The study of lipid profile, LP (a) and electrolytes with oxidative stress, total protein and albumin in nephrotic syndrome

Nephrotic syndrome is characterized by heavy proteinuria, hypoalbuminemia, hyperlipidemia associated with peripheral edema. Recent observation revealed that serum albumin plays an important role in the host defense mechanism as it is one of the important antioxidants. Oxidative damage by free radicals has been implicated in kidney injury, especially in nephrotic syndrome (NS). Therefore, this study was carried out to investigate oxidant and lipoprotein (a) status with protein and electrolytes in nephrotic syndrome patients. The blood samples were analyzed for quantitation of malondialdehyde as index of lipid peroxide, total antioxidant capacity, lipid profile, lipoprotein (a), electrolytes, total protein and albumin. Significantly increased levels of serum lipid peroxide, lipoprotein (a) LDL, VLDL, Tcholand decreased levels of serum total antioxidant capacity and total protein and albumin were noticed in the patients with nephrotic syndrome as compared to control subjects. Electrolytes are variable Na was increased and potassium was decreased. However, significant positive correlation in lipid peroxide with lipoprotein (a),and total protein and albumin with total antioxidant capacity were observed

Association of antithrombin-III and platelet count with pregnancy induced hypertension

Preeclampsia is referred to as the “disease of the theories” because of the multiple hypotheses proposed to explain its occurrence. Despite considerable research, the causes of preeclampsia remain unclear. It is multifactorial in nature and recent research has focused on the measurements of various prothrombotic markers for detection of latent clotting pathway activation. This study was undertaken to determine the changes in the levels of plasma Antithrombin -III (AT-III) and platelet count in preeclamptic women and its comparison with healthy non-pregnant women and normal pregnant womenand its correlation with severity of disease in order to evaluate if it can be used as a marker for severity of pregnancy induced hypertension (PIH). This is the case-control hospital based study carried in the Department of Biochemistry M.G.M. Medical College and associated M.Y. Hospital. Indore (M.P.). 40 women with preeclampsia in the third trimester of pregnancy constituted the study group. The study group was further divided into two subgroups as mild and severe preeclampsia. Age and gestational age matched 23 healthy non –pregnant and 28 normal pregnant women were taken as a control group. There were no significant differences among the three groups in age and body mass index (BMI) but significantly higher differences in gestational age, systolic and diastolic blood pressure was observed. When compared with control groups (healthy non-pregnant and normal pregnant women), the levels of AT-III in preeclamptic group was significantly lower. Although there was no significant difference in the levels of AT-III between healthy non-pregnant and normal pregnant women. The platelet count between healthy non-pregnant and normal pregnant women showed statistically significant difference whereas statistically higher significant difference was observed when comparison was done between healthy non-pregnant women and preeclamptic women and normal pregnant women and preeclamptic women. It was concluded from the study that the reduction of platelet count and AT-III are the main predictors to predict and monitor the severity of the condition

Evaluation of serum lactate dehydrogenase and gamma glutamyl transferase in preeclamptic pregnancy and its comparison with normal pregnancy in third trimester

Background: Preeclampsia affects about 5-8% of all pregnancies and is a major cause of maternal, fetal and neonatal mortality and morbidity. Evidences prove that endothelial cell and altered endothelial cell function play an important role in the pathogenesis of preeclampsia. Therefore serum lactate dehydrogenase (LDH) and serum gamma glutamyl transferase (GGT) are the useful biochemical markers reflecting the severity of the occurrence of preeclampsia. The objective was todetermine serum lactate dehydrogenase (LDH) and serum gamma glutamyl transferase (GGT) as biochemical markers in preeclamptic pregnant women and its comparison with normal pregnant women in third trimester.Methods: This is the case-control hospital based study carried in the Department of Biochemistry M.G.M. Medical College and associated M.Y. Hospital. Indore (M.P.). Normal pregnant women (n=48), women with preeclampsia (n=53) were included in the study. Both the groups were in their third trimester and of same age and same gestational age. Preeclamptic group was further divided into two subgroups mild (n=36) and severe (n=17) preeclampsia. Results: There were no significant differences among the three groups in age and body mass index but significantly higher differences in gestational age, systolic and diastolic blood pressure was observed. Higher values of serum lactate dehydrogenase (LDH) were found in mild and severe preeclamptic women than those of normal pregnant women in third trimester but the values of serum LDH was significantly elevated in severe preeclamptic women when comparison was done between mild and severe preeclamptic women. Serum GGT was significantly higher among all the groups.Conclusion: Elevated levels of serum LDH and serum GGT indicates the tissue damage related to endothelial vascular damage and are the main cause of the occurrence of preeclampsia.

