Independent correlation between ischemia modified albumin and parathormone in hemodialysis patients

Introduction. Hemodialysis patients are the group which oxidative stress is found more exacerbated. Ischemia modified albumin (IMA) is a new and sensitive marker for ischemia and oxidative stress. At current study we evaluated relation between IMA and biochemical parameters in hemodialysis patients. Materials and Methods. Thirty-four patients on maintenance hemodialysis were included. Pre-hemodialysis and post-hemodialysis blood samples were taken. Serum IMA and biochemistry parameters were measured. Results. There was a positive correlation between alkaline phosphatase (ALP) and IMA (r=0,268, p<0,05), CRP and IMA (r=0,452, p=0,007), parathormone and IMA (r=0,436, p=0,010), There was a negative correlation between albumin and IMA (r=-0,338, p=0,05). Multiple regression analysis was run to predict IMA levels from parathormone, CRP and creatinine the model statistically significantly predicted relation p<0,05, R=0,506, out of four two variables added statistically significant to the prediction, PTH (p=0,006), CRP (p=0,029). In multiregression analysis, IMA was found to be associated with PTH and CRP independent of creatinine value. Conclusions. We showed for the first time that PTH is associated with IMA in hemodialysis patients, independent of the level of renal function.

Independent correlation between ischemia modified albumin and parathormone in hemodialysis patients

Introduction. Hemodialysis patients are the group which oxidative stress is found more exacerbated. Ischemia modified albumin (IMA) is a new and sensitive marker for ischemia and oxidative stress. At current study we evaluated relation between IMA and biochemical parameters in hemodialysis patients. Materials and Methods. Thirty-four patients on maintenance hemodialysis were included. Pre-hemodialysis and post-hemodialysis blood samples were taken. Serum IMA and biochemistry parameters were measured. Results. There was a positive correlation between alkaline phosphatase (ALP) and IMA (r=0,268, p<0,05), CRP and IMA (r=0,452, p=0,007), parathormone and IMA (r=0,436, p=0,010), There was a negative correlation between albumin and IMA (r=-0,338, p=0,05). Multiple regression analysis was run to predict IMA levels from parathormone, CRP and creatinine the model statistically significantly predicted relation p<0,05, R=0,506, out of four two variables added statistically significant to the prediction, PTH (p=0,006), CRP (p=0,029). In multiregression analysis, IMA was found to be associated with PTH and CRP independent of creatinine value. Conclusions. We showed for the first time that PTH is associated with IMA in hemodialysis patients, independent of the level of renal function.

Epicardial adipose tissue thickness and growth differentiation factor 15 in axial spondyloarthritis: A cross-sectional study

OBJECTIVES

To investigate growth differentiation factor-15 (GDF-15) levels and the thickness of epicardial adipose tissue (EAT) in patients with axial spondyloarthritis (axSpA) and to evaluate their relationship with functional status, disease activity, disease duration, and the type of medical treatment received by the patients.

METHODS

This cross-sectional study was carried out at Kırşehir Ahievran University School of Medicine between February and June 2020. Twenty-nine healthy controls and 44 patients with axSpA were included in the study. Gender, age, erythrocyte sedimentation rate, GDF-15, body mass index, complete blood count, ejection fraction, the EAT thickness, and C-reactive protein of all participants were recorded. Ankylosing Spondylitis Quality of Life Index, Bath Ankylosing Spondylitis Functional Index, the disease duration, Bath Ankylosing Spondylitis Metrology Index, and Bath Ankylosing Spondylitis Disease Activity Index scores of patients with axSpA were noted.

RESULTS

Epicardial adipose tissue thickness values (0.35±0.09 cm) in the AxSpA group were higher compared to the control group (0.26±0.06 cm) (p<0.01). Growth differentiation factor-15 levels of the control group and axSpA group were similar. The treatment received by the patients did not have a significant relationship with EAT thickness and GDF-15. Bath Ankylosing Spondylitis Functional Index scores, disease duration, and age were significantly positively correlated with GDF-15 levels.

