Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Korean J Intern Med. 2010 Dec;25(4):422-8. doi: 10.3904/kjim.2010.25.4.422. Epub 2010 Nov 27.
BACKGROUND/AIMS: Many patients with acute paraquat (PQ) intoxication die even at low PQ concentrations, whereas others with similar concentrations recover. Therefore, it is possible that individual differences in antioxidant capacity are responsible for the variable clinical outcome in patients with acute PQ intoxication.
We investigated whether there was a relationship between the genetic polymorphisms of SOD (V16A), catalase (C262T), and GPX1 (C593T) in 62 patients with acute PQ intoxication and the clinical outcomes of these patients.
The frequency of the Mn-SOD V/V, V/A, and A/A genotypes were 56.3, 43.5, and 0% in survivors and 86.9, 13.1, and 0% in non-survivors (p > 0.05). The GPX1 C/C, C/T, and T/T genotypes were present in 100, 0, and 0% of all subjects. The catalase C/C, C/T, and T/T genotypes were present in 100, 0, and 0% of survivors, and in 82.6, 17.4, and 0% of non-survivors. Neither erythrocyte SOD activity nor catalase activity were significantly different between survivors and non-survivors.
No association was found between clinical outcome of acute PQ intoxication and the genetic polymorphism of GPX1 (C593T) or the genetic polymorphisms or enzyme activity of superoxide dismutase (V16A) or catalase (C262T).
背景/目的:许多急性百草枯(PQ)中毒患者即使在低 PQ 浓度下也会死亡,而其他浓度相似的患者则康复。因此,个体抗氧化能力的差异可能是导致急性 PQ 中毒患者临床结局不同的原因。
我们研究了 62 例急性 PQ 中毒患者 SOD(V16A)、过氧化氢酶(C262T)和 GPX1(C593T)的遗传多态性与这些患者临床结局之间是否存在关系。
幸存者 Mn-SOD V/V、V/A 和 A/A 基因型的频率分别为 56.3%、43.5%和 0%,而非幸存者分别为 86.9%、13.1%和 0%(p>0.05)。所有受试者的 GPX1 C/C、C/T 和 T/T 基因型分别为 100、0 和 0%。过氧化氢酶 C/C、C/T 和 T/T 基因型分别存在于 100%、0%和 0%的幸存者中,以及 82.6%、17.4%和 0%的非幸存者中。幸存者和非幸存者之间红细胞 SOD 活性和过氧化氢酶活性无显著差异。
急性 PQ 中毒的临床结局与 GPX1(C593T)的遗传多态性或超氧化物歧化酶(V16A)和过氧化氢酶(C262T)的遗传多态性或酶活性之间没有关联。