Armutcu Ferah, Ataymen Meryem, Atmaca Hulusi, Gurel Ahmet
Department of Biochemistry, Canakkale Onsekiz Mart University Medical Faculty, Canakkale, Turkey.
Clin Chem Lab Med. 2008;46(6):785-90. doi: 10.1515/CCLM.2008.166.
The metabolic syndrome is a cluster of cardiovascular risk factors and essential components of metabolic syndrome are hyperglycemia, hypertension, visceral obesity, hypertriglyceridemia and low high-density lipoprotein cholesterol. Oxidative stress plays a critical role in the pathogenesis of metabolic syndrome components and insulin resistance. The aim of this study was to investigate the role of oxidative stress, C-reactive protein and heat shock protein 70 levels in the pathogenesis of this disease.
A total of 36 patients diagnosed with metabolic syndrome and 33 controls were included in the study. Malondialdehyde, carbonyl protein, C-reactive protein and heat shock protein 70 levels and xanthine oxidase and superoxide dismutase activities were measured in the serum of the subjects.
Mean serum malondialdehyde, carbonyl protein, C-reactive protein (p<0.01, p<0.05 and p<0.001, respectively) and xanthine oxidase activity were significantly higher (p<0.01) in serum of the patients than the control group. Superoxide dismutase activity and heat shock protein 70 levels were significantly lower (p<0.01 and p<0.05, respectively) in serum of the patients.
These results suggest that oxidative stress parameters and components of metabolic syndrome are closely related; therefore, significant alterations may occur in the antioxidant and inflammatory status. However, further studies are required to evaluate the possible molecular mechanisms of heat shock protein 70 levels in metabolic syndrome.
代谢综合征是一组心血管危险因素,代谢综合征的基本组成部分包括高血糖、高血压、内脏肥胖、高甘油三酯血症和低高密度脂蛋白胆固醇。氧化应激在代谢综合征各组分及胰岛素抵抗的发病机制中起关键作用。本研究旨在探讨氧化应激、C反应蛋白和热休克蛋白70水平在该疾病发病机制中的作用。
本研究共纳入36例诊断为代谢综合征的患者和33例对照。测定受试者血清中的丙二醛、羰基蛋白、C反应蛋白和热休克蛋白70水平以及黄嘌呤氧化酶和超氧化物歧化酶活性。
患者血清中平均丙二醛、羰基蛋白、C反应蛋白(分别为p<0.01、p<0.05和p<0.001)和黄嘌呤氧化酶活性显著高于对照组(p<0.01)。患者血清中超氧化物歧化酶活性和热休克蛋白70水平显著降低(分别为p<0.01和p<0.05)。
这些结果表明氧化应激参数与代谢综合征各组分密切相关;因此,抗氧化和炎症状态可能会发生显著改变。然而,需要进一步研究来评估热休克蛋白70水平在代谢综合征中可能的分子机制。