Kallistatin as a Potential Marker of Therapeutic Response During Alpha-Lipoic Acid Treatment in Diabetic Patients with Sensorimotor Polyneuropathy
2024

Kallistatin as a Potential Marker of Therapeutic Response During Alpha-Lipoic Acid Treatment in Diabetic Patients with Sensorimotor Polyneuropathy

Sample size: 54 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hernyák Marcell, Tóth László Imre, Csiha Sára, Molnár Ágnes, Lőrincz Hajnalka, Paragh György, Harangi Mariann, Sztanek Ferenc

Primary Institution: University of Debrecen

Hypothesis

The study aimed to evaluate changes in kallistatin levels and markers of endothelial dysfunction in patients with T2DM and DSPN following six months of treatment with alpha-lipoic acid.

Conclusion

Kallistatin could represent a potential new biomarker for assessing therapeutic response during alpha-lipoic acid treatment in patients with diabetic sensorimotor polyneuropathy.

Supporting Evidence

  • Kallistatin levels significantly decreased after ALA treatment.
  • Improvements in neuropathic symptoms correlated positively with changes in kallistatin levels.
  • Changes in kallistatin levels were positively correlated with changes in oxLDL.

Takeaway

This study looked at how a treatment called alpha-lipoic acid affects a substance called kallistatin in people with diabetes and nerve problems. It found that kallistatin levels went down with treatment, which might help doctors understand how well the treatment is working.

Methodology

The study involved measuring serum concentrations of kallistatin and other markers in diabetic patients before and after six months of alpha-lipoic acid treatment.

Potential Biases

Potential biases may arise from the exclusion criteria and the specific patient population studied.

Limitations

The study's cross-sectional design limits the ability to establish causation, and the sample size may have influenced the significance of the findings.

Participant Demographics

54 patients with T2DM and DSPN (22 men and 32 women; mean age: 64.2 years).

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/ijms252413276

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