Title: A Comparative Study of the Status of Oxidative Stress Markers, Antioxidant Enzymes in Alcoholic Hepatitis Patients
Authors:
Sanjay Bhatt, M. Itagappa, R.M.Shinde, Bindu Sati, J. B. Gogoi, Jyoti Batra

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i2.06

Abstract

Background: The exact pro-oxidant and antioxidant status in alcoholic hepatitis is still not clear.

Material & Methods: The present study was conducted in Department of Biochemistry, RMRI, Bareilly and Santosh medical college & Hospital. 35 alcoholic hepatitis patients were subjected to detailed clinical examination and laboratory investigations and the results were compared with 35 controls. Blood samples were collected for oxidative stress parameters. It was observed that there was a significant increase in activities of SOD, GPX, MDA and Catalase activity in patients with alcoholic hepatitis when compared to controls.

Results: Results of our study depict higher oxygen free radical production, evidenced by elevated levels of MDA and decreased levels of GSH, ascorbic acid, vitamin-E and Catalase activity, supporting the evidence of oxidative stress in alcoholic hepatitis patients. Increased activities of antioxidant enzymes might be a compensatory regulation of body in response to increased oxidative stress. Decreased concentrations of antioxidant vitamins support the hypothesis that alcoholic hepatitis is an important causative factor in pathogenesis of lipid peroxidation.

Conclusion: These data reveal that antioxidant defense mechanisms might be impaired in patients with alcoholic hepatitis. These findings also provide a theoretical basis for development of novel therapeutic strategies, such as antioxidant supplementation.

Key Words:Superoxide dismutase (SOD), glutathione peroxidase, catalase, alcoholic hepatitis.

References

1.      Aebi, H. and Suter, H. “Protective function of reduced glutathione against the effect of pro-oxidative substances and of irradiation in the red cell’’. In Flone, L.,Besnhar, H.C. Ceditors,. Glutathione. Stuttgart: Georg Thieme; 192 – 199, 1974.

2.      Ahmad R, Tripathi A K, Tripathi P, Singh R, Singh S, Singh R K. “Studies on lipid peroxidation and non-enzymatic antioxidant status as indices of oxidative stress in patients with chronic myeloid leukemia”.Singapore Med J; 51(2) : 110, 2010.

3.      Alcohol and Health. (U.S. department of Health and Services), Seventh Special Report to the U.S. Congress. 1990.

4.      Bergmeyer HU, Bernt E. Glutamate oxaloacetate transaminase; Glutamate pyruvate transaminase. In: Methods of Enzymatic Analysis (Ed. Bergmeyer HU) Academic Press, New York, pp. 1963, 837-853.

5.      Beers RF, Sizer IW. A spectrophotometric method for measuring the breakdown of hydrogen peroxides by catalase. J BiolChem; 1952; 195: 133-140.

6.      Breus, T.K.,Cornelissen, G., Halberg, F. and levitin, A.D.,“Temporal associations of life with solar and geophysical activity” Ann. Geophys; 13:1211 – 1222, 1995.

7.      Breus, T.K.,Halberg, F. and Cornelissen, G., “Influence of solar activity on the physiological rhythms of biological system”. Biofizika (Russian); 40(4):737 – 748 1995.

8.      Bunning, E.,“The physiological clock; Circadian rhythms and biological chronometery. 3rdedn. Springer, Berlin, Heidelberg, New York, 1973.

9.      Bunning E. “The physiological clock; endogenesis; diurnal rhythms and biological chronometry”. Academic, New York, 1964.

10.  Conroy, R.T.W.L and Mills, J.N. “Human circadian rhythms”. Churchill,London 1970.

11.  Chronomics and Chronobiology in health and disease. Singh RK.Indian Journal of clinical Biochemistry. 24(4) 319-323, 09.

12.  Das SK, Nayak P, Vasudevan DM. Biochemical Markers for Alcohol Consumption. Ind J ClinBiochem. 2003; 18(2): 111-118.

13.  Das SK, Vasudevan DM. Monitoring oxidative stress in patients with non-alcoholic and alcoholic liver diseases. Ind J ClinBiochem. 2005; 20(2). (In Press)

14.  Frienhel, N., Aky, R.A, Singer, D.L, Cohen, A.K.(1985). Alcohol hypoglycemia IV. Current  concepts of its pathogenesis. Diabetes 4, 350-361.

15.  Goldberg, M.D.; and Spooner, J.R.. In: Methods of Enzymatic Analysis (ed. Bergmayer), Vol. III, 3rdedn. Academic Press, Inc., Florida, 1983; pp. 258-265.

16.  Grant BF, Harford TC. Epidemiology of alcoholic liver disease. Semin Liver Disease 1988; 8:12-25.

17.  Gupta S, Pandey R, Katyal R, Agarwal HK, Agarwal SK. Lipid peroxide and antioxidant status in alcoholic liver disease. Ind J ClinBiochem 2005; 20(1): 67-71.

18.  Halberg, F. Lornelissen, G.,Bakken, E., “care giving merged with chronobiologic outcome assessment, research and education in health maintenance organization”. Prog. Clin Biol. Res; 3418: 491 – 549, 1990.

