
Background Despite pathophysiological relevance and promising experimental data, the usefulness of biomarkers of oxidative stress for cardiac risk prediction is unclear. The aim of our study was to investigate the prognostic value of 6 biomarkers exploring different pathways of oxidative stress for predicting adverse cardiovascular outcomes in patients with type 2 diabetes mellitus beyond established risk factors. Methods and Results The SURDIAGENE (Survie, Diabete de type 2 et Genetique) prospective cohort study consecutively recruited 1468 patients with type 2 diabetes mellitus. Assays were performed at baseline, and incident cases of major adverse cardiovascular events ( MACE )—first occurrence of cardiovascular death, nonfatal myocardial infarction, or stroke—were recorded during a median of 64 months. Advanced oxidation protein products, oxidative hemolysis inhibition assay, ischemia‐modified albumin, and total reductive capacity of plasma were not associated with the risk of MACE in univariate analyses. Fluorescent advanced glycation end products and carbonyls were associated with MACE (hazard ratio=1.38 per SD , 95% confidence interval 1.24‐1.54, P <0.001 and hazard ratio=1.15 per SD , 95% confidence interval 1.04‐1.27, P =0.006, respectively) in univariate analysis, but when added to a multivariate predictive model including traditional risk factors for MACE , these markers did not significantly improve c‐statistics or integrated discrimination index of the model. Conclusions These plasma concentrations of 6 markers, which cover a broad spectrum of oxidative processes, were not significantly associated with MACE occurrence and were not able to improve MACE risk discrimination and classification beyond classical risk factors in type 2 diabetes mellitus patients.
Glycation End Products, Advanced, Male, cardiovascular outcome, Serum Albumin, Human, Hemolysis, Risk Assessment, Protein Carbonylation, Predictive Value of Tests, Risk Factors, cohort study, oxidative stress, Diseases of the circulatory (Cardiovascular) system, Humans, Prospective Studies, Original Research, Aged, biomarkers, Middle Aged, Prognosis, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Oxidative Stress, Advanced Oxidation Protein Products, Diabetes Mellitus, Type 2, Cardiovascular Diseases, RC666-701, diabetes mellitus, negative study, Female, Oxidation-Reduction, Biomarkers
Glycation End Products, Advanced, Male, cardiovascular outcome, Serum Albumin, Human, Hemolysis, Risk Assessment, Protein Carbonylation, Predictive Value of Tests, Risk Factors, cohort study, oxidative stress, Diseases of the circulatory (Cardiovascular) system, Humans, Prospective Studies, Original Research, Aged, biomarkers, Middle Aged, Prognosis, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Oxidative Stress, Advanced Oxidation Protein Products, Diabetes Mellitus, Type 2, Cardiovascular Diseases, RC666-701, diabetes mellitus, negative study, Female, Oxidation-Reduction, Biomarkers
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 22 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
