Abstract
Purpose: :
Oxidized LDL (ox-LDL) has cytotoxic and immunogenic effects and might therefore play a role in the development of diabetic retinopathy. The purpose of this study was to investigate the role of oxidized LDL and autoantibodies against ox-LDL in diabetic retinopathy.
Methods: :
The study population consisted of 229 diabetic patients with clinically moderate to severe diabetic retinopathy (DR group) and 106 diabetic patients with no clinical retinopathy (DC group). In addition, we had 139 non-diabetic patients (C group) as controls. The diabetes duration was at least 10 years in the DC group. Plasma samples were taken after an overnight fast and stored after centrifugation at -70°C. Plasma IgG, IgM and IgA class autoantibody titers to copper oxidized LDL (CuOx-LDL) and malonidialdehyde oxidized LDL (MDAOx-LDL) were measured with chemiluminescence ELISA.
Results: :
The DR and DC groups did not differ in age, sex, diabetes type or diabetes duration. The mean IgM titers for CuOx-LDL and MDAOx-LDL were lower for diabetics, but did not differ significantly between DR and DC. The IgM(CuOx-LDL) titers were 4277 (7191), 4152 (2952) and 6714 (10221) and IgM(MDAOx-LDL) titers 3316 (4440), 3536 (2933) and 4258 (3577), for DR, DC and C groups, respectively. IgG(CuOx-LDL) titers were 3476 (3721), 3667 (3361) and 3263 (3778), and IgG(MDAOx-LDL) titers 6827 (5397), 7177 (5056) and 7177 (5056), for DR, DC and C groups, respectively. According to diabetes type the titers in DR and DC were: IgM(CuOx-LDL) 3684 (3566) and 4613 (2910), respectively, for type 1 (p=0.116) and 4796 (9250) and 3740 (2955), respectively, for type 2 (p=0.406). IgG(CuOx-LDL) titers were 3775(4197) and 3097 (2617) for type 1 (p=0.301) and 3296 (3363) and 4177 (3860) for type 2 (p=0.129) for DR and DC, respectively. The effect on MDAOx-LDL titers was similar than for IgG titers. IgA titers against both CuOx-LDL and MDA-LDL were very low.
Conclusions: :
IgG, IgA and IgM autoantibodies against ox-LDL did not differ significantly between DR and DC. However, the diabetes type in DR has impact on autoantibody titers, since in type 2 diabetics the IgM/IgG ratio was higher than in type 1 diabetics.
Keywords: diabetic retinopathy • inflammation • lipids