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題名 Comparison of Oxidative DNA Damage Between Alcohol-Dependent Patients With and Without Delirium Tremens
作者 Pan, Chun-Hung
潘俊宏
Huang, M.-C.
Chen, C.-C.
貢獻者 心理系
關鍵詞 8-Hydroxy-2-Deoxyguanosine; Alcohol Dependence; Alcohol Withdrawal; Delirium Tremens; Oxidative Stress
日期 2014-10
上傳時間 2-Jun-2015 17:03:33 (UTC+8)
摘要 Background: Chronic and excessive alcohol consumption increases oxidative stress. We previously found that levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG), a marker of oxidative DNA damage, are elevated in alcohol-dependent patients without delirium tremens (DTs). The aim of this study was to compare serum 8-OHdG levels between alcohol-dependent patients with and without DTs. Methods: We recruited 16 alcohol-dependent patients with DTs (DTs group) and 58 patients without DTs (non-DTs group). Alcohol withdrawal severity was evaluated using the Chinese version of the revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar-C) every 8 hours. Serum levels of 8-OHdG and other biological indices were assayed at baseline and after 1 week of detoxification. Results: The mean 8-OHdG level in the DTs group was significantly higher than that in the non-DTs group (0.50 vs. 0.34 ng/ml, p < 0.001). A significant correlation was found between the highest CIWA-Ar-C scores and serum 8-OHdG levels (β = 0.43, p = 0.001) in the non-DTs group, but not in the DTs group (β = 0.34, p = 0.19). An area under receiver operating characteristic curve of 0.83 suggests that 8-OHdG levels potentially differentiate patients with DTs from those without DTs. After dividing the patients into quartiles by 8-OHdG level, we found that compared to the patients in the third and fourth quartiles, the patients in the highest quartile had an odds ratio of 24.1 (p < 0.001) to have DTs, while those in the second highest quartile had an odds ratio of 3.5 (p = 0.19). Serum 8-OHdG levels did not significantly change after 1 week of detoxification in either group. Conclusions: Alcohol-dependent patients with DTs have higher serum 8-OHdG levels than those without DTs, suggesting that higher oxidative stress carries a greater risk of the occurrence of DTs.
關聯 Alcoholism: Clinical and Experimental Research, 38(10), 2523-2528
資料類型 article
DOI http://dx.doi.org/10.1111/acer.12539
dc.contributor 心理系-
dc.creator (作者) Pan, Chun-Hung-
dc.creator (作者) 潘俊宏zh_TW
dc.creator (作者) Huang, M.-C.en_US
dc.creator (作者) Chen, C.-C.en_US
dc.date (日期) 2014-10-
dc.date.accessioned 2-Jun-2015 17:03:33 (UTC+8)-
dc.date.available 2-Jun-2015 17:03:33 (UTC+8)-
dc.date.issued (上傳時間) 2-Jun-2015 17:03:33 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/75518-
dc.description.abstract (摘要) Background: Chronic and excessive alcohol consumption increases oxidative stress. We previously found that levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG), a marker of oxidative DNA damage, are elevated in alcohol-dependent patients without delirium tremens (DTs). The aim of this study was to compare serum 8-OHdG levels between alcohol-dependent patients with and without DTs. Methods: We recruited 16 alcohol-dependent patients with DTs (DTs group) and 58 patients without DTs (non-DTs group). Alcohol withdrawal severity was evaluated using the Chinese version of the revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar-C) every 8 hours. Serum levels of 8-OHdG and other biological indices were assayed at baseline and after 1 week of detoxification. Results: The mean 8-OHdG level in the DTs group was significantly higher than that in the non-DTