An evaluation of plasma paraoxonase-1 (PON-1) levels in young and middle-aged patients with type-2 diabetes mellitus

Author(s): Fozia Jamal1, Dr. Shikha Saxena2, Dr. P.C. Srivastava3
1Ph.D. scholar, Department of Biochemistry, Rohilkhand Medical College and Hospital, Bareilly International University, Bareilly (Uttar Pradesh), India.
2Professor and HOD, Department of Biochemistry, Rohilkhand Medical College and Hospital, Bareilly International University, Bareilly (Uttar Pradesh), India.
3Professor and HOD, Department of Forensic Medicine, Rohilkhand Medical College and Hospital, Bareilly International University, Bareilly (Uttar Pradesh), India.
Copyright © Fozia Jamal, Dr. Shikha Saxena, Dr. P.C. Srivastava. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives: There is a lot of evidence that oxidative stress plays a role in the etiology of aging. PON-1 is mostly complexed to HDL and is responsible for its antioxidant properties. This investigation was undertaken to assess age-dependent changes in plasma PON-1 concentration and its association with age, HDL, BMI, and duration of diabetes among T2DM patients.
Methods: This study was carried out on 125 clinically diagnosed T2DM patients (young and middle-aged) attending the OPD and IPD of Rohilkh and Medical College and Hospital. Laboratory investigations such as fasting plasma glucose (FPG), HbA1c, and plasma PON-1 were measured.
Results: When compared with young patients, middle-aged patients showed a significantly declined plasma PON-1 (p < 0.01) and HDL (p < 0.05) levels and increased BMI (p < 0.05). The young and middle-aged patients showed a negative correlation of PON-1 with BMI (p < 0.01), duration of diabetes (p < 0.01), and a positive correlation with HDL (p < 0.01). However, only middle-aged diabetic patients showed a significant correlation of PON-1 with FPG (p < 0.01) and HbA1c (p < 0.01).
Conclusion: Decreased PON-1 concentration in middle-aged patients might be due to a decrease in HDL levels as a consequence of oxidative stress since PON-1 is mainly complexed to HDL.

Keywords: Plasma PON-1; Ageing; Diabetes mellitus type-2; Oxidative stress.