1. Oxidative stress and biochemical indicators in blood of patients addicted to alcohol treated for acute ethylene glycol poisoning.
- Author
-
Sommerfeld-Klatta K, Łukasik-Głębocka M, and Zielińska-Psuja B
- Subjects
- Adult, Antidotes therapeutic use, Biomarkers blood, Ethanol blood, Ethylene Glycols blood, Humans, Male, Middle Aged, Neurotoxicity Syndromes etiology, Oxidative Stress drug effects, Alcoholism complications, Alcoholism physiopathology, Ethanol poisoning, Ethylene Glycols poisoning, Fomepizole therapeutic use, Neurotoxicity Syndromes drug therapy, Neurotoxicity Syndromes physiopathology
- Abstract
Ethylene glycol (EG), in addition to its neurotoxic and nephrotoxic effects, evokes oxidative stress. The aim of this study was to assess the influence of the ethylene glycol on the biochemical indicators and oxidoreductive balance of patients treated for acute poisoning. The total study group consisted of 56 persons including 26 alcoholics who took EG as a substitute for ethyl alcohol in the course of alcohol dependence syndrome and 30 controls. Severity of poisoning, results of acid-base parameters, biochemical, and toxicological tests as well as biomarkers of the oxidative stress in blood were analyzed during the patients' hospitalization. The key issue was to assess the oxidative stress and biochemical disturbances caused by EG and the type of treatment applied in the course of poisoning. Significant changes in some parameters were found both at time of diagnosis and after treatment initiation (ethanol as an antidote and hemodialysis). The most important differences included the activity of hepatic parameters (aspartate aminotransferase, AST) and oxidative stress markers like catalase (CAT); correlation of the lipid peroxidation products level (TBARS) with urea concentration has been shown. On the last day of the hospitalization, in some cases, the mutual correlation between the evaluated markers were observed, for example, between alanine transaminase (ALT) and glutathione reductase (GR), and urea concentration and glutathione level (GSH/GSSG). The concentration of ions (H
+ ) had a major impact on the oxidoreductive balance, correlating with the elevated GR and GSH/GSSG levels.- Published
- 2022
- Full Text
- View/download PDF