The hypothesis of the development of diabetic retinopathy in the Yakuts at type 2 diabetes mellitus
Abstract
The authors reported the results of the examination of patients with diabetic retinopathy (DR) at type 2 diabetes mellitus (DM), ethnic Yakuts, permanently residing in the areas of the Leno-Amga interfluve to the third generation, registered in the state register of the SD of the RS (Ya). It is assumed that the development of DR at type 2 diabetes in ethnic Yakuts is due to the fact that the genetic (internal) factors involved in the metabolism of lipids and carbohydrates, the inflammatory process and oxidative stress, under the influence of environmental risk factors and hormonal expression in a certain age period, mainly in meno- and andropause, cause metabolic disorders and oxidative stress with an energy deficit in cells with active cleavage of ATP. Further chronic course of the inflammatory process and generalized oxidative stress lead to atherogenic damage of the vascular wall, causing pathological changes inherent to DR.
About the Authors
L. L. YavlovskayaRussian Federation
Lubov Leonidovna Yavlovskaya - Ophthalmological clinic of Republic Sakha (Yakutia) Healthcare Ministry
E. K. Khusnutdinova
Russian Federation
Elsa Kamilevna Khusnutdinova - Corresponding Member of Academy of Sciences of Republic Bashkorcostan, Doctor of Biological Sciences, Professor, Head of the Department
R. I. Shatilova
Russian Federation
Rimma Ivanovna Shatilova-Doctor of Medical Sciences,Professor of Ophthalmological Department
V. I. Lazarenko
Russian Federation
Victor Ivanovich Lazarenko-Doctor of Medical Sciences, Professor of Ophthalmological Department
References
1. Moshetova L. Clinical and functional characteristics of the vision organ at diabetes mellitus / L. Moshetova, G. Arzhimatova, A. Komarov // Vrach. – 2012. – № 5. – P. 24-27.
2. Neroev V. V. The role of vascular endothelial growth factor in the pathogenesis of diabetic retinopathy / V.V. Neroev, O.I. Sarygina, O.A. Levkina // Herald of ophthalmology (Rus.). – 2009. – №2. – P. 58-60.
3. Nesterov A.P. Diabetic lesions of the vision organ / A.P. Nesterov // Probl. of endocrinology (Rus.). – 1997. – № 3. – P. 16-19.
4. Fedorova S.A. Genetic portraits of the peoples of the Republic Sakha (Yakutia): analysis of mitochondrial DNA and Y-chromosome / S.A. Fedorova; Ed. M.I. Tomsky. – Yakutsk: Publishing House of the YNCSB RAS, 2008. – 235 p.
5. Cytokines and their role in the pathogenesis of diabetic retinopathy / M.B. Antsiferov, A.M. Mkrtumyan, S.V. Suchkov [et al.] // Herald of ophthalmology (Rus.). – 2010. – № 6. – P. 53-57.
6. Shadrichev F. E. Diabetic retinopathy: modern approaches to patient management / F. E. Shadrichev // Consilium medicum. – 2012. – №12. – P. 48-55.
7. Association analysis of nine candidate gene polymorphisms in Indian patients with type 2 diabetic retinopathy / S. Balasubbu, P. Sundaresan, A. Rajendran [et al.] // BMC Med. Genet. – 2010. – Vol. 11. – P. 158.
8. Association of vascular endothelial growth factor polymorphisms with nonproliferative and proliferative diabetic retinopathy / M. Y. Chun, H. S. Hwang, H. Y. Cho [et al.] // J. Clin. Endocrinol. Metab. – 2010. – Vol. 95, № 7. – P. 3547–3451.
9. Factors associated with changes in endothelin-1 gene expression in patients with diabetic retinopathy in type 2 diabetes mellitus / B. Strzalka-Mrozik, A. Nowak, J. Gola [et al.] // Mol. Vis. – 2010. – Vol. 16. – P. 1272–1279.
10. Frank R.N. The aldosoreductase controversy / R.N. Frank // Diabetes. – 1994. – Vol. 431. – P.169.
11. Geyer O. Nitric oxide synthase activity in tissues of the bovine eye / O. Geyer, S.M. Podos, T. Mittag // Graefes Arch. Clin. Exp. Ophthalmol. – 1997. – Vol. 12. – P. 786–793.
12. Kang P. Association of RAGE gene polymorphisms with type 2 diabetes mellitus, diabetic retinopathy and diabetic nephropathy / P. Kang, C. Tian, C. Jia // Gene. – 2012. – Vol. 500, № 1. – P. 1–9.
13. Relationship of vascular endothelial growth factor (VEGF) +405 G/C polymorphism and proliferative retinopathy in patients with type 2 diabetes / M. Feghhi, A. Nikzamir, A. Esteghamati [et al.] // Transl. Res. – 2011. – Vol. 158, № 2. – P. 85–91.
14. Role of N-epsilon-carboxy methyl lysine, advanced glycation end products and reactive oxygen species for the development of nonproliferative and proliferative retinopathy in type 2 diabetes mellitus / S. Choudhuri, D. Dutta, A. Sen [et al.] // Mol. Vis. – 2013. – Vol. 19. – P. 100–113.
15. U.S. Cеnsus Bureau: Profiles of general demographic characteristics 2000 // United States Census 2000. – Washington : Census Bureau, 2001. – Р. 1.
Review
For citations:
Yavlovskaya L.L., Khusnutdinova E.K., Shatilova R.I., Lazarenko V.I. The hypothesis of the development of diabetic retinopathy in the Yakuts at type 2 diabetes mellitus. Yakut Medical Journal. 2017;(3):69-72.