Markowski Tomasz, Ferens-Sieczkowska Mirosława, Zwierz Krzysztof, Wojtulewska Aleksandra
Klinki Psychiatrii AM w Białymstoku.
Psychiatr Pol. 2003 May-Jun;37(3):495-502.
The aim of the study was to compare the activity of N-acetyl-beta-hexosaminidase (HEX) and gamma-glutamyltransferase (GGT) in the serum of alcohol dependent people hospitalised after a long-lasting drinking period.
The studied group consisted of 30 alcohol dependent men hospitalised after a long-lasting drinking period. The control group consisted of 30 healthy men--social drinkers. The activity of HEX was determined with colorimetric method Chatteriee (modified by Zwierz). The activity of GGT was determined by kinetic method.
The medium activity of HEX in the serum in the studied group on the 1st day of abstinence was 2.3 times higher than the control group (p < 0.05). The activity of HEX decreased during abstinence. Starting from the 10th day of abstinence the activity of HEX was similar to the control group. The medium activity of GGT in the serum of the studied group on the 1st day of abstinence was 7 times higher than in the control group (p < 0.05). The activity of GGT decreased during abstinence. On the 30th day of abstinence the activity of GGT in the studied group was 2.7 times higher as compared to the control group (p < 0.05).
The activity of HEX and GGT in the serum significantly increases during long-lasting drinking period in alcohol dependent people. Increased HEX activity in the serum can be a more sensitive marker of long-lasting drinking period than GGT activity. The normalisation of HEX activity in the serum during abstinence in alcohol dependent people takes place significantly faster than the normalisation of GGT activity.
本研究旨在比较长期饮酒后住院的酒精依赖者血清中N - 乙酰 - β - 己糖胺酶(HEX)和γ - 谷氨酰转移酶(GGT)的活性。
研究组由30名长期饮酒后住院的男性酒精依赖者组成。对照组由30名健康男性——社交饮酒者组成。采用Chatteriee比色法(由Zwierz改良)测定HEX的活性。采用动力学方法测定GGT的活性。
戒酒第1天,研究组血清中HEX的平均活性比对照组高2.3倍(p < 0.05)。戒酒期间HEX的活性降低。从戒酒第10天开始,HEX的活性与对照组相似。戒酒第1天,研究组血清中GGT的平均活性比对照组高7倍(p < 0.05)。戒酒期间GGT的活性降低。戒酒第30天,研究组GGT的活性比对照组高2.7倍(p < 0.05)。
酒精依赖者在长期饮酒期间,血清中HEX和GGT的活性显著增加。血清中HEX活性增加可能是比GGT活性更敏感的长期饮酒指标。酒精依赖者戒酒期间血清中HEX活性恢复正常的速度明显快于GGT活性恢复正常的速度。