ABSTRACT
Many studies have investigated the possible role of reactive oxygen species in the etiology and pathogenesis of Rheumatoid Arthritis [RA]. The aim of this study was to investigate the activities of some antioxidants in RA patients. In this case-control study, 59 RA patients and 60 healthy sex and age-matched controls were selected. Vitamin E and Beta-carotene were determined using HPLC. Erythrocytes glutathione reductase [GR] activity was measured spectrophotometrically, and malondialdehyde [MDA] was determined by colorimetric method. Arylesterase activity [AEA] was measured by Phenylacetate. The clinical data were determined by a rheumatologist, medical history and filling the questionnaire by interview. Statistical analyses were carried out using the SPSS software. In patients with RA, serum MDA level was significantly higher and plasma concentration of vitamin E, Beta-carotene and GR activity, were significantly lower than healthy control [P<0.001]. AEA activity differences between two groups were non-significant. Oxidative stress may play an important role in the inflammation and pathogenesis of RA
Subject(s)
Humans , Male , Female , beta Carotene/blood , Vitamin E/blood , Malondialdehyde/blood , Glutathione Reductase/blood , Carboxylic Ester Hydrolases/blood , Antioxidants , Case-Control StudiesABSTRACT
Reactive oxygen species [ROS] have important role in the etiology and pathogenesis of Rheumatoid Arthritis [RA]. We investigated the effect of conjugated linoleic acids [CLAs] and vitamin E on lipid peroxidation. In a randomized, double-blind placebo, controlled, clinical trial 87 patients with active RA were enrolled. They were divided into 4 groups, received one of the following daily supplement for 3 months; 1- group C: 2.5 gr CLA, that contained 2 gr 50:50 mix of cis 9-trans 11 and trans 10-cis 12 CLAs, 2- group E: 400mg Vitamin E, 3-group CE: CLAs plus vitamin E, 4-group P: placebo. After supplementation Glutathione peroxidase [GSH-Px] level increased in C, E and CE groups, CE group had lower GSH-Px than P group [P = 0.05]. Glutathione reductase [GR] increased in CE, C and P groups. Catalase increased in all groups, but enhancement was significant in C and CE. Superoxide dismutase [SOD] decreased in E and C [P = 0.05]. Catalase and SOD did not show significant differences between groups. Malondialdehyde [MDA] decreased significantly in all groups but this decrease was only significant in CE in comparison with other groups. CLAs might be useful in reducing oxidative stress in RA