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Engin KN, Harmancı Karagülle D, Durmaz Engin C, Kant M, Yaman A, Akış M, Özel Yıldız S, İşlekel H, Güner Akdoğan G, Söylev Bajin M. Is the clinical course of non-arteritic ischemic optic neuropathy associated with oxidative damage and the dynamics of the antioxidant response? Int Ophthalmol 2023; 43:2935-2945. [PMID: 37029212 DOI: 10.1007/s10792-023-02699-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/24/2023] [Indexed: 04/09/2023]
Abstract
PURPOSE Oxidative stress is known to be a decisive factor in the wide etiopathogenesis of optic neuropathy. This study aimed to comprehensively evaluate the interaction of optic neuropathy's clinical course with systemic oxidative damage and antioxidant response dynamics in a large series. METHODS This case-controlled clinical study included 33 non-arteritic anterior ischemic optic neuropathy (NAION) patients and 32 healthy individuals. Extensive systemic oxidation profiles were statistically compared between the two groups, and correlations between the clinical and biochemical data in the study group were analyzed. RESULTS Vitamin E and malondialdehyde (MDA) levels were significantly higher in the study group. Significant correlations were observed in the analyses between clinical findings and oxidative stress parameters. Correlations between vitamin E and intraocular pressure (IOP), between B12 and cup-to-disk ratio (c/d), between antioxidant glutathione and superoxide dismutase (SOD) enzyme systems, and between uric acid (UA) and age were found to be very significant. As significant correlations were found in either clinical and biochemical data or in oxidative stress parameters, correlations between vitamin E and cholesterol, MDA were found to be very significant. CONCLUSIONS This study not only supplies significant information regarding oxidative damage and antioxidant response in NAION, but also points out the specific interactions of neuromodulators, like vitamin E, in intracellular signaling pathways and regulation mechanisms. A better reading of these connections may help improve diagnosis, follow-ups and treatment criteria and strategies.
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Affiliation(s)
- Kaya Nusret Engin
- Department of Ophthalmology, Ümraniyemraniye Education and Research Hospital, Sağlık University, Elmalıkent Mh. Ümraniye, 34764, Istanbul, Turkey.
| | - Duygu Harmancı Karagülle
- Graduate School of Health Science, Department of Molecular Genetics, Dokuz Eylül University, Izmir, Turkey
| | - Ceren Durmaz Engin
- Faculty of Medicine, Department of Ophthalmology, Dokuz Eylül University, Izmir, Turkey
| | - Melis Kant
- Faculty of Medicine, Department of Biochemistry, Dokuz Eylül University, Izmir, Turkey
| | - Aylin Yaman
- Faculty of Medicine, Department of Ophthalmology, Dokuz Eylül University, Izmir, Turkey
| | - Merve Akış
- Faculty of Medicine, Department of Biochemistry, Dokuz Eylül University, Izmir, Turkey
| | - Sevda Özel Yıldız
- Istanbul Faculty of Medicine, Department of Biostatistics, Istanbul University, Istanbul, Turkey
| | - Hüray İşlekel
- Graduate School of Health Science, Department of Molecular Genetics, Dokuz Eylül University, Izmir, Turkey
- Faculty of Medicine, Department of Biochemistry, Dokuz Eylül University, Izmir, Turkey
| | - Gül Güner Akdoğan
- Department of Medical Biochemistry, School of Medicine, Izmir University of Economics, Izmir, Turkey
| | - Meltem Söylev Bajin
- Faculty of Medicine, Department of Ophthalmology, Dokuz Eylül University, Izmir, Turkey
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Sanz-Morello B, Ahmadi H, Vohra R, Saruhanian S, Freude KK, Hamann S, Kolko M. Oxidative Stress in Optic Neuropathies. Antioxidants (Basel) 2021; 10:1538. [PMID: 34679672 PMCID: PMC8532958 DOI: 10.3390/antiox10101538] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 09/07/2021] [Accepted: 09/12/2021] [Indexed: 01/23/2023] Open
Abstract
Increasing evidence indicates that changes in the redox system may contribute to the pathogenesis of multiple optic neuropathies. Optic neuropathies are characterized by the neurodegeneration of the inner-most retinal neurons, the retinal ganglion cells (RGCs), and their axons, which form the optic nerve. Often, optic neuropathies are asymptomatic until advanced stages, when visual impairment or blindness is unavoidable despite existing treatments. In this review, we describe systemic and, whenever possible, ocular redox dysregulations observed in patients with glaucoma, ischemic optic neuropathy, optic neuritis, hereditary optic neuropathies (i.e., Leber's hereditary optic neuropathy and autosomal dominant optic atrophy), nutritional and toxic optic neuropathies, and optic disc drusen. We discuss aspects related to anti/oxidative stress biomarkers that need further investigation and features related to study design that should be optimized to generate more valuable and comparable results. Understanding the role of oxidative stress in optic neuropathies can serve to develop therapeutic strategies directed at the redox system to arrest the neurodegenerative processes in the retina and RGCs and ultimately prevent vision loss.
