IJIMS.2018.106

Type of Article: Original Research

Volume 5; Issue 4: 2018

Page No.: 603-606

DOI: 10.16965/ijims.2018.106

 

STUDY OF BIOCHEMICAL CHANGES, ANTIOXIDANT STATUS AND OXIDATIVE STRESS IN PATIENTS WITH ALCOHOLIC LIVER DISEASE

Haresingh Makwane 1, Sangeeta paneri 2, Meena Varma *1, Rajesh Kumar Jha 3.

*1, 3 Department of Biochemistry, Sri Aurobindo Institute of Medical Sciences, Indore, India.

2 Department of Biochemistry MGM Medical College Indore, India.

4 Department of Medicine, Sri Aurobindo Institute of Medical Sciences, Indore, India.

Corresponding Author: Dr. Meena Varma, Department of Biochemistry, Sri Aurobindo Institute of Medical Sciences, Indore, India. E-Mail: harshmakwane86@gmail.com

Abstract:

Introduction: Alcoholic liver disease (ALD) is a major cause of morbidity and mortality worldwide. ALD is caused by drinking too much alcohol. A large proportion of drinkers developed fatty liver, alcoholic hepatitis and cirrhosis, the more serious types of alcoholic liver diseases due to drinking more than the recommended limits of alcohol over many years. The aim of this study was to find out the biochemical changes related to liver function, alteration in antioxidant status and oxidative stress in patient with alcoholic liver disease.

Materials and Methods: In the present study, total (n = 249) subjects were recruited from the Department of Medicine, SAIMS, Indore. 124 diagnosed cases of alcoholic liver disease, and 125 healthy control subjects. To observe the biochemical changes related to liver function measured by semi-auto analyzer. The levels of antioxidants such as SOD, CAT and oxidative stress marker; malondialdehyde (MDA) were estimated by spectrophotometric methods.

Results: The present study shown that the plasma MDA were significantly increased (p<0.001) and blood levels of SOD, CAT activity, and total protein were significantly decreased (p<0.001) in ALD as compared with group healthy controls, and also significant of biochemical parameters in study.

Conclusions: The results of this study suggested that drinking more than the recommended maximum amounts enhanced the development of ALD. Significant alteration in antioxidant levels and enhanced oxidative stress increase the severity of alcoholic liver disease.

Key words: SOD (Superoxide dismutase), CAT (Catalase), AST (Aspartate Aminotransferase), ALT (Alanine Aminotransferase), ALP (Alkaline phosphatase), GGT(Gamma Glutamyl transfererase),  Malondialdehyde (MDA), Alcoholic liver disease (ALD), oxidative stress (OS).

REFERENCES

  1. Shea RS, Dasarathy S, McCullough AJ. Study of alcoholic liver disease. Hept. 2010; 51(1): 307-328.
  2. Sies Helmut. Oxidative stress: oxidants and antioxidant. Exp physiol. 1997; 82(2):291-295.
  3. Kessova IG, Ho YS, Thung S, and Cederbaum AI. Alcohol induced liver injury in mice lacking Cu, Zn-Superoxide dismutase. Hepatology. 2002; 38(5):1136-1145.
  4. Cederbaum AL, Defeng Wu, and Arthur L. Alcohol, oxidative stress and free radical damage. Alcohol Res Health. 2001; 31(12): 1524-1526.
  5. Moore K, Roberts LJ. Measurement of lipid peroxidation. Free Radic Res. 1998; 28(6):659-671.
  6. Paton A. asking the right question. In ABC of alcohol, ED, A Paton, BMJ Publishing Group, Tavistock square, London.p.14
  7. Hugo Aebi. Methods in enzymolgy. 1984; 105:121-126.
  8. Marklund S and Marklund G. Eur J Biochem. 1974; 469-474.
  9. Jean CD, Maryse T, Marie JF. Plasma Malondaildehyde levels during myocardial infarction Clin Chem Acta. 1983; 129:319-322.
  10. Reuben A. Alcohol and the liver. Curr Opin Gastroenterol. 2007; 23:283-291.
  11. Centers for disease control and prevention: Body mass index. Page last reviewed and updated 2007.
  12. Gupta S, Pandey R, Katyal R, Aggrwal HK, Aggrwal SK. Lipid peroxide and antioxidant status in alcoholic liver disease. Indian J Clin Biochem. 2005; 20(1):67-71.
  13. Par A, Roth E, Rumi G, Kovacs Z, Nemes J, Mozsik G. Oxidative stress and antioxidant defenses in alcoholic liver disease and chronic hepatitis C. Orvosi Hetilap. 2000; 141(30):1655-1659.
  14. Nalini G, Hariprasad C, Narayanan VA. Oxidative stress in alcoholic liver disease. Indian J Med Res. 1999; 110:200-203.
  15. Chen YL, Chen LJ, Bair MJ, Yao ML, Peng HC, et al. Antioxidative status of patients with alcoholic liver disease in south-eastern Taiwan. World J Gastroenetrol. 2011; 17(8):1063-1070.
  16. Pujar S, Kashinakunti SV, Gurupadappa K, Manjula R. Serum MAD antioxidant vitamins and erytherocytic antioxidant enzymes in chronic alcoholic liver disease-a case control study. Al Ame J Med Sci. 2011; 4(4):315-322.
  17. Chari S, Gupta M. Status of blood antioxidant enzymes in alcoholic cirrhosis. Ind J Physio Pharma. 2003; 47(3):343-346.
  18. Janani AV, Suprapaneni KM. Antioxidant vitamins and enzyme status in patients with alcoholic liver disease. J Clin Diab Res. 2010; (4):2742-2747.
  19. Addolorato G, Capristo E, Greco AV, Stefanini GF, Gasbarrini G. influence of chronic alcohol abuse on body weight and energy metabolism. Obesity or malnutrition. J Intern Med. 1998; 244(5):387-395.
  20. World MJ, Ryle PR, Jones D, Shaw GK, Thomas AD. Different effect of alcohol intake and poor nutrition on body weight and fat stores. Alcohol Alcohol. 1984; 19(4): 281-290.
  21. Das SK, Vasudevan DM. Biochemical diagnosis of alcoholism. Ind J Clin Bio.2005; 20(1):35-42.
  22. Boemake L, Bsssani L, Marroni CA, Gottschall CBA. Lipid profile in cirrhotic patients and its relation to clinical outcome. Ara Bras Cir Dig. 2015; 28(2):132-135.

Download Full Text TOC