Abstract
Ethanol-induced liver injury may be linked, at least partly, to an oxidative stress resulting from increased free radical production and/or decreased antioxidant defence. Distinguishing alcoholic and non-alcoholic liver disease has important implications. This study looked at the possible changes between alcoholic and non-alcoholic liver diseases by examining the presence of oxidative damage, as monitored by several parameters relating to oxidative stress. Lipid peroxides concentration, superoxide dismutase activity and glutathione S-transferase activity increased, where as glutathione content, glutathione peroxidase activity and glutathione reductase activity decreased among the tested subjects in comparison to normal healthy group. Determination of these parameters may be valuable in the evaluation of liver disease. However, oxidative stress related enzymes and non-enzymes can not be utilized as a marker for alcoholic liver diseases, as these parameters responded in the same way after liver is damaged irrespective of their cause. Their level may help in determining the degree of liver damage. Degree of oxidative injury was similar in patients with non-alcoholic liver disease and in moderate drinkers; while significantly higher in heavy drinkers. The differences between the groups might be based on the type of liver pathological condition rather than its etiology (i.e. alcohol and non alcohol related causes).
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Fernandez-Checha, J.C., Kaplowitz, N., Colell, A. and Gracia-Ruiz, C. (1997) Oxidative stress and alcoholic liver disease. Alcohol Health & Res World 21(4): 321–324.
Hagymasi, K., Blazovics, A., Lengyel, G., Kocsis, I. and Feher, J. (2001) Oxidative damage in alcoholic liver disease. Eur J Gastroenterol Hepatol 13(1): 49–53.
Ishii, H., Kurose, I. and Kato, S. (1997) Pathogenesis of alcoholic liver disease with particular emphasis on oxidative stress. J Gastroenterol Hepatol 12(9–10): S272–82
Irving MG, Halliday JW, Dowell LW, (1988) Association between alcoholism and increased hepatic iron stores. Alcoholism Clin Exp., 12, 7–13.
Paton, A. (1994) Asking the right questions. In: ABC of Alcohol, Ed. A. Paton, BMJ Publishing Group, Tavistock square, London, p.14.
Kingsley, G.R. (1942) The direct biuret method for the determination of serum proteins as applied to photoelectric and visual colorimetry.J Lab Clin Med. 27: 840–845.
van Kampen, E.J. and Zijlstra, W.G. (1965) Determination of hemoglobin and its derivatives. Adv Clin Chem. 8: 141–187.
McCormick, D.B. and Greene, H.L. (1998) Vitamin. In: Tietz Textbook of Clinical Chemistry. Eds. CA Burtis and ER Ashwood, W.B. Saunders Company, USA, p. 1025.
Sinnhuber, R.O., Yu, T.C. and Yu, T.C. (1958) Characterization of the red pigment formed in the thiobarbituric acid determination of oxidative rancidity. Food Res. 23: 626–630.
Beutler, E., Duron, O. and Kelly, B.M. (1963) Improved method for determination of blood glutathione. J. Lab. Clin. Med. 61: 882–888.
Beers, R.F. and Sizer, I.W. (1952) A spectrophotometric method for measuring the breakdown of hydrogen peroxides by catalase. J. Biol. Chem. 195: 133–140.
Pinto, R.E. and Bartley, W. (1969) The effect of age and sex on glutathione reductase and glutathione peroxidase activities and on aerobic glutathione oxidation in rat liver homogenates. Biochem. J. 112: 109–115.
Paglia, D.E. and Valentine, W.N. (1967) Studies on the quantitative and qualitative characterisation of erythrocyte glutathione peroxides. J. Lab. Clin. Med. 70: 158–159.
Habig, W.H., Pabst, M.J. and Jakoby, W.B. (1974) Glutathione S-transferase, the first enzymatic step in mercapturic acid formation, J. Biol. Chem. 249: 7130–7139.
Paoletti, F., Aldinucci, D., Mocali, A. and Caparrini, A. (1986). A sensitive spectro photometric method for the determination of the superoxide dismutase activity in tissue extract. J. Biochem. 154: 536–541.
Kornberg, A. and Horecker, B.L. (1955). In: Methods in Enzymology, Eds. SP Colowick, NO Kaplan, Academic Press, New York, p. 739.
Das, S.K., Nayak, P. and Vasudevan, D.M. (2003) Biochemical Markers for Alcohol Consumption. Ind. J. Clin. Biochem. 18(2): 111–118
Olinescu, R., Alexandrescu, R., Hulea, S.A. and Kummerow, F.A. (1994) Tissue lipid peroxidation may be triggered by increased formation of bilirubinin vivo. Res. Commun. Chem. Pathol. Pharmacol. 84(1): 27–34.
Plaa, G.L. and Witschi, H. (1976) Chemicals, drugs and lipid peroxidation. Ann. Rev. Pharmacol. Toxicol. 16: 125–141.
Videla, L.A., Iturriaga, H., Pino, M.E., Bunout, D., Valenzuela, A. and Ugarate, G. (1984) Content of hepatic reduced glutathione in chronic alcoholic patients: influence of the length of the abstinence and liver necrosis. Clin. Sci., 66: 283–290.
Farooqui, M.Y.H. and Ahmed, A.E. (1984) Circadian periodicity of tissue glutathione and its relationship with lipid peroxidation in rats. Life Sc., 34: 2413–18.
Svadlenka, I., Davidkova, E. and Rosmus, J. (1975) Interction of MDA with collagen. Z. Lebensm Unters Forsch. 157:263.
Pfafferoot, C., Meiselman, H.J. and Hochstein, P. (1982) The effect of MDA on erythrocyte deformability. Blood 59: 12.
Zima, T., Fialova, L., Mestek, O., Janebova, M., Crkovska, J., Malbohan, I., Stipek, S., Mikulikova, L. and Popov, P. (2001). Oxidative Stress, Metabolism of Ethanol and Alcohol-Related Diseases. J. Biomed. Sci. 8(1): 59–70.
Gabbita, S.P., Robinson, K.A., Stewart, C.A., Floyd, R.A. and Hensley, K. (2000) Redox regulatory mechanisms of a cellular signal transduction. Arch. Biochem. Biophys. 376: 1–13.
Kono, Y. and Fridovich, I. (1982) Superoxide radical inhibits catalase. J. Biol. Chem. 257: 5751–5754.
Thome, J., Foley, P., Gsell, W., Davids, E., Wodarz, N., Wiesbeck, G.A., Boning, J. and Riederer, P. (1997) Increased concentrations of manganese superoxide dismutase in serum of alcohol-dependent patients. Alcohol Alcohol 32(1): 65–69.
Kubota, S., Sato, N., Matsumura, T. and Kamada, T. (1985) Chemiluminescence and superoxide dismutase in the plasma in patients with alcoholic and non-alcoholic liver injuries. Alcohol 2(3): 469–72.
Kiklugawa, K., Kosugi, H. and Asakura, T. (1984) Effects of MDA, a product of lipid peroxidation on the function and stability of haemoglobin. Arch. Biochem. Biophys. 229: 7.
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Das, S.K., Vasudevan, D.M. Monitoring oxidative stress in patients with non-alcoholic and alcoholic liver diseases. Indian J Clin Biochem 20, 24–28 (2005). https://doi.org/10.1007/BF02867396
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DOI: https://doi.org/10.1007/BF02867396