Dönmezdil Nilüfer, Çevik Mehmet Uğur, Özdemir Hasan Hüseyin, Taşin Muhterem
Department of Neurology, Dicle University, Diyarbakır, Turkey.
Neuropsychiatr Dis Treat. 2016 Apr 22;12:1013-7. doi: 10.2147/NDT.S103336. eCollection 2016.
There are many studies dedicated to researching the etiopathogenesis of epilepsy. In such research, oxidative and antioxidant indicators of etiopathogenesis have also been examined under the scope. Drawing on a group of patients with epilepsy who were receiving no treatment, we have tried to evaluate whether or not an increase in oxidative indicators is linked directly with the disorder, independent of epileptic medicaments.
Thirty people in good health and 30 newly diagnosed with epilepsy and who received ambulatory treatment in the polyclinic of the Neurology Department took part in the study. The tests relating to serum malondialdehyde (MDA) levels and paraoxonase 1 (PON1) activity were carried out in the biochemistry laboratory.
Even though the levels of MDA in the patient group (14.34±3.59 nmol/mL) were found to be high compared to those of the control group, which consisted of people in good health (13.53±3.56 nmol/mL), there was no statistically significant difference. PON1 activity in the serum taken from people in the patient group (0.65±0.17) was lower in comparison to that observed in the serum of the control group (0.71±0.17 U/L). Nonetheless, it was not so low as to have significance from a statistical point of view.
We conclude that such a high level of oxidative parameters should have been related to the disease and that statistically significant findings that emerged in some other studies could have been related to an antiepileptic treatment.
有许多研究致力于探究癫痫的病因发病机制。在这类研究中,病因发病机制的氧化和抗氧化指标也在研究范围内进行了检测。我们选取了一组未接受治疗的癫痫患者,试图评估氧化指标的升高是否与该疾病直接相关,而与抗癫痫药物无关。
30名健康人和30名新诊断为癫痫且在神经内科门诊接受非住院治疗的患者参与了该研究。血清丙二醛(MDA)水平和对氧磷酶1(PON1)活性的检测在生物化学实验室进行。
尽管发现患者组的MDA水平(14.34±3.59 nmol/mL)高于由健康人组成的对照组(13.53±3.56 nmol/mL),但差异无统计学意义。患者组血清中的PON1活性(0.65±0.17)低于对照组血清中的活性(0.71±0.17 U/L)。然而,从统计学角度来看,其降低程度并不显著。
我们得出结论,如此高的氧化参数水平本应与疾病相关,而其他一些研究中出现的具有统计学意义的结果可能与抗癫痫治疗有关。