Objectives: This study was designed to give more insight in the lipid profile of brain and blood plasma for post mortem type 2 diabetic (T2DM) elderly patients in comparison to a Control group (Co) to give a descriptive approach of diabetic encephalopathy.
Methods:Reversed phase liquid chromatography coupled to mass spectrometry (LC-MS) was used to quantify and qualify the rearrangement and repartitioning of fat stores in the brain of male post mortem subjects (Co n=8; 73.5 ± 10.5 years; T2DM, n=8; 77.3 ± 7.2 years) which were obtained from the 'Netherlands Brain Bank'. Differences were calculated by a Principal Component Analysis (PCA).
Results:We observed that the saturation index of the Cholesterylester for 16:0 was significantly higher in white matter of T2DM patients in comparison to white matter of the control group (P≤0.05) which was earlier observed in schizophrenic postmortem brain subjects [1]. Furthermore we can conclude there are no significant difference between summarized relative concentrations of the different lipid compounds in human brain homogenate (white vs. grey) of two patients groups: one Control-group (N=8) and one Diabetes-2 (T2DM) group (N=8). For three Monoglycerides the values were significantly higher in the T2DM group. For 18:2 MG (P≤0.048, increase with 193.4%); for 20:3 MG (P≤0.048, increase with 270.0%) and for 24:3 MG (P≤0.036, increase with 222.5%). No other significant differences in brain lipid composition were observed between the control and T2DM group. In T2DM patients plasma lipid profiles (109 components) were more scattered. Few differences in plasma fat composition (triacylglycerols, free fatty acids (NEFA), cholesterol, (HDL)-cholesterol) were observed between the Co and T2DM group. Plasma fructosamine was significantly higher in T2DM patients which was a reliable indicator for type 2 diabetes.
Conclusion:Diabetic encephalopathy which often occurs in T2DM patients can probably more described to microvasculair complications and/or changes in the saturation degree of the several lipid compounds especially for C16:0. Saturation degree issues will be worked out in another manuscript. Our major conclusion is that diabetic encephalopathy in T2DM patients is not the result of an aberrant lipid metabolism.