19.  Halberg, F.,“Chronobiology”. Ann. Rev Physiol; 31; 675 – 725; 1969.

20.  Halliwell; B,. Antioxidants in human health and disease”. Annu. Rev. Nutr; 16: 33 – 50, 1996.

21.  Halliwell, B.,Gutteridge, J.M.C, “Free radicals in biology and medicine” 3rd ed. Oxford kingdom, Oxford University press, 1999.

22.  Harman, D., “Role of free radicals in aging and disease”. Annals of New York Academy of Sciences; 673: 126 – 141; 1992.

23.  Hans, E. and Halberg, F., “The Circadian time structure”. NATO Adv. Study Inst [D]: 47 – 94, 1980.

24.  Halberg, F. Quo vadis basic and clinical chronobiology: promise for health maintenance. Am J Anat; 168:543-94, 1983.

25.  Haus E, Touitou Y. Chronobiology in laboratory medicine”. In: Touitou Y, Haus E, editors. Biologic rhythms in clinical and laboratory medicine. Springer-Verlag; Berlin, Heidelberg, New York: pp. 673–708, 1992.

26.  Halberg, F. Implications of biologic rhythms for clinical practice”. HospPract.; 12:139–49, 1977.

27.  Hirnwich, H.E., Nahum, L.H., Pakieten, N., Fazekas, J.F., DU Bots, H. (1982). Effects of  alcohol on metabolism. Am.J.Physiol. 101, 57-68.

28.  Irshad M, Chaudhuri PS. “Oxidant-antioxidant system: role and significance in human body”. Indian J ExpBiol; 40:1233-9, 2002.

29.  Jose C. Fernández-Checa, Ph.D., Neil Kaplowitz, M.D., Anna Colell, and Carmen García-Ruiz, Ph.D. Oxidative Stress and Alcoholic Liver Disease: RESEARCH UPDATE.

30.  Kolanjiappan, k. Manoharan, S. and Kayalvizhi, M. (2002).Measurement of erythrocyte lipids, lipid peroxidation, antioxidants and osmotic fragility in cervical cancer patients. Clin. Chin. Acta. 326, 143-149.

31.  Langseth, L, “Oxidants; antioxidants and disease prevention”. Belgium, International Life Science Institute, 1996.

32.  Liber CS. Alcohol and liver: metabolism of alcohol and its role in hepatic and extrahepatic diseases. Mt Sinai J Med 2000; 67 (1): 84-94.

33.  Liber CS. Biochemical and molecular basis of alcohol induced injury to liver and other tissues. N Eng J Med 1988; 319:1639-1650.

34.  Lieber CS. Ethanol metabolism, cirrhosis and alcoholism. Clin. Chim. Acta1997;  257(1): 59 –84.

35.  McCord. J.M and Fridovich, I., “Superoxide dismutase: an enzyme functions for erythrocuprin”. J. Biolchem, 24: 6049 – 6055, 1969.

36.  Natelson. S., “Techniques of clinical chemistry”. 3rd ed., Publisher charles, C., Thomas, USA, 286, 751 and 162, 1971.

37.  OhKawa, H., Ohishi, N. and Yagi, K., “Assay for lipid peroxidase in animal tissues by thiabarbituric reaction”. AnnalBiochemi; 95: 151 – 157, 1979.

38.  Pagila, D.E Valentine, W.N., “Studies on quantitative and qualitative characterization of erythrocyte glutathione peroxidase”. J Lab clinMed; 2; 158 – 169, 1967.

39.  Roe JH, Kuther CA. The determination of ascorbic acid in whole blood and urine through the 2,4-dinitrophenyl hydrazine derivative of dehydro ascorbic acid. J Biol Chem. 1943; 147: 399-401.

40.  R. Singh, R. K. Singh, R. K. Singh, A. K. Tripathi, G. Cornélissen, O. Schwartzkopff, K. Otsuka, and F. Halberg.Chronomics of circulating plasma lipid peroxides and anti-oxidant enzymes and other related molecules in cirrhosis of liver. Biomed Pharmacother. 2005 October; 59(Suppl 1): S229–S235.

41.  Sie H: Oxidative stress: from basic research to clinical application. Am J Med 1991; 9: 31-38.

42.  Singh R, Singh RK, Mahdi AA, et al. “Circadian periodicity of plasma lipid peroxides and other anti-oxidants as putative markers in gynecological malignancies”. In Vivo; 17:593-600, 2003.

43.  Singh R, Singh RK, Tripathi AK, et al. “Chronomics of circulating plasma lipid peroxides and anti-oxidant enzymes and other related molecules in cirrhosis of liver”.  In the memory of late Shri Chetan Singh. Biomed Pharmacother; 59 supply 1:S229-35, 2005.

44.  Sherlock, S.(1995). Alcohol and the liver. In: Sherlock S. Diseases of the liver and biliary  system. 6th ed. Blackwell publications London, pp 385-403.

Corresponding Author

Sanjay Bhatt

Assistant Professor, Department of Biochemistry, RMRI, Bareilly

Email- This email address is being protected from spambots. You need JavaScript enabled to view it.