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Trace Elements (Zn and Cu) and Oxidative Stress in Pediatric Patients with Persistent Allergic Rhinitis
Huseyin Gunizi1, Hasan Basri Savas2, Sibel Genc2
1Department of Otolaryngology, Alku Alanya Educatıon and Research Hospital, Antalya, Turkey.
Insights
Pediatric allergic rhinitis (AR) patients show lower serum Zinc (Zn) levels and altered thiol-disulfide balance, indicating oxidative stress plays a role in AR. Thiol-disulfide hemostasis may serve as an indicator for AR.
Area of Science:
- Pediatric Allergy and Immunology
- Oxidative Stress Research
- Trace Element Metabolism
Background:
- Allergic rhinitis (AR) is a common condition in children.
- The role of oxidative stress and trace elements in AR pathophysiology requires further investigation.
- Understanding these factors can lead to better diagnostic markers and therapeutic strategies.
Purpose of the Study:
- To examine the relationship between clinical complaints in pediatric allergic rhinitis patients and their serum trace element levels (Zinc and Copper).
- To assess oxidative stress markers and thiol-disulfide hemostasis in children with allergic rhinitis.
- To determine if these biochemical markers correlate with the condition.
Main Methods:
- A descriptive study involving 35 pediatric patients diagnosed with allergic rhinitis and 35 healthy controls.
- Serum Zinc (Zn) and Copper (Cu) levels were measured.
- Oxidative stress markers, including total thiol, native thiol, and disulfide values, were assessed spectrophotometrically.
Main Results:
- Serum Zn levels were significantly lower in the allergic rhinitis patient group compared to controls.
- Total thiol and native thiol values were higher in the control group.
- Allergic rhinitis patients exhibited significantly higher disulfide values, suggesting an altered thiol-disulfide balance.
Conclusions:
- Oxidative stress is implicated in the pathophysiology of allergic rhinitis in pediatric patients.
- The thiol-disulfide hemostasis system appears to be disturbed in allergic rhinitis.
- Thiol-disulfide balance may serve as a potential indicator for allergic rhinitis.
Objective:
To investigate the relationship between complaints and serum trace elements and oxidative stress levels in pediatric patients with allergic rhinitis (AR).
Study Design:
Descriptive study.
Place And Duration Of Study:
Department of Otolaryngorhinology, Medicine Faculty, Alanya Alaaddin Keykubat University, between May and September 2020.
Methodology:
Thirty-five patients diagnosed with AR in the pediatric age group and 35 healthy control groups were examined. The patients were evaluated according to the ARIA (Allergic rhinitis and its ımpact on asthma) guidelines. Blood samples were taken during the attack to measure serum Zn and Cu levels and oxidative stress levels from patients diagnosed with AR. Measurements of serum Zinc and Copper levels, and recently developed new generation oxidant-antioxidant balance markers were performed spectrophotometrically using a commercial kit.] Results: The mean ages of the study patients and healthy controls were 10.9 ± 4.7 and 10.5 ± 4.9 years, respectively. Female/Male ratio was 20 (57.1%)/15 (42.9%) in both groups. Zn level was lower in the patient group (p <0.05). Total thiol and native thiol values were higher in the control group (p <0.05). Statistically significant high disulfide values were found in allergic patients (p <0.05).
Conclusion:
Oxidative stress plays a role in the pathophysiology of allergic rhinitis, and thiol-disulfide hemostasis may be an indicator in allergic rhinitis. Key Words: Oxidative stress, Allergic rhinitis, Thiol, Disulfide, Cu, Zn.
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