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.
Abstract

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