Gupta Seema, Pandey Rajesh, Katyal Ranjan, Aggarwal H K, Aggarwal R P, Aggarwal S K
Department of Biochemistry, Lady Harding Medical College, New Delhi.
Indian J Clin Biochem. 2005 Jan;20(1):67-71. doi: 10.1007/BF02893045.
The present study was conducted to evaluate some of the components of antioxidant defense system and oxidative damage in 20 male patients of alcoholic liver disease (ALD). The results were compared with 20 healthy male smokers and 20 healthy male non-smokers volunteers. Patients were subjected to detailed clinical examination and laboratory investigations. Blood samples were collected for estimating reduced glutathione (GSH), total thiols (T-SH) malondialdehyde (MDA), transaminases (AST, ALT), glutathione-S-transferease (GST) and gammaglutamyl transferase (GGT). Serum aspartate amino transferase (AST)/alanine amino transferase (ALT) ratio was significantly (p<0.01) reduced in ALD patients as compared to the controls. However, the core of utility of MDA and GST was found to be significantly (p<0.01) increased in ALD patients compared to controls. There was a significant negative correlation of MDA with both GSH and TSH. Plasma GGT levels were significantly (p<0.01) increased in alcoholics and the enzyme showed a significant positive correlation with MDA. These results give enough evidence of increased oxidative stress and compromised antioxidant defense system in patients with ALD.
本研究旨在评估20例酒精性肝病(ALD)男性患者抗氧化防御系统的一些组成部分和氧化损伤情况。将结果与20名健康男性吸烟者和20名健康男性非吸烟者志愿者进行比较。对患者进行了详细的临床检查和实验室检查。采集血样以测定还原型谷胱甘肽(GSH)、总硫醇(T-SH)、丙二醛(MDA)、转氨酶(AST、ALT)、谷胱甘肽-S-转移酶(GST)和γ-谷氨酰转移酶(GGT)。与对照组相比,ALD患者血清天冬氨酸氨基转移酶(AST)/丙氨酸氨基转移酶(ALT)比值显著降低(p<0.01)。然而,与对照组相比,发现ALD患者的MDA和GST的效用核心显著增加(p<0.01)。MDA与GSH和TSH均呈显著负相关。酒精性肝病患者血浆GGT水平显著升高(p<0.01),且该酶与MDA呈显著正相关。这些结果充分证明了ALD患者氧化应激增加和抗氧化防御系统受损。