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Comparison of serum oxidant and antioxidant parameters in familial Mediterranean fever patients (FMF) with attack free period.
[familial mediterranean fever]
Objective
:
Familial
Mediterranean
fever
(
FMF
)
is
an
autoinflammatory
,
autosomal
recessive
,
inherited
disease
characterized
by
recurrent
self-limiting
attacks
of
serosal
surfaces
.
The
imbalance
of
oxidants
/
antioxidants
may
play
a
role
in
such
attacks
.
In
this
study
,
we
aimed
to
evaluate
the
relationship
between
serum
paraoxonase
(
PON
1
)
activity
,
PON
1
phenotype
,
and
other
parameters
in
patients
with
FMF
and
healthy
controls
.
Methods
:
A
total
of
120
FMF
patients
with
an
attack-free
period
(
AFP
)
and
65
healthy
subjects
were
included
in
this
study
.
The
serum
PON
1
activity
,
stimulated
paraoxonase
(
SPON
)
activity
,
PON
1
phenotype
(
representing
Q
192
R
polymorphism
;
QQ
,
QR
,
RR
)
,
arylesterase
activity
,
total
oxidant
status
(
TOS
)
,
total
antioxidant
capacity
(
TAC
)
,
oxidative
stress
index
(
OSI
)
,
advanced
oxidative
protein
products
(
AOPP
)
,
total
thiols
(
TTL
)
,
and
ischemia-modified
albumin
(
IMA
)
and
cystatin-c
(
CYS-C
)
levels
were
measured
.
Results
:
For
the
QQ
phenotype
,
the
median
TTL
and
AOPP
levels
of
the
control
group
were
264
.
50
(
57
.
75
)
µmol
/
L
and
21
.
26
(
21
.
17
)
mmol
/
L
,
respectively
,
whereas
the
median
TTL
,
AOPP
levels
of
the
patients
were
309
.
00
(
47
.
00
)
µmol
/
L
and
12
.
98
(
6
.
96
)
mmol
/
L
,
respectively
.
There
was
a
statistically
significant
difference
between
the
patients
and
controls
with
the
QQ
phenotype
in
terms
of
TTL
and
AOPP
(
p
<
0
.
001
and
p
=
0
.
004
,
respectively
)
.
However
,
there
were
no
statistically
significant
differences
between
the
QQ
and
QR
+
RR
phenotypes
with
respect
to
TAC
,
TOS
,
OSI
,
or
the
other
parameters
.
Conclusions
:
The
FMF
patients
with
AFP
had
higher
TTL
and
lower
AOPP
levels
than
the
controls
.
However
,
other
oxidant
and
antioxidant
parameters
were
similar
among
the
patients
during
AFP
and
the
controls
.
Diseases
Validation
Diseases presenting
"total oxidant status"
symptom
familial mediterranean fever
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