Abstract
Purpose
The role of oxidative stress in the pathogenesis of pterygium is still unclear. However, abnormal thiol disulfide homeostasis levels are involved in the pathogenesis of various systemic or ocular diseases. We aim to analyze dynamic thiol disulphide homeostasis in patients suffering from conjunctival pterygium using a contemporary technique.
Methods
Thirty-eight subjects suffering from pterygium and 35 age-gender matched healthy volunteers were recruited for the study. For each case, total thiol, disulfide and native thiol levels in blood were obtained. Additionally, the ratio of disulfide over total thiol, native thiol over total thiol and disulfide over native thiol were computed.
Results
The level of median native thiol was lower in pterygium group (318.2 µmol/L vs. 333.4 µmol/L) and median disulfide was slightly higher in pterygium group (24.3 µmol/L vs. 22.8 µmol/L) compared to control group. Both disulfide over total thiol and disulfide over native thiol ratios were higher in pterygium group, ratio of native thiol over total thiol was found to be higher in control group. Nevertheless, none of those differences were statistically significant at 95% confidence level. Notably, correlation test pointed to a negative correlation both between pterygium grade and native thiol and between total thiol and pterygium grade in pterygium group (P = 0.03 and 0.02, respectively).
Conclusion
A negative correlation hinting that slightly weakened dynamic thiol disulphide homeostasis in subjects with pterygium, a local ocular disease. Further studies with larger sample sizes may shed light on this potential relationship and justify systemic antioxidant therapies in these cases.
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Data availability
The datasets generated and/or analyzed during the present study are not publicly available (obtained from Duzce University Hospital, Duzce repository), but are available from the corresponding author upon reasonable request.
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Acknowledgements
All biochemical tests within the study were carried out at the biochemistry laboratory of Ankara Yıldırım Beyazıt University School of Medicine. The authors are thankful for the amazing assistance of Ozcan Erel’s research fellows.
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This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.
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HTA-Primary consultant to do the procedure, data acquisition, data interpretation, statistical analysis, manuscript submission, and coordination; OE-performing laboratory tests, data acquisition, supervision, data, and manuscript editing.
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The Institutional Review Board of the Duzce University, Duzce, Turkey approved this study (IRB: 2019/152). All procedures adhered to the Declaration of Helsinki and HIPAA rules and were conducted in accordance with the approved protocol.
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Akcam, H.T., Erel, O. Dynamic thiol disulphide homeostasis in patients with surfer’s eye: a case–control study. Int Ophthalmol 42, 653–659 (2022). https://doi.org/10.1007/s10792-021-02125-0
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DOI: https://doi.org/10.1007/s10792-021-02125-0