Helicobacter Pylori Infection Is Associated with Dyslipidemia and Increased Levels of Oxidized LDL in Type-2 Diabetes Mellitus

Emerging data now indicate and address the strong relationship between H. pylori infection and the incidence of Type 2 DM, a growing body of evidence suggests that the infection with H. pylori may be associated with insulin resistance, chronic inflammation, long-term diabetes complications, and cardiovascular risk factors. The present study was conducted to evaluate the relationship between the infection with Helicobacter pylori and disturbance in Lipid profile in Type 2 Diabetic patients. One hundred and five participants were enrolled, categorized into two groups of H. pylori positive cases and negative controls according to their results of H. pylori IgG antibodies. Subjects in both groups fill the structured questionnaire. Blood samples were drawn for measuring the FBS, 2hr-PP blood sugar, HbA1c, Lipid profile and oxidized LDL. The obtained results were statistically analyzed. The study methodology was approved by the Biomedical Ethics Committee in the Faculty of Medicine, Umm Al-Qura University, Makkah, KSA. 48 cases (45.7%) were diagnosed as H. pylori seropositive and 57 (54.3%) were negative. There is no significant difference in the mean age or mean BMI between the H. pylori negative and positive cases. Glycemic control was similar in the two groups. Total Cholesterol was higher in cases of positive H. pylori compared to negative controls (P < 0.001) and Triglycerides was significantly elevated too (P < 0.005). No significant difference in the levels of HDL-Cholesterol between the two groups, while the mean LDL-Cholesterol was found to be significantly increased in cases of H. pylori positive compared to negative controls (P < 0.001). Oxidized LDL levels in the positive cases was found to be increased significantly (P = 0.001) compared to negative controls. Infection with H. pylori is associated with increased levels of Total Cholesterol, Triglycerides, LDL-C and oxidized LDL in Type 2 Diabetic patients.

The lack of association between different LDL-C levels and oxidized LDL in patients with type 2 diabetes

Background:High concentrations of low-density lipoprotein cholesterol(LDL-C)have been a known risk factor for cardiovascular diseases.Also,the role of oxidized LDL(ox-LDL)in forming atherosclerosis plaque has been proven.However,it has not yet been proven that atherogenic LDL-C byproducts like ox-LDL will decrease by keeping the LDL levels at the desired level.This study aimed to examine the relationship between LDL-C and ox-LDL in different LDL-C values in patients with type 2 diabetes(T2D).Methods:In this cross-sectional study,347 patients with T2D who received statins were enrolled.LDL-C values were defined into four groups as LDLC<55 mg/dL,55 mg/dL≤to<70 mg/dL,70 mg/dL≤to<100 mg/dL and LDLC≥100 mg/dL.Total cholesterol,triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),and ox-LDL were studied in the four defined groups.Results:Ox-LDL levels were not different among the four groups(p=0.30).In addition,LDL-C and ox-LDL levels had no significant correlation(r=0.480,p=0.376).Additionally,based on this study analysis,ox-LDL levels were significantly correlated with TG levels(r=0.119,p<0.05)and TG/HDL ratio(r=0.390,p<0.01).Conclusions:It is concluded that ox-LDL levels were not associated with different LDL-C level categories from<55 mg/dL to>100 mg/dL in patients with T2D.However,the revealed association of ox-LDL with TG level and TG/HDL ratio may be considered in the clinic.

Influence of moxibustion temperatures on blood lipids, endothelin-1, and nitric oxide in hyperlipidemia patients

OBJECTIVE： To observe the influence of moxibustion temperature on blood lipids, endothelin-1（ET-1）, nitric oxide（NO）, and ET-1/NO in hyperlipidemia patients. METHODS： Forty-two primary hyperlipidemia patients were randomly divided into two groups of 21 and treated with moxibustion at different temperatures. Moxibustion was performed with the moxa roll 2.5-3.0 cm from the skin in the treatment group and 4 cm in the control group, 10 min per point, once every other day. Skin temperature was precisely measured with a thermometer during moxibustion. After a 12-week treatment, seven measurements of blood lipids, ET-1, and NO were recorded. RESULTS： Total cholesterol and triglyceride, were lower in the treatment group than in the control group（P0.05）. Serum ET-1 and ET-1/NO was obvi-ously lowered in the treatment group（P0.001）. Moxibustion regulated NO and ET-1/NO in the treatment group much better than in the control group. CONCLUSION： Moxibustion can regulate blood lipids and clear blood vessels. Moxibustion at 45℃has a better effect than moxibustion at 38℃ on regulating blood lipids and protecting vascular endothelial function, indicating that suitable temperature influences the curative effect of moxibustion.