Evaluation of Total Oxidant and Total Antioxidant Status in Patients with Acne Vulgaris
Yıl 2022,
, 654 - 658, 29.09.2022
Ersoy Acer
,
Hilal Kaya Erdogan
,
Evin Kocatürk
,
Esra Ağaoğlu
,
Nurhan Saracoglu
,
Muzaffer Bilgin
Öz
Acne vulgaris is a common skin disease and has a complex pathogenesis. There is no enough data related with oxidative stress in acne vulgaris. We purposed to assess total oxidant and total antioxidant status in acne vulgaris. We included 32 acne patients and 35 healthy controls in this study. Global Acne Grading System (GAGS) scores were calculated. Serum total oxidant status (TOS) and total antioxidant status (TAS) levels were evaluated and oxidative stress index (OSI) was calculated by proportion of the TOS to the TAS. Mean GAGS scores of acne patients were 14.08 ± 5.72. Mean disease duration of acne patients was 33.97 ± 25.99 months. TAS, TOS and OSI were significantly higher in acne patients (p=0.010, p=0.021, p=0.015, respectively). TAS, TOS and OSI were not correlated with disease duration and GAGS scores (p>0.05). Both oxidant and antioxidant status increased in acne patients. The study showed that oxidative stress may play a role in pathogenesis of acne but it isn’t exactly known that is a cause or a result of acne. Advanced studies especially comparing mild to moderate and severe acne patients are required. In addition we consider that antioxidant agents may be beneficial in the treatment of acne.
Kaynakça
- 1. Picardo M, Eichenfield LF, Tan J. Acne and rosacea. Dermatol Ther (Heidelb). 2017;7(Suppl 1):43-52.
- 2. Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol. 2013;168:474-85.
- 3. Dreno B. What is new in the pathophysiology of acne, an overview. J Eur Acad Dermatol Venereol. 2017;31(Suppl 5):8-12.
- 4. Suh DH, Kwon HH. What’s new in the physiopathology of acne? Br J Dermatol. 2015;172(Suppl 1):13-9.
- 5. Sarici G, Cinar S, Armutcu F et al.. Oxidative stress in acne vulgaris. J Eur Acad Dermatol Venereol. 2010;24:763-7.
- 6. Awad SM, Morsy H, Sayed AA et al. Oxidative stress and psychiatric morbidity in patients with facial acne. J Cosmet Dermatol. 2018;17:203-208.
- 7. Al-Shobaili HA. Oxidants and anti-oxidants status in acne vulgaris patients with varying severity. Ann Clin Lab Sci. 2014;44:202-7.
- 8. Al-Shobaili HA, Alzolibani AA, Al Robaee AA et al. Biochemical markers of oxidative and nitrosative stress in acne vulgaris. J Clin Lab Anal. 2013;27:45-52.
- 9. Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem. 2005;38:1103-11.
- 10. Erel O. A new automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clin Biochem. 2004;37:277-85.
- 11. Erturan I, Kumbul Doğuç D, Korkmaz S et al. Evaluation of oxidative stress in patients with recalcitrant warts. J Eur Acad Dermatol Venereol. 2019;33:1952-7.
- 12. Emre S, Akoglu G, Metin A et al. The Oxidant and Antioxidant Status in Pityriasis Rosea. Indian J Dermatol. 2016;61:118.
- 13. Acer E, Kaya Erdoğan H, Kocatürk E et al. Evaluation of oxidative stress and psychoemotional status in premature hair graying. J Cosmet Dermatol. 2020;19:3403-7.
- 14. Kaya Erdogan H, Bulur I, Kocaturk E et al. The role of oxidative stress in early-onset androgenetic alopecia. J Cosmet Dermatol. 2017;16:527-30.
- 15. Erdogan HK, Bulur I, Kocaturk E et al. Advanced oxidation protein products and serum total oxidant/antioxidant status levels in rosacea. Postepy Dermatol Alergol. 2018;35:304-8.
- 16. Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system. Int J Dermatol. 1997;36:416-8.
