Title: Serum Protein and Its Fractions in Patients of Alcohol Dependence and Healthy Individuals – A Comparative Study

Authors: Dr Lakshimi Borgohain, Dr Abhilekh Das, Dr Jishan Phukan

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.187

Abstract

Introduction: Heavy consumption of alcohol can cause untold misery to the individual, who is usually affected by other physical, psychological and social disabilities as well. In chronic alcoholism the liver cells are damaged and since albumin is solely synthesized in the liver there is hypoalbuminemia. On the other hand serum globulin levels are raised leading to altered Albumin/Globulin ratio. The study was conducted with the objective to assess and compare the levels of Serum Protein and its fractions in patients of alcohol dependence with equal number of age and sex matched healthy controls.

Materials and Methods:  This was a hospital based case control study conducted on 100 inpatients of alcohol dependence and equal number of age and sex matched controls. Blood samples were collected from the patients on the first day of admission and, Serum Protein, Albumin were measured using Biuret Reaction and Bromocresol Green method respectively. The results were analysed using SPSS Version 16.0 setting the significance threshold at p=0.05.

Results: There was significant elevation of Serum Globulin in patients of alcohol dependence when compared to controls. On the other hand Serum Protein and Albumin were significantly lower in alcohol dependent cases compared to healthy controls.

Conclusion: Alcohol induced hepatic damage and poor nutrition may be some of the causes behind the low protein levels in alcoholics. Ethanol consumption slows down the rate of hepatic protein catabolism and changes may be related to the degree of ethanol-induced oxidative stress.

Keywords: Albumin, Alcohol Dependence, Globulin.

References

  1. Marshall Jane. Alcohol dependence and alcohol problems. Gelder.G.Michael, Andreasen. C.Nancy, Lopez-Ibor Jr.J.Juan and Geddes.R.John. New Oxford Textbook of Psychiatry. 2nd Volume 1. Oxford: Oxford University Press; 2012. P. 437-442.
  2. The ICD-10 Classification of Mental and Behavioral Disorders: Clinical descriptions and diagnostic guidelines. World Health Organization, Geneva. A.I.T.B.S; 2007. P. 75-79.
  3. Rosalki SB and Mcintyre N. Biochemical investigations in the management of Liver Disease. Bircher Johannes, Benhamou Jean-Pierre and McIntyre Neil. Oxford Textbook of Clinical Hepatology. 2nd edition. Volume 1. New York: Oxford university press; 1999. P. 503-521.
  4. Rothschild MA, Oratz Murray, Zimmon David, Schreiber Sidney S., Weiner Irwin and Caneghem Adrian Van. Albumin synthesis in cirrhotic subjects studied with carbonate      C. J Clin Invest. 1969; Vol 48: 344-349.
  5. Hasch Ernst, Jarnum Stig and Tygstrup Niels. Albumin synthesis rate as a measure of liver function in patients with cirrhosis. Arch Intern Med. 1967; Vol 182: 38-44.
  6. Limdi J K and Hyde G M. Evaluation of abnormal liver function tests. Post grad Med Journal. 2003; 79:307–312.
  7. Medhi GK, Hazarika NC and Mahanta J. Tobacco and alcohol use among the youth of the Agricultural tea industry in Assam, India, Regional Medical Research Centre, NE Region. Indian Council of Medical Research, Dibrugarh, Assam, India.
  8. Jha Jagarati. A Clinical Biochemistry Laboratory Training Module for Technicians. Training Module Biochemistry. State Institute of Health and Family Welfare, Rajasthan.
  9. Pitkänen Tuuli, Lyyra Anna-Liisa and Pulkkinen Lea. Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8–42 for females and males. 2005; Vol 100: 652–661.
  10. Kim Jean H, Singh Lee, Julie Chow, Lau joseph and Tsang Adley. Prevalence and the factors associated with binge drinking, alcohol abuse, and alcohol dependence: A population-based study of Chinese adults in Hong Kong. Alcohol & Alcoholism. 2008; Vol. 43 (3): 360–370.
  11. Martins-Oliveira Juliana Gabrielle, Jorge Kelly Oliva, Ferreira Raquel Conceição Ferreira e Ferreira Efigênia, Vale Míriam Pimenta et al. Risk of alcohol dependence: Prevalence, related problems and socioeconomic factors. Ciência & Saúde Coletiva. 2016; 21(1): 17-26.
  12. Ebuchi Osaretin A.T. and Asonye L. Chioma. Gender and Alcohol consumption affect human serum enzymes, protein and bilirubin. European Journal of Scientific Research. 2006; Vol 15 (4), 2006: 446-452.
  13. Kyosola and Y. Salorinne. Liver biopsy and liver function tests in 28 consecutive long term alcoholics. Annals of Clinical Research. 1 April 1975; Volume 7(2): Pg 80-84.
  14. Priya N. And Venkatalakshmi P. The impact of heavy Alcohol consumption and cigarette smoking on liver function – A Clinical survey. International Journal of Pharmacy and Pharmaceutical Sciences. 2013; Vol 5(4): 82-85.
  15. Luisa Gloria, Marilia Cravo, M.E Camilo, Manuela Resende, J.Neves Cardoso, Gouveia Oliveira A et al. Nutritional deficiencies in chronic alcoholics: Relation to dietary intake and alcohol consumption. American Journal of Gastroenterology. March 1997; Volume 92 (3): 485-489.
  16. Danielsson Joanna. Liver enzymes and lifestyle. Acta Universitatis Tamperensis. 1983.

Corresponding Author

Dr Abhilekh Das

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: +919678248254