TY - JOUR AU - Xuan, Yang AU - Gào, Xin AU - Anusruti, Ankita AU - Holleczek, Bernd AU - Jansen, Eugène H J M AU - Muhlack, Dana Clarissa AU - Brenner, Hermann AU - Schöttker, Ben TI - Association of Serum Markers of Oxidative Stress With Incident Major Cardiovascular Events, Cancer Incidence and All-Cause Mortality in Type 2 Diabetes Patients: Pooled Results From Two Cohort Studies. JO - Diabetes care VL - 42 IS - 8 SN - 1935-5548 CY - Alexandria, Va. PB - Assoc. M1 - DKFZ-2019-01477 SP - 1436-1445 PY - 2019 AB - Oxidative stress plays an important role in the pathophysiology of type 2 diabetes mellitus (T2DM). However, associations of biomarkers of oxidative stress with diabetes complications have not yet been addressed in large cohort studies.Derivatives of reactive oxygen metabolites (d-ROMs) levels, a proxy for the reactive oxygen species burden, and total thiol levels (TTLs), a proxy for the reductive capacity, were measured in 2,125 patients with T2DM from two German cohort studies of almost equal size at baseline and 3-4 years later. Multivariable adjusted Cox proportional hazards models with time-dependent modeled d-ROMs levels and TTLs were used to assess the associations with incident major cardiovascular events (MCE), cancer incidence, and all-cause mortality.In total, 205, 179, and 394 MCE, cancer, and all-cause mortality cases were observed during 6-7 years of follow-up, respectively. Both oxidative stress biomarkers and the d-ROMs-to-TTL ratio were statistically significantly associated with all-cause mortality in both cohorts, and the pooled hazard ratios (HRs) and 95 LB - PUB:(DE-HGF)16 C6 - pmid:31167893 DO - DOI:10.2337/dc19-0292 UR - https://inrepo02.dkfz.de/record/143919 ER -