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硒和锌缺乏作为特发性耐药性癫痫的致病因素。

Deficiency of selenium and zinc as a causative factor for idiopathic intractable epilepsy.

机构信息

Istanbul University, Cerrahpaşa Medical Faculty, Department of Medical Genetics, Istanbul, Turkey.

出版信息

Epilepsy Res. 2013 Mar;104(1-2):35-9. doi: 10.1016/j.eplepsyres.2012.09.013. Epub 2012 Oct 25.

Abstract

PURPOSE

The accumulation of free radicals may lead to seizures and increase the risk of their recurrence. Glutathione peroxidase and superoxide dismutase are 2 major enzymes that are involved in antioxidative defense mechanisms. Selenium (Se), zinc (Zn), and copper (Cu) are important trace elements that participate in the structure of these enzymes. The purpose of this study was to evaluate the possible associations between trace elements and idiopathic intractable epilepsy (IIE) by comparing the levels of Se, Zn, and Cu between patients with IIE and healthy children.

METHODS

Our study was designed as a case-control study with 70 IIE patients and 60 healthy children who were matched for age, ethnicity, and socioeconomic status. The levels of serum Se, Zn, and Cu were measured with an atomic absorption spectrophotometer. The results were statistically analyzed with SPSS version 16.0.

KEY FINDINGS

We found that the patients with IIE had significantly decreased levels of serum Se and Zn compared to those of the control group (p<0.05).

SIGNIFICANCE

We believe that this study presents the first reports of decreased levels of Se and Zn in patients with IIE. These results may provide new insights for delineating the etiological basis of IIE and its potential therapeutic options.

摘要

目的

自由基的积累可能导致癫痫发作,并增加其复发的风险。谷胱甘肽过氧化物酶和超氧化物歧化酶是参与抗氧化防御机制的两种主要酶。硒(Se)、锌(Zn)和铜(Cu)是参与这些酶结构的重要微量元素。本研究旨在通过比较特发性难治性癫痫(IIE)患者和健康儿童之间的 Se、Zn 和 Cu 水平,评估微量元素与 IIE 之间的可能关联。

方法

我们的研究设计为病例对照研究,共有 70 例 IIE 患者和 60 名年龄、种族和社会经济地位相匹配的健康儿童。使用原子吸收分光光度计测量血清 Se、Zn 和 Cu 的水平。使用 SPSS 版本 16.0 对结果进行统计学分析。

主要发现

我们发现,与对照组相比,IIE 患者的血清 Se 和 Zn 水平显著降低(p<0.05)。

意义

我们认为这项研究首次报道了 IIE 患者血清 Se 和 Zn 水平降低。这些结果可能为阐明 IIE 的病因基础及其潜在治疗选择提供新的见解。

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