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Affiliation(s)
- Berta Sanz-Morello
- Eye Translational Research Unit, Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2100 Copenhagen, Denmark; (B.S.-M.); (H.A.); (R.V.)
| | - Hamid Ahmadi
- Eye Translational Research Unit, Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2100 Copenhagen, Denmark; (B.S.-M.); (H.A.); (R.V.)
- Department of Ophthalmology, Rigshospitalet, 2600 Glostrup, Denmark;
| | - Rupali Vohra
- Eye Translational Research Unit, Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2100 Copenhagen, Denmark; (B.S.-M.); (H.A.); (R.V.)
- Group of Stem Cell Models for Studies of Neurodegenerative Diseases, Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, Denmark; (S.S.); (K.K.F.)
| | - Sarkis Saruhanian
- Group of Stem Cell Models for Studies of Neurodegenerative Diseases, Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, Denmark; (S.S.); (K.K.F.)
| | - Kristine Karla Freude
- Group of Stem Cell Models for Studies of Neurodegenerative Diseases, Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, Denmark; (S.S.); (K.K.F.)
| | - Steffen Hamann
- Department of Ophthalmology, Rigshospitalet, 2600 Glostrup, Denmark;
| | - Miriam Kolko
- Eye Translational Research Unit, Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2100 Copenhagen, Denmark; (B.S.-M.); (H.A.); (R.V.)
- Department of Ophthalmology, Rigshospitalet, 2600 Glostrup, Denmark;
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Tousignant B, Brûlé J. [Visual Impairment and Eye Diseases in St. Louis, Senegal]. MEDECINE TROPICALE ET SANTE INTERNATIONALE 2021; 1:mtsibulletin.2021.112. [PMID: 35586591 PMCID: PMC9022752 DOI: 10.48327/mtsibulletin.2021.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 06/14/2021] [Indexed: 12/03/2022]
Abstract
Background Few epidemiological data describe the prevalence of blindness and visual impairment in Senegal. Data from West African studies estimate blindness prevalence between 1.2 - 3.4% and that of visual impairment between 10.4 - 17.1%. IRIS Mundial (IM) is a non-governmental organization collaborating with l'Association St-Louisienne pour la Vue (ASV) to develop eye care in Senegal. Objective Describe the relative importance of and causes of blindness and visual impairment in a population consulting for vision problems in the Senegalese region of St. Louis, to assist in planning of relevant eye care programs. Methods Results from eye exams carried out by a team from IM in 2018 have been complied and analyzed. Results In all, 1944 patients were examined (56.5% female). Some 25.7% of patients presented a visual impairment (22.5% moderate; 3.2% severe). Regarding refractive error, 15.3% of patients had myopia, 10.7% had hyperopia, 54.8% had astigmatism and 55.8% were presbyopic. Clinically significant cataracts is present in 17.4% of patients and glaucoma in 2.5%. Conclusion Our data give a glimpse of the prevalence of visual impairment and ocular disease in St. Louis, Senegal. Uncorrected refractive error, cataracts and glaucoma are present in this population and may guide the planning of relevant eye care interventions.
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Affiliation(s)
- B. Tousignant
- École d'optométrie, Université de Montréal, Québec, Canada
- École de santé publique, Université de Montréal, Québec, Canada
| | - J. Brûlé
- École d'optométrie, Université de Montréal, Québec, Canada
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Abera SF, Adane K. One-fourth of the prisoners are underweight in Northern Ethiopia: a cross-sectional study. BMC Public Health 2017; 17:449. [PMID: 28506311 PMCID: PMC5433041 DOI: 10.1186/s12889-017-4410-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 05/09/2017] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Despite the fact that prisoners are exposed to different health problems, prison health problems are often overlooked by researchers and no previous study has investigated nutritional problems of prisoners in Ethiopia. METHODS Cross-sectional data were collected from 809 prisoners from nine major prison setups in the Tigray region of Ethiopia. A proportional stratified sampling technique was used to select the total number of participants needed from each prison site. The outcome of this study was underweight defined as body mass index (BMI) of less than 18.5 kg/m2. Multivariable binary logistic regression was performed to identify determinants of underweight at a p-value of less than 0.05. RESULTS The prevalence of underweight was 25.2% (95% CI; 22.3%- 28.3%). Khat Chewing (OR = 2.08; 95% CI = 1.17, 3.70) and longer duration of incarceration (OR = 1.07; 95% CI = 1.01, 1.14) were associated with a significantly increased risk of underweight. Additionally, previous incarceration (OR = 1.54; 95% CI = 0.99, 2.42) was a relevant determinant of underweight with a borderline significance. In contrast, family support (OR = 0.61; 95% CI = 0.43, 0.85) and farmer occupation (OR = 0.59; 95% CI = 0.36, 0.98) compared to those who were unemployed were important protective determinants significantly associated with lower risk of underweight. CONCLUSION In summary, the burden of underweight was higher among prisoners in Tigray region who had respiratory tract infections. The study has enhanced our understanding of the determinants of underweight in the prison population. We strongly recommend that nutritional support, such as therapeutic feeding programs for severely or moderately underweight prisoners, and environmental health interventions of the prison setups should be urgently implemented to correct the uncovered nutritional problem and its associated factors for improving the health status of prisoners.
