Role of thiol-disulfide hemostasis in early diagnosis of acute mesentery ischemia: An experimental study

Ulus Travma Acil Cerrahi Derg. 2022 Apr;28(4):403-410. doi: 10.14744/tjtes.2020.44025.

Abstract

Background: Acute mesenteric ischemia (AMI) is a rarely observed acute abdominal disease that may be mortal and is difficult to diagnose early. The aim of our study is to assess the role of Thiol-Disulphide Haemostasis (TDH), a new method for AMI which still has no specific biochemical markers for early diagnosis, and to assess it together with Ischemia-Modified Albumin (IMA) which has previously proven reliability for AMI.

Methods: The study included 32 Wistar albino rats in four groups. The 1st group (n=8) was the control group, 2nd group (n=8) was the sham group, 3rd group (n=8) had 3 h of arterial mesentery ischemia and the 4th group (n=8) had 6 h of arterial mesentery ischemia. TDH, IMA, and serum lactate values were measured at h 0, 1, 3, and 6.

Results: In the 3rd and 6th h, serum total thiol and native thiol values significantly reduced (p<0.001), while serum disulfide, IMA, and lactate values clearly increased (p<0.001). Serum thiol values were observed to reduce from the 1st h.

Conclusion: TDH changes in the early period of AMI. The TDH parameters can be used with IMA as diagnostic parameters for patients with suspected AMI in the early period.

MeSH terms

  • Animals
  • Biomarkers
  • Disulfides*
  • Early Diagnosis
  • Hemostasis
  • Lactates
  • Mesenteric Ischemia* / diagnosis
  • Mesentery
  • Oxidative Stress
  • Rats
  • Reproducibility of Results
  • Serum Albumin
  • Sulfhydryl Compounds

Substances

  • Biomarkers
  • Disulfides
  • Lactates
  • Serum Albumin
  • Sulfhydryl Compounds