Abstract
Many studies have shown that oxidative stress levels increase in patients with Familial Mediterranean Fever (FMF). Thiols are a class of compounds that include a sulfhydryl group (–SH) and can react with free oxygen radicals to protect tissues. We aimed to investigate thiol–disulphide homeostatic status in FMF patients and examined the effect of different mutations in the MEFV gene on the thiol–disulphide balance. We investigated thiol–disulphide parameters in patients with FMF and healthy controls. To determine the differential effect of MEFV gene mutations on thiol–disulphide balance, subjects were divided into five groups based on homozygous or compound heterozygous exon 10 and nonexon 10 mutations. Tests of thiol–disulphide homeostasis were conducted using the automated spectrophotometric method. Patients with FMF had significantly lower native thiol [433.8 µmol/l (243.3–536.4) vs. 484.1 µmol/L (340.2–612.3), p < 0.001], total thiol levels [459.7 µmol/L (281.3–575.4) vs. 529.9 µmol/L (363–669.5), p < 0.001], and disulphide levels [14.0 µmol/l (2.7–33.3) vs. 24.4 µmol/l (7.2–36.6), p < 0.001] compared to the control group. Moreover, disulphide/native thiol (3.4 ± 1.7 vs. 4.7 ± 1.3, p < 0.001) and disulphide/total thiol (3.1 ± 1.4 vs. 4.3 ± 1.0 p < 0.001) were also detected lower in the FMF group compared to the control group. But the native thiol/total thiol ratios (93.6 ± 2.9 vs. 91.3 ± 2.1, p < 0.001) were higher in the FMF group. There was no significant difference between the native thiol, total thiol, and disulphide levels of individuals with nonexon 10 homozygous or compound heterozygous (Group 1), nonexon 10–exon 10 compound heterozygous (Group 2), exon 10 homozygous or compound heterozygous (Group 3), and heterozygous (Group 4) mutations. However, these parameters significantly differed from those of the healthy control group. Since no differences were found in our study between thiol and disulfide levels of Groups 1, 2 and 3, we believe that this rate cannot be shown as an indicator of oxidative damage in different mutations of FMFs. To the best of our knowledge, this study is the first study that demonstrates the effect of different FMF mutations on the thiol–disulphide balance.
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The authors wish to thank the patients and healthy individuals who volunteered to participate in this study and also acknowledge Scribendi Editing Service editors for editing and proofreading of the article.
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TA and FB provided patient samples. MA and OE performed thiol–disulphide biochemical analysis. BB, ME and AK analyzed MEFV gene mutations and jointly wrote the manuscript.
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The study was approved by the Local Ethics Research Committee of Erciyes University dated 24.06.2016 with the protocol number 2016 –384 and conducted in accordance with the Declaration of Helsinki and Good Clinical Practice guidelines.
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All subjects provided written informed consent prior to participation in the study.
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Balta, B., Erdogan, M., Alisik, M. et al. Does thiol–disulphide balance show oxidative stress in different MEFV mutations?. Rheumatol Int 38, 97–104 (2018). https://doi.org/10.1007/s00296-017-3914-z
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DOI: https://doi.org/10.1007/s00296-017-3914-z