<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Ecological genetics</journal-id><journal-title-group><journal-title xml:lang="en">Ecological genetics</journal-title><trans-title-group xml:lang="ru"><trans-title>Экологическая генетика</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1811-0932</issn><issn publication-format="electronic">2411-9202</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">16293</article-id><article-id pub-id-type="doi">10.17816/ecogen16293</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Human ecological genetics</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Экологическая генетика человека</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Genetic and biochemical investigation of the gamma-glutamylcyclotransferase role in predisposition to type 2 diabetes mellitus</article-title><trans-title-group xml:lang="ru"><trans-title>Генетико-биохимическое исследование роли гамма-глутамилциклотрансферазы в формировании предрасположенности к сахарному диабету 2-го типа</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8098-8052</contrib-id><contrib-id contrib-id-type="scopus">57200117409</contrib-id><contrib-id contrib-id-type="researcherid">S-7266-2018</contrib-id><contrib-id contrib-id-type="spin">9173-3698</contrib-id><name-alternatives><name xml:lang="en"><surname>Azarova</surname><given-names>Iuliia E.</given-names></name><name xml:lang="ru"><surname>Азарова</surname><given-names>Юлия Эдуардовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Associate Professor of Department of Biological Chemistry of KSMU, Head of Laboratory of Biochemical Genetics and Metabolomics of Research Institute for Genetic and Molecular Epidemiology</p></bio><bio xml:lang="ru"><p>канд. мед. наук, доцент кафедры биологической химии, зав. лабораторией биохимической генетики и метаболомики НИИ генетической и молекулярной эпидемиологии</p></bio><email>azzzzar@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1543-9230</contrib-id><contrib-id contrib-id-type="spin">5121-7160</contrib-id><name-alternatives><name xml:lang="en"><surname>Klyosova</surname><given-names>Elena Yu.</given-names></name><name xml:lang="ru"><surname>Клёсова</surname><given-names>Елена Юрьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Biotechnologist of the Laboratory of Biochemical Genetics and Metabolomics of Research Institute of Genetic and Molecular Epidemiology of KSMU</p></bio><bio xml:lang="ru"><p>Биотехнолог лаборатории биохимической генетики и метаболомики НИИ генетической и молекулярной эпидемиологии КГМУ</p></bio><email>ecless@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6064-986X</contrib-id><contrib-id contrib-id-type="researcherid">779606</contrib-id><contrib-id contrib-id-type="spin">7728-6220</contrib-id><name-alternatives><name xml:lang="en"><surname>Churilin</surname><given-names>Mikhail I.</given-names></name><name xml:lang="ru"><surname>Чурилин</surname><given-names>Михаил Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Assistant Lecturer of Department of Infectious Diseases</p></bio><bio xml:lang="ru"><p>ассистент, кафедра инфекционных болезней и эпидемиологии</p></bio><email>mpmi2@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7781-3793</contrib-id><contrib-id contrib-id-type="spin">9973-9738</contrib-id><name-alternatives><name xml:lang="en"><surname>Samgina</surname><given-names>Tatiana A.</given-names></name><name xml:lang="ru"><surname>Самгина</surname><given-names>Татьяна Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Associate Professor, Associate Professor of Department of Surgical Diseases No. 2</p></bio><bio xml:lang="ru"><p>канд. мед. наук, доцент, доцент кафедры хирургических болезней № 2</p></bio><email>tass@list.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4748-8405</contrib-id><contrib-id contrib-id-type="scopus">6602518934</contrib-id><contrib-id contrib-id-type="researcherid">H-2197-2013</contrib-id><contrib-id contrib-id-type="spin">9631-2390</contrib-id><name-alternatives><name xml:lang="en"><surname>Konoplya</surname><given-names>Alexander I.</given-names></name><name xml:lang="ru"><surname>Конопля</surname><given-names>Александр Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Professor of Department of Biological Chemistry</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор, профессор кафедры биологической химии</p></bio><email>konoplya51@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6280-247X</contrib-id><contrib-id contrib-id-type="scopus">6506508435</contrib-id><contrib-id contrib-id-type="researcherid">R-7537-2016</contrib-id><contrib-id contrib-id-type="spin">6373-6556</contrib-id><name-alternatives><name xml:lang="en"><surname>Polonikov</surname><given-names>Alexey V.