Influence of interindividual variability of aldose reductase protein content on polyol-pathway metabolites and redox state in erythrocytes in diabetic patients.
OBJECTIVE
To clarify the influence of interindividual difference in the level of aldose reductase on the polyol pathway-related metabolism in diabetic patients.


METHODS
The enzyme protein content was determined by a two-site enzyme-linked immunosorbent assay using monoclonal and polyclonal antibodies to recombinant human aldose reductase in erythrocytes from 35 diabetic patients and 11 healthy volunteers. Patients were stratified into two groups by the median of aldose reductase content, and the erythrocyte sorbitol level, the fructose level, and the lactate-to-pyruvate ratio were compared between the two groups. We also examined the correlation of the enzyme content with these metabolic parameters.


RESULTS
The group of patients whose enzyme content was above the median showed a significant increase in the levels of sorbitol (34.7 +/- 4.9 vs. 20.4 +/- 2.0 nmol/g Hb, P < 0.05) and fructose (99.8 +/- 17.2 vs. 45.9 +/- 4.6 nmol/g Hb, P < 0.05), along with an elevated lactate-to-pyruvate ratio (28.6 +/- 6.1 vs. 11.7 +/- 1.2, P < 0.05), compared with patients with low enzyme levels. The aldose reductase content in erythrocytes was well correlated with its activity, and there was a significant correlation between the enzyme content and the erythrocyte sorbitol (r = 0.58, P < 0.001) or fructose (r = 0.57, P < 0.001) levels as well as between the enzyme level and the lactate-to-pyruvate ratio (r = 0.38, P < 0.05).


CONCLUSIONS
These results suggest that the interindividual variability of aldose reductase content may contribute tangibly to the polyol-pathway flux and cytoplasmic redox alteration in diabetic patients.
Hamada
Y
Y
Third Department of Internal Medicine, Nagoya University School of Medicine, Japan.
Nishimura
C
C
Koh
N
N
Sakakibara
F
F
Nakamura
J
J
Tanimoto
T
T
Hotta
N
N
D000449:Aldehyde Reductase / Q000097:blood* / Q000276:immunology; D000906:Antibodies; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000201:enzymology; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods; D004912:Erythrocytes / Q000378:metabolism*; D005260:Female; D005632:Fructose / Q000097:blood*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007773:Lactates / Q000097:blood; D008297:Male; D008875:Middle Aged; D010084:Oxidation-Reduction; D011773:Pyruvates / Q000097:blood; D011994:Recombinant Proteins / Q000276:immunology; D012016:Reference Values; D012044:Regression Analysis; D013012:Sorbitol / Q000097:blood*
D000449:Aldehyde Reductase; D000906:Antibodies; D001786:Blood Glucose; D005632:Fructose; D006442:Glycated Hemoglobin; D007773:Lactates; D011773:Pyruvates; D011994:Recombinant Proteins; D013012:Sorbitol