Evaluation of Ischemia-Modified Albumin in Patients with Inflammatory Bowel Disease

Clin Lab. 2017 Feb 1;63(2):341-347. doi: 10.7754/Clin.Lab.2016.160623.

Abstract

Background: Inflammatory bowel disease (IBD) is considered a chronic gastrointestinal inflammatory disease with unknown etiology. Oxidative stress has been demonstrated to play a critical role in the pathophysiology of IBD. We aimed to investigate the effect of the ischemia-modified albumin (IMA) and CRP levels on the pathophysiology and activities of IBD and its subgroups.

Methods: The study included 39 patients with Crohn's disease (CD) and 41 patients with ulcerative colitis (UC). Thirty-three healthy volunteers participated in the study as the control group. The IMA concentrations were determined by colorimetric method.

Results: IMA levels were significantly higher in IBD than in the controls (p = 0.02). In the subgroups of IBD, IMA levels were significantly lower in the control group and CD group than in UC (p < 0.001 and p < 0.001, respectively) while IMA levels were significant higher in the UC when compared with the CD group (p < 0.001). C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels were significantly higher in the CD group compared to the control group (p < 0.01 and p < 0.02, respectively).

Conclusions: Higher IMA level, which is a marker of oxidative stress in diseases with inflammation, indicates that inflammation and oxidative stress are related in the pathogenesis of IBD.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blood Sedimentation
  • C-Reactive Protein / analysis
  • Case-Control Studies
  • Colitis, Ulcerative / blood*
  • Colitis, Ulcerative / diagnosis
  • Colorimetry
  • Crohn Disease / blood*
  • Crohn Disease / diagnosis
  • Female
  • Humans
  • Inflammation Mediators / blood
  • Male
  • Middle Aged
  • Oxidative Stress
  • Serum Albumin, Human
  • Up-Regulation

Substances

  • Biomarkers
  • Inflammation Mediators
  • ischemia-modified albumin
  • C-Reactive Protein
  • Serum Albumin, Human