PMID- 33623872 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210225 IS - 2536-4553 (Electronic) IS - 2148-4902 (Print) IS - 2536-4553 (Linking) VI - 8 IP - 1 DP - 2021 TI - The relationship of ischemia-modified albumin levels to disease activity scores and HLA-B27 in patients with ankylosing spondylitis. PG - 42-48 LID - 10.14744/nci.2020.23590 [doi] AB - OBJECTIVE: Recent studies have implicated increased oxidative stress in the pathogenesis of Ankylosing spondylitis (AS). Ischemia-modified albumin (IMA), an altered form of albumin, increases oxidative stress. This study aimed to investigate the relationship between IMA levels and other indicators of disease severity in AS. METHODS: This study included 63 AS patients and 48 healthy controls. Patients were examined for serum lipid profile, C-reactive protein (CRP), complete blood count, Bath Ankylosing Spondylitis Disease Activity Index, human leukocyte antigen (HLA) B27, and treatment regimen. They were categorized based on disease activity, HLA-B27 status, and the drug treatment and compared for IMA levels. RESULTS: The patients had significantly higher IMA levels than controls (p=0.020); among patients, the levels were higher in those with active disease (p=0.001) and positively correlated with the CRP levels. No significant difference was found between the IMA levels of the patients with different HLA-B27 status or treatment method. CONCLUSION: The IMA levels were higher in patients than controls and further increased in patients with active AS. IMA was associated with disease activity and can be used as an inflammatory marker in AS. More comprehensive future studies with a larger sample size may help understand the relationship in greater detail. CI - Copyright: (c) 2021 by Istanbul Northern Anatolian Association of Public Hospitals. FAU - Sertpoyraz, Filiz Meryem AU - Sertpoyraz FM AD - Department of Physical Medicine and Rehabilitation, Health Science University Izmir Training and Research Hospital, Izmir, Turkey. FAU - Colak, Ayfer AU - Colak A AD - Department of Biochemistry, Health Science University Izmir Training and Research Hospital, Izmir, Turkey. FAU - Dikici, Aylin AU - Dikici A AD - Department of Physical Medicine and Rehabilitation, Health Science University Izmir Training and Research Hospital, Izmir, Turkey. FAU - Gunduz, Nihan Erdinc AU - Gunduz NE AD - Department of Physical Medicine and Rehabilitation, Health Science University Izmir Training and Research Hospital, Izmir, Turkey. FAU - Aksit, Merve Zeytinli AU - Aksit MZ AD - Department of Biochemistry, Health Science University Izmir Training and Research Hospital, Izmir, Turkey. LA - eng PT - Journal Article DEP - 20201124 PL - Turkey TA - North Clin Istanb JT - Northern clinics of Istanbul JID - 101684520 PMC - PMC7881419 OTO - NOTNLM OT - Ankylosing spondylitis OT - disease activity OT - ischemia-modified albumin COIS- Conflict of Interest: No conflict of interest was declared by the authors. EDAT- 2021/02/25 06:00 MHDA- 2021/02/25 06:01 PMCR- 2020/11/24 CRDT- 2021/02/24 05:45 PHST- 2019/11/29 00:00 [received] PHST- 2020/06/08 00:00 [accepted] PHST- 2021/02/24 05:45 [entrez] PHST- 2021/02/25 06:00 [pubmed] PHST- 2021/02/25 06:01 [medline] PHST- 2020/11/24 00:00 [pmc-release] AID - NCI-8-42 [pii] AID - 10.14744/nci.2020.23590 [doi] PST - epublish SO - North Clin Istanb. 2020 Nov 24;8(1):42-48. doi: 10.14744/nci.2020.23590. eCollection 2021.