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Erschienen in: Obesity Surgery 3/2009

01.03.2009 | Research Article

Decrease in Serum Protein Carbonyl Groups Concentration and Maintained Hyperhomocysteinemia in Patients Undergoing Bariatric Surgery

verfasst von: T. Sledzinski, E. Goyke, R. T. Smolenski, Z. Sledzinski, J. Swierczynski

Erschienen in: Obesity Surgery | Ausgabe 3/2009

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Abstract

Background

Human obesity is associated with oxidative stress but the factors contributing to the increase of reactive oxygen species (ROS) production remain unknown. We evaluated the association between serum homocysteine concentration, which may increase ROS production, and serum protein carbonyl groups concentration before and after bariatric surgery.

Methods

Serum protein carbonyl groups and serum homocysteine concentrations, as well as obesity markers, were compared in 18 obese patients before and 6 months after bariatric surgery. Ten healthy individuals with normal body mass index (BMI) served as controls.

Results

Before bariatric surgery, obese patients displayed approximately 50% higher serum protein carbonyl groups concentration than control subjects. After surgery, serum protein carbonyl groups concentration decreased and matched values observed in controls. Serum homocysteine concentration was also elevated in obese patients, but in contrast to protein carbonyl groups, did not change after surgery. The body weight, BMI, HOMA-IR, serum leptin, triacylglycerols, LDL/HLD cholesterol ratio, insulin, and glucose concentrations were higher in obese patients as compared to controls, and decreased after bariatric surgery.

