DİYABETİK KADINLARDA SERUM HEM OKSİJENAZ-1 (HO-1) ENZİMİNİN GLİSEMİK KONTROL İLE İLİŞKİSİ

Yıl 2024, Cilt: 57 Sayı: 1, 20 - 24, 30.04.2024

Osman Sağlam , Neşe Ersöz Gülçelik , Tülay Omma , Anara Karaca , Yalcin Aral , Gül Gürsoy

https://doi.org/10.20492/aeahtd.1377001

Öz

Amaç: Diyabetin hızla artan prevalansı, onu önemli bir küresel sağlık sorunu haline getirmiştir. Mevcut tedavi seçenekleri olsa da, tedavide yenilikçi yaklaşımlara ihtiyaç vardır. Hem molekülünün hem oksijenaz-1 ile parçalanması sonucu CO, bilirubin ve Fe/Ferritin ortaya çıkar. Yapılan hayvan deneyleri, hem oksijenaz-1 indüksiyonu sonucu ortaya çıkan ürünlerin inflamasyon, oksidatif stres ve apoptozu hafiflettiği ve hiperglisemiyi azalttığı gösterilmiştir. Bizde, diyabetli kadınlarda glisemik durum üzerine serum hem oksijenaz-1'in etkisinin olup olmadığını incelemeyi amaçladık.
Gereç ve yöntem: Polikliniğe başvuran 63 kadın hasta (31'i diyabetik, 32'si kontrol) çalışmaya dahil edilmiştir. Çalışmaya akut ve kronik böbrek yetmezliği olan hastalar, akut veya kronik karaciğer hastalığı olan hastalar, akut enfeksiyonu olan hastalar, vücut kitle indeksi (VKİ) ≤18 kg/m2 veya ≥35 kg/m2 olan hastalar ve 18 yaşından küçük ve 65 yaşından büyük hastalar dahil edilmemiştir.
Bulgular: Serum ferritin hasta grubunda kontrol grubuna kıyasla anlamlı olarak daha yüksekti (p = 0.028). Serum total bilirubin ve serum hem oksijenaz-1 iki grupta benzerdi (sırasıyla p = 0.260, p = 0.426).
Sonuç: Çalışmamızda diyabet grubundaki serum ferritin düzeyinin kontrol grubuna göre anlamlı ölçüde daha yüksek olması ferritinin diyabet patogenezindeki olası rolünü desteklemektedir. Bununla birlikte, serum total bilirubin düzeyleri ve serum hem oksijenaz-1 düzeylerinde gruplar arasında önemli bir fark gözlenmemiştir. Bu durum, serum ferritin ile glisemik parametreler arasındaki ilişkinin doğrudan hem moleküllerinin hem oksijenaz-1 tarafından parçalanması ile ilişkili olmayabileceğini düşündürmektedir.

Anahtar Kelimeler

hem oksijenaz-1, diabetes mellitus, ferritin, total bilirubin

ASSOCIATION OF SERUM HEME OXYGENASE-1 (HO-1) ENZYME WITH GLYCEMIC CONTROL IN DIABETIC WOMEN

Öz

Aim: The rapidly increasing prevalence of diabetes has made it a significant global health issue. While there are existing treatment options, there is a need for innovative approaches to treatment. The heme molecule broken down by heme oxygenase-1 produces CO, bilirubin, and Fe/ferritin. Animal experiments have shown that products resulting from heme oxygenase-1 induction attenuate inflammation, oxidative stress and apoptosis and reduce hyperglycemia. We aimed to investigate whether serum heme oxygenase-1 has an effect on glycemic status in women with diabetes.
Material and methods: Sixty-three female patients (31 diabetic and 32 control) who applied to the outpatient clinic were included in the study. The study excluded patients with acute and chronic renal failure, patients with acute or chronic liver disease, patients with acute infection, patients with a body mass index (BMI) of ≤18 kg/m2 or ≥35 kg/m2, and patients younger than 18 years and older than 65 years.
Results: Serum ferritin was significantly higher in the patient group compared to the control group (p = 0.028). Serum total bilirubin and serum heme oxygenase-1 were similar in the two groups (p = 0.260, p = 0.426, respectively).
Conclusion: In our study, serum ferritin were significantly higher in the diabetes group than controls, supporting a possible role for ferritin in diabetes pathogenesis. Nevertheless, no considerable differences were observed in serum total bilirubin and serum heme oxygenase-1 between the groups. This suggests that the relationship between serum ferritin and glycemic parameters may not be directly associated with the breakdown of heme molecules by heme oxygenase-1.

Anahtar Kelimeler

heme oxygenase-1, diabetes mellitus, ferritin, total bilirubin

Kaynakça

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