The status of apoproteins b100 and a1 in type 2 diabetes in Erbil city

Avin Salih Khalnd
Department of Clinical biochemistry, College of Health Science, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
Leweza Bilal Abbas
Department of Clinical biochemistry, College of Medicine, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
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Abstract

Background and objective: Type 2 diabetes mellitus (T2DM) originates from the body's incapacity to react to insulin. Hypoglycemic medications and lifestyle modifications can help control it. The aim of this study was to compare the serum Apolipoprotein B100/Apolipoprotein A1 Ratio (ApoB100/ApoA1) between T2DM patients and controls.

Methods: This case-control study was conducted in the Galiawa Teaching Center for Diabetes and Endocrinology in Erbil City from October to December 2024. The blood samples were taken from 45 patients with T2DM and 45 healthy control subjects. Two types of tubes were used to collect blood samples: one for serum separation (gel tube) and another for plasma (tri-potassium ethylene diamine tetra acetic acid) (K3EDTA) tube. The samples have been left at room temperature for fifteen minutes and then put in a centrifuge for ten minutes at 4000 rpm to get the serum of the blood. The separated serum was subjected to laboratory analysis to analyze the biochemical tests (ApoA1, ApoB100, fasting serum glucose, hemoglobin A1C (HbA1C), and lipid profile).

Results: Based on the research findings, diabetic patients had substantially higher levels of serum glucose, HbA1C, lipid profiles, and ApoB100/ApoA1 ratio than the healthy individuals. The case group had a mean serum ratio ApoB100/ApoA1 of (0.84±0.06), while the control group had a ratio of (0.66±0.02) g/L (P = 0.037). While HbA1C and serum glucose with all lipid profile results were significantly higher in T2DM than the control group, high-density lipoprotein (HDL) was lower in T2DM.

Conclusion: The study found that patients with T2DM had a high ApoB100/ApoA1 ratio. Compared to the control group.

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References

  1. Demir S, Nawroth PP, Herzig S, Ekim Ustunel B. Emerging Targets in Type 2 Diabetes and Diabetic Complications. Adv Sci (Weinh). 2021;8(18):e2100275. https://doi.org/10.1002/advs. 202100275
  2. Ismail L, Materwala H, Al Kaabi J. Association of risk factors with type 2 diabetes: A systematic review. Comput Struct Biotechnol J. 2021;19:1759-85. https://doi.org/10.1016/j.csbj.2021.03.003
  3. Parhofer KG. Interaction between Glucose and Lipid Metabolism: More than Diabetic Dyslipidemia. Diabetes Metab J. 2015;39(5):353-62. https://doi.org/10.4093/dmj.2015.39.5.353
  4. Gao L, Zhang Y, Wang X, Dong H. Association of apolipoproteins A1 and B with type 2 diabetes and fasting blood glucose: a cross-sectional study. BMC Endocr Disord. 2021;21(1):59. https://doi.org/10.1186/s12902-021-00726-5
  5. Subramanian SP, Gundry RL. The known unknowns of apolipoprotein glycosylation in health and disease. iScience. 2022;25(9):105031. https://doi.org/10.1016/j.isci. 2022.105031
  6. Janghorbani M, Amini M. Utility of serum lipid ratios for predicting incident type 2 diabetes: the Isfahan diabetes prevention study. Diabetes/metabolism research and reviews. 2016;32(6):572-80. https://doi.org/10.1002/dmrr.2770
  7. Mao Y, Xu Y, Lu L. The nonlinear association between apolipoprotein B to apolipoprotein A1 ratio and type 2 diabetes. Medicine (Baltimore). 2017;96(1):e5834. http://dx.doi.org/10.1097/MD.0000000000005834
  8. Tang S, Tabet F, Cochran BJ, Cuesta Torres LF, Wu BJ, Barter PJ, et al. Apolipoprotein A-I enhances insulin-dependent and insulin-independent glucose uptake by skeletal muscle. Sci Rep. 2019;9(1):1350. https://doi.org/10.1038/s41598-018-38014-3
  9. Domingo-Espin J, Nilsson O, Bernfur K, Del Giudice R, Lagerstedt JO. Site-specific glycations of apolipoprotein A-I lead to differentiated functional effects on lipid-binding and on glucose metabolism. Biochim Biophys Acta Mol Basis Dis. 2018;1864(9 Pt B):2822-34. https://doi.org/10.1016/j.bbadis.2018.05.014
  10. Retnakaran R, Ye C, Connelly PW, Hanley AJ, Sermer M, Zinman B. Serum apoA1 (Apolipoprotein A-1), Insulin Resistance, and the Risk of Gestational Diabetes Mellitus in Human Pregnancy-Brief Report. Arterioscler Thromb Vasc Biol. 2019;39(10):2192-7. https://doi.org/10.1161/ATVBAHA.119.313195
  11. Wu X, Yu Z, Su W, Isquith DA, Neradilek MB, Lu N, et al. Low levels of ApoA1 improve risk prediction of type 2 diabetes mellitus. J Clin Lipidol. 2017;11(2):362-8. http://dx.doi.org/10.1016/j.jacl.2017.01.009
  12. Malyala R, Rapi L, Nash MM, Prasad GVR. Serum Apolipoprotein B and A1 Concentrations Predict Late-Onset Posttransplant Diabetes Mellitus in Prevalent Adult Kidney Transplant Recipients. Can J Kidney Health Dis. 2019;6:2054358119850536. https://doi.org/10.1177/2054358119850536
  13. Ahmed S, Ali R. Atherogenic index of plasma as a biomarker of atherogenecity in type 2 diabetes mellitus in Erbil city. Zanco J Med Sci. 2023;27(1):1-5. https://doi.org/10.15218/zjms.2023.001
  14. Mellor DD, Georgousopoulou EN, D'Cunha NM, Naumovski N, Chrysohoou C, Tousoulis D, et al. Association between lipids and apolipoproteins on type 2 diabetes risk; moderating effects of gender and polymorphisms; the ATTICA study. Nutr Metab Cardiovasc Dis. 2020;30(5):788-95. https://doi.org/10.1016/j.numecd.2020.01.008
  15. Chou YC, You SL, Bai CH, Liao YC, Wei CY, Sun CA. Utility of apolipoprotein measurements in predicting incident type 2 diabetes: A Chinese cohort study. J Formos Med Assoc. 2020;119(1 Pt 1):51-8. https://doi.org/10.1016/j.jfma.2019.03.001
  16. Patel VI, Patel KP, Makadia MG, Shah AD, Chaudhari KS, Nilayangode HN. Levels of Apolipoprotein A1, B100 and Lipoprotein (a) in Controlled and Uncontrolled Diabetic Patients and in Non-Diabetic Healthy People. J Clin Diagn Res. 2017;11(2):BC01-BC5. https://doi.org/10.7860/JCDR/2017/22741.9258
  17. Wang W, Chen ZY, Guo XL, Tu M. Monocyte to High-Density lipoprotein and Apolipoprotein A1 Ratios: Novel Indicators for Metabolic Syndrome in Chinese Newly Diagnosed Type 2 Diabetes. Front Endocrinol (Lausanne). 2022;13:935776. https://doi.org/10.3389/fendo.2022.935776
How to Cite
Salih Khalnd, A. ., & Bilal Abbas , L. . (2026). The status of apoproteins b100 and a1 in type 2 diabetes in Erbil city. Zanco Journal of Medical Sciences (ZJMS), 30(2), 436–445. https://doi.org/10.15218/zjms.2026.030

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