Dynamic thiol/disulfide homeostasis as a novel indicator of oxidative stress in patients with urolithiasis

Autor: Mehmet Giray Sonmez, Betul Kozanhan, Çigdem Damla Deniz, Mehmet Sinan Iyisoy, Muzaffer Tansel Kilinc, Gokhan Ecer, Ahmet Ozturk, Salim Neselioglu, Ozcan Erel
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Investigative and Clinical Urology, Vol 60, Iss 4, Pp 258-266 (2019)
Druh dokumentu: article
ISSN: 2466-0493
2466-054X
DOI: 10.4111/icu.2019.60.4.258
Popis: Purpose: A dynamic thiol/disulfide balance is pivotal in organizing anti-oxidant defense, detoxification, apoptosis, and enzyme activities, as well as transcription and cellular signal-transfer mechanisms. The connection between urolithiasis and oxidant/antioxidant status, which can be assessed through thiol-disulfide homeostasis (TDH), has not yet been examined. In this study, we evaluated the effects of TDH on the formation, size, and location of stones by examining the associations between TDH parameters and urolithiasis. Materials and Methods: Patients with urolithiasis and healthy controls were recruited. The patients were divided into subgroups in terms of stone size (>15 mm or ≤15 mm) and stone location (nephrolithiasis or ureterolithiasis). TDH parameters were measured using a novel automatic and spectrophotometric method and compared statistically. Results: TDH parameters were different between the urolithiasis and control groups. TDH tended towards the disulfide side in the urolithiasis group. Stone size increased an average 0.14 mm with a 1 µmol/L increase in disulfide level and decreased an average 0.058 mm with a 1 µmol/L increase in native thiol level. Disulfide and native thiol levels were found to be different across patients with stone size >15 mm, ≤15 mm, and controls (p
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