SPECIFIC FEATURES OF LIPID EXCHANGE IN PULMONARY TUBERCULOSIS PATIENTS WITH CONCURRENT DIABETES OF TYPE 1 AND 2

• Main Authors: G. O. Kaminskaya, R. Yu. Abdullaev, O. G. Komissarova
• Format: Article
• Language: Russian
• Published: NEW TERRA Publishing House 2016-09-01
• Series: Tuberkulez i Bolezni Lëgkih
• Subjects: tuberculosis; diabetes; lipid exchange
• Online Access: https://www.tibl-journal.com/jour/article/view/932

73 pulmonary tuberculosis patients with concurrent diabetes were examined, ofthem 28 patients suffered from diabetes oftype 1 (D1) and 45 patients had diabetes of type 2 (D2). The following was tested in the blood serum: triglycerides (TG), general cholesterol (GC), high density lipoproteins cholesterol (HDLC) and low density lipoproteins cholesterol (LDLC). Very low density lipoproteins cholesterol (VLDLC) was estimated as perthe following formula: VLDLC = C – (C-HDLC + C-LDLC). Atherogenicity coefficient and atherogenic plasma index were estimated. It was found that pulmonary tuberculosis patients with concurrent diabetes manifested atherogenic changes in respect of lipid exchange: minor changes in D1 and greater changes in D2. Intensity ofsystem inflammatory response syndrome (SIRS) and nutritive status ofthe host provided significant impact on the state of lipid exchange in those suffering from the concurrent conditions. SIRS was related to reduction of cholesterol transporting function of HDLC which reduced anti-atherogenic blood potential. Besides development of SIRS results in the reduction of nutritive status, and the increase of catabolic process in lipid metabolism becomes the part of the above. Intensification of lipolysis is accompanied by the increase of VLDL which together with reduction of HDL defines atherogenic changes in lipid exchange in those suffering from the concurrent conditions. As nutritional insufficiency increases, synthesis of cholesterol becomes lower than the consumption and the level of its circulation (and within atherogenic lipids) goes down which provided anti-atherogenic effect, more intensive in D1. SIRS provides dominating influence on the state of lipid exchange in those suffering from the concurrent conditions.