- 17. Emre S, Akoglu G, Metin A et al. The oxidant and antioxidant status in pityriasis rosea. Indian J Dermatol. 2016;61:118.
- 18. Tanghetti EA. The role of inflammation in the pathology of acne. J Clin Aesthet Dermatol. 2013;6:27-35.
- 19. Akamatsu H, Horio T, Hattori K. Increased hydrogen peroxide generation by neutrophils from patients with acne inflammation. Int J Dermatol. 2003;42:380-4.
- 20. Li X, He C, Chen Z et al. A review of the role of sebum in the mechanism of acne pathogenesis. J Cosmet Dermatol. 2017;16:168-173.
- 21. Abdel Fattah NS, Shaheen MA, Ebrahim AA et al. Tissue and blood superoxide dismutase activities and malondialdehyde levels in different clinical severities of acne vulgaris. Br J Dermatol. 2008;159:1086-91.
- 22. Arican O, Kurutas EB, Sasmaz S. Oxidative stress in patients with acne vulgaris. Mediators Inflamm. 2005;2005:380-4.
- 23. Uysal P, Avcil S, Abas Bİ et al. Evaluation of oxidant-antioxidant balance in children with atopic dermatitis: a case-control study. Am J Clin Dermatol. 2016;17:527-537.
- 24. Perihan O, Ergul KB, Neslihan D et al. The activity of adenosine deaminase and oxidative stress biomarkers in scraping samples of acne lesions. J Cosmet Dermatol. 2012;12:323-8.
- 25. Ikeno H, Tochio T, Tanaka H et al. Decrease in glutathione may be involved in pathogenesis of acne vulgaris. J Cosmet Dermatol 2011;10:240-4.
Akne Vulgarisli Hastalarda Total Oksidan ve Total Antioksidan Durumun Değerlendirilmesi
Yıl 2022,
, 654 - 658, 29.09.2022
Ersoy Acer
,
Hilal Kaya Erdogan
,
Evin Kocatürk
,
Esra Ağaoğlu
,
Nurhan Saracoglu
,
Muzaffer Bilgin
Öz
Akne vulgaris sık görülen bir deri hastalığıdır ve karmaşık bir patogeneze sahiptir. Literatürde, akne vulgarisde oksidatif stresin durumu ile ilgili yeterli veri yoktur. Bu çalışmada akne vulgarisli hastalarda total oksidan ve total antioksidan seviyenin değerlendirilmesi amaçlandı. Bu çalışmaya 32 akne vulgarisli hasta ve 35 sağlıklı kontrol dahil edildi. Global akne skorlama sistemi (GASS) skorları hesaplandı. Serum total oksidan seviye (TOS), total antioksidan seviye (TAS) ölçüldü ve TOS, TAS’a bölünerek oksidatif stres indeksi (OSİ) hesaplandı. Akne hastalarının ortalama GASS skoru 14.08 ± 5.72 idi. Akne hastalarının ortalama hastalık süresi 33.97 ± 25.99 ay idi. Akne hastalarında TAS, TOS ve OSİ daha yüksekti (p=0.010, p=0.021, p=0.015, sırasıyla). TAS, TOS ve OSİ ile hastalık süresi ve GASS skoru arasında bir ilişki yoktu (p>0.05). Bu çalışmada akne hastalarında oksidan ve antioksidan seviye yüksekti. Bu sonuç oksidatif stresin akne patogenezinde bir rolü olabileciğini düşündürmektedir. Ancak oksidatif stres aknenin nedeni mi yoksa sonucu mu olduğu tam olarak bilinmemektedir. Özellikle hafif-orta ve şiddetli akne hastalarında oksidatif stres durumunu karşılaştıran ileri çalışmaların yapılmasına ihtiyaç vardır. Ayrıca akne tedavisinde antioksidan ajanların faydalı olabileceğini düşünmekteyiz.
Kaynakça
- 1. Picardo M, Eichenfield LF, Tan J. Acne and rosacea. Dermatol Ther (Heidelb). 2017;7(Suppl 1):43-52.
