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Clinical Investigation| Volume 346, ISSUE 5, P363-365, November 2013

Decreased Serum Paraoxonase Activity in Patients With Chronic Pancreatitis

  • Lan Zhang
    Correspondence
    Department of Thoracic Surgery, First Affiliated Hospital of Liaoning Medical University, No. 2, Section 5, Renmin Street, Jinzhou, Liaoning 121001, P.R. China
    Affiliations
    Department of Thoracic Surgery, First Affiliated Hospital of Liaoning Medical University, Jinzhou, Liaoning, P.R. China
    Search for articles by this author
  • Benrui Lin
    Affiliations
    Department of Thoracic Surgery, First Affiliated Hospital of Liaoning Medical University, Jinzhou, Liaoning, P.R. China
    Search for articles by this author

      Abstract

      Background

      Recent evidences suggest that oxidative stress is involved in the mechanism of chronic pancreatitis (CP). Paraoxonase 1 (PON1) plays an important role as an endogenous free-radical scavenging molecule. The aim of our study is to investigate whether serum PON1 activity is associated with the presence of CP.

      Methods

      A total of 186 patients with alcoholic CP and 132 healthy subjects were enrolled in this study. Serum PON1 activity was measured using paraoxon as a substrate.

      Results

      Serum PON1 activity was significantly decreased in CP patients compared with healthy subjects. Multivariable logistic regression analysis revealed that serum PON1 activity was a determinant of the presence of CP (OR=0.992, 95% CI=0.987–0.998; P=0.006).

      Conclusions

      Decreased serum PON1 activity may be considered as a predicting marker of the presence of CP.

