Urinary markers of nucleic acid oxidation and long-term mortality of newly diagnosed type 2 diabetic patients

K. Broedbaek, Volkert Dirk Siersma, T. Henriksen, A. Weimann, M. Petersen, J.T. Andersen, E. Jimenez-Solem, E.S. Stovgaard, L.J. Hansen, J.E. Henriksen, Steen Joop Bonnema, Niels de Fine Olivarius, H.E. Poulsen

74 Citations (Scopus)

Abstract

OBJECTIVE - We analyzed data from a cohort of 1,381 newly diagnosed type 2 diabetic patients to test the hypothesis that urinary markers of nucleic acid oxidation are independent predictors of mortality. RESEARCH DESIGN ANDMETHODS - We examined the relationship between urinary excretion of markers of DNA oxidation (8-oxo-7,8-dihydro-27prime;-deoxyguanosine [8-oxodG]) and RNA oxidation (8-oxo-7,8-dihydroguanosine [8-oxoGuo]) and long-termmortality using Cox proportional hazards regression. RESULTS - After multivariate adjustment, the hazard ratios for all-cause and diabetes-related mortality of patients with 8-oxoGuo levels in the highest quartile compared with those in the lowest quartile were 1.44 (1.12-1.85) and 1.54 (1.13-2.10), respectively.Conversely, no significant associations between 8-oxodG and mortality were found in the adjusted analyses. CONCLUSIONS - Urinary excretion of the RNA oxidationmarker 8-oxoGuomeasured shortly after diagnosis of type 2 diabetes predicts long-term mortality independently of conventional risk factors. This finding suggests that 8-oxoGuo could serve as a new clinical biomarker in diabetes.

Translated title of the contributionUrinary markers of nucleic acid oxidation and long-term mortality of newly diagnosed type 2 diabetic patients
Original languageEnglish
JournalDiabetes Care
Volume34
Issue number12
Pages (from-to)2594-2596
Number of pages3
ISSN0149-5992
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Denmark
  • diabetes
  • diagnosis
  • methods
  • Mortality
  • PATIENT
  • Patients
  • pharmacology
  • Research
  • Research Design
  • Risk
  • RISK-FACTORS
  • Risk Factors
  • semrap-2011-3
  • Support

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