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Relationship of Oxidative Stress in Hepatitis B Infection Activity with HBV DNA and Fibrosis

  • Duygu, Fazilet (Department of Infectious Disease and Clinic Microbiology, Tokat State Hospital) ;
  • Karsen, Hasan (Department of Infectious Disease and Clinic Microbiology, Faculty of Medicine, Harran University) ;
  • Aksoy, Nurten (Department of Biochemistry, Faculty of Medicine, Harran University) ;
  • Taskin, Abdullah (Department of Biochemistry, Faculty of Medicine, Harran University)
  • Published : 2012.03.01

Abstract

Background: The aim of this study was to evaluate oxidative stress in various clinical forms of hepatitis B infection and to investigate its role in the development of the chronic form of the disease. Methods: Ninety-three patients with inactive hepatitis B surface antigen (HbsAg) carrier state (IHBCS), 65 patients with chronic hepatitis B infection (CHB), and 42 healthy adults were included in the study. The following values were measured and compared in patient groups: total antioxidant status (TAS), total oxidative stress (TOS), oxidative stress index (OSI), sulfhydryl (SH), lipid peroxidation (LOOH), catalase (CAT), and ceruloplasmin. In patients with chronic hepatitis B, these values were compared with HBV DNA and fibrosis levels. Results: ALT, TOS, LOOH, and OSI levels were higher in the CHB group compared to the other groups (P <0.001). Catalase levels increased in the CHB and IHBCS groups compared to the control group (P <0.001). Total aminooxidant and ceruloplasmin levels were found to be lowest in the CHB group and highest in the control group (P <0.001). Sulfhyrdyl was higher in the control group compared to the other groups (P <0.001). In the CHB group, there was no correlation between the HBV DNA and OSI (P >0.05). Conclusions: These finding suggested that oxidative stress is associated with hepatitis B activity.

