Institute of Ophthalmology, University of Sassari, Sassari, Italy.
Ophthalmic Res. 2010;43(1):26-32. doi: 10.1159/000246575. Epub 2009 Oct 14.
Our aim was to determine the plasma levels of the sulfur-containing amino acids homocysteine, cysteine, cysteinylglycine, glutamylcysteine, glutathione and taurine in patients with branch retinal vein occlusion (BRVO) and in healthy subjects and to ascertain whether there are statistically significant differences between patients and controls.
Homocysteine, cysteine, cysteinylglycine, glutamylcysteine, glutathione and taurine plasma levels were measured in 40 patients with BRVO and 80 age- and gender-matched control subjects by using laser-induced fluorescence capillary electrophoresis methods. Wilcoxon's or Student's t test was used, when appropriate, to determine differences between the groups. Conditional logistic regression analysis was performed to determine the risk factors for BRVO.
BRVO patients showed significantly lower plasma concentrations of cysteinylglycine (p = 0.02) and taurine (p < 0.0001) than controls. Conversely, there were no significant differences in plasma homocysteine, cysteine, glutamylcysteine and glutathione between patients with BRVO and controls. Conditional logistic regression analysis revealed an odds ratio of 0.95 (95% confidence interval: 0.92-0.98, p = 0.001) for taurine and 0.86 (95% confidence interval: 0.78-0.96, p = 0.006) for cysteinylglycine.
This study failed to demonstrate an association between BRVO and the plasma levels of homocysteine, cysteine, glutamylcysteine and glutathione. Cysteinylglycine and taurine were significantly lower in BRVO patients, thus suggesting that reduced plasma levels of these sulfur-containing amino acids may contribute to the pathogenesis of BRVO.
本研究旨在测定视网膜分支静脉阻塞(BRVO)患者与健康对照者的血浆中含硫氨基酸同型半胱氨酸、半胱氨酸、胱氨酰甘氨酸、谷氨酰半胱氨酸、谷胱甘肽和牛磺酸的水平,并确定患者与对照组之间是否存在统计学显著差异。
采用激光诱导荧光毛细管电泳法测定 40 例 BRVO 患者和 80 例年龄和性别匹配的对照组的同型半胱氨酸、半胱氨酸、胱氨酰甘氨酸、谷氨酰半胱氨酸、谷胱甘肽和牛磺酸的血浆水平。当合适时,采用 Wilcoxon 或 Student's t 检验来确定组间差异。采用条件逻辑回归分析来确定 BRVO 的危险因素。
BRVO 患者的血浆胱氨酰甘氨酸(p = 0.02)和牛磺酸(p < 0.0001)浓度明显低于对照组。相反,BRVO 患者与对照组之间的血浆同型半胱氨酸、半胱氨酸、谷氨酰半胱氨酸和谷胱甘肽无显著差异。条件逻辑回归分析显示,牛磺酸的比值比(OR)为 0.95(95%置信区间:0.92-0.98,p = 0.001),胱氨酰甘氨酸的 OR 为 0.86(95%置信区间:0.78-0.96,p = 0.006)。
本研究未能证明 BRVO 与血浆同型半胱氨酸、半胱氨酸、谷氨酰半胱氨酸和谷胱甘肽水平之间存在关联。BRVO 患者的胱氨酰甘氨酸和牛磺酸水平明显降低,表明这些含硫氨基酸的血浆水平降低可能有助于 BRVO 的发病机制。