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Malondialdehyde levels in diabetic retinopathy patients: a systematic review and meta-analysis

CHINESE MEDICAL JOURNAL (2023)

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Summary: Chronic hyperglycemia leads to nerve tissue and retina damage through inflammatory pathways and oxidative stress mechanisms. The Keap1-Nrf2 pathway is an important antioxidant pathway affected by Keap1 variants, which may impact susceptibility to diabetes complications. In this study, patients with neuropathy had lower antioxidant levels and higher oxidative stress compared to those without complications, suggesting a role of reduced antioxidant system and Keap1 variants in the pathogenesis of diabetes and its complications. Monitoring oxidative stress parameters and using antioxidants in treatment of diabetic patients, especially those with complications, is recommended.

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Summary: The study assessed the prevalence and relative contribution of avoidable causes of blindness and vision impairment globally from 1990 to 2020, finding that there was no change in the global prevalence of avoidable blindness and vision impairment in adults aged 50 and older. Although the age-standardized prevalence of avoidable blindness decreased, avoidable moderate and severe vision impairment did not change.

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Review Ophthalmology

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Summary: The translated paragraphs provide updated estimates on the global prevalence and number of people with diabetic retinopathy (DR) through 2045. The burden of DR is expected to increase disproportionately in countries in the Middle East and North Africa and the Western Pacific by 2045. Certain ethnic groups such as Hispanics and Middle Easterners with diabetes are more likely to have DR compared to Asians.

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Summary: Oxidative stress, caused by an imbalance between prooxidants and antioxidants, can lead to biomolecular damage and development of diseases. Lipids are sensitive to oxidant attack, with MDA, 4-HNE, and F2-isoprostane being the main biomarkers for lipid peroxidation assessment. The profile of PUFAs in tissues determines the proportion of each biomarker.

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Controlled diabetes amends oxidative stress as mechanism related to severity of diabetic retinopathy

Rania Fahmy et al.

Summary: This study evaluated the role of oxidative stress as a mechanism of retinopathy in controlled type 2 diabetic patients and found differences in oxidative stress markers levels among patients with different degrees of retinopathy. While thinning of parapapillary retinal nerve fiber layer thickness was noted in patients with retinopathy, non-significant differences were observed in GST and lipid peroxide levels.

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Evaluation of some oxidative markers in diabetes and diabetic retinopathy

Hadeel Ahmed Shawki et al.

Summary: The study found that higher levels of uric acid and malondialdehyde are associated with an increased risk of diabetes and diabetic retinopathy development, while bilirubin is not associated with reducing the risk of diabetes or DR. The combination of malondialdehyde, uric acid, and bilirubin may be a valuable addition to current options for the prognosis of DR, with malondialdehyde being an independent predictor of diabetes and DR, and uric acid being used as an independent biomarker to predict the risk of DR.

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ETDRS Grading of Diabetic Retinopathy: Still the Gold Standard?

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Upregulation of CKIP-1 inhibits high-glucose induced inflammation and oxidative stress in HRECs and attenuates diabetic retinopathy by modulating Nrf2/ARE signaling pathway: an in vitro study

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CANADIAN JOURNAL OF DIABETES (2017)

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OPHTHALMOLOGY (2015)

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BANGLADESH JOURNAL OF MEDICAL SCIENCE (2014)

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INDIAN JOURNAL OF CLINICAL BIOCHEMISTRY (2008)

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Overview of epidemiologic studies of diabetic retinopathy

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Risk factors of diabetic retinopathy in type 2 diabetic patients

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DIABETES CARE (2000)

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