</given-names></name><name xml:lang="ru"><surname>Полоников</surname><given-names>Алексей Валерьевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Professor of Department of Biology, Medical Genetics and Ecology, Head of Laboratory of Statistical Genetics and Bioinformatics of Research Institute for Genetic and Molecular Epidemiology</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор, профессор кафедры биологии, медицинской генетики и экологии, зав. лабораторией статистической генетики и биоинформатики, НИИ генетической и молекулярной эпидемиологии</p></bio><email>polonikov@rambler.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Kursk State Medical University</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение высшего образования «Курский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2020-04-14" publication-format="electronic"><day>14</day><month>04</month><year>2020</year></pub-date><pub-date date-type="pub" iso-8601-date="2020-07-08" publication-format="electronic"><day>08</day><month>07</month><year>2020</year></pub-date><volume>18</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>215</fpage><lpage>228</lpage><history><date date-type="received" iso-8601-date="2019-09-27"><day>27</day><month>09</month><year>2019</year></date><date date-type="accepted" iso-8601-date="2020-02-05"><day>05</day><month>02</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2020, Azarova I.E., Klyosova E.Y., Churilin M.I., Samgina T.A., Konoplya A.I., Polonikov A.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2020, Азарова Ю.Э., Клёсова Е.Ю., Чурилин М.И., Самгина Т.А., Конопля А.И., Полоников А.В.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="en">Azarova I.E., Klyosova E.Y., Churilin M.I., Samgina T.A., Konoplya A.I., Polonikov A.V.</copyright-holder><copyright-holder xml:lang="ru">Азарова Ю.Э., Клёсова Е.Ю., Чурилин М.И., Самгина Т.А., Конопля А.И., Полоников А.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2021-05-14"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">http://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://journals.eco-vector.com/ecolgenet/article/view/16293">https://journals.eco-vector.com/ecolgenet/article/view/16293</self-uri><abstract xml:lang="en"><p><bold>Background. </bold>Imbalance in the system of redox homeostasis is an important link in the pathogenesis of type 2 diabetes (T2D). Gamma-glutamyl cyclotransferase is an antioxidant defense enzyme directly involved in the metabolism of glutathione, an endogenous antioxidant.</p> <p><bold>The aim</bold> of the study was to examine the association of single nucleotide polymorphisms (SNP) rs38420 (G &gt; A), rs4270 (T &gt; C), rs6462210 (C &gt; T) and rs28679 (G &gt; A) in <italic>GGCT</italic> gene with the risk of developing T2D.</p> <p><bold>Materials and Methods.</bold> The study included 1022 T2D patients and 1064 healthy volunteers. Genotyping of <italic>GGCT</italic> gene loci was performed using iPLEX technology on a MassARRAY Analyzer 4 genome time-of-flight mass spectrometer (Agena Bioscience).</p> <p><bold>Results. </bold>As a result, we identified for the first time the association of SNP rs4270 in the <italic>GGCT</italic> gene with the risk of T2D in the Russian population. We have also established genetic and environmental interactions associated with predisposition to the disease: protective effect of gamma-glutamyl cyclotransferase gene was observed only in non-smokers under condition of daily consumption of fresh vegetables and fruits, whereas in persons with insufficient consumption of plant foods, as well as in all smoking patients protective effect of <italic>GGCT</italic> was not observed. In patients with T2D, the level of hydrogen peroxide and glutathione monomer was sharply increased compared to the controls. SNP rs4270 was also found to be associated with elevated levels of reduced glutathione in the plasma of type 2 diabetics.</p> <p><bold>Conclusion.</bold> Thus, for the first time it was established that polymorphic locus rs4270 in the <italic>GGCT</italic> gene is associated with a predisposition to T2D, but its relationship with the disease is modulated by smoking and fresh plant foods consumption.