CONCLUSION

In this study, EAT thickness values were found to be significantly higher in the axSpA group. In addition, GDF-15 was positively correlated with age, Bath Ankylosing Spondylitis Functional Index score, and disease duration.

Nesfatin-1 Levels Predict Angiographic No-Reflow in Patients with ST-Segment Elevation Myocardial Infarction

BACKGROUND

Nesfatin-1 is a novel peptide possessing pleiotropic metabolic effects. No-reflow phenomenon (NR) is a poor prognostic indicator occurring in around 30% of all patients undergoing primary percutaneous coronary interventions (pPCI). Inflammation and complexity of coronary artery disease (CAD) play pivotal roles in the pathogenesis of NR. In this study, we investigated the relationship between admission serum nesfatin-1 level, NR and complexity of CAD assessed by SYNTAX-1 (SS-1) and SYNTAX-2 (SS-2) scores in patients with ST-segment elevation myocardial infarction (STEMI) undergoing pPCI.

METHODS

A total of 174 STEMI patients who underwent pPCI were included in the study and divided into NR (n = 36) and normal flow (n = 138) groups. Serum nesfatin-1 was measured by enzyme-linked immunosorbent assay. Seventy-eight consecutive age-, gender- and co-morbidity-matched patients undergoing coronary angiography with < 50% stenosis comprised the control group.

RESULTS

Nesfatin-1 levels were significantly lower in the NR group compared to the normal flow and control groups (10.8 ± 6.6 ng/mL vs. 34.9 ± 24 ng/mL vs. 43.6 ± 23.2 ng/mL, respectively, p < 0.001). Nesfatin-1 was significantly and inversely correlated with SS-1 and SS-2 scores (r = -0.709 and r = -0.655, respectively, both p < 0.001). Multivariate logistic regression analysis showed that nesfatin-1 [odds ratio (OR) = 0.81, 95% confidence interval (CI) = 0.708-0.936, p = 0.004] and glomerular filtration rate (OR = 0.94, 95% CI = 0.892-0.989, p = 0.018) were independently associated with NR. In the receiver operating characteristic analysis, nesfatin-1 < 15.21 ng/mL predicted NR with 78.4% sensitivity and 72.2% specificity (area under the curve = 0.809, 95% CI = 0.701-0.918, p < 0.001).

CONCLUSIONS

Admission nesfatin-1 level is a potent predictor of NR in STEMI patients undergoing pPCI. Additionally, nesfatin-1 has a robust and negative correlation with the complexity of CAD.

Diagnostic utility of oxidative and non-oxidative markers for spontaneous bacterial peritonitis in non-malign ascites

OBJECTIVE

In this study, we aimed to investigate the diagnostic availability of oxidant and antioxidant parameters in ascites for spontaneous bacterial peritonitis (SBP).

MATERIAL AND METHODS

This study was carried out between July and October 2018 with 25 patients with SBP and 24 patients without SBP. Patients with acute infection, those taking vitamin supplements and antioxidant medication, smoking and drinking alcohol, and patients without ascites culture were excluded from the study.

RESULTS

In patients with SBP compared those without SBP median paraoxonase (3.1 vs 15.6 ; p <0.001), median stimulated paraoxonase (12.6 vs 53.1 ; p <0.001), median arylesterase (769,9 vs 857,5 ; p = 0,003) and median catalase (10 vs 22,2 ; p = 0,003) were found to be lower and median myeloperoxidase (8.1 vs 1.1 ; p <0.001) were found to be higher. There was a positive correlation between paraoxonase levels and stimulated paraoxonase levels, arylesterase levels and catalase levels, there was a negative correlation between paraoxonase levels and myeloperoxidase levels. Paraoxonase levels 3.7 and lower, stimulated paraoxonase levels 25.8 and lower, arylesterase levels 853.4 and lower, catalase levels 11.8 and lower and myeloperoxidase levels 2.7 and more predicted the the presence of SBP with high specificity and high sensitivity. Paraoxonase and stimulated paraoxo-nase levels were found to have superior performance in predicting the presence of SBP compared to arylesterase levels (p <0.05).

