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2nd International Conference on Non-invasive Cardiac Imaging, Nuclear Cardiology & Echocardiography

Amsterdam, Netherlands

Soha M. Abd El Dayem

Soha M. Abd El Dayem

National Research Centre, Egypt

Title: Relationship of nitric oxide genotype to diabetic nephropathy and atherosclerosis of type 1 diabetic patients

Biography

Biography: Soha M. Abd El Dayem

Abstract

Objective: Assessment of nitric oxide genotype in diabetic patients and to evaluate its relationship to diabetic nephropathy and atherosclerosis of type 1 diabetic patients.

Patients and methods: The study included 65 type 1 diabetic patients and 30 age and sex matched healthy volunteers. The mean age of patients was 17.99 ± 2.59, mean duration of diabetes was 10.91 ± 3.54, mean onset of disease was 7.00 ± 3.28. Blood samples were taken for assessment of  glycosylated hemoglobin (HbA1), lipid profile, oxidized low-density lipoprotein (OxLDL) and serum level of nitric oxide by enzyme linked immunosorbent assay (ELISA) technique. Also, nitric oxide genotype was done.  Urine samples were taken for assessment of albumin/creatinine ratio. Carotid intima-media thickness (cIMT)  and renal dopplar via ultrasound were also done.

Results:  Nitric oxide was significantly lower, while lipid profile, OxLDL and albumin/creatinine ratio, cIMT and resistivity index were significantly higher in diabetic patients. No significant difference of   nitric oxide genotype was found in diabetics and control.  Nitric oxide was significantly lower, while OxLDL, albumin/ creatinine ratio and lipid profile were significantly higher in nitric oxide homozygous genotype. Conclusion: diabetic patients had a low level of nitric oxide and early atherosclerosis. Nitric oxide homozygous genotype is associated with diabetic nephropathy and atherosclerosis.