Diabetes. 1998;47(10):1562–9.

    Article  CAS  PubMed  Google Scholar 

  • Seo JA, Kang M-C, Ciaraldi TP, Kim SS, Park KS, Choe C, et al. Circulating ApoJ is closely associated with insulin resistance in human subjects. Metab Clin Exp. 2018;78:155–66.

    Article  CAS  PubMed  Google Scholar 

  • Shokri Y, Variji A, Nosrati M, Khonakdar-Tarsi A, Kianmehr A, Kashi Z, et al. Importance of paraoxonase 1 (PON1) as an antioxidant and antiatherogenic enzyme in the cardiovascular complications of type 2 diabetes: genotypic and phenotypic evaluation. Diabetes Res Clin Pract. 2020;161:108067.

    Article  CAS  PubMed  Google Scholar 

  • Shunmoogam N, Naidoo P, Chilton R. Paraoxonase (PON)-1: a brief overview on genetics, structure, polymorphisms and clinical relevance. Vasc Health Risk Manag. 2018;14:137–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Soran H, Schofield JD, Adam S, Durrington PN. Diabetic dyslipidaemia. Curr Opin Lipidol. 2016;27(4):313–22.

    Article  CAS  PubMed  Google Scholar 

  • Sorenson RC, Bisgaier CL, Aviram M, Hsu C, Billecke S, La Du BN. Human serum Paraoxonase/Arylesterase’s retained hydrophobic N-terminal leader sequence associates with HDLs by binding phospholipids : apolipoprotein A-I stabilizes activity. Arterioscler Thromb Vasc Biol. 1999;19(9):2214–25.

    Article  CAS  PubMed  Google Scholar 

  • Taler-Verčič A, Goličnik M, Bavec A. The structure and function of paraoxonase-1 and its comparison to paraoxonase-2 and -3. Molecules (Basel, Switzerland). 2020;25(24):5980.

    Google Scholar 

  • Yu W, Liu X, Feng L, Yang H, Yu W, Feng T, et al. Glycation of paraoxonase 1 by high glucose instigates endoplasmic reticulum stress to induce endothelial dysfunction in vivo. Sci Rep. 2017;7:45827.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zargari M, Sharafeddin F, Mahrooz A, Alizadeh A, Masoumi P. The common variant Q192R at the paraoxonase 1 (PON1) gene and its activity are responsible for a portion of the altered antioxidant status in type 2 diabetes. Exp Biol Med (Maywood). 2016;241(14):1489–96.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Berrin Öztaş or Fatma Ceyla Eraldemir .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Öztaş, B., Eraldemir, F.C., Kır, H.M. (2022). Serum Paraoxonase 1 as a Biomarker: Features and Applications in Type 2 Diabetes Mellitus. In: Patel, V.B., Preedy, V.R. (eds) Biomarkers in Diabetes. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Cham. https://doi.org/10.1007/978-3-030-81303-1_22-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-81303-1_22-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81303-1

  • Online ISBN: 978-3-030-81303-1

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

Publish with us

Policies and ethics