CONCLUSION

In this study it was shown that paraoxonase, stimulated paraoxonase, arylesterase, catalase and myeloperoxidase activities can be used for the diagnosis and severity of SBP.

The Effects of Balneotherapy on Oxidant/Antioxidant Status in Patients With Fibromyalgia: An Observational Study

Objectives

This study aims to evaluate whether there was a difference between oxidative stress index (OSI), total antioxidant status (TAS), and total oxidant status (TOS) values between patients with fibromyalgia syndrome (FMS) and healthy controls, and to show the effect of balneotherapy on clinical conditions such as pain, depression, and quality of life in patients with FMS and oxidative stress.

Patients and methods

Thirty-five females (mean age 39.9±5.8 years; range, 18 to 50 years) with fibromyalgia and 35 healthy females (mean age 37.9±6.6 years; range, 18 to 50 years) were included in the study. The TAS, TOS, and OSI of patients with FMS and healthy controls were measured. Disease severity was evaluated using the Fibromyalgia Impact Questionnaire, pain levels were evaluated using a visual analog scale (VAS), mood was evaluated using the Beck Depression Inventory (BDI), and quality of life was evaluated using the Short Form 36 (SF-36). Patients with FMS were given 15 sessions of balneotherapy. After treatment, the laboratory and clinical parameters of the patients were reevaluated.

Results

Although the TAS levels of patients with FMS were not significantly different from those of the control group (p=0.114), the TOS and OSI levels were higher than those of the control group (p<0.001). The VAS, BDI, and SF-36 parameter scores of patients with FMS were significantly higher than those of the control group (p<0.001). A statistically significant decrease (p<0.001) in TOS and OSI levels of patients with FMS was detected after balneotherapy; however, the TAS levels of patients with FMS did not change significantly (p=0.538). All clinical parameters showed significant improvement with balneotherapy (p<0.001).

Conclusion

An oxidative disorder was detected in patients with FMS compared with the control group. Balneotherapy showed antioxidant activity and decreased oxidative stress while also improving clinical parameters and quality of life.

Relationship between Paraoxonase-1 and Arylesterase Enzyme Activities and SYNTAX I and II Scores in Patients with ST-Elevation Myocardial Infarction

Background: Although serum paraoxonase-1 (PON-1) and arylesterase (ARE) activities are linked to the presence of stable coronary arterial disease, their correlation with SYNTAX Score I (SS1) and SYNTAX Score II (SS2) has not been known well. Our aim was to determine the association between PON-1 and ARE activities, together with the genetic polymorphism of PON-1, and both SS1 and SS2 in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: Consecutive patients with acute STEMI (n=102: 78 male, 24 female; mean age=61.14±12.25 y) admitted to the Emergency Department of Kırşehir Ahi Evran University Hospital between August 2018 and December 2018 were enrolled. PON-1 and ARE activities were determined on hospital admission. The SS1 and SS2 scores were calculated by using the angiographic and clinical data. Subsequently, the relationships between the activities of the enzymes, together with the genetic polymorphism of PON-1, and both SS1 and SS2 were interrogated. Results: The mean SS1 and the mean SS2 were 19.8±9.7 and 32.3±11.5, respectively. The phenotype distributions of PON-1 were Q192Q (n=60), R192Q (n=35), and R192R (n=7). The respective PON-1 (U/L) and ARE (kU/L) activities were 514.85±29.34 and 216.82±36.72 in the low SS1 category; 527.60±56.31 and 203.95±55.97 in the intermediate SS1 category; and, 690.10±11.07 and 238.48±45.65 in the high SS1 category.PON-1 and ARE activities did not correlate with the SS1 categories, and varying SS2 scores. The distribution of the Q192R polymorphism was homogenous among the different SS1 and SS2 scores. The localization of acute STEMI also did not associate with the activities of either enzyme. Conclusion: Admission serum PON-1 and ARE activities, together with the PON-1 Q192R genetic polymorphism, showed association neither with SS1 and SS2 nor with the localization of infarction in our acute STEMI patients.

