ASSESSMENT OF SERUM HIGH MOBILITY GROUP BOX -1 LEVEL AS PREDICTOR OF DIABETIC PERIPHERAL NEUROPATHY

Zahraa Maitham AL-Khateeb Department of Chemistry and Biochemistry, College of Medicine, Mustansiriyah University, Iraq, pharmacistzahraaalkhateeb@gmail.com
Prof. Dr. Sura A. Abdulsattar Department of Chemistry and Biochemistry, College of Medicine, Mustansiriyah University, Iraq, esamnoori61@gmail.com
Assist. Prof. Dr. Isam N.Salman Diabetes and endocrine disease. College of Medicine, Mustansiriyah University, Iraq. Emails: surasci@uomustansiriyah.edu.iq

Abstract

Background: High mobility group B1 is associated with central ischemic damage, being released into the extracellular space after ischemic insult where it promotes neuroinflammation like neuropathy which represent a signficant complication of diabetes and it is difficult to treat. Objective: is to investigate the changes of serum levels of High Mobility Group Box-1 Protein (HMGB-1) and its association with the incidence of developing neuropathic complications among diabetic patients. Material & Methods: A 30 patients with diabetic peripheral neuropathy was included with another 30 patients with Diabetes Mellitus type 2 without complications and a 30 healthy subject as control group both sex-aged matched with the patients groups. This study included the measurement of serum high mobility group box -1 (HMGB-1) by ELISA technique in addition to HbA1c by turbidimetric immunoassay technology, Fasting blood sugar and finally Lipid profile (Total cholesterol, LDL, VLDL, HDL and Triglycerides) were measured by spectrophotometer. Results: Analyzing the current data of samples (n=90) showed that the comparison between serum level of HMGB-1 was significant. The mean of HMGB_1 for NPDM (689.08± 104.63) was significantly higher than both for Non-NPDM (354.97± 137.56), p < 0.001 and for control (312.91± 100.66), (p < 0.001).Also serum levels of (Total Cholesterol, TG, LDL, VLDL) of NPDM patients were significantly higher (p<0.001) than both Non-NPDM and control groups. We conclude that serum level of HMGB-1 can be used as predictor marker of neuropathy complication of type 2 diabetes.

Keywords:

Serum, Box-1, Diabetic Peripheral Neuropathy


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References


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