The relationship between serum thiol levels and thiol/disulfide homeostasis in women with tubal ectopic pregnancy
Autor: | Nida Özer, Sule Yildirim Kopuk, Yasemin Çekmez, Ozcan Erel, Gürkan Kıran |
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Přispěvatelé: | KIRAN, Gürkan |
Rok vydání: | 2021 |
Předmět: |
Adult
animal structures Turkey medicine.disease_cause Thiol disulfide homeostasis Miscarriage Andrology 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Sulfhydryl Compounds Fallopian Tubes chemistry.chemical_classification 030219 obstetrics & reproductive medicine Ectopic pregnancy business.industry Tubal ectopic pregnancy Obstetrics and Gynecology Protein Disulfide Reductase (Glutathione) Kopuk S. Y. Ozer N. Cekmez Y. EREL Ö. KIRAN G. -The relationship between serum thiol levels and thiol/disulfide homeostasis in women with tubal ectopic pregnancy- JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION cilt.50 sa.9 2021 medicine.disease female genital diseases and pregnancy complications Pregnancy Ectopic Reproductive Medicine chemistry 030220 oncology & carcinogenesis Thiol Female business Oxidative stress Homeostasis |
Popis: | Objective The aim of this study was to investigate the thiol/disulfide homeostasis in tubal ectopic pregnancies in terms of early diagnosis of the disease. Design A prospective case-control study was carried out between June 2017–February 2018 in the Gynaecology Department of Umraniye Medical and Research Hospital. Materials and Methods A total of 42 women with ectopic pregnancy were compared with 44 healthy women who have intrauterine first trimester pregnancies. The thiol/disulfide homeostasis is evaluated with the spectrophotometric measurement method that was recently developed by Erel&Neselioglu. Results Disulfide/native thiol and disulfide/total thiol ratios were increased (p = 0.018 and p = 0.023 respectively), while native thiol/total thiol ratios and native thiol levels were decreased in tubal ectopic pregnancy group according to control group (p = 0.023). Between control and tubal ectopic pregnancy groups no differences were measured in disulfide levels (p = 0.350). The area under curve for native thiol and total thiol were 0.937 and 0.927, respectively. The optimum cut off value for native thiol was 379.95 μmol/l with a sensitivity of 90% and specificity of 81%. The optimum cut off value for total thiol was 432.5 μmol/l had 92% sensitivity and 79% specificity. Limitations In the study, whether intrauterine pregnancies resulted in miscarriage or delivery can be examined. Conclusion Increased disulfide/native thiol levels, disulfide/total-thiol ratio and decreased native/total thiol ratio were found to be significantly associated with the presence of tubal ectopic pregnancy which can be useful for the early diagnosis of the disease.Keywords: Ectopic, thiol, oxidative stress, pregnancy, inflammation |
Databáze: | OpenAIRE |
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