Relationship of growth differentiation factor-15 with aortic stiffness in essential hypertension

Aim:

We aimed to assess the relationship between echocardiographic parameters of aortic elasticity, namely aortic strain, aortic distensibility and aortic β-index, and serum growth differentiation factor (GDF)-15 in patients with newly diagnosed essential hypertension (HT).

Methods:

Grade-1 HT patients (n = 50), grade-2 HT (n = 70) patients and 35 healthy controls were included.

Results:

GDF-15 was greater in grade-2 HT group compared with the other groups. All aortic elasticity parameters were worse in grade-2 HT group compared with the other groups. GDF-15 correlated positively with E/E′ ratio (the ratio of transmitral E velocity to mean diastolic mitral annular velocity) and β-index; and aortic strain and aortic distensibility correlated negatively with serum GDF-15. β-index, aortic diastolic diameter and diastolic blood pressure were independently associated with GDF-15.

Conclusion:

GDF-15 may be utilized in the prediction of increased aortic stiffness.

Hypertension is a leading cause of morbidity and mortality worldwide, and is closely associated with impaired arterial and aortic elasticity. Growth differentiation factor (GDF)-15 is a novel marker of cardiovascular diseases, and appeals more and more to the researchers. In the present study, we evaluated the relationship of GDF-15 with echocardiographic parameters regarding aortic stiffness, namely aortic β-index, aortic distensibility and aortic strain in 120 newly diagnosed hypertensive patients. We found that serum GDF-15 was correlated with impaired aortic elasticity; moreover, it turned out to be a potent predictor of an increased aortic β-index in hypertension.

Equilibrium, kinetic and mass transfer studies and column operations for the removal of arsenic(III) from aqueous solutions using acid treated spent bleaching earth

In the present study, a new adsorbent was produced from spent bleaching earth by H2SO4 impregnation method. The sorption of arsenic(III) by acid treated spent bleaching earth was studied to examine the possibility of utilizing this material in water treatment systems. The effect of time, pH, initial concentration, temperature on the adsorption of arsenic(III) was studied. Maximum adsorption was found to occur at pH 9.0. The adsorption process followed the first order Lagergren equation. Mass transfer coefficients and rate constants of intraparticle diffusion were calculated. The experimental data points were fitted to the Langmuir equation in order to calculate the adsorption capacity (Q0) of the adsorbent and the value of Q0 was found to be 0.46 mmol g(-1). In order to understand the adsorption mechanism, Dubinin-Radushkevich (DR) isotherm was used. The magnitude of E calculated from DR equation was found to be 5.12 kJ mol(-1). The heat of adsorption (deltaH0 = -30367 J mol(-1)) implied that the adsorption was physical exothermic adsorption. The column studies were also carried out to simulate water treatment processes. The capacity values obtained in column studies were found to be greater than the capacity values obtained in batch studies. This result was explained by the difference between batch system and column system. The factors that affect the capacity values of column and batch systems were explained. The effect of other anions on the adsorption of arsenic(III) in the presence of NO3-, SO4(2-), Cl-, Br- was studied. The presence of these anions did not affect the adsorption of arsenic(III) significantly.

