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AKNE VULGARİSTE ENDOTELİN-1/NİTRİK OKSİT DENGESİ

THE EQUILIBRIUM BETWEEN ENDOTHELIN-1/ NITRIC OXIDE IN ACNE VULGARIS

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Abstract (2. Language): 
Objective: To investigate plasma ET-1 and NOx (nitrate/ nitrite- two end products of nitric oxide metabolism) in acne vulgaris and to evaluate if there is any relathionship between these parameters and disease severity. Materials and methods: Plasma samples of 30 patients with acne vulgaris and 20 healthy controls were investigated by means ET-1 and NOx values. Results: Plasma ET-1 and NOx in patients with acne vulgaris were significantly increased (p<0.01) in comparison with controls. There was a weak, but significant negative correlation between ET-1 and NOx in control subjects (r= -0.456, p< 0.05). There was no correlation between ET-1 and NOx in the study group (r= -0.195, p= 0.302). Among the study group there was a significant correlation between ET-1, NOx and duration of disease (r= 0.412, p< 0.05 and r= 0.570, p< 0.01, respectively). There was no correlation between degree of acne lesions and ET-1 or NOx levels in study group. Conclusion: Increased plasma ET-1 and NOx concentrations in acne vulgaris are probably result of and/or reason for the accentuated ductal hypercornification, hyperkeratinization and sebum accumulation. The increased production of ET-1 and NO by keratinocytes may function as growth and cytotoxic factors and potential mitogens. The lack of correlation between ET-1 and NOx in patients with acne vulgaris suggests that the ET-1/NOx equilibrium may be disturbed, leading subsequently to formation of acne lesions
Abstract (Original Language): 
Amaç: Akne vulgaris’te plazma ET-1 ve NOx (nitrik oksidin metabolitleri olan nitrat/nitrit) konsantrasyon düzeylerini tayin etmek, ayr›ca bu iki parametre ve hastal›¤›n derecesi aras›nda bir iliflki olup olmad›¤›n› incelemek. Gereç ve yöntem: Akne vulgaris tan›s› konmufl 30 hasta ile 20 sa¤l›kl› kiflinin plazma örneklerinde ET-1 ve NOx ölçümlendi. Bulgular: Akne vulgarisli hastalarda kontrol grubuna göre plazma ET-1 ve NOx düzeyleri anlaml› (p< 0,01) bir art› fl gösterdi. Kontrol grubunda ET-1 ve NOx aras›nda zay›f, fakat anlaml› bir negatif korelasyon (r= -0,456, p< 0,05) bulundu. Çal›flma grubunda ise ET-1 ve NOx düzeyleri aras›nda bir korelasyon bulunmad› (r= -0,195, p= 0,302). Ayr›ca, çal›flma grubunda ET-1, NOx düzeyleri ve hastal›k süresi aras›nda anlaml› korelasyonlar (r= 0,412, p< 0,05 ve r= 0,570, p< 0,01) oldu¤u gözlendi. Akne lezyonlar›n›n derecesi ve ET-1, NOx düzeyleri aras›nda bir korelasyon bulunmad›. Sonuç: Akne vulgariste görülen plazma ET-1 ve NOx düzeylerindeki yükselifl muhtemelen artm›fl duktal hiperkornifikasyon, hiperkeratinizasyon ve sebum birikiminin sebebi ve/veya sonucu olabilir. Artm›fl olan ET-1 ve NOx üretimi keratinositlerde büyük olas›l›kla büyüme, sitotoksik ve mitojenik factor gibi davran›yor olabilir. Çal›flma grubunda ET-1 ve NOx aras›nda korelasyonun bulunmamas›, akne lezyonlar›n›n oluflmas›na yol açan bu iki parametre aras›ndaki dengenin bozuldu¤unu yans›tmaktad›r.
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