Conclusions

This study demonstrates that bariatric surgery has protective effect on oxidative protein damage and improves several laboratory parameters including serum lipid concentration and insulin resistance. However, bariatric surgery does not cause a decrease in serum homocysteine concentration, a risk factor for the development of cardiovascular diseases. Collectively, the results presented in this paper suggest that serum homocysteine concentration is not directly associated with oxidative stress in obese patients after bariatric surgery.
Literatur
2.
Zurück zum Zitat Vincent HK, Taylor AG. Biomarkers and potential mechanisms of obesity-induced oxidant stress in humans. Int J Obes (Lond). 2006;30:400–18.CrossRef Vincent HK, Taylor AG. Biomarkers and potential mechanisms of obesity-induced oxidant stress in humans. Int J Obes (Lond). 2006;30:400–18.CrossRef
3.
Zurück zum Zitat Dalle-Donne I, Aldini G, Carini M, et al. Protein carbonylation, cellular dysfunction, and disease progression. J Cell Mol Med. 2006;10:389–406.CrossRefPubMed Dalle-Donne I, Aldini G, Carini M, et al. Protein carbonylation, cellular dysfunction, and disease progression. J Cell Mol Med. 2006;10:389–406.CrossRefPubMed
4.
Zurück zum Zitat Dalle-Donne I, Rossi R, Giustarini D, et al. Protein carbonyl groups as biomarkers of oxidative stress. Clin Chim Acta. 2003;329:23–38.CrossRefPubMed Dalle-Donne I, Rossi R, Giustarini D, et al. Protein carbonyl groups as biomarkers of oxidative stress. Clin Chim Acta. 2003;329:23–38.CrossRefPubMed
5.
Zurück zum Zitat Konukoglu D, Serin O, Ercan M, et al. Plasma homocysteine levels in obese and non-obese subjects with or without hypertension; its relationship with oxidative stress and copper. Clin Biochem. 2003;36:405–8.CrossRefPubMed Konukoglu D, Serin O, Ercan M, et al. Plasma homocysteine levels in obese and non-obese subjects with or without hypertension; its relationship with oxidative stress and copper. Clin Biochem. 2003;36:405–8.CrossRefPubMed
6.
Zurück zum Zitat Ozata M, Mergen M, Oktenli C, et al. Increased oxidative stress and hypozincemia in male obesity. Clin Biochem. 2002;35:627–31.CrossRefPubMed Ozata M, Mergen M, Oktenli C, et al. Increased oxidative stress and hypozincemia in male obesity. Clin Biochem. 2002;35:627–31.CrossRefPubMed
7.
Zurück zum Zitat Van Gaal LF, Vertommen J, De Leeuw IH. The in vitro oxidizability of lipoprotein particles in obese and non-obese subjects. Atherosclerosis. 1998;137(Suppl):S39–44: S39–S44.CrossRefPubMed Van Gaal LF, Vertommen J, De Leeuw IH. The in vitro oxidizability of lipoprotein particles in obese and non-obese subjects. Atherosclerosis. 1998;137(Suppl):S39–44: S39–S44.CrossRefPubMed
8.
Zurück zum Zitat Olusi SO. Obesity is an independent risk factor for plasma lipid peroxidation and depletion of erythrocyte cytoprotectic enzymes in humans. Int J Obes Relat Metab Disord. 2002;26:1159–64.CrossRefPubMed Olusi SO. Obesity is an independent risk factor for plasma lipid peroxidation and depletion of erythrocyte cytoprotectic enzymes in humans. Int J Obes Relat Metab Disord. 2002;26:1159–64.CrossRefPubMed
9.
Zurück zum Zitat Skrha J, Sindelka G, Kvasnicka J, et al. Insulin action and fibrinolysis influenced by vitamin E in obese Type 2 diabetes mellitus. Diabetes Res Clin Pract. 1999;44:27–33.CrossRefPubMed Skrha J, Sindelka G, Kvasnicka J, et al. Insulin action and fibrinolysis influenced by vitamin E in obese Type 2 diabetes mellitus. Diabetes Res Clin Pract. 1999;44:27–33.CrossRefPubMed
10.
Zurück zum Zitat Kocic R, Pavlovic D, Kocic G, et al. Susceptibility to oxidative stress, insulin resistance, and insulin secretory response in the development of diabetes from obesity. Vojnosanit Pregl. 2007;64:391–7.CrossRefPubMed Kocic R, Pavlovic D, Kocic G, et al. Susceptibility to oxidative stress, insulin resistance, and insulin secretory response in the development of diabetes from obesity. Vojnosanit Pregl. 2007;64:391–7.CrossRefPubMed
11.
Zurück zum Zitat Asayama K, Nakane T, Dobashi K, et al. Effect of obesity and troglitazone on expression of two glutathione peroxidases: cellular and extracellular types in serum, kidney and adipose tissue. Free Radic Res. 2001;34:337–47.CrossRefPubMed Asayama K, Nakane T, Dobashi K, et al. Effect of obesity and troglitazone on expression of two glutathione peroxidases: cellular and extracellular types in serum, kidney and adipose tissue. Free Radic Res. 2001;34:337–47.CrossRefPubMed
12.
