Cellular oxygen consumption in patients with diabetic ketoacidosis

Autor: Jacob Vine, John H. Lee, Lakshman Balaji, Anne V. Grossestreuer, Andrea Morton, Natia Peradze, Nivedha Antony, Noa Berlin, Max S. Kravitz, Shannon B. Leland, Katherine Berg, Ari Moskowitz, Michael W. Donnino, Xiaowen Liu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Intensive Care Medicine Experimental, Vol 12, Iss 1, Pp 1-8 (2024)
Druh dokumentu: article
ISSN: 2197-425X
DOI: 10.1186/s40635-024-00673-0
Popis: Abstract Background Diabetic ketoacidosis (DKA) is a potentially life-threatening disorder associated with severe alterations in metabolism and acid–base status. Mitochondrial dysfunction is associated with diabetes and its complications. Thiamine and coenzyme Q10 (CoQ10) are important factors in aerobic metabolism. In this study, we measured cellular oxygen consumption rates (OCRs) and the effects of in vitro administration of thiamine and CoQ10 on OCRs in patients with DKA versus healthy controls. Methods Blood samples were collected from a prospective cohort of patients with DKA and from controls. Cellular OCRs were measured in peripheral blood mononuclear cells (PBMC) without treatment and after treatment with thiamine, CoQ10, or both. The mitochondrial profile was measured using an XFe96 Extracellular Flux Analyzer and XF Cell Mito Stress Test Kit (Seahorse Bioscience). A linear quantile mixed model was used to compare OCRs and estimate treatment effects. Results A total of 62 patients with DKA and 48 controls were included in the study. The median basal and maximal OCRs were lower in the DKA group than in the control group (basal: 4.7 [IQR: 3.3, 7.9] vs. 7.9 [5.0, 9.5], p = 0.036; maximal: 16.4 [9.5, 28.1] vs. 31.5 [20.6, 46.0] pmol/min/µg protein, p
Databáze: Directory of Open Access Journals
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