Pituitary & hypothalamus

The assessment of thiol-disulfide homeostasis and ıschemia-modified albumin levels in patients with acromegaly

PituitaryPublished Cross-sectional study

Authors' conclusion

Our findings may indicate increased OS in the acromegalic process, which may contribute to the development of acromegaly and its related complications and comorbidities.

Study context

Population
Patients with acromegaly and healthy controls matched for age, gender and BMI
Participants
81 vs 55
Exposure
Acromegaly patients vs healthy controls
  • Patientsn = 81
  • Controlsn = 55reference
Outcome
Serum TDH parameters (native thiol, total thiol, disulfide) and IMA levels
Methodological detailsconsecutive inclusion, matched for age, gender and BMI
  • Consecutive inclusion
  • Matched for age, gender and BMI

Main finding

As reported in the abstract

  • Disulfide levels were similar
  • Patients vs Controls: P = 0.005
  • Patients vs Controls: P = 0.007
  • Patients vs Controls: P = 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
Active disease vs remission vs controls (post-hoc)Remission vs Controls · native thiol significantly lower in remission · post-hoc analysesP = 0.01
Active disease vs remission vs controls (post-hoc)Remission vs Controls · total thiol significantly lower in remission · post-hoc analysesP = 0.04
Active disease vs remission vs controls (post-hoc)Remission vs Controls · IMA significantly higher in remission · post-hoc analysesP = 0.04
  • Active disease vs remission vs controls (post-hoc): active disease N = 32, remission N = 49, controls N = 55

Active disease vs remission vs controls (post-hoc)

Serum thiol-disulfide homeostasis (TDH) parameters and ischemia-modified albumin (IMA) levels similar in remission and active disease

Correlates of serum thiol levels

Thiol positively correlated with IGF-1 and negatively with age and disease duration; age independently negatively affected thiol

Original publication

The assessment of thiol-disulfide homeostasis and ıschemia-modified albumin levels in patients with acromegaly. Pituitary. Published 5 April 2025. doi:10.1007/s11102-025-01519-y

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