Zurück zum Zitat Konukoglu D, Serin O, Turhan MS. Plasma total homocysteine concentrations in obese and non-obese female patients with type 2 diabetes mellitus; its relations with plasma oxidative stress and nitric oxide levels. Clin Hemorheol Microcirc. 2005;33:41–6.PubMed Konukoglu D, Serin O, Turhan MS. Plasma total homocysteine concentrations in obese and non-obese female patients with type 2 diabetes mellitus; its relations with plasma oxidative stress and nitric oxide levels. Clin Hemorheol Microcirc. 2005;33:41–6.PubMed
13.
Zurück zum Zitat Papatheodorou L, Weiss N. Vascular oxidant stress and inflammation in hyperhomocysteinemia. Antioxid Redox Signal. 2007;9:1941–58.CrossRefPubMed Papatheodorou L, Weiss N. Vascular oxidant stress and inflammation in hyperhomocysteinemia. Antioxid Redox Signal. 2007;9:1941–58.CrossRefPubMed
14.
Zurück zum Zitat Perna AF, Ingrosso D, De Santo NG. Homocysteine and oxidative stress. Amino Acids. 2003;25:409–17.CrossRefPubMed Perna AF, Ingrosso D, De Santo NG. Homocysteine and oxidative stress. Amino Acids. 2003;25:409–17.CrossRefPubMed
15.
Zurück zum Zitat Guzelmeric K, Alkan N, Pirimoglu M, et al. Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome. Gynecol Endocrinol. 2007;23:505–10.CrossRefPubMed Guzelmeric K, Alkan N, Pirimoglu M, et al. Chronic inflammation and elevated homocysteine levels are associated with increased body mass index in women with polycystic ovary syndrome. Gynecol Endocrinol. 2007;23:505–10.CrossRefPubMed
16.
Zurück zum Zitat Ustundag B, Gungor S, Aygun AD, et al. Oxidative status and serum leptin levels in obese prepubertal children. Cell Biochem Funct. 2007;25:479–83.CrossRefPubMed Ustundag B, Gungor S, Aygun AD, et al. Oxidative status and serum leptin levels in obese prepubertal children. Cell Biochem Funct. 2007;25:479–83.CrossRefPubMed
17.
Zurück zum Zitat Terruzzi I, Senesi P, Fermo I, et al. Are genetic variants of the methyl group metabolism enzymes risk factors predisposing to obesity? J Endocrinol Invest. 2007;30:747–53.CrossRefPubMed Terruzzi I, Senesi P, Fermo I, et al. Are genetic variants of the methyl group metabolism enzymes risk factors predisposing to obesity? J Endocrinol Invest. 2007;30:747–53.CrossRefPubMed
18.
Zurück zum Zitat Uysal O, Arikan E, Cakir B. Plasma total homocysteine level and its association with carotid intima-media thickness in obesity. J Endocrinol Invest. 2005;28:928–34.CrossRefPubMed Uysal O, Arikan E, Cakir B. Plasma total homocysteine level and its association with carotid intima-media thickness in obesity. J Endocrinol Invest. 2005;28:928–34.CrossRefPubMed
19.
Zurück zum Zitat Kisakol G, Guney E, Bayraktar F, et al. Effect of surgical weight loss on free radical and antioxidant balance: a preliminary report. Obes Surg. 2002;12:795–800.CrossRefPubMed Kisakol G, Guney E, Bayraktar F, et al. Effect of surgical weight loss on free radical and antioxidant balance: a preliminary report. Obes Surg. 2002;12:795–800.CrossRefPubMed
20.
Zurück zum Zitat Uzun H, Zengin K, Taskin M, et al. Changes in leptin, plasminogen activator factor and oxidative stress in morbidly obese patients following open and laparoscopic Swedish adjustable gastric banding. Obes Surg. 2004;14:659–65.CrossRefPubMed Uzun H, Zengin K, Taskin M, et al. Changes in leptin, plasminogen activator factor and oxidative stress in morbidly obese patients following open and laparoscopic Swedish adjustable gastric banding. Obes Surg. 2004;14:659–65.CrossRefPubMed
21.
Zurück zum Zitat Uzun H, Konukoglu D, Gelisgen R, et al. Plasma protein carbonyl and thiol stress before and after laparoscopic gastric banding in morbidly obese patients. Obes Surg. 2007;17:1367–73.CrossRefPubMed Uzun H, Konukoglu D, Gelisgen R, et al. Plasma protein carbonyl and thiol stress before and after laparoscopic gastric banding in morbidly obese patients. Obes Surg. 2007;17:1367–73.CrossRefPubMed
22.
Zurück zum Zitat Levine RL, Garland D, Oliver CN, et al. Determination of carbonyl content in oxidatively modified proteins. Methods Enzymol. 1990;186:464–78.CrossRefPubMed Levine RL, Garland D, Oliver CN, et al. Determination of carbonyl content in oxidatively modified proteins. Methods Enzymol. 1990;186:464–78.CrossRefPubMed
23.
Zurück zum Zitat Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499–502.PubMed Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499–502.PubMed
24.
Zurück zum Zitat Zabrocka L, Raczynska S, Goyke E, et al. BMI is the main determinant of the circulating leptin in women after vertical banded gastroplasty. Obes Res. 2004;12:505–12.CrossRefPubMed Zabrocka L, Raczynska S, Goyke E, et al. BMI is the main determinant of the circulating leptin in women after vertical banded gastroplasty. Obes Res. 2004;12:505–12.CrossRefPubMed
25.
Zurück zum Zitat Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412–9.CrossRefPubMed Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412–9.CrossRefPubMed
26.
