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Can Serum Chitotriosidase Levels, Immune, and Oxidative Stress Parameters Be Early Diagnostic Indicators in Patients
Recai Ergün1, Dilek Ergün, Esin Özkan
1From the Department of Pulmonary Medicine, Selcuk University, Faculty of Medicine, Konya, Turkey (R.E., D.E.); Rush University Medical Center, Chicago, Illinois (E.Ö.); Department of Pulmonary Medicine and Occupational Medicine, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey (O.K.K.); Department of Pharmaceutical Toxicology, University of Health Sciences Turkey, Gulhane Faculty of Pharmacy, Ankara, Turkey (M.B.); and Selcuk University Faculty of Medicine, Konya, Turkey (M.K.K.).
Objective:
We aimed to evaluate the enzyme activity of chitotriosidase as a biomarker in early diagnosis silicosis and to investigate immune system response and oxidative stress caused by silica exposure.
Materials And Methods:
Silicosis patients (n = 116), exposed to silica without disease (n = 76), and healthy individuals (n = 55) were included. Serum levels of chitotriosidase, proinflammatory cytokines, oxidant-antioxidant, and immune parameters were measured.
Results:
Serum chitotriosidase enzyme levels in the silicosis group were statistically significantly higher than the exposure and control groups. Inflammatory biomarkers and 8-hydroxy-2-deoxyguanosine levels were found to be statistically significantly higher in the silicosis and exposure group compared with the controls, while superoxide dismutase and glutathione peroxidase were lower.
Conclusions:
Increased serum chitotriosidase level emerged as a biomarker that can not only distinguish silicosis from exposure and healthy controls but also indicate early pulmonary effects of silica.
