Elbay Arif Emre, Topalkara Ayşen, Elbay Ahmet, Erdoğan Haydar, Vural Ayşe, Bahadır Çetin Abdi
Gazi State Hospital, Clinic of Ophthalmology, Samsun, Turkey.
Cumhuriyet University Faculty of Medicine, Department of Ophthalmology, Sivas, Turkey.
Turk J Ophthalmol. 2015 Aug;45(4):146-151. doi: 10.4274/tjo.26539. Epub 2015 Aug 5.
To evaluate the serum homocysteine (Hcy) and leptin levels in patients with uveitis.
MATERIALS AND METHODS: The 70 cases included in the study comprised 3 groups: patients with Behçet's uveitis (BU), patients with non-Behçet's uveitis (NBU) and healthy controls. Body mass index was calculated for each subject. Serum Hcy and leptin levels were measured. Furthermore, acute-phase reactants including erythrocyte sedimentation rate (ESR), C-reactive protein and neutrophil count were measured.
RESULTS: Serum Hcy levels were 15.04±4.59 µmol/L in the BU group, 15.4±6.87 µmol/L in the NBU group and 13.64±4.72 µmol/L in the control group (p>0.05). The serum leptin levels of male patients in the BU group, NBU group and control group were 4.76±3.54 ng/ml, 6.33±3.74 ng/ml and 5.47±6.33 ng/ml, respectively (p>0.05). When we compared serum leptin levels in female patients and controls, the mean serum leptin concentrations were significantly higher in female BU and NBU patients (24.83±17.62 ng/ml and 28.46±13.90 ng/ml, respectively) than in healthy control volunteers (9.62±6.36 ng/ml, p<0.05). In addition, the ESR value differences between groups were statistically significant (p<0.05).
A larger case series is necessary to investigate serum Hcy and leptin concentrations in uveitis patients.
评估葡萄膜炎患者的血清同型半胱氨酸(Hcy)和瘦素水平。
本研究纳入的70例患者分为3组:白塞氏葡萄膜炎(BU)患者、非白塞氏葡萄膜炎(NBU)患者和健康对照者。计算每位受试者的体重指数。检测血清Hcy和瘦素水平。此外,还检测了急性期反应物,包括红细胞沉降率(ESR)、C反应蛋白和中性粒细胞计数。
BU组血清Hcy水平为15.04±4.59µmol/L,NBU组为15.4±6.87µmol/L,对照组为13.64±4.72µmol/L(p>0.05)。BU组、NBU组和对照组男性患者的血清瘦素水平分别为4.76±3.54ng/ml、6.33±3.74ng/ml和5.47±6.33ng/ml(p>0.05)。当我们比较女性患者和对照组的血清瘦素水平时,女性BU和NBU患者的平均血清瘦素浓度(分别为24.83±17.62ng/ml和28.46±13.90ng/ml)显著高于健康对照志愿者(9.62±6.36ng/ml,p<0.05)。此外,各组间的ESR值差异具有统计学意义(p<0.05)。
需要更大规模的病例系列研究来调查葡萄膜炎患者的血清Hcy和瘦素浓度。