Zurück zum Zitat Borson-Chazot F, Harthe C, Teboul F, et al. Occurrence of hyperhomocysteinemia 1 year after gastroplasty for severe obesity. J Clin Endocrinol Metab. 1999;84:541–5.CrossRefPubMed Borson-Chazot F, Harthe C, Teboul F, et al. Occurrence of hyperhomocysteinemia 1 year after gastroplasty for severe obesity. J Clin Endocrinol Metab. 1999;84:541–5.CrossRefPubMed
28.
Zurück zum Zitat Dixon JB, Dixon ME, O'Brien PE. Elevated homocysteine levels with weight loss after Lap-Band surgery: higher folate and vitamin B12 levels required to maintain homocysteine level. Int J Obes Relat Metab Disord. 2001;25:219–27.CrossRefPubMed Dixon JB, Dixon ME, O'Brien PE. Elevated homocysteine levels with weight loss after Lap-Band surgery: higher folate and vitamin B12 levels required to maintain homocysteine level. Int J Obes Relat Metab Disord. 2001;25:219–27.CrossRefPubMed
29.
Zurück zum Zitat Sheu WH, Wu HS, Wang CW, et al. Elevated plasma homocysteine concentrations six months after gastroplasty in morbidly obese subjects. Intern Med. 2001;40:584–8.CrossRefPubMed Sheu WH, Wu HS, Wang CW, et al. Elevated plasma homocysteine concentrations six months after gastroplasty in morbidly obese subjects. Intern Med. 2001;40:584–8.CrossRefPubMed
30.
Zurück zum Zitat Williams DB, Hagedorn JC, Lawson EH, et al. Gastric bypass reduces biochemical cardiac risk factors. Surg Obes Relat Dis. 2007;3:8–13.CrossRefPubMed Williams DB, Hagedorn JC, Lawson EH, et al. Gastric bypass reduces biochemical cardiac risk factors. Surg Obes Relat Dis. 2007;3:8–13.CrossRefPubMed
31.
Zurück zum Zitat Zengin K, Taskin M, Sakoglu N, et al. Systemic inflammatory response after laparoscopic and open application of adjustable banding for morbidly obese patients. Obes Surg. 2002;12:276–9.CrossRefPubMed Zengin K, Taskin M, Sakoglu N, et al. Systemic inflammatory response after laparoscopic and open application of adjustable banding for morbidly obese patients. Obes Surg. 2002;12:276–9.CrossRefPubMed
32.
Zurück zum Zitat Dandona P, Mohanty P, Ghanim H, et al. The suppressive effect of dietary restriction and weight loss in the obese on the generation of reactive oxygen species by leukocytes, lipid peroxidation, and protein carbonylation. J Clin Endocrinol Metab. 2001;86:355–62.PubMed Dandona P, Mohanty P, Ghanim H, et al. The suppressive effect of dietary restriction and weight loss in the obese on the generation of reactive oxygen species by leukocytes, lipid peroxidation, and protein carbonylation. J Clin Endocrinol Metab. 2001;86:355–62.PubMed
33.
Zurück zum Zitat Jacobsen DW. Hyperhomocysteinemia and oxidative stress: time for a reality check?. Arterioscler Thromb Vasc Biol. 2000;20:1182–4.CrossRefPubMed Jacobsen DW. Hyperhomocysteinemia and oxidative stress: time for a reality check?. Arterioscler Thromb Vasc Biol. 2000;20:1182–4.CrossRefPubMed
34.
Zurück zum Zitat Rasheed Z, Ali R. Reactive oxygen species damaged human serum albumin in patients with type 1 diabetes mellitus: biochemical and immunological studies. Life Sci. 2006;79:2320–8.CrossRefPubMed Rasheed Z, Ali R. Reactive oxygen species damaged human serum albumin in patients with type 1 diabetes mellitus: biochemical and immunological studies. Life Sci. 2006;79:2320–8.CrossRefPubMed
35.
Zurück zum Zitat Gomez-Ambrosi J, Pastor C, Salvador J, et al. Influence of waist circumference on the metabolic risk associated with impaired fasting glucose: effect of weight loss after gastric bypass. Obes Surg. 2007;17:585–91.CrossRefPubMed Gomez-Ambrosi J, Pastor C, Salvador J, et al. Influence of waist circumference on the metabolic risk associated with impaired fasting glucose: effect of weight loss after gastric bypass. Obes Surg. 2007;17:585–91.CrossRefPubMed
36.
Zurück zum Zitat Malinowski SS. Nutritional and metabolic complications of bariatric surgery. Am J Med Sci. 2006;331:219–25.CrossRefPubMed Malinowski SS. Nutritional and metabolic complications of bariatric surgery. Am J Med Sci. 2006;331:219–25.CrossRefPubMed
38.
Zurück zum Zitat Trayhurn P, Wood IS. Adipokines: inflammation and the pleiotropic role of white adipose tissue. Br J Nutr. 2004;92:347–55.CrossRefPubMed Trayhurn P, Wood IS. Adipokines: inflammation and the pleiotropic role of white adipose tissue. Br J Nutr. 2004;92:347–55.CrossRefPubMed
Metadaten
Titel
Decrease in Serum Protein Carbonyl Groups Concentration and Maintained Hyperhomocysteinemia in Patients Undergoing Bariatric Surgery
verfasst von
T. Sledzinski
E. Goyke
R. T. Smolenski
Z. Sledzinski
J. Swierczynski
Publikationsdatum
01.03.2009
Verlag
Springer New York
Erschienen in
Obesity Surgery / Ausgabe 3/2009
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9691-8

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