Farahani Heidar N, Ashthiani Alireza R, Masihi Mher S
Department of Biochemistry, Faculty of Medicine, Arak University of Medical Sciences, Basij Square, Sardasht, Arak 381817167, Central Province, Islamic Republic of Iran.
Neurosciences (Riyadh). 2013 Apr;18(2):138-42.
To estimate serum zinc and selenium levels in a group of healthy subjects and correlate these with epileptic patients.
This case-control study was conducted in the Department of Neurology, Valiasr Hospital, Iran, between November 2011 and May 2012 on 40 patients aged 26.63+/-5.78 years who were diagnosed with generalized and a single epileptic form of epilepsy by a neurologist for the first time. The control group was selected from healthy individuals, and matched to the case group. Serum zinc was measured by the calorimetric method using a Randox kit. Selenium was measured by atomic absorption spectroscopy.
The mean zinc level was 151.2+/-29.75 ug/dl in the cases, and 181.63+/-60.19 ug/dl in the controls (p=0.006). The mean selenium level was 73.37+/-13.31 ug/l in cases compared with 85.55+/-19.39 ug/dl in controls (p=0.002). We also found a significant difference between the selenium levels by gender in the 2 groups (p=0.03).
We observed statistically significant changes in serum zinc and selenium levels of epileptic adult patients in comparison with the control group. As zinc and selenium are used as potent antioxidants in cellular interactions, changes in their serum values may result in enzymatic changes, which in turn can cause neurological disorders.
评估一组健康受试者的血清锌和硒水平,并将其与癫痫患者的水平进行关联。
本病例对照研究于2011年11月至2012年5月在伊朗瓦利阿斯尔医院神经科进行,研究对象为40名年龄在26.63±5.78岁之间的患者,这些患者首次被神经科医生诊断为全身性单形式癫痫。对照组从健康个体中选取,并与病例组进行匹配。血清锌采用朗道试剂盒通过比色法测定。硒采用原子吸收光谱法测定。
病例组的平均锌水平为151.2±29.75微克/分升,对照组为181.63±60.19微克/分升(p = 0.006)。病例组的平均硒水平为73.37±13.31微克/升,对照组为85.55±19.39微克/分升(p = 0.002)。我们还发现两组中按性别划分的硒水平存在显著差异(p = 0.03)。
与对照组相比我们观察到癫痫成年患者的血清锌和硒水平有统计学上的显著变化。由于锌和硒在细胞相互作用中用作强效抗氧化剂,它们血清值的变化可能导致酶的变化,进而可能引起神经紊乱。