A Pilot Study Indicating Valuation of C‑Reactive Protein for Disease Outcome in Sickle Hemoglobin Patients of Central India

Evidences support the fact that sickle cell disease (SCD) is associated with a chronic inflammatory state characterized by haemolysis. C-reactive protein level (CRP) and white blood cell (WBC) count considered as biomarkers for inflammation. Also, elevation of serum total lactate dehydrogenase (LDH) levels are found to be associated with haemolysis, this makes LDH a nonspecific marker which has to be interpreted in a context of other markers of disease. The present study aims to assess the role of CRP levels, WBC counts, RBC counts, haemoglobin (Hb) concentrations and LDH levels in sickle hemoglobin (HbS) patients. Blood samples of 10 HbS patients (six females and four males) attending M.Y. Hospital, Indore during the period of Aug to Oct 2019 were screened for CRP, LDH and Hb levels and RBC and WBC counts using latex enhanced immune-turbidimetric assay, LDH optimize DGKC kinetic and differential automated hematology analyzer respectively. Data (mean ± SEM) was analyzed using Graphpad Prism software using Tukey’s multiple comparison post-hoc test. The mean Hb levels (7.73 ± 0.81 g/dl) and RBC counts (3.21 ± 0.53 million/µl) were found to be significantly decreased (p˂ 0.001 and 0.01 respectively) and mean WBC counts (15214.28 ± 1893.40 per mm3), CRP levels (85.73 ± 23.23 mg/l) and LDH levels (1334.00 ± 418.49 U/l) were found to be significantly increased (p˂ 0.0001, 0.01 and 0.01 respectively) in HbS patients in comparison with their respective controls. The variations in serum LDH and CRP levels are accompanied by changes in hematological parameters in HbS patients. These parameters may be considered as indicator of the severity of the disease. Keywords: C-reactive protein, LDH, Sickle cell diseas

Prematurity and Related Biochemical Outcomes: Study of Bone Mineralization and Renal Function Parameters in Preterm Infants

Preterm is defined as a baby with a gestation of less than 37 completed weeks. In this study, serum calcium, phosphorus, ALP, creatinine, and electrolytes were measured in preterm babies. The present study comprised of 75 preterm babies of which 25 were of 28–30 weeks, 25 were of 30–32 weeks, and remaining 25 were of 34–36 weeks (controls) of gestational age. Serum calcium and phosphorus levels were found to be significantly decreased, and serum ALP, creatinine, and electrolytes were found to be significantly increased (P < 0.001) at 28–30 weeks as compared to controls, but serum calcium and phosphorous levels were found to be insignificantly decreased, whereas serum ALP activities were found to be insignificantly increased at 28–30 weeks as compared to 30–32 weeks of gestational age in preterm babies. It can be concluded that high serum ALP activity and low serum calcium and phosphorus levels are associated with preterm babies. A significant difference in the mean values of these renal function parameters was also obtained, except for serum sodium and potassium

Hypoadiponectinemia is associated with increased insulin resistance, dyslipidemia and presence of type 2 diabetes in non obese central Indian population

Background: Accumulating evidence suggests that adiponectin, a major adipocyte secretory protein, has insulin-sensitizing and anti-atherogenic properties and protects against later development of type 2 diabetes. We investigated the association of adiponectin with insulin resistance, blood lipids and type 2 diabetes in non obese central Indian population.Methods: Anthropometric and biochemical parameters were measured in 149 (81 male and 68 female) newly diagnosed non obese type 2 diabetic patients and 157 (85 male and 72 female) age and body mass index (BMI) matched controls.Results: Adiponectin level (p<0.0001) was significantly lower in the diabetic group than in non diabetic control. In an age, gender and BMI adjusted model, adiponectin level was significantly negatively correlated with waist circumference, waist to hip ratio, systolic blood pressure, fasting insulin, homeostasis model assessment-insulin resistance (HOMA-IR) (p= 0.0034), HbA1C, total cholesterol, LDL-cholesterol, and triglycerides (p<0.0001) and positively correlated with HDL-cholesterol (p =0.0014) in non obese type 2 diabetic group. However, there was no significant correlation between adiponectin and glucose in this study. In stepwise linear regression analysis, adjusted for potential confounder, significant inverse association was observed between serum adiponectin level and HOMA-IR (p = 0.0001). In multivariate logistic regression model, adjusted for age, gender, BMI, waist circumference, and waist-hip ratio, lower adiponectin was independently associated with the presence of type 2 diabetes (p<0.0001).Conclusions: Lower adiponectin levels in non obese type 2 diabetic patients were significantly related to the increased insulin resistance, dyslipidemia, and presence of type 2 diabetes, independently of overall and abdominal adiposity, thereby suggesting a direct link between adiponectin and carbohydrate and lipid metabolism in human

