Table 2. Erythrocyte fatty acid composition of controls and diabetic patients without or with diabetic retinopathy at mild, moderate, severe, and proliferative stages (% of total fatty acid methyl esters (FAMEs) + dimethylacetals (DMAs)).
Patients with diabetic retinopathy | ||||||||||||
Controls | Diabetic patients | mild | moderate | severe | proliferative | |||||||
n = 18 | n = 14 | n = 12 | n = 12 | n = 22 | n = 24 | |||||||
median | [IQR] | median | [IQR] | median | [IQR] | median | [IQR] | median | [IQR] | median | [IQR] | |
C14∶0 | 0.43 | [0.32–0.68] | 0.48 | [0.38–0.62] | 0.73 | [0.48–1.40] | 0.64 | [0.50–1.07] | 0.85 | [0.46–1.78] | 0.48 | [0.29–0.59] |
C15∶0 | 0.17 | [0.15–0.18] | 0.22 | [0.16–0.28] | 0.19 | [0.16–0.23] | 0.22 | [0.19–0.25] | 0.22 | [0.18–0.25] | 0.23 | [0.18–0.35] |
DMA16∶0 | 1.85 | [1.56–1.95] | 1.77 | [1.47–2.01] | 1.65 | [1.29–2.04] | 1.50 | [1.42–1.97] | 1.33 | [1.08–1.95] | 1.74 | [1.61–2.01] |
C16∶0 | 20.56 | [19.89–21.84] | 21.98 | [20.07–23.21] | 23.63 | [22.16–25.12] | 24.30 a | [22.70–26.43] | 23.75 a | [22.31–28.35] | 22.86 | [20.93–23.69] |
C16∶1n-9 | 0.12 | [0.10–0.22] | 0.20 | [0.17–0.24] | 0.17 | [0.12–0.20] | 0.19 | [0.13–0.29] | 0.17 | [0.12–0.20] | 0.15 | [0.12–0.26] |
C16∶1n-7 | 0.61 | [0.50–0.95] | 0.83 | [0.57–0.94] | 0.81 | [0.64–1.30] | 0.61 | [0.54–0.74] | 0.57 | [0.45–0.67] | 0.74 | [0.40–0.98] |
C17∶0 | 0.38 | [0.35–0.41] | 0.44 | [0.32–0.47] | 0.35 | [0.30–0.46] | 0.45 | [0.36–0.57] | 0.48 | [0.38–0.56] | 0.43 | [0.33–0.51] |
DMA18∶0 | 3.16 | [2.36–3.53] | 3.08 | [2.44–3.47] | 2.30 | [2.06–3.12] | 2.50 | [1.94–3.31] | 2.26 a | [1.38–3.07] | 3.13 | [2.60–3.36] |
DMA18∶1n-9 | 0.66 | [0.54–0.70] | 0.64 | [0.55–0.72] | 0.56 | [0.48–0.65] | 0.58 | [0.49–0.76] | 0.53 | [0.33–0.68] | 0.61 | [0.49–0.68] |
DMA18∶1n-7 | 0.15 | [0.12–0.17] | 0.15 | [0.12–0.17] | 0.12 | [0.09–0.13] | 0.16 | [0.12–0.19] | 0.13 | [0.08–0.17] | 0.16 | [0.12–0.18] |
C18∶0 | 14.06 | [13.73–14.55] | 14.64 | [13.78–15.64] | 14.13 | [12.73–15.09] | 16.31 a | [14.78–16.70] | 14.91 a | [14.38–16.26] | 15.10 | [13.26–15.93] |
C18∶1trans | 0.22 | [0.18–0.26] | 0.20 | [0.11–0.24] | 0.23 | [0.14–0.35] | 0.31 | [0.19–0.46] | 0.39 a | [0.15–0.65] | 0.24 | [0.15–0.34] |
C18∶1n-9 | 15.16 | [14.03–16.30] | 16.91 a | [15.50–20.20] | 17.32 | [14.45–20.19] | 16.00 | [13.65–17.73] | 15.51 | [14.07–16.73] | 15.93 | [15.26–18.11] |
C18∶1n-7 | 1.19 | [1.13–1.36] | 1.45 | [1.25–1.66] | 1.24 | [1.02–1.61] | 1.40 | [1.28–1.56] | 1.24 | [1.12–1.34] | 1.29 | [1.15–1.44] |
C18∶2n-6 | 12.87 | [10.87–13.51] | 10.58 | [9.66–14.27] | 11.30 | [10.37–14.56] | 10.15 a | [8.99–10.86] | 10.61 a | [8.79–11.50] | 11.27 | [8.74–12.84] |
C20∶0 | 0.15 | [0.14–0.17] | 0.18 | [0.15–0.20] | 0.21 | [0.17–0.23] | 0.26 | [0.18–0.32] | 0.32 | [0.18–0.34] | 0.22 | [0.16–0.31] |
C18∶3n-6 | 0.09 | [0.06–0.14] | 0.12 | [0.08–0.15] | 0.12 | [0.09–0.13] | 0.09 | [0.07–0.14] | 0.10 | [0.07–0.13] | 0.12 | [0.08–0.20] |
