Journals / Turkish Journal of Medical Sciences / 2008 / Cilt: 38 - Sayı: 6

Effect of Metformin or Gliclazide on Lipid Peroxidation and Antioxidant Levels in Patients with Diabetes Mellitus

Pages
545–548
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: The data obtained in this study showed that gliclazide or metformin administration may decrease oxidative stress, and both drugs had similar effects.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The association between oxidative stress and diabetic complications is well known.
📊
Key Findings & Data:Materials and Methods: In this study, we evaluated 46 patients with type 2 diabetes mellitus.
💡
Conclusion & Impact:Conclusions: The data obtained in this study showed that gliclazide or metformin administration may decrease oxidative stress, and both drugs had similar effects.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Diabetes mellitus · gliclazide · metformin

Abstract

Aim: The association between oxidative stress and diabetic complications is well known. The main goal of antidiabetic therapy is to prevent the complications of diabetes. Gliclazide (sulfonylurea) and metformin (biguanide) are two oral antidiabetic drugs that have been proven to prevent diabetic complications. In this study, we aimed to investigate the antioxidant effects of gliclazide or metformin. Materials and Methods: In this study, we evaluated 46 patients with type 2 diabetes mellitus. The patients were divided into three groups according to their treatment modality of gliclazide, metformin, or diet. Erythrocyte glutathione peroxidase (Gpx), glutathione S-transferase (GST), and catalase (CAT) activities and malondialdehyde (MDA) and glutathione (GSH) levels of the patients were measured and compared. Results: The erythrocyte Gpx, GST, and CAT activities were significantly higher, whereas MDA levels were significantly lower in both gliclazide and metformin groups when compared with the diet group. There was no statistically significant difference between gliclazide and metformin groups in terms of activities of antioxidant enzymes and levels of MDA. In addition, GSH levels were not different among the groups. Conclusions: The data obtained in this study showed that gliclazide or metformin administration may decrease oxidative stress, and both drugs had similar effects.

Özet

Aim: The association between oxidative stress and diabetic complications is well known. The main goal of antidiabetic therapy is to prevent the complications of diabetes. Gliclazide (sulfonylurea) and metformin (biguanide) are two oral antidiabetic drugs that have been proven to prevent diabetic complications. In this study, we aimed to investigate the antioxidant effects of gliclazide or metformin. Materials and Methods: In this study, we evaluated 46 patients with type 2 diabetes mellitus. The patients were divided into three groups according to their treatment modality of gliclazide, metformin, or diet. Erythrocyte glutathione peroxidase (Gpx), glutathione S-transferase (GST), and catalase (CAT) activities and malondialdehyde (MDA) and glutathione (GSH) levels of the patients were measured and compared. Results: The erythrocyte Gpx, GST, and CAT activities were significantly higher, whereas MDA levels were significantly lower in both gliclazide and metformin groups when compared with the diet group. There was no statistically significant difference between gliclazide and metformin groups in terms of activities of antioxidant enzymes and levels of MDA. In addition, GSH levels were not different among the groups. Conclusions: The data obtained in this study showed that gliclazide or metformin administration may decrease oxidative stress, and both drugs had similar effects.

🔖

Cite This Article

MEMİŞOĞULLARI, R., TÜRKELİ, M., AKÇAY, F., BAKAN, E. (2022). Effect of Metformin or Gliclazide on Lipid Peroxidation and Antioxidant Levels in Patients with Diabetes Mellitus. Turkish Journal of Medical Sciences, Cilt: 38 - Sayı: 6, 545–548. https://ajindex.com/articles/611751

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Taysi S, Kocer I, Memisogullari R, Kiziltunc A. Serum oxidant/antioxidant status in patients with Behçet’s disease. Ann Clin Lab Sci 2002; 32: 377-82
  2. Memisogullari R, Taysi S, Bakan E, Capoglu I. Antioxidant status and lipid peroxidation in type II diabetes mellitus. Cell Biochem Funct 2003; 21: 291–6
  3. Memisogullari R, Bakan E. Levels of ceruloplasmin, transferrin, and lipid peroxidation in the serum of patients with type 2 diabetes mellitus. J Diabetes Complications 2004; 18: 193– 7
  4. Memisogullari R, Gümüştekin K, Dane Ş, Akçay F. Effect of preinjury supplementation of selenium or vitamin E on lipid peroxidation and antioxidant enzymes in burn injury. Turk J Med Sci 2006; 36: 141-6
  5. Kimoto K, Suzuki K, Kizaki T, Hitomi Y, Ishida H, Katsuta H et al. Gliclazide protects pancreatic b-cells from damage by hydrogen peroxide. Biochem Bioph Res Co 2003; 303: 112–9
  6. Jennings PE, Belch JJ. Free radical scavenging activity of sulfonylureas: a clinical assessment of the effectiveness of gliclazide. Ter Arkh 2001; 73: 27-31
  7. Tessier D, Maheux P, Khalil A, Fulop T. Effects of gliclazide versus metformin on the clinical profile and lipid peroxidation markers in type 2 diabetes. Metabolism 1999; 48: 897-903
  8. Sliwinska A, Blasiak J, Kasznicki J, Drzewoski J. In vitro effect of gliclazide on DNA damage and repair in patients with type 2 diabetes mellitus (T2DM). Chem Biol Interact 2008; 173: 159-65
  9. Formoso G, De Filippis EA, Michetti N, Di Fulvio P, Pandolfi A, Bucciarelli T et al. Decreased in vivo oxidative stress and decreased platelet activation following metformin treatment in newly diagnosed type 2 diabetic subjects. Diabetes Metab Res Rev 2008; 24: 231-7
  10. Majithiya JB, Balaraman R. Metformin reduces blood pressure and restores endothelial function in aorta of streptozotocininduced diabetic rats. Life Sci 2006; 78(22): 2615-24
  11. Iida KT, Kawakami Y, Suzuki M, Shimano H, Toyoshima H, Sone H et al. Effect of thiazolidinediones and metformin on LDL oxidation and aortic endothelium relaxation in diabetic GK rats. Am J Physiol Endocrinol Metab 2003; 284: E1125–E1130
  12. Bonnefont-Rousselot D. Antioxidant and anti-AGE therapeutics: evaluation and perspectives. J Soc Biol 2001; 195: 391-8
  13. Paglia DE, Valentina WN. Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 1967; 70: 158–69
  14. Aebi H. Catalase. In: Bergmeyer HU, editor. Methods of Enzymatic Analysis. Weinheim: