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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">diaendo</journal-id><journal-title-group><journal-title xml:lang="ru">Сахарный диабет</journal-title><trans-title-group xml:lang="en"><trans-title>Diabetes mellitus</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0351</issn><issn pub-type="epub">2072-0378</issn><publisher><publisher-name>Endocrinology research centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/DM13279</article-id><article-id custom-type="elpub" pub-id-type="custom">diaendo-13279</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL STUDIES</subject></subj-group></article-categories><title-group><article-title>Роль тиосульфат-сульфуртрансферазы в окислительном стрессе при сахарном диабете 2 типа</article-title><trans-title-group xml:lang="en"><trans-title>The Role of Thiosulfate Sulfurtransferase in Oxidative Stress for Type 2 Diabetes Mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-0918-9743</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маваджде</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Mawajdeh</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Марва М. Маваджде</p><p>Мосул</p></bio><bio xml:lang="en"><p>Marwa M. Mawajdeh - Master’s student in Biochemistry.</p><p>Mosul</p></bio><email xlink:type="simple">marwa.23scp80@student.uomosul.edu.iq</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3479-8001</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аллуш</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Allwsh</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тикра А. Аллуш</p><p>Мосул</p></bio><bio xml:lang="en"><p>Thikra A. Allwsh - Professor, PhD in Biochemistry; ResearcherID: https://www.researchgate.net/profile/Thikra-Allwsh; Scopus Author ID: 57226087609.</p><p>Iraq, Mosul, Al-Zahraa Street, 41003</p></bio><email xlink:type="simple">thekraaliallwsh@uomosul.edu.iq</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Университет Мосула</institution><country>Ирак</country></aff><aff xml:lang="en"><institution>University of Mosul</institution><country>Iraq</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>09</day><month>10</month><year>2025</year></pub-date><volume>28</volume><issue>4</issue><fpage>359</fpage><lpage>366</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Маваджде М.М., Аллуш Т.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Маваджде М.М., Аллуш Т.А.</copyright-holder><copyright-holder xml:lang="en">Mawajdeh M.M., Allwsh T.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.dia-endojournals.ru/jour/article/view/13279">https://www.dia-endojournals.ru/jour/article/view/13279</self-uri><abstract><sec><title>ОБОСНОВАНИЕ</title><p>ОБОСНОВАНИЕ. Сахарный диабет 2 типа (СД2) ассоциирован с окислительным стрессом, который приводит к инсулинорезистентности. Тиосульфат-сульфуртрансфераза (ТСТ) — это митохондриальный фермент, участвующий в реакциях с цианидом, эндогенным сероводородом (H₂S) и активными формами кислорода.</p></sec><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ. Целью данного исследования было изучение взаимосвязи между ферментом ТСТ и маркерами как окислительного, так и антиоксидантного стресса у пациентов с СД2. Предполагается, что ТСТ связана с окислительным стрессом, который играет ключевую роль в определении тяжести и прогрессирования заболевания.</p></sec><sec><title>МАТЕРИАЛЫ И МЕТОДЫ</title><p>МАТЕРИАЛЫ И МЕТОДЫ. В исследование «случай-контроль» включены 150 пациентов с СД2, принимавших метформин (Глюкофаж) по 500 мг дважды в день, а также 150 здоровых лиц в возрасте от 33 до 65 лет. Активность ТСТ оценивалась на основе переноса серы и образования тиоцианата. Также измерялись уровни малонового диальдегида (МДА), пероксинитрита, пероксидазы, арилэстеразы, витамина C, витамина E, тиоредоксина (Trx) и глутатиона (GSH). Помимо клинических маркеров, все измерения проводились в двух повторах, был выполнен статистический анализ, а данные представлены в виде медианы и межквартильного размаха.