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Affiliation(s)
- Semaw Ferede Abera
- School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. .,Kilte Awlaelo- Health and Demographic Surveillance Site, Mekelle University, Tigray, Ethiopia.
| | - Kelemework Adane
- Department of Medical Microbiology and Immunology, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
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Koike H, Nakamura T, Ikeda S, Takahashi M, Kawagashira Y, Iijima M, Katsuno M, Sobue G. Alcoholic Myelopathy and Nutritional Deficiency. Intern Med 2017; 56:105-108. [PMID: 28049986 PMCID: PMC5313434 DOI: 10.2169/internalmedicine.56.7364] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 05/20/2016] [Indexed: 12/30/2022] Open
Abstract
A patient with chronic alcoholism presented with myelopathy and low serum folate and cobalamin levels. A 42-year-old alcoholic man had gait disturbance for 4 months. A neurological examination revealed marked spasticity with increased deep tendon reflexes and extensor plantar responses of the lower limbs. His cobalamin level was decreased and his serum folate level was particularly low. His plasma ammonia level was not increased. Abstinence and folic acid and cobalamin supplementation stopped the progression of his neurological deficits. This case indicates that nutritional deficiency should be monitored closely in patients with chronic alcoholism who present with myelopathy.
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Affiliation(s)
- Haruki Koike
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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Gould C, Tousignant B, Brian G, McKay R, Gibson R, Bailey K, Venn BJ. Cross-sectional dietary deficiencies among a prison population in Papua New Guinea. BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS 2013; 13:21. [PMID: 23601963 PMCID: PMC3637570 DOI: 10.1186/1472-698x-13-21] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2012] [Accepted: 04/09/2013] [Indexed: 11/21/2022]
Abstract
BACKGROUND To investigate the dietary adequacy of prisoners of Beon Prison, Madang, Papua New Guinea in response to a report of possible nutritional deficiency. METHODS We undertook an observational, cross-sectional study. All 254 male inmates (May 2010) were eligible to answer a validated interview-based questionnaire; to have a comprehensive dietary assessment; and to provide blood for biochemical analysis (α-tocopherol, β-carotene, lutein, thiamin, riboflavin, niacin, folate, homocysteine, zinc, ferritin, and vitamins A, B12 and C). Prison guards were invited to participate as a comparison group. RESULTS 148 male prisoners (58.3%) and 13 male prison guards participated. Prison rations consisted of white rice fortified with thiamin, niacin, and iron, tinned tuna, tinned corned beef, water crackers, and black tea, with occasional intakes of fruit and vegetables. Some prisoners received supplementary food from weekend visitors. From assessment of the prisoners dietary data, median intakes of calcium (137 mg), potassium (677 mg), magnesium (182 mg), riboflavin (0.308 mg), vitamin A (54.1 μg), vitamin E (1.68 mg), vitamin C (5.7 mg) and folate (76.4 μg) were found to be below estimated average requirements (EAR). CONCLUSIONS The prisoners diets are likely lacking in several micronutrients and recommendations for dietary change have been made to the prison authorities. Ongoing vigilance is required in prisons to ensure the basic human right of access to a nutritionally adequate diet is being observed.
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Affiliation(s)
- Camilla Gould
- Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
| | - Benoit Tousignant
- The Fred Hollows Foundation New Zealand, Private Bag 99909, Newmarket, Auckland 1149, New Zealand
- Faculty of Health Sciences, Divine Word University, Madang, Papua New Guinea, 1 Nabasa Road, Madang, Madang Province 511, Papua New Guinea
| | - Garry Brian
- The Fred Hollows Foundation New Zealand, Private Bag 99909, Newmarket, Auckland 1149, New Zealand
- Dunedin School of Medicine, University of Otago, P.O. Box 913, Dunedin 9054, New Zealand
| | - Robert McKay
- The Fred Hollows Foundation New Zealand, Private Bag 99909, Newmarket, Auckland 1149, New Zealand
- Faculty of Health Sciences, Divine Word University, Madang, Papua New Guinea, 1 Nabasa Road, Madang, Madang Province 511, Papua New Guinea
| | - Rosalind Gibson
- Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
| | - Karl Bailey
- Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
| | - Bernard J Venn
- Department of Human Nutrition, University of Otago, P.O. Box 56, Dunedin 9054, New Zealand
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