Keywords

References

  1. Koziel MJ and Siddiqui A. Hepatitis B virus and hepatitis Delta virus. In: Mandell GL, Douglas RG, et al. eds. Principles and practice of infectious diseases. 6th ed. Philadelphia: Churchill Livingstone, 2005:1864-90.
  2. Koff RS. Viral hepatitis. In: Schiff L and Schiff ER, eds. Diseases of the liver. 7th ed. Philadelphia: JB Lippincott Company, 1993:492-577.
  3. Moriya K, Nakagawa K, Santa T, Shintani Y, Fujie H, Miyoshi H, et al. Oxidative stress in the absence of inflammation in a mouse model for hepatitis C virus-associated hepatocarcinogenesis. Cancer Res 2001;61:4365-70.
  4. Dikici I, Mehmetoglu I, Dikici N, Bitirgen M, Kurban S. Investigation of oxidative stress and some antioxidants in patients with acute and chronic viral hepatitis B and the effect of interferon-$\alpha$ treatment. Clin Biochem 2005;38:1141-4. https://doi.org/10.1016/j.clinbiochem.2005.10.006
  5. Anna S. F. Lok L and Brian J. McMahon. AASLD Practice Guidelines Chronic Hepatitis B: Update 2009.
  6. Knodell RG, Ishak KG, Black WC, Chen TS, Craig R, Kaplowitz N, et al. Formulation and application of numerical scoring system for assessing histological activity in asymptomatic chronic active hepatitis. Hepatology 1981;1:431-5. https://doi.org/10.1002/hep.1840010511
  7. Erel O. A novel automated method to measure total antioxidant response against potent free radical reactions. Clin Biochem 2004;37:112-229. https://doi.org/10.1016/j.clinbiochem.2003.10.014
  8. Goth L. A simple method for determination of serum catalase activity and revision of reference range. Clin Chim Acta 1991;196:143-51. https://doi.org/10.1016/0009-8981(91)90067-M
  9. Ellman GL. Tissue sulfhydryl groups. Arch Biochem Biophys 1959;82:70-7. https://doi.org/10.1016/0003-9861(59)90090-6
  10. Hu ML, Louie S, Cross CE, Motchnik P, Halliwell B. Antioxidant protection against hyochlorous acid in human plasma. J Lab Clin Med 1993;121:257-62.
  11. Conti M, Morand PC, Levillain P, Lemonnier A. Improved fluorometric determination of malondialdehyde. Clin Chem 1991;37:1273-5.
  12. Sunderman FW Jr and Nomoto S. Measurement of human serum ceruloplasmin by its p-phenylenediamine oxidase activity. Clin Chem 1970; 16:903-10.
  13. Pawlotsky JM. The concept of hepatitis B virus mutant escape. J Clin Virol 2005;34(S1):125-9. https://doi.org/10.1016/j.jcv.2005.02.008
  14. Curry MP and Chopra S. Acute viral hepatitis. In: Mandell GL, Bennett JE, et al. eds. Principles and practice of infectious diseases. 6th ed. Philadelphia: Churchill Livingstone, 2005:1426-41.
  15. Abdollahi M, Bahreini-Moghadam A, Emami B, Fooladian F, Zafariet K. Increasing intracellular cAMP and cGMP inhibits cadmium-induced oxidative stress in rat submandibular saliva. Comp Biochem Physol C Toxicol Pharmacol 2003;135:331-6. https://doi.org/10.1016/S1532-0456(03)00120-0
  16. Abdollahi M, Ranjbar A, Shadnia S, Nikfar S, Rezaie A. Pesticides and oxidative stress: a review. Med Sci Monit 2004;10:141-7.
  17. Yeum KJ, Russell RM, Krinsky NI, Adlini G. Biomarkers of antioxidant capacity in the hydrophilic and lipophilic compartments of human plasma. Arch of Biochem Biophys. 2004;430:97-103. https://doi.org/10.1016/j.abb.2004.03.006
  18. Yagi K. Lipid peroxidase and related radicals in clinical medicine. In: Armstrong D, ed. Free radicals in diagnostic medicine. New York: Plenum Press, 1994:17-27.
  19. Erel O. A new automoted colorimetric method for measuring total oxidant status. Clin Biochem 2005;38:1103-11. https://doi.org/10.1016/j.clinbiochem.2005.08.008
  20. Halliwell B. Drug antioxidant effects. Drugs 1991;42:569-605. https://doi.org/10.2165/00003495-199142040-00003
  21. Jain SK, Pemberton PW, Smith A, McMahon RF, Burrows PC, Aboutwerat A, et al. Oxidative stress in chronic hepatitis C: not just a feature of late stage disease. J Hepatol 2002;36:805-11. https://doi.org/10.1053/jhep.2002.35621
  22. Aksoy N, Vural H, Sabuncu T, Aksoy S. Effects of melatonin on oxidativeantioxidative status of tissues in streptozotocin-induced diabetic rats. Cell biochem Funct 2003;21:121-5. https://doi.org/10.1002/cbf.1006
  23. Cross CE, Halliwell B, Borish ET, Pryor WA, Ames BN, Saul RL, et al. Oxygene radicals and human disease. Ann Intern Med 1987;107:526-45. https://doi.org/10.7326/0003-4819-107-4-526
  24. Vural H, Sabuncu T, Arslan SO, Aksoy N. Melatonin inhibits lipid peroxidation and stimulates the antioxidant status of diabetic rats. J Pineal Res 2001;31:193-8. https://doi.org/10.1034/j.1600-079X.2001.310301.x
  25. Swierczynski J, Kochan Z, Mayer D. Dietary $\alpha$ - tocopherol prevents dehydropiandrosterone- induced lipid peroxidation in rat liver microsomes and mitochondria. Toxicol Lett 1997;91:129-36. https://doi.org/10.1016/S0378-4274(97)03882-4
  26. Gantt KR, Goldman TL, McCormick ML, Miller MA, Jeronimo SM, Nascimento ET, et al. Oxidative responses of human and murine macrophages during phagocytosis of Leishmania chagasi. J Immunol 2001;167:893-901. https://doi.org/10.4049/jimmunol.167.2.893
  27. Murray HW and Teitelbaum RF. L-arginine-dependent reactive nitrogen intermediates and the antimicrobial effect of activated human mononuclear phagocytes. J Infect Dis 1992;165:513-7.
  28. Cemek M, Dede S, Bayiroglu F, Caksen H, Cemek F, Mert N. Oxidant and non-enzymatic antioxidant status in measles. J Trop Pediatr 2007;53:83-6.
  29. Draganov D, Teiber J, Watson C. Bisqaier C, Nemzek J, Remick D, et al. PON1 and oxidative stress in human sepsis and an animal model of sepsis. Adv Exp Med Biol 2010;660:89-97.
  30. Bayraktar N, Kilic S, Bayraktar Mr, Aksoy N. Lipid peroxidation and antioxidant enzyme activities in cancerous bladder tissue and their relation with bacterial infection: a controlled clinical study. J Clin Lab Anal 2010; 24:25-30. https://doi.org/10.1002/jcla.20356
  31. Bayraktar N, Kilic S, Bayraktar Mr, Aksoy N. Lipid peroxidation and antioxidant enzyme activities in cancerous bladder tissue and their relation with bacterial infection: a controlled clinical study. J Clin Lab Anal 2010;24:25-30. https://doi.org/10.1002/jcla.20356
  32. Kageyama F, Kobayashi Y, Kawasaki T, Toyokuni S, Uchida K, Nakamura H. Successful interferon therapy reverses enhanced hepatic iron accumulation and lipid peroxidation in chronic hepatitis C. Am J Gastroenterol 2000;95:1041-50. https://doi.org/10.1111/j.1572-0241.2000.01979.x
  33. Mahmood S, Kawanaka M, Kamei A, Izumi A, Nakata K, Niiyama G, et al. Immunohistochemical evaluation of oxidative stress markers in chronic hepatitis C. Antioxid Redox Signal 2004;6:19-24. https://doi.org/10.1089/152308604771978318
  34. Demirdag K, Yilmaz S, Ozdarendeli A, Ozden M, Kalkan A, Kilic SS. Levels of plasma malondialdehyde and erythrocyte antioxidant enzyme activities in patients with chronic hepatitis B. Hepatogastroenterology 2003;50:766-70.
  35. Bolukbas C, Bolukbas FF, Horoz M, Aslan M, Celik H, Erel O. Increased oxidative stress associated with the severity of the liver disease in various forms of hepatitis B virus infection. BMC Infect Dis 2005;5:95. https://doi.org/10.1186/1471-2334-5-95

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