tive stress-associated pathologies. Excessive levels of LDAs are decreased by several enzyme systems that are able to oxidize them to acids like aldehyde dehydrogenase (ALDH) or catalyze their conjugation with endogenous ligands like glutathione-S-transferase (GST) [ 5 ] . There are only a few studies on erythrocyte glutathione S-transferase (GST) activity in DM, the results of which are ambiguous. Jerntorp et al. tried to fi nd an association between ALDH activity and DM and its complications such as large vessel disease, but the method they used did not lead to any valid conclusions [ 6 , 7 ] . Therefore, the aim of our studies was to compare the ALDH1 and GST activity in whole blood of DM patients and healthy control and analyze the relation of those enzymes activity with HbA1c.
Materials and Methods
▼ Patients64 DM type 2 patients of the Warsaw Medical University Hospital (Group 1) and 60 healthy controls from the out-patients clinic (Control group) were enrolled in this study.
Introduction
▼The number of patients with diabetes mellitus (DM), a metabolic disorder, is rapidly increasing worldwide due to several factors: population growth, aging, urbanization, increasing prevalence of obesity and reduced physical activity [ 1 ] . Increased oxidative stress (OS) may have an important causal role in β-cell failure and the development of insulin resistance, it is believed to be related with the onset and progression of diabetes. Moreover, OS also results from hyperglycemia associated with diabetes. Therefore, it is considered as a factor related to diabetes complications [ 2 ] . It is highly probable that not only reactive oxygen species (ROS) themselves but also secondary by-products of lipid peroxidation (LP) contribute to the deleterious consequences of OS e. g. insulin resistance [ 3 ] . Lipid peroxidationderived aldehydes (LDAs) may also increase the incidence of DM complications by the modifi cation of the collagen of the cardiovascular system causing its stiff ening and changes in the charge profi le [ 4 ] . This emphasizes the importance of the cellular protective mechanisms against LADs as they can prevent the development of some oxida-