</p></abstract><trans-abstract xml:lang="ru"><p>Дисбаланс в системе редокс-гомеостаза является важным звеном патогенеза сахарного диабета 2-го типа (СД2). Гамма-глутамилциклотрансфераза представляет собой фермент антиоксидантной защиты, непосредственно вовлеченный в метаболизм глутатиона, эндогенного антиоксиданта. Целью исследования стало изучение ассоциации однонуклеотидных замен (SNP) rs38420 (G &gt; A), rs4270 (T &gt; C), rs6462210 (C &gt; T) и rs28679 (G &gt; A) в гене <italic>GGCT</italic> с СД2. В исследование включено 1022 пациента с СД2 и 1064 условно здоровых добровольца. В результате нами впервые выявлена взаимосвязь SNP rs4270 гена <italic>GGCT</italic> с СД2 в русской популяции. Нами также установлены генно-средовые взаимодействия, ассоциированные с предрасположенностью к заболеванию: протективный эффект гена гамма-глутамилциклотрансферазы проявлялся только у некурящих лиц при условии ежедневного употребления ими свежих овощей и фруктов, тогда как у лиц с недостаточным потреблением растительной пищи, а также у всех курящих больных защитный эффект <italic>GGCT</italic> не наблюдался. У пациентов с СД2 содержание перекиси водорода и мономера глутатиона резко повышено по сравнению с контролем. Также было установлено, что SNP rs4270 связан с повышенным содержанием восстановленного глутатиона в плазме крови больных СД2. Таким образом, впервые установлено, что полиморфный локус rs4270 в гене <italic>GGCT</italic> ассоциирован с предрасположенностью к СД2, но его связь с заболеванием модулируется курением и употреблением свежей растительной пищи.</p></trans-abstract><kwd-group xml:lang="en"><kwd>diabetes mellitus, type 2</kwd><kwd>gamma-glutamylcyclotransferase</kwd><kwd>polymorphism, single nucleotide</kwd><kwd>smoking</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>cахарный диабет 2-го типа</kwd><kwd>гамма-глутамилциклотрансфераза</kwd><kwd>однонуклеотидный полиморфизм</kwd><kwd>курение</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Курский государственный медицинский университет</institution></institution-wrap><institution-wrap><institution xml:lang="en">Kursk State Medical University</institution></institution-wrap></funding-source><award-id>Array</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Cho NH, Shaw JE, Karuranga S, et al. IDF IDF Diabetes atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271-281. https://doi.org/10.1016/j.diabres.2018.02.023.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Дедов И.И., Шестакова М.В., Викулова О.К. и др. Сахарный диабет в Российской Федерации: распространенность, заболеваемость, смертность, параметры углеводного обмена и структура сахароснижающей терапии по данным федерального регистра сахарного диабета, статус 2017 г. // Сахарный диабет. – 2018. – Т. 21. – № 3. – С. 144-159. [Dedov II, Shestakova MV, Vikulova OK, et al. Diabetes mellitus in Russian Federation: prevalence, morbidity, mortality, parameters of glycaemic control and structure of glucose lowering therapy according to the Federal Diabetes Register, status 2017. Diabetes mellitus. 2018;21(3):144-159. (In Russ.)]. https://doi.org/10.14341/dm9686.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Buniello A, MacArthur JAL, Cerezo M, et al. The NHGRI-EBI GWAS Catalog of published genome-wide association studies, targeted arrays and summary statistics 2019. Nucleic Acids Res. 2019;47(D1):D1005-D1012. https://doi.org/10.1093/nar/gky1120.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Shah M, Vella A. What is type 2 diabetes? Medicine. 2014;42(12):687-691. https://doi.org/10.1016/j.mpmed.2014.09.013.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Defronzo RA. Banting Lecture. From the triumvirate to the ominous octet: a new paradigm for the treatment of type 2 diabetes mellitus. Diabetes. 2009;58(4):773-795. https://doi.org/10.2337/db09-9028.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Newsholme P, Cruzat VF, Keane KN, et al. Molecular mechanisms of ROS production and oxidative stress in diabetes. Biochem J. 2016;473(24):4527-4550. https://doi.org/10.1042/BCJ20160503C.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Malik VS, Popkin BM, Bray GA, et al. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation. 2010;121(11):1356-1364. https://doi.org/10.1161/CIRCULATIONAHA.109.876185.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Cederberg H, Stančáková A, Kuusisto J, et al. Family history of type 2 diabetes increases the risk of both obesity and its complications: is type 2 diabetes a disease of inappropriate lipid storage? J Intern Med. 2015;277(5):540-551. https://doi.org/10.1111/joim.12289.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Orlowski M, Meister A. The gamma-glutamyl cycle: a possible transport system for amino acids. Proc Proc Natl Acad Sci USA. 1970;67(3): 1248-1255. https://doi.org/10.1073/pnas.67.3. 1248.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Azarova I, Bushueva O, Konoplya A, Polonikov A. Glutathione S-transferase genes and the risk of type 2 diabetes mellitus: role of sexual dimorphism, gene-gene and gene-smoking interactions in disease susceptibility. J Diabetes. 