The Turkish Journal of Pediatrics 2015 , Vol 57 , Num 5
Total oxidant status, total antioxidant capacity and ischemia modified albumin levels in children with celiac disease
1Department of Pediatric Gastroenterology, Konya Training and Research Hospital, Konya, 2Department of Biochemistry and 3Division of Pediatric Gastroenterology, Department of Pediatrics, Akdeniz University Faculty of Medicine, Antalya, Turkey. E-mail: ersinsayar@hotmail.com Received: 14 July 2015, Revised: 18 November 2015, Accepted: 9 December 2015 Sayar E, Özdem S, Uzun G, İşlek A, Yılmaz A, Artan R. Total oxidant status, total antioxidant capacity and ischemia modified albumin levels in children with celiac disease. Turk J Pediatr 2015; 57: 498-503.

In our study, we aimed to investigate ischemia modified albumin (IMA) as an oxidative stress marker, as well as other oxidant and antioxidant markers that have not been evaluated in children with celiac disease. A total of 37 pediatric patients who were diagnosed with celiac disease (CD) and 29 healthy children were enrolled in this prospective study. We evaluated the IMA, total oxidant status, total antioxidant capacity, sulfhydryl, and advanced oxidation protein products in all of the subjects. We also compared the levels at the time of the diagnosis, and following a gluten-free diet (GFD) in the children with CD. While the IMA and the other oxidant marker levels were significantly higher in the patient group compared to the control group, the antioxidant marker levels were found to be significantly lower in the patient group, compared to the control group. We also determined that the tissue transglutaminase IgA showed a highly positive correlation, and that the IMA showed a moderately positive correlation with the Marsh-Oberhuber histopathological stage. Additionally, the IMA and other oxidant marker levels were significantly lower, while the antioxidant marker levels were significantly higher after the GFD, compared to the pre-diet period. We detected that oxidative stress played a role in the pathogenesis of CD, and that this could be evaluated using oxidative stress markers, which would regress after the GFD. We also detected that IMA is a marker that shows a correlation with the histopathological stage, and may be used in the diagnosis. Keywords : ischemia modified albumin, children, celiac disease, oxidative stress.

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