Phospholipid and fatty acid composition of erythrocytes in type I and type II diabetes.

Different data have been reported concerning modifications of the erythrocyte lipid composition in the different types of diabetes. The heterogeneity of diabetes could be a cause for such differences. Ten type I and ten type II diabetics were carefully selected. The patients were poorly controlled (the mean glycosylated hemoglobin was 12.8% +/- 0.7%); their mean age was 54 +/- 5 years, with a mean duration of diabetes of 18 +/- 4 years. One half of them had severe diabetic complications (nephropathy, retinopathy, and/or polyneuropathy). The diabetics were compared with ten controls. The phospholipid composition was determined by HPTLC analysis, and the fatty acid moieties of the total phospholipids were measured by gas liquid chromatography associated with mass spectrometry. Under well-defined experimental conditions, these results demonstrated a slight, but significant (P less than .05), increase in the phosphatidylethanolamine (PE)/phosphatidylserine (PS) ratio using a Ninhydrin quantitation method; there was also an increase in two minor lipids content (phosphatidylinositol, phosphatidic acid) and the appearance of a lysolipid (lysoPE) in the patients. Whatever the type of diabetes, the red blood cells of diabetics showed no significant differences in their fatty acid contents.