2018;10(5):398-407. https://doi.org/10.1111/1753-0407.12623.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Азарова Ю.Э., Клесова Е.Ю., Конопля А.И. Роль полиморфизмов генов глутаматцистеинлигазы в развитии сахарного диабета 2 типа у жителей Курской области // Научный результат. Медицина и фармация. – 2018. – Т. 4. – № 1. – C. 39-52. [Azarova YuE, Klyosova EYu, Konoplya AI. The role of polymorphisms of glutamate-cysteine ligase in type 2 diabetes mellitus susceptibility in Kursk population. Research result. Medicine and pharmacy. 2018;4(1): 39-52. (In Russ.)]. https://doi.org/10.18413/ 2313-8955-2018-4-1-39-52.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Organization WT. Global report on diabetes: executive summary (No. WHO/NMH/NVI/16.3). World Health Organization; 2016. https://doi.org/10.30875/3fa8639a-en.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Xu Z, Taylor JA. SNPinfo: integrating GWAS and candidate gene information into functional SNP selection for genetic association studies. Nucleic Acids Res. 2009;37(Web Server Issue):W600-605. https://doi.org/10.1093/nar/gkp290.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Пономаренко И.В. Отбор полиморфных локусов для анализа ассоциаций при генетико-эпидемиологических исследованиях // Научный результат. Медицина и фармация. – 2018. – Т. 4. – № 2. – C. 40-54. [Ponomarenko IV. Selection of polymorphic loci for association analysis in genetic-epidemiological studies. Research result. Medicine and pharmacy. 2018;4(2):40-54. (In Russ.)]. https://doi.org/10.18413/2313-8955-2018-4-2-0-5.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Skol AD, Scott LJ, Abecasis GR, Boehnke M. Joint analysis is more efficient than replication-based analysis for two-stage genome-wide association studies. Nat Genet. 2006;38(2):209-213. https://doi.org/10.1038/ng1706.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Solé X, Guinó E, Valls J, et al. SNPStats: a web tool for the analysis of association studies. Bioinformatics. 2006;22(15):1928-1929. https://doi.org/10.1093/bioinformatics/btl268.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Hunt SE, McLaren W, Gil L, et al. Ensembl variation resources. Database (Oxford). 2018;2018. https://doi.org/10.1093/database/bay119.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Liu Y, Hyde AS, Simpson MA, Barycki JJ. Emerging regulatory paradigms in glutathione metabolism. Adv Cancer Res. 2014;122:69-101. https://doi.org/10.1016/B978-0-12-420117-0.00002-5.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Bachhawat AK, Yadav S. The glutathione cycle: glutathione metabolism beyond the γ-glutamyl cycle. IUBMB Life. 2018;70(7):585-592. https://doi.org/10.1002/iub.1756.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Kageyama S, Ii H, Taniguchi K, et al. Mechanisms of tumor growth inhibition by depletion of γ-glutamylcyclotransferase (GGCT): a novel molecular target for anticancer therapy. Int J Mol Sci. 2018;19(7). pii: E2054. https://doi.org/10.3390/ijms19072054.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Szklarczyk D, Gable AL, Lyon D, et al. STRING v11: protein-protein association networks with increased coverage, supporting functional discovery in genome-wide experimental datasets. Nucleic Acids Res. 2019;47(D1):D607-D613. https://doi.org/10.1093/nar/gky1131.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>The Gene Ontology Consortium. The gene ontology resource: 20 years and still going strong. Nucleic Acids Res. 2019;47(D1):D330-D338. https://doi.org/10.1093/nar/gky1055.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Lin Z, Xiong L, Zhou J, et al. γ-Glutamylcyclotransferase knockdown inhibits growth of lung cancer cells through g0/g1 phase arrest. Cancer Biother Radiopharm. 2015;30(5): 211-216. https://doi.org/10.1089/cbr.2014. 1807.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Zhang W, Chen L, Xiang H, et al. Knockdown of GGCT inhibits cell proliferation and induces late apoptosis in human gastric cancer. BMC Biochem. 2016;17(1):19. https://doi.org/10.1186/s12858-016-0075-8.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Dong J, Zhou Y, Liao Z, et al. Role of γ-glutamyl cyclotransferase as a therapeutic target for colorectal cancer based on the lentivirus-mediated system. Anticancer Drugs. 2016;27(10):1011-1020. https://doi.org/10.1097/CAD.0000000000000407.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Matsumura K, Nakata S, Taniguchi K, et al. Depletion of γ-glutamylcyclotransferase inhibits breast cancer cell growth via cellular senescence induction mediated by CDK inhibitor upregulation. BMC Cancer. 