The effect of thiol/disulfide homeostasis on chronic obstructive pulmonary disease-related mortality
    
Yazarlar (6)
Doç. Dr. Hacı Mehmet ÇALIŞKAN Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Bilal İLANBEY Kırşehir Ahi Evran Üniversitesi, Türkiye
Duygu Zorlu Karayiğit
Türkiye
Zamir Kemal Ertürk
Türkiye
Burak Çelik
Kirsehir Ahi Evran University, Türkiye
Doç. Dr. Süleyman ERSOY Kırşehir Ahi Evran Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale)
Dergi Adı CUKUROVA MEDICAL JOURNAL
Dergi ISSN 2602-3032 Wos Dergi
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce Basım Tarihi 01-2021
Cilt / Sayı / Sayfa 46 / 2 / 566–573 DOI 10.17826/cumj.852885
Makale Linki http://dx.doi.org/10.17826/cumj.852885
Özet
Purpose: Our study investigates the correlation between thiol/disulfide homeostasis and mortality among chronic obstructive pulmonary disease (COPD) patients with hypercapnic respiratory failure (HRF).
Materials and Methods: This cross-sectional prospective study comprises a total of 104 subjects, including 64 HRF patients admitted to the Emergency service due to respiratory failure and 40 healthy controls. HRF patients were further divided into two subgroups as those in whom mortality occured after 1 month (n=14), and those who survived (n=50). Thiol/disulfide homeostasis was evaluated using a novel and automated assay developed by Erel and Neselioglu.
Results: The total thiol (TT) and native thiol (NT) levels were significantly lower in the HRF group than the control group, whereas the mean disulfide (Ds)/TT and Ds/NT values were significantly higher. The Ds levels were not significantly different between the groups. On the other hand, Ds, (Ds)/TT and Ds/NT values of surviving HRF patients were significantly lower than those of the HRF patients who died. In this article we found that Ds may be an indicator of mortality in COPD (sensitivity: 85.7%, specificity: 70%, AUC: 0.793, 95% CI: 0.673-0.884, p<0.001).
Conclusion: Thiol/disulfide parameters may be used in emergency service and hospitals in the diagnosis of HRF, and for the prediction and improvement of prognosis.
Anahtar Kelimeler
Emergency service | hypercapnic respiratory failure | oxidative stress | thiol