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Quantitative in Vivo Biomarkers of Oxidative Stress in Diabetes

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City:   Kansas City
State:   Kansas
Zip Code:   66160
Conditions:   Type 2 Diabetes - Oxidative Stress
Purpose:   Oxidative stress has been implicated in the development and complications of diabetes. Hyperglycemia and insulin resistance or insufficiency in diabetes can cause oxidative stress by excessive reactive oxygen species and can increase damage and alter antioxidant status in nerve cells. Antioxidant defense mechanisms protect against damage or restore oxidative damage. Glutathione, a powerful antioxidant plays a key role in the first line of antioxidant defense and seems to be a sensitive indicator of oxidative stress in various diseases such as diabetes. Glutathione functions in the regeneration of vitamin C which is another crucial antioxidant. Both hyperglycemia and insulin insufficiency inhibit uptake of vitamin C. The brain contains measurable amounts of glutathione that contribute to the antioxidant pool in the brain and guards against disease processes that are caused by oxidative stress. Since the brain is the most highly oxidative organ in the body and highly susceptible to oxidative stress, with increasing impact on diabetes, biomarkers of oxidative stress in the brain through the use of novel magnetic resonance imaging techniques for glutathione and vitamin C will be studied.
Study Summary:  
Criteria:   Inclusion Criteria: - 30-55 years of age - Diabetic being treated with diet and any of the following: insulin, or other diabetic specific drug such as metformin, sulfonylurea or sitagliptin. - Healthy subjects age and gender matched to diabetes patient Exclusion Criteria: - Use of any anti-inflammatory or antioxidant medications other than small daily doses of ASA (325 mg) and a daily multivitamin - Co-existing chronic inflammatory conditions such as Crohn's disease, rheumatoid arthritis, chronic or acute infections - Any concurrent neurological disease except for mild diabetic autonomic or peripheral neuropathy - Postmeal C peptide > 0.3 mg/dl - Normal healthy subjects who have any abnormal inflammatory marker, hyperlipidemia, or concurrent disease - Diseases associated with abnormal glutathione metabolism - Elevated serum creatinine levels, abnormal CBC, abnormal liver function tests or elevated serum homocysteine - Morbid obesity - History of hypoglycemic unawareness - Pregnant women and women who are breastfeeding - Patients with poor venous access - Smokers - Subject who consumes an excess of alcohol or abuses drugs - History or or presence of bleeding disorder or use of anticoagulant drug - History of oxalate renal calculi
NCT ID:   NCT00845130
Primary Contact:   Principal Investigator
In-Young Choi, PhD
Un iversity of Kansas Medical Center

In-Young Choi, PhD
Phone: 913-588-0174
Email: ichoi@kumc.edu
Backup Contact:   N/A
Location Contact:   Kansas City, Kansas 66160
United States



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Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 21, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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