      Key Indexing Terms

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      REFERENCES

        • Keim V.
        • Teich N.
        • Moessner J.
        Clinical value of a new fecal elastase test for detection of chronic pancreatitis.
        Clin Lab. 2003; 49: 209-215
        • Braganza J.M.
        • Lee S.H.
        • McCloy R.F.
        • et al.
        Chronic pancreatitis.
        Lancet. 2011; 377: 1184-1197
        • Dabrowski A.
        • Chwiećko M.
        Oxygen radicals mediate depletion of pancreatic sulfhydryl compounds in rats with cerulein-induced acute pancreatitis.
        Digestion. 1990; 47: 15-19
        • Ito T.
        • Nakao A.
        • Kishimoto W.
        • et al.
        The involvement and sources of active oxygen in experimentally induced acute pancreatitis.
        Pancreas. 1996; 12: 173-177
        • Nonaka A.
        • Manabe T.
        • Kyogoku T.
        • et al.
        Changes in lipid peroxide and oxygen radical scavengers in cerulein-induced acute pancreatitis.
        Imbalance between the offense and defense systems. Digestion. 1990; 47: 130-137
        • Van Esch A.A.
        • Wilder-Smith O.H.
        • Jansen J.B.
        • et al.
        Pharmacological management of pain in chronic pancreatitis.
        Dig Liver Dis. 2006; 38: 518-526
        • Costa L.G.
        • Richter R.J.
        • Li W.F.
        • et al.
        Paraoxonase (PON 1) as a biomarker of susceptibility for organophosphate toxicity.
        Biomarkers. 2003; 8: 1-12
        • Aslan M.
        • Horoz M.
        • Sabuncu T.
        • et al.
        Serum paraoxonase enzyme activity and oxidative stress in obese subjects.
        Pol Arch Med Wewn. 2011; 121: 181-186
        • Garin M.C.
        • Kalix B.
        • Morabia A.
        • et al.
        Small, dense lipoprotein particles and reduced paraoxonase-1 in patients with the metabolic syndrome.
        J Clin Endocrinol Metab. 2005; 90: 2264-2269
        • Sakai T.
        • Matsuura B.
        • Onji M.
        Serum paraoxonase activity and genotype distribution in Japanese patients with diabetes mellitus.
        Intern Med. 1998; 37: 581-584
        • Mohamed R.H.
        • Mohamed R.H.
        • Karam R.A.
        • et al.
        The relationship between paraoxonase1-192 polymorphism and activity with coronary artery disease.
        Clin Biochem. 2010; 43: 553-558
        • Eckerson H.W.
        • Wyte C.M.
        • La Du B.N.
        The human serum paraoxonase/arylesterase polymorphism.
        Am J Hum Genet. 1983; 35: 1126-1138
        • Stevens T.
        • Conwell D.L.
        • Zuccaro G.
        Pathogenesis of chronic pancreatitis: an evidence-based review of past theories and recent developments.
        Am J Gastroenterol. 2004; 99: 2256-2270
        • Norton I.D.
        • Apte M.V.
        • Lux O.
        • et al.
        Chronic ethanol administration causes oxidative stress in the rat pancreas.
        J Lab Clin Med. 1998; 131: 442-446
        • Matsumura N.
        • Ochi K.
        • Ichimura M.
        • et al.
        Study on free radicals and pancreatic fibrosis–pancreatic fibrosis induced by repeated injections of superoxide dismutase inhibitor.
        Pancreas. 2001; 22: 53-57
        • Telek G.
        • Regöly-Mérei J.
        • Kovács G.C.
        • et al.
        The first histological demonstration of pancreatic oxidative stress in human acute pancreatitis.
        Hepatogastroenterology. 2001; 48: 1252-1258
        • Yoo B.M.
        • Oh T.Y.
        • Kim Y.B.
        • et al.
        Novel antioxidant ameliorates the fibrosis and inflammation of cerulein-induced chronic pancreatitis in a mouse model.
        Pancreatology. 2005; 5: 165-176
        • Gómez J.A.
        • Molero X.
        • Vaquero E.
        • et al.
        Vitamin E attenuates biochemical and morphological features associated with development of chronic pancreatitis.
        Am J Physiol Gastrointest Liver Physiol. 2004; 287: G162-9
        • Ohashi S.
        • Nishio A.
        • Nakamura H.
        • et al.
        Overexpression of redox-active protein thioredoxin-1 prevents development of chronic pancreatitis in mice.
        Antioxid Redox Signal. 2006; 8: 1835-1845
        • Mackness B.
        • Durrington P.N.
        • Mackness M.I.
        Human serum paraoxonase.
        Gen Pharmacol. 1998; 31: 329-336
        • Naidu R.
        • Har Y.C.
        • Taib N.A.
        Genetic polymorphisms of paraoxonase 1 (PON1) gene: association between L55M or Q192R with breast cancer risk and clinico-pathological parameters.
        Pathol Oncol Res. 2010; 31
        • Verlaan M.
        • Harbers E.G.
        • Pap A.
        • et al.
        Paraoxonase 1-192Q allele is a risk factor for idiopathic chronic pancreatitis.
        Mol Diagn. 2005; 9: 9-15
        • Gupta N.
        • Singh S.
        • Maturu V.N.
        • et al.
        Paraoxonase 1 (PON1) polymorphisms, haplotypes and activity in predicting cad risk in North-West Indian Punjabis.
        PLoS One. 2011; 6: e17805
        • Eom S.Y.
        • Kim Y.S.
        • Lee C.J.
        • et al.
        Effects of intronic and exonic polymorphisms of paraoxonase 1 (PON1) gene on serum PON1 activity in a Korean population.
        J Korean Med Sci. 2011; 26: 720-725
        • Czeczot H.
        • Majewska M.
        • Skrzycki M.
        • et al.
        Activity of GSH-dependent enzymes in blood serum of patients with acute and chronic pancreatitis.
        Wiad Lek. 2009; 62: 87-92
        • Verlaan M.
        • Roelofs H.M.
        • van-Schaik A.
        • et al.
        Assessment of oxidative stress in chronic pancreatitis patients.
        World J Gastroenterol. 2006; 12: 5705-5710
        • Ganesh Pai C.
        • Sreejayan Rao M.N.
        Evidence for oxidant stress in chronic pancreatitis.
        Indian J Gastroenterol. 1999; 18: 156-157