C20∶1n-9 | 0.21 | [0.19–0.22] | 0.26 | [0.21–0.29] | 0.23 | [0.21–0.26] | 0.26 | [0.23–0.28] | 0.24 | [0.20–0.26] | 0.27 | [0.23–0.33] |
C18∶3n-3 | 0.22 | [0.18–0.28] | 0.21 | [0.19–0.30] | 0.27 | [0.22–0.28] | 0.23 | [0.16–0.30] | 0.22 | [0.14–0.27] | 0.22 | [0.16–0.25] |
C20∶2n-6 | 0.20 | [0.18–0.21] | 0.23 | [0.21–0.25] | 0.25 | [0.21–0.35] | 0.20 | [0.18–0.33] | 0.28 | [0.20–0.38] | 0.23 | [0.19–0.28] |
C20∶3n-9 | 0.09 | [0.07–0.11] | 0.10 | [0.08–0.16] | 0.10 | [0.07–0.13] | 0.12 | [0.08–0.16] | 0.11 | [0.08–0.14] | 0.11 | [0.09–0.15] |
C22∶0 | 0.33 | [0.29–0.42] | 0.42 | [0.25–0.44] | 0.46 | [0.37–0.64] | 0.76 a | [0.46–0.87] | 0.78 a | [0.45–1.14] | 0.62 a | [0.37–0.86] |
C20∶3n-9 | 0.10 | [0.08–0.11] | 0.10 | [0.07–0.11] | 0.08 | [0.05–0.10] | 0.08 | [0.04–0.10] | 0.05 | [0.04–0.10] | 0.10 | [0.08–0.12] |
C20∶3n-6 | 1.30 | [1.22–1.50] | 1.50 | [1.12–1.79] | 1.31 | [1.01–1.62] | 1.26 | [1.07–1.31] | 1.27 | [0.95–1.53] | 1.32 | [1.13–1.59] |
C22∶1n-9 | 0.06 | [0.05–0.06] | 0.09 | [0.05–0.14] | 0.09 | [0.06–0.14] | 0.08 | [0.06–0.10] | 0.11 | [0.08–0.17] | 0.12 | [0.06–0.18] |
C20∶4n-6 | 13.04 | [11.02–14.24] | 11.33 a | [7.00–12.79] | 9.33 | [8.91–11.95] | 9.93 a | [8.41–11.65] | 9.90 a | [5.68–11.38] | 11.68 | [10.28–13.40] |
C20∶5n-3 | 0.97 | [0.71–1.56] | 1.03 | [0.90–1.08] | 0.93 | [0.61–1.04] | 0.70 a | [0.54–0.98] | 0.94 | [0.68–1.14] | 0.65 | [0.48–0.79] |
C24∶0 | 0.74 | [0.63–0.83] | 0.78 | [0.65–0.87] | 0.94 | [0.81–1.70] | 1.75 a | [0.83–2.15] | 1.66 a | [0.89–2.31] | 1.28 a | [0.62–2.11] |
C24∶1n-9 | 0.69 | [0.60–0.83] | 1.15 | [0.99–1.47] | 1.31 a | [1.14–1.93] | 2.16 a | [1.00–2.64] | 2.00 a | [1.41–2.55] | 1.52 a | [0.90–2.13] |
C22∶4n-6 | 2.00 | [1.70–2.18] | 2.01 | [0.75–2.21] | 1.82 | [1.56–2.19] | 1.69 | [1.13–2.31] | 1.79 | [1.10–2.19] | 2.03 | [1.66–2.63] |
C22∶5n-6 | 0.35 | [0.29–0.46] | 0.30 | [0.18–0.48] | 0.34 | [0.26–0.35] | 0.36 | [0.20–0.43] | 0.35 | [0.24–0.37] | 0.37 | [0.35–0.46] |
C22∶5n-3 | 2.23 | [1.43–2.46] | 1.56 a | [0.79–2.20] | 1.67 a | [1.24–1.81] | 1.15 a | [0.99–1.49] | 1.49 a | [0.69–1.81] | 1.59 a | [1.36–1.66] |
C22∶6n-3 | 4.51 | [2.93–5.60] | 2.85 a | [2.04–4.48] | 2.67 a | [2.32–3.23] | 2.41 a | [1.90–2.97] | 2.75 a | [1.35–4.23] | 3.27 a | [1.87–3.80] |
total n-3 | 8.33 | [5.28–9.36] | 5.99 a | [4.17–7.33] | 5.43 a | [4.38–6.52] | 3.81 a | [2.61–5.08] | 5.68 a | [2.71–7.42] | 5.75 a | [4.17–6.61] |
total n-6 | 29.92 | [28.32–31.21] | 27.92 | [24.79–30.49] | 24.94 a | [21.36–27.31] | 21.40 a | [14.38–25.06] | 24.86 a | [17.42–28.10] | 26.75 | [24.30–30.91] |
n-6/n-3 ratio | 3.76 | [3.23–5.04] | 4.39 | [3.79–5.58] | 4.31 | [4.07–4.88] | 4.83 a | [4.78–5.68] | 4.75 | [3.53–5.73] | 5.08 a | [4.37–7.02] |
total DMAs | 5.80 | [4.70–6.56] | 5.90 | [4.70–6.31] | 4.34 | [4.08–5.85] | 4.78 | [3.98–6.15] | 4.36 | [2.77–6.02] | 5.77 | [5.16–6.19] |
Based on Kruskall-Wallis test, significantly different when compared to controls (P<0.05).