</p></sec><sec><title>РЕЗУЛЬТАТЫ</title><p>РЕЗУЛЬТАТЫ. Активность ТСТ была значительно ниже (на 55%) у пациентов с СД2 по сравнению с контрольной группой (8,5 (3,8) против 19 (2) Ед/мл соответственно). Была обнаружена обратная зависимость между активностью фермента и возрастом, в то время как у курящих активность фермента была выше. Уровни антиоксидантных соединений, таких как витамин С, витамин Е, GSH, Trx, и активность арилэстеразы были значительно ниже, в то время как маркеры окислительного стресса, включая активность пероксидазы, МДА и пероксинитрит, были значительно выше. Активность ТСТ показала отрицательную корреляцию с МДА и пероксинитритом и положительную корреляцию с Trx и GSH.</p></sec><sec><title>ЗАКЛЮЧЕНИЕ</title><p>ЗАКЛЮЧЕНИЕ. Активность ТСТ снижена у пациентов с СД2 и связана с окислительным стрессом. Это позволяет предположить, что ТСТ может играть защитную роль против окислительного стресса, что делает ее потенциальным индикатором метаболической регуляции и возможной терапевтической мишенью.</p><p>Полный текст статьи доступен в электронной версии журнала на сайте <ext-link xlink:href="http://www.dia-endojournals.ru" ext-link-type="uri">www.dia-endojournals.ru</ext-link></p></sec></abstract><trans-abstract xml:lang="en"><sec><title>BACKGROUND</title><p>BACKGROUND: Type 2 diabetes mellitus (T2DM) is associated with oxidative stress, leading to insulin resistance. Thiosulfate sulfurtransferase (TST) is mitochondrial enzyme involved in the reaction with cyanide, endogenous hydrogen sulfide (H₂S), and reactive oxygen species.</p></sec><sec><title>AIM</title><p>AIM: This study aimed to investigate the relationship between TST enzyme and both oxidative and anti-oxidative stress markers in T2DM patients. TST is believed to be related to oxidative stress, which plays a crucial role in determining the severity and progression of the disease.</p></sec><sec><title>MATERIALS AND METHODS</title><p>MATERIALS AND METHODS: A case-control study included (150) T2DM patients who were taking the drug Metformin (Glucophage) 500 mg twice daily as well as (150) healthy subjects aged between 33 to 65 years. TST activity was estimated based on the sulfur transfer and thiocyanate formation. Malonaldehyde (MDA), peroxynitrite, peroxidase, aryl esterase, vitamin C, vitamin E, thioredoxin (Trx) and glutathione (GSH) were also measured. In addition to clinical markers, all measurements were made in two replicates, statistical analyses were conducted, and data were presented as a median and interquartile range.</p></sec><sec><title>RESULTS</title><p>RESULTS: TST activity was significantly lower (by 55%) in T2DM patients compared to the controls (8.5 (3.8) vs. 19 (2) U/ml, respectively). There was an inverse relationship between enzyme activity and age, whereas enzyme activity increased with smoking. Antioxidant compounds such as vitamin C, vitamin E, GSH, Trx, and arylesterase activity were significantly lower, while oxidant markers including peroxidase activity, MDA, and peroxynitrite, were significantly higher. TST activity showed a negative correlation with MDA and peroxynitrite, and a positive correlation with Trx and GSH.</p></sec><sec><title>CONCLUSION</title><p>CONCLUSION: TST activity is reduced in T2DM patients and is associated with oxidative stress. This suggest that TST may play a protective role against oxidative stress, making it a potential indicator of metabolic regulation and a possible therapeutic target.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет 2 типа</kwd><kwd>ТСТ</kwd><kwd>окислительный стресс</kwd><kwd>тиоредоксин</kwd><kwd>глутатион</kwd><kwd>витамин Е</kwd><kwd>липидный профиль</kwd></kwd-group><kwd-group xml:lang="en"><kwd>type 2 diabetes</kwd><kwd>TST</kwd><kwd>oxidative stress</kwd><kwd>thioredoxin</kwd><kwd>glutathione</kwd><kwd>vitamin E</kwd><kwd>lipid profile</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">We would like to express our gratitude and appreciation to Al-Wafa Center for Endocrinology and Diabetes in Mosul for helping us work with all patients, as well as to the University of Mosul for supporting the completion of the study</funding-statement><funding-statement xml:lang="en">We would like to express our gratitude and appreciation to Al-Wafa Center for Endocrinology and Diabetes in Mosul for helping us work with all patients, as well as to the University of Mosul for supporting the completion of the study</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">International Diabetes Federation. 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