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  Citation Number 5
 Views 14
 Downloands 4
Hiperglisemi, Oksidatif Stres ve Tip 2 Diyabette Oksidatif Stres Belirteçlerinin Tanımlanması
2020
Journal:  
Türkiye Diyabet ve Obezite Dergisi
Author:  
Abstract:

Oksidatif stres, hem Tip 2 diyabet oluşumu hem de diyabet komplikasyonlarının gelişiminde rol oynayabilen önemli bir aktördür. Temel olarak oksidatif stres, reaktif oksijen türevlerinin (ROS) yapımı ve bozunumu arasındaki dengenin bozulması sonucunda oluşan fizyolojik durumu tanımlamada kullanılır. Klinik çalışmalar sonucu elde edilen veriler, sistemik oksidatif stresin metabolik sendrom ve komponentleriyle yakından ilişkili olduğunu göstermektedir. Kronik hiperglisemi ve hiperlipidemi, ROS oluşumu için önemli risk faktörleridir. Hipergliseminin, ROS birikimine katkısı farklı metabolik yolaklar üzerinden gerçekleşebilmektedir. Temel olarak hiperglisemik koşullarda glikolitik yolağın aktivitesinin artması ve mitokondriyal elektron taşıma sistemi üzerinde oluşan elektron basıncı, ROS oluşumuna katkı sağlar. Reaktif oksijen türevlerinin oluşumu ve birikimi daha sonra glikolizde görevli kilit enzimlerden gliseraldehit 3-P dehidrogenaz (GAPDH) enzim aktivitesini baskılayarak hücreyi, glikozu alternatif yolaklarla metabolize etmeye zorlar. Glikoliz ve krebs döngüsünün etkinliği azalır; polyol yolağı, hekzozamin yolağı ve protein kinaz C (PCK) aktivitesi artar. Tüm bu alternatif metabolik yolaklar hücrede ROS oluşumunu daha da artırır. ROS birikimi, insülinin gen ekspresyonunu ve beta hücrelerden insülin salınımını posttranslasyonel faktörler aracılığıyla azaltarak, insülin direnci patogenezine katkı sağlayabilir. Hiperglisemi kaynaklı ROS birikimi, diyabet komplikasyonlarının oluşumunda da önemli role sahiptir. Klinik çalışmaların sonuçları, diyabet ve komplikasyonlarının, hücrenin protein, lipit ve nükleik asit komponentlerinde yarattığı oksidatif hasarı belirlemede pek çok belirtecin kullanılabileceğini ve bu belirteçlerin oksidan harabiyetin düzeyi hakkında fikir verebileceğini göstermektedir.

Keywords:

Hyperglycemia, oxidative stress and oxidative stress indicators in type 2 diabetes
2020
Author:  
Abstract:

Oxidative stress is an important player that can play a role in both the formation of type 2 diabetes and the development of diabetes complications. Basically, oxidative stress is used in the definition of the physiological condition resulting from a disbalance between the formation of reactive oxygen derivatives (ROS) and disbalance. Data obtained from clinical studies show that systemic oxidative stress is closely related to metabolic syndrome and components. Chronic hyperglycemia and hyperlipidemia are important risk factors for the formation of ROS. The contribution of hyperglycemin to the accumulation of ROS can occur through different metabolic pathways. Basically, the increase in the activity of the glycolytic pathway in hyperglycemic conditions and the electron pressure on the mitochondrial electron transmission system contribute to the formation of ROS. The formation and accumulation of reactive oxygen derivatives subsequently pushes the activity of the enzyme glyceraldehyde 3-P dehydrogenase (GAPDH) from the key enzymes responsible for glycolis, forcing the cell to metabolize glucose with alternative pathogens. The effectiveness of the glucose and cancer cycle is reduced; the polyol pathway, the hexosamine pathway and the protein kinase C (PCK) activity is increased. All of these alternative metabolic drops further increase the formation of ROS in the cell. ROS accumulation can contribute to insulin resistance pathogenesis by reducing insulin genetic expression and insulin release from beta cells through posttranslation factors. ROS accumulation caused by hyperglycemia also plays an important role in the formation of diabetes complications. The results of clinical trials show that many indicators can be used to determine the oxidative damage caused by diabetes and complications in the protein, lipid and nucleic acid components of the cell, and that these indicators can give an idea of the level of oxidated acid.

Keywords:

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Türkiye Diyabet ve Obezite Dergisi

Field :   Fen Bilimleri ve Matematik

Journal Type :   Ulusal

Metrics
Article : 223
Cite : 398
2023 Impact : 0.093
Türkiye Diyabet ve Obezite Dergisi