A combined spectrophotometric-AAS method for the analysis of trace metal, EDTA, and metal-EDTA mixture solutions in adsorption modeling experiments

The adsorption of free- and bound-metal ions (metal complexes) as well as of ligands onto various hydrous oxide type sorbents have been extensively modelled using EDTA as the model ligand. This type of modelling uses metal ion-EDTA mixture solutions containing stoichiometrically equivalent or excessive amounts of either constituent. Consequently, for mixture solutions equilibrated with the sorbent, the aim was to develop a suitable method for determining either metal complex+free ligand (MY(2-)+H(2)Y(2-)) or metal complex+free metal (MY(2-)+M(2+)) in the aqueous filtrate, the metal M being lead or cadmium. The conventional method of analyzing such filtrates is exchanging different metal-EDTA complexes with Fe(NO(3))(3) followed by HPLC using UV detection. The developed method utilizes Vis- and AA-spectrometry widespread in common laboratories, eliminating the need for HPLC and UV techniques that require higher operational cost, expertise and contaminant-free media. The developed procedure is based on the following analyses for the possible constituents of equilibrated solution (with the sorbent). All EDTA (free or bound, as H(2)Y(2-) or MY(2-)) species are converted into FeY(-) by adding Fe(NO(3))(3), and heating at 80 degrees C for 1 h. All metal (free or bound, as M(2+) or MY(2-)) species are determined by AAS. All unbound (free) Fe(3+) species are determined by the thiocyanate spectrophotometric method at 480 nm. Then 'EDTA-bound iron (III)' is defined as added Fe minus colorimetrically (thiocyanate method) found Fe, and 'AAS-found metal' (lead or cadmium) corresponds to M(2+) and/or MY(2-), depending on the analyzed solution. If EDTA-bound Fe(III) is greater than AAS-found metal, then one has a (MY(2-)+H(2)Y(2-)) mixture where AAS-found metal is (MY(2-)), and free EDTA, i.e. (H(2)Y(2-)), is calculated from the difference. If EDTA-bound Fe(III) is smaller than AAS-found metal, then one has a (M(2+)+ MY(2-)) mixture where EDTA-bound Fe(III) is (MY(2-)), and the free metal, i.e. (M(2+)), is calculated from the difference. If the two compared quantities are equal, then one has a pure MY(2-) solution. Since surface complexes on the hydrous oxide sorbent ( approximately SOH) as bound metal ( approximately SOM), bound ligand ( approximately SOL) or bound metal complex ( approximately SOML) are much more difficult to desorb and analyze, the simple procedure developed here applicable to more conventional instruments carried out in sorbent equilibrated solutions (filtrates) may effectively aid heavy metal adsorption modelling in realistic environmental simulations.

Modeling of Copper(II), Cadmium(II), and Lead(II) Adsorption on Red Mud from Metal-EDTA Mixture Solutions

The adsorption of toxic heavy metal cations, i.e., Cu(II), Cd(II), and Pb(II), from metal-EDTA mixture solutions on a composite adsorbent having a heterogeneous surface, i.e., bauxite waste red mud, has been investigated and modeled with the aid of a modified surface complexation approach in respect to pH and complexant dependency of heavy metal adsorption. EDTA was selected as the modeling ligand in view of its wide usage as an anthropogenic chelating agent and abundance in natural waters. The adsorption experiments were conducted for metal salts (nitrates), metal-EDTA complexes alone, or in mixtures containing (metal+metal-EDTA). The adsorption equilibrium constants for the metal ions and metal-EDTA complexes were calculated. For all studied cases, the solid adsorbent phase concentrations of the adsorbed metal and metal-EDTA complexes were found by using the derived model equations with excellent compatibility of experimental and theoretically generated adsorption isotherms. The model was useful for metal and metal-EDTA mixture solutions either at their natural pH of equilibration with the sorbent, or after pH elevation with NaOH titration up to a certain pH. Thus adsorption of every single species (M(2+) or MY(2-)) or of possible mixtures (M(2+)+MY(2-)) at natural pH or after NaOH titration could be calculated by the use of simple quadratic model equations, once the initial concentrations of the corresponding species, i.e., [M(2+)](0) or [MY(2-)](0), were known. The compatibility of theoretical and experimental data pairs of adsorbed species concentrations was verified by means of nonlinear regression analysis. The findings of this study can be further developed so as to serve environmental risk assessment concerning the expansion of a heavy metal contaminant plume with groundwater move ment in soil consisting of hydrated-oxide type minerals. Copyright 2000 Academic Press.