2016;16(1):748. https://doi.org/10.1186/s12885-016-2779-y.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>GTex Portal. Current Release (V8) [cited 2019 August 25]. Available from: https://www.gtexportal.org.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Gaunt TR, Shihab HA, Hemani G, et al. Systematic identification of genetic influences on methylation across the human life course. Genome Biol. 2016;17:61. https://doi.org/10.1186/s13059-016-0926-z.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Zuo C, Shin S, Keleş S. atSNP: transcription factor binding affinity testing for regulatory SNP detection. Bioinformatics. Bioinformatics. 2015;31(20):3353-3355. https://doi.org/10.1093/bioinformatics/btv328.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Gerber PA, Rutter GA. The role of oxidative stress and hypoxia in pancreatic beta-cell dysfunction in diabetes mellitus. Antioxid Redox Signal. 2017;26(10):501-518. https://doi.org/10.1089/ars.2016.6755.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Inoguchi T, Li P, Umeda F, et al. High glucose level and free fatty acid stimulate reactive oxygen species production through protein kinase C – dependent activation of NAD(P)H oxidase in cultured vascular cells. Diabetes. 2000;49(11):1939-1945. https://doi.org/10. 2337/diabetes.49.11.1939.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Brownlee M. A radical explanation for glucose-induced beta cell dysfunction. J Clin Invest. 2003;112(12):1788-1790. https://doi.org/ 10.1172/jci200320501.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Lagman M, Ly J, Saing T, et al. Investigating the causes for decreased levels of glutathione in individuals with type II diabetes. PLoS One. 2015;10(3):e0118436. https://doi.org/10.1371/journal.pone.0118436.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Halliwell B, Gutteridge J. Free radicals in biology and medicine. Oxford University Press Oxford; 1999.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Carter P, Gray LJ, Troughton J, et al. Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis. BMJ. 2010;341:c4229. https://doi.org/10.1136/bmj.c4229.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Boeing H, Bechthold A, Bub A, et al. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012;51(6):637-663. https://doi.org/10.1007/s00394-012-0380-y.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Cooper AJ, Sharp SJ, Lentjes MA, et al. A prospective study of the association between quantity and variety of fruit and vegetable intake and incident type 2 diabetes. Diabetes Care. 2012;35(6):1293-1300. https://doi.org/10.2337/dc11-2388.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Muraki I, Imamura F, Manson JE, et al. Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies. BMJ. 2013;347:f5001. https://doi.org/10.1136/bmj.f5001.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Li M, Fan Y, Zhang X, et al. Fruit and vegetable intake and risk of type 2 diabetes mellitus: meta-analysis of prospective cohort studies. BMJ Open. 2014;4(11):e005497. https://doi.org/10.1136/bmjopen-2014-005497.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Xu L, Li Y, Dai Y, Peng J. Natural products for the treatment of type 2 diabetes mellitus: pharmacology and mechanisms. Pharmacol Res. 2018;130:451-65. https://doi.org/10.1016/j.phrs.2018.01.015.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Cardozo LF, Pedruzzi LM, Stenvinkel P, et al. Nutritional strategies to modulate inflammation and oxidative stress pathways via activation of the master antioxidant switch Nrf2. Biochimie. 2013;95(8):1525-1533. https://doi.org/10.1016/j.biochi.2013.04.012.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Rimm EB, Chan J, Stampfer MJ, et al. Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men. BMJ. 1995;310(6979):555-559. https://doi.org/ 10.1136/bmj.310.6979.555.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Zhang L, Curhan GC, Hu FB, et al. Association between passive and active smoking and incident type 2 diabetes in women. Diabetes Care. 2011;34(4):892-897. https://doi.org/10.2337/dc10-2087.</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Zhu P, Pan XF, Sheng L, et al. Cigarette smoking, diabetes, and diabetes complications: call for urgent action. Curr Diab Rep. 2017;17(9):78. https://doi.org/10.1007/s11892-017-0903-2.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Rajagopalan S, Brook RD. Air pollution and type 2 diabetes: mechanistic insights. Diabetes. 2012;61(12):3037-3045. https://doi.org/10.2337/db12-0190.</mixed-citation></ref></ref-list></back></article>
