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LIPID PEROXIDATION AND ANTIOXIDANT DEFENSE STATUS IN PATIENTS WITH NON-ALCOHOLIC FATTY LIVER DISEASE AND CONCOMITANT HYPOTHYROIDISM
S.V. Feysa
Uzhhorod National University, Ukraine
DOI: https://doi.org/10.15407/fz65.02.089
Abstract
The goal of the study was to investigate the intensity of lipid
peroxidation (LPO) and activity of the antioxidant defense
system (ADS) of patients with non-alcoholic fatty liver disease
(NAFLD) on the background of carbohydrate methabolism
disorders (type 2 diabetes mellitus or pre-diabetes), including
with concomitant hypothyroidism, to justify the advisability of
prescribing antioxidants. 117 patients and 20 healthy persons
(control group) were examined. The intensity of LPO was
estimated by the plasma level of malonic dialdehyde, the ADSstatus
– by the activity of erythrocytes catalase and superoxide
dismutase. The significant increase of lipid peroxidation
activity with minor changes in ADS were detected in patients
with NAFLD: the levels of catalase and superoxide dismutase,
despite a tendency to decrease, did not differ significantly from
the corresponding indices of a healthy persons group. In cases
when NAFLD combines with other concomitant diseases LPO
activity is more intensive than in patients with NAFLD without
concomitant diseases. In patients with metabolic syndrome and
non-alcoholic steatohepatitis (NASH) increasing activity of
NASH leads to the intensity of LPO increases. In patients with
NASH the intensity of ADS is higher in cases of mild hepatitis
activity, in cases when the hepatitis activity is increasing, the
intensity of ADS is decreasing. That fact indicates about the
depletion of antioxidant reserves of the body in cases when
the liver inflammatory changes are growing.
Keywords:
Key words: lipid peroxidation; antioxidant system; nonalcoholic fatty liver disease; diabetes mellitus; pre-diabetes; subclinical hypothyroidism
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