Impact of body mass index and low estrogen level on urinary hydroxyl proline and other bone related parameters in postmenopausal women

Background: The study revealed the impact of body mass index and low estrogen level on urinary hydroxyl proline and other bone related parameters in postmenopausal women.Methods: The study comprised 145 obese postmenopausal women and 145 ideal weight postmenopausal women as a study subjects and 145 normal reproductive age group women taken as control. The following biochemical parameters serum calcium, serum phosphorous, serum alkaline phosphatase, urinary calcium, urinary creatinine, urinary hydroxyproline were estimated for assessment of bone loss. Then these results were compared with control group.Results: The significant changes found in biochemical parameters in ideal weight postmenopausal women and highly significant changes in biochemical parameters observed in obese post menopause women.Conclusions: The obese postmenopausal women who have high BMI and low estrogen level have higher bone loss and are more prone to suffer from bone related problems

Association of serum Interlukin-6 and glycolysis in sickle cell disease patients

Background: Glycolysis, a major cytosolic oxidative pathway of glucose, is intended for the supply of energy in RBC and, moreover, for the production of 2,3 Bisphsophoglycerate through the Rapaport-Lubering shunt, which delivers oxygen more readily to the tissues. Interleukin 6 (IL-6) is a pro-inflammatory cytokine, playing a pivotal role in the inflammation process and mediating the acute phase process. Aim: This study aimed to investigate the association of the inflammatory parameter, serum IL-6, and glycolytic metabolism in the erythrocytes of sickle cell disease patients. Materials and Methods: This cross-sectional study was performed using a cohort of patients (90 sickle cell disease patients and 60 healthy age-matched controls) followed at the General Medicine Department of MGM Medical College, Indore. Glucose uptake, Hexokinase-2, pyruvate, lactate and 2,3 Bisphosphoglycerate levels were estimated in the RBC by relevant chemical kit methods on an autoanalyzer and enzyme-linked immunosorbent assay (ELISA), respectively. Serum IL-6 is estimated through the ELISA kit method. Statistical analysis was performed by using the Student′s unpaired "t" test and Pearson′s correlation test. P < 0.05 was considered statistically significant. Results: All glycolytic parameters were elevated along with IL-6 in sickle cell disease when compared with controls. A positive correlation was observed between the IL-6 level and glucose uptake (r = 0.345, P < 0.001), pyruvate (r = 0.512, P < 0.001) and lactate of RBC. Conclusion: This study shows that increased levels of plasma IL-6 might enhance the rate of glycolysis in RBC through the STAT3 pathway in sickle cell disease patients

Study of serum leptin levels in patients with type 2 diabetes mellitus at a tertiary care centre of central India

Background: It has been reported that Insulin and leptin share a common central signaling pathway and there might be a possible role of leptin in the etiology of type 2 DM. Studies regarding role of leptin in type 2 DM in central India are lacking. Aim: This study was conducted with the aim of comparing leptin levels in patients with type 2 DM with apparently healthy controls. Subjects and Methods: A total of 80 subjects including 40 patients of type 2 DM attending outdoor clinics of MY Hospital and 40 age and sex matched healthy controls. Fasting venous blood sample was analysed for leptin, total cholesterol (TC), triglycerides (TG), HDL-C and fasting blood sugar (FBS). Statistical analysis was performed using SPSS software version 14. Results: Mean BMI of diabetic group was 32 ± 3.48kg/m2 and that of control group was 28 ± 2.56kg/m2. Leptin levels among diabetic cases were 29.3± 19.3 ng/ml and in non diabetic subjects it was 34.8 ±21.4 ng/ml. The difference in leptin levels between cases and control were statistically significant. Conclusion: Low leptin levels are associated with type 2 diabetes mellitus independent of changes in BMI