Abstract
The present study aimed to evaluate the activity of prolidase in controlled acromegaly
patients and its association with oxidative stress. 25 acromegalic patients in remission
who were followed in our outpatient clinic and 31 healthy controls were enrolled in
the study. Serum growth hormone (GH), insulin-like growth factor 1 (IGF-1), total
antioxidative status (TAS), total oxidative stress (TOS), total free sulfhydryl (-SH),
paraoxonase (PON), arylesterase (ARE), lipid hydroperoxide (LOOH) and prolidase activity
levels were measured. Percent ratio of TOS to TAS level was accepted as oxidative
stress index (OSI). Serum prolidase activity, TOS, OSI, and LOOH levels were significantly
higher in acromegaly patients compared to the healthy control group (p<0.001, p=0.001, p<0.001, and p<0.001, respectively). SH levels were significantly lower in the acromegaly patients
compared to the healthy control group (p=0.002). Prolidase activity were positively correlated with TOS, OSI, LOOH and negatively
correlated with -SH in patients with acromegaly (r=0.471, p<0.001; r=0.527, p<0.001; r=0.717, p<0.001; r=− 0.516, p<0.001, respectively). These associations were confirmed in the multiple regression
analysis (R2=0.502, p<0.001). In conclusion, serum prolidase activity and oxidative stress levels were high
in controlled acromegaly patients. These results suggest that extracellular matrix
changes continue eventhough the disease is controlled, and elevated oxidative stress
is involved in the increased prolidase activity in acromegaly patients.
Key words
acromegaly - extracellular matrix - prolidase - oxidative status