Medicina (Dec 2022)

Oxidative Stress and Inflammatory Biomarkers in Patients with Diabetic Foot

  • Sanja Vujčić,
  • Jelena Kotur-Stevuljević,
  • Jelena Vekić,
  • Iva Perović-Blagojević,
  • Tatjana Stefanović,
  • Sanja Ilić-Mijailović,
  • Branka Koprivica Uzelac,
  • Srećko Bosić,
  • Tamara Antonić,
  • Azra Guzonjić,
  • Ana-Marija Mastilović,
  • Zorica Marković,
  • Manfredi Rizzo

DOI
https://doi.org/10.3390/medicina58121866
Journal volume & issue
Vol. 58, no. 12
p. 1866

Abstract

Read online

Background and Objectives: Diabetic foot (DF) development is driven by complex interactions of hyperglycemia, inflammation, and oxidative stress (OS). We aimed to investigate OS and inflammatory biomarkers in patients with DF and their potential to improve early diagnosis and management of DF. Materials and Methods: The prooxidant–antioxidant balance (PAB), superoxide dismutase (SOD), total oxidative status (TOS), total sulfhydryl groups (SHG), routine biochemical parameters, and complete blood count were determined in 42 patients with type-2 DM, of which 23 patients had DF, while 19 patients were without DF complications. The neutrophils-to-lymphocyte ratio (NLR) was evaluated as a biomarker of inflammation. Results: Patients with DF had significantly higher (p p p p p p Conclusions: In conclusion, the development of DF is associated with enhanced OS and inflammation processes. PAB and NLR could be useful non-invasive biomarkers of DF development.

Keywords