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Paraoxonase is reduced in patients with growth hormone deficiency: A novel risk factor for atherosclerosis
Fahri Bayram1, Gulden Baskol, Fatih Tanriverdi
1Department of Endocrinology and Metabolism, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Insights
Growth hormone deficiency (GHD) is linked to higher oxidative stress, indicated by increased malondialdehyde (MDA) and lower antioxidant markers like paraoxonase1 (PON1) and thiol levels. This imbalance may increase cardiovascular risk in GHD patients.
Area of Science:
- Biochemistry
- Endocrinology
- Cardiovascular Medicine
Background:
- Growth hormone deficiency (GHD) is associated with increased cardiovascular mortality.
- Oxidative stress plays a role in cardiovascular and cerebrovascular diseases.
- Evaluating oxidant and antioxidant status in GHD is crucial for understanding associated risks.
Purpose of the Study:
- To assess the oxidant and antioxidant status in patients with GHD.
- To analyze serum paraoxonase1 (PON1) activity, malondialdehyde (MDA), and thiol levels in GHD patients.
- To investigate the relationship between these markers and cardiovascular risk factors.
Main Methods:
- A case-control study design was employed.
- Thirty GHD patients were compared with 20 healthy controls.
- Serum PON1 activity, MDA, and thiol levels were measured using enzymatic spectrophotometric methods.
Main Results:
- GHD patients exhibited significantly higher serum MDA levels and lower PON1 activity, thiol, and HDL-cholesterol levels compared to controls.
- Serum MDA levels negatively correlated with HDL-cholesterol.
- PON1 activity positively correlated with thiol and HDL-cholesterol levels.
Conclusions:
- GHD is characterized by an imbalance favoring oxidative stress over antioxidant defense.
- This oxidative stress may contribute to the elevated atherogenic risk observed in GHD patients.
- Further research is warranted to explore therapeutic strategies targeting oxidative stress in GHD.
Background:
Growth hormone deficiency (GHD) is associated with an increased cardiovascular mortality. Increased oxidative stress has been associated with development of cardiovascular and cerebrovascular diseases. In the present study, we aimed to evaluate oxidant and antioxidant status in patients with GHD by analyzing serum paraoxonase1 (PON1) activity, and malondialdehyde (MDA) and thiol levels.
Materials And Methods:
This study was a case-control study. Thirty patients with GHD were included in the study and compared with 20 healthy controls. Serum PON1 activity, and MDA and thiol levels were measured according to an enzymatic spectrophotometric method.
Results:
Serum MDA levels (2.8 ± 1.3 nmol/mL) were higher in GHD group than the controls (1.7 ± 0.5 nmol/mL) (P = 0.001). PON1 activity (149.9 ± 77.9 U/L) was lower in GHD group than the controls (286.3 ± 126.7 U/L) (P = 0.001). Thiol and high-density lipoprotein cholesterol (HDL-cholesterol) levels were lower in GHD group (218.6 ± 103.9 µmol/L and 32.6 ± 13.4 mg/dL, respectively) than the controls (289.6 ± 101.1 µmol/L and 54.3 ± 14.9 mg/dL, respectively) (P = 0.021 and P = 0.001, respectively). In GHD patients, serum MDA level was negatively correlated with serum HDL-cholesterol (r = -0.499, P = 0.001), and serum PON1 activity was positively correlated with serum thiol and HDL-cholesterol levels (r = 0.306, P = 0.032 and r = 0.303, P = 0.033, respectively).
Conclusion:
These data support that GHD is characterized by an imbalance between oxidant and antioxidant factors. This abnormality may contribute to the increased atherogenic risk in patients with GHD.
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