- 2. Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol. 2013;168:474-85.
- 3. Dreno B. What is new in the pathophysiology of acne, an overview. J Eur Acad Dermatol Venereol. 2017;31(Suppl 5):8-12.
- 4. Suh DH, Kwon HH. What’s new in the physiopathology of acne? Br J Dermatol. 2015;172(Suppl 1):13-9.
- 5. Sarici G, Cinar S, Armutcu F et al.. Oxidative stress in acne vulgaris. J Eur Acad Dermatol Venereol. 2010;24:763-7.
- 6. Awad SM, Morsy H, Sayed AA et al. Oxidative stress and psychiatric morbidity in patients with facial acne. J Cosmet Dermatol. 2018;17:203-208.
- 7. Al-Shobaili HA. Oxidants and anti-oxidants status in acne vulgaris patients with varying severity. Ann Clin Lab Sci. 2014;44:202-7.
- 8. Al-Shobaili HA, Alzolibani AA, Al Robaee AA et al. Biochemical markers of oxidative and nitrosative stress in acne vulgaris. J Clin Lab Anal. 2013;27:45-52.
- 9. Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem. 2005;38:1103-11.
- 10. Erel O. A new automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clin Biochem. 2004;37:277-85.
- 11. Erturan I, Kumbul Doğuç D, Korkmaz S et al. Evaluation of oxidative stress in patients with recalcitrant warts. J Eur Acad Dermatol Venereol. 2019;33:1952-7.
- 12. Emre S, Akoglu G, Metin A et al. The Oxidant and Antioxidant Status in Pityriasis Rosea. Indian J Dermatol. 2016;61:118.
- 13. Acer E, Kaya Erdoğan H, Kocatürk E et al. Evaluation of oxidative stress and psychoemotional status in premature hair graying. J Cosmet Dermatol. 2020;19:3403-7.
- 14. Kaya Erdogan H, Bulur I, Kocaturk E et al. The role of oxidative stress in early-onset androgenetic alopecia. J Cosmet Dermatol. 2017;16:527-30.
- 15. Erdogan HK, Bulur I, Kocaturk E et al. Advanced oxidation protein products and serum total oxidant/antioxidant status levels in rosacea. Postepy Dermatol Alergol. 2018;35:304-8.
- 16. Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system. Int J Dermatol. 1997;36:416-8.
- 17. Emre S, Akoglu G, Metin A et al. The oxidant and antioxidant status in pityriasis rosea. Indian J Dermatol. 2016;61:118.
- 18. Tanghetti EA. The role of inflammation in the pathology of acne. J Clin Aesthet Dermatol. 2013;6:27-35.
- 19. Akamatsu H, Horio T, Hattori K. Increased hydrogen peroxide generation by neutrophils from patients with acne inflammation. Int J Dermatol. 2003;42:380-4.
- 20. Li X, He C, Chen Z et al. A review of the role of sebum in the mechanism of acne pathogenesis. J Cosmet Dermatol. 2017;16:168-173.
- 21. Abdel Fattah NS, Shaheen MA, Ebrahim AA et al. Tissue and blood superoxide dismutase activities and malondialdehyde levels in different clinical severities of acne vulgaris. Br J Dermatol. 2008;159:1086-91.
- 22. Arican O, Kurutas EB, Sasmaz S. Oxidative stress in patients with acne vulgaris. Mediators Inflamm. 2005;2005:380-4.
- 23. Uysal P, Avcil S, Abas Bİ et al. Evaluation of oxidant-antioxidant balance in children with atopic dermatitis: a case-control study. Am J Clin Dermatol. 2016;17:527-537.
- 24. Perihan O, Ergul KB, Neslihan D et al. The activity of adenosine deaminase and oxidative stress biomarkers in scraping samples of acne lesions. J Cosmet Dermatol. 2012;12:323-8.
- 25. Ikeno H, Tochio T, Tanaka H et al. Decrease in glutathione may be involved in pathogenesis of acne vulgaris. J Cosmet Dermatol 2011;10:240-4.