Estimation the levels of interleukin 6 and tumor necrosis factor-alpha patients with diabetic type 2 in Tikrit city
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Abstract
Type 2 is the most common metabolic disorder characterized by the increased concentration of glucose in blood due to insulin resistance or relative insulin deficiency. Changes in human behavior and lifestyle over the last century have resulted in a dramatic increase in the incidence of diabetes worldwide. Interleukin 6 is pro inflammatory cytokines secreted by immune cells, adipose tissue , Muscles is able to accelerate or inhibit the inflammatory processes .High circulating IL-6 levels have been associated with insulin resistance and greater risk of T2DM .
80 patients with type 2 diabetes mellitus (40 male and 40 female )are diagnosed by specialized in medicine in general Salah- Aldin Hospital in Tikrit city and 40 apparently healthy Controls (20 male and 20 female ) were included in this study This study carried out in Tikrit city from 1st October 2017 to 1st of April 2018 Anthropometric measures include, Age , BMI , were done for all participants Fasting serum samples were obtained and used for the measurement of serum glucose Interleukin- 6 (IL-6) and Tumor necrosis factor alpha (TNF-α) .
The results of current study showed that Fasting serum glucose (FBS), Interleukin-6 (IL-6), Tumor necrosis factor alpha (TNF-α) are High significant increase (p<0.01) in diabetic patients when compared to control group.
In Conclusion, serum interleukin -6 (IL-6) and Tumor necrosis factor – alpha (TNF-α) has high significant increases level in diabetic patients compared to control.
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References
[1] Karrallidde, J. and Gnudi, L. (2014). Diabetes Mellitus, A complex and Heterogenous Disease, and The Role of insulin Resistance as A Determinant of Diabetic kidney Disease . Nephrol Dial Transplant; 0: 1-8 .
[2] Tuei, V.C.; Maiyoh , G.K. Mayoh and Ha, C.E. (2010) Type 2 diabetes mellitus and obesity in sub . Saharan Africa – Diabetes Metab Res Rev.
[3] Papaetis, G.S. (2014) Incretin – based therapies in prediabetes: Current evidence and future perspectives, World I Diabetes December 15; 5 (6): 817-834
[4] Hariprasath, K.; Umemaheswari, P. and Wicket , S. (2013) Hormone Based Therapy in type 2 Diabetes mellitus . Asian Journal of pharmacentical and clinical Research ; 6 (1) : 1-5
[5] Adamo D,E and Caprio, S. (2011) .Type 2 Diabetes in Youth: Epidemiology and Pathophysiology Diabetes , 34 (2) :161-165
[6] Guo, S. (2014). Insulin Signaling resistance, and the Metabolic syndrome Insights from Mouse models to Disease Mechanism . J Endo crinol . 220 (2) 1-23 .
[7] Lee, M.- S. (2014). Role of Innate Immunity in the pathogenesis of type 1 and type 2 Diabetes . J . Korean Med Sci; 29 : 1038 – 1041.
[8] Esser, N.; Legrand – Poels, S.; piette, J.; Scheen, A. J. and Paquot, N. (2014). Inflammation as a link between Obesity, Metabolic Syndrome and Type 2 Diabetes. Diabetes Research and clinical practice ; 105(2) .
[9] Eguchi, K. and Manabe, I. (2013). Macrophages and islet inflammation in type 2 diabetes. Diabetes Obesity and Metabolism 15 (Suppl .3): 152 – 158.
[10] Tietz, N.W (1995). Clinical Guide to laboratory Tests , 3rd edition . WA Saunders Philadelphia .
[11] Koma BIOTICH Korea. Human IL-6 ELISA Kit , K 033194 : 8
[12] Koma BIOTICH Korea. Human TNF-α ELISA Kit , K 0331131:8
[13] Madhu, S.V. and Srivastava, S. (2015). Diabetes mellitus: Diagnosis and management guidelines. Journal International Medical Sciences Academy; 28(1):47-50.
[14] Murad, M.A.; Abdulmageed, S.S.; Iftikhar, R. and Sagga, B.K. (2014). Assessment of the common risk factors associated with type 2 diabetes mellitus in Jeddah. International journal of Endocrinology; 2014.
[15] Zhao, Q.; Laukkanen, J.A.; Li Q. and Li, G. (2017). Body mass index is associated with type 2 diabetes mellitus in Chinese elderly. Clinical interventions in aging; 12:745-752.
16.Andreozzi F, Laratta E, Cardellini M, Marini MA, Lauro R, Hribal ML, Perticone F, Sesti G. (2006). Plasma interleukin-6 levels are independently associated with insulin secretion in a cohort of Italian Caucasian nondiabetic subjects. Diabetes; 55:2021–4.
[17] Phosat, C.; Panprathip, P.; Chumpathat, N.; Prangthip, P.;Chantratita, N.; Soonthornworasiri, N.; Puduang. S.; Kwanbunjan, K. (2017). Elevated C- reactive protein , Interleukin 6, Tumor necrosis factor alpha and glycemic load associated with type 2 diabetes Mellitus in rural Thais: a cross – sectional study . BMC endocrine disorder : 17- 44 .
[18] Ibfelt T, Fischer CP, Plomgaard P, Van Hall G, (2014). The acute effects of low-dose TNF-alpha on glucose metabolism and beta-cell function in humans. Mediat Inflamm. :295478.
[19] Al-Tu'ma, F.J.; Ibraheem, A.A. and Al-Khayatt, T.H. (2011). Adiponectin, Insulin and Interlukin-8 in Type-2 Diabetic Obese Patients in Kerbala Province: Iraq. Karbala J. Med; 4(3, 4):1047-1056.
[20] Suman, S.D.; Suchetha, N.K.; Chethana, K.R. and Ramitha, K. (2010). Effect of obesity on the incidence of type 2 diabetes mellitus varies with age among Indian women. Research Journal of Pharmaceutical Biological and Chemical Sciences; 1(3):342-345
[21] Wannamethee SG, Whincup PH, Rumley A, Lowe GD, (2007). Inter-relationships of interleukin-6, cardiovascular risk factors and the metabolic syndrome among older men. J Thromb Haemost.
5(8): 1637-43.
[22] Spranger J, Kroke A , Mohlig M, Hoffmann K, Bergmann M M, Ristow M, Being H, Pfeiffer AF, (2003). Inflammatory cytokines and the risk to develop type 2 diabetes. Diabetes ;52:812–7.