Does extracorporeal shockwave lithotripsy therapy affect thiol-disulfide homeostasis? | Bozkurt | Pakistan Journal of Medical Sciences Old Website
 

Does extracorporeal shockwave lithotripsy therapy affect thiol-disulfide homeostasis?

Aliseydi Bozkurt, Cuma Mertoglu, Mehmet Karabakan, Gulsah Siranli, Emine Feyza Yurt, Ozcan Erel

Abstract


Objective: Extracorporeal Shockwave Lithotripsy (ESWL) is a non-invasive method that is effective at crushing stones in the upper urinary tract. Disturbance of the thiol/disulfide homeostasis, in favor of the disulfide, has been shown to be involved in the disease pathogenesis.

Methods: A total of 36 individuals that underwent ESWL had blood samples collected before ESWL (0hrs), 6hrs, and one week after the ESWL. Sera native and total as wells as disulfide amount was measured using an automated method sodium borohydrate (NaBH4) reduction. In addition, Ischemia Modified Albumin (IMA) levels were measured using colorimetric assay method.

Results: Native thiol level was reduced at the 6th hour following ESWL compared to baseline. While the ratios of disulfide level, Disulfide/Total Thiol (DTT), Disulfide/Native Thiol (DNT) and IMA level were increased at the 6th hour following ESWL compared to baseline, they were found to be similar with their baseline values at the end of 1st week. Total thiol and native /total thiol did not show any significant change.

Conclusions: ESWL treatment disrupts thiol/disulfide homeostasis and the structure of albumin at the acute term. Therefore, it increases protein oxidation and leads to increased oxidative stress. However, this state is transient and returns to normal within the proceeding days.

doi: https://doi.org/10.12669/pjms.345.15823

How to cite this:Bozkurt A, Mertoglu C, Karabakan M, Siranli G, Yurt EF, Erel O. Does extracorporeal shockwave lithotripsy therapy affect thiol-disulfide homeostasis? Pak J Med Sci. 2018;34(5):1070-1075.   doi: https://doi.org/10.12669/pjms.345.15823

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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