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氧化应激与分化型甲状腺癌的放射性碘治疗。

Oxidative stress and radioiodine treatment of differentiated thyroid cancer.

机构信息

Clinical Research Centre, Medical University of Bialystok, 15-276, Bialystok, Poland.

Department of Endocrinology, Diabetology and Internal Medicine, Medical University of Bialystok, 15-276, Bialystok, Poland.

出版信息

Sci Rep. 2021 Aug 24;11(1):17126. doi: 10.1038/s41598-021-96637-5.

Abstract

It is hypothesized that the oxidative stress level in thyroid cancer patients is additionally upregulated by radioactive iodine (RAI) treatment, that may exert an important impact on future health concerns. In our study, we evaluated the oxidative stress level changes using the measurement of malondialdehyde (MDA) concentration in patients with differentiated thyroid cancer (DTC) undergoing RAI treatment. Considering the results obtained in the study group, the serum levels of MDA in DTC patients were significantly higher compared to the healthy subjects (p < 0.05). The MDA concentration was significantly higher on the third day after RAI (p < 0.001) and significantly lower one year after RAI (p < 0.05) in DTC patients compared to the baseline concentration. Moreover, the redox stabilization after RAI treatment in patients with DTC during a year-long observation was demonstrated. Accordingly, an increased oxidative stress impact on the related biochemical parameters reflecting the health conditions of the DTC patients was determined. Our study showed that increased oxidative stress reflected by MDA measurements in DTC patients is further enhanced by RAI, but this effect is no longer observed one year after the therapy.

摘要

据推测,放射性碘 (RAI) 治疗会使甲状腺癌患者的氧化应激水平进一步上调,这可能对未来的健康问题产生重要影响。在我们的研究中,我们通过测量分化型甲状腺癌 (DTC) 患者接受 RAI 治疗后的丙二醛 (MDA) 浓度来评估氧化应激水平的变化。考虑到研究组的结果,与健康受试者相比,DTC 患者的血清 MDA 水平明显更高 (p<0.05)。与基线浓度相比,DTC 患者在 RAI 治疗后第 3 天 (p<0.001) 和 RAI 治疗后 1 年 (p<0.05) 的 MDA 浓度显著更高。此外,在为期 1 年的观察期间,在接受 RAI 治疗的 DTC 患者中观察到了氧化还原稳定作用。因此,确定了 DTC 患者相关生化参数的氧化应激影响增加。我们的研究表明,DTC 患者 MDA 测量结果所反映的氧化应激增加进一步受到 RAI 的增强,但在治疗 1 年后这种影响不再观察到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ff/8384841/65dc96ec0d38/41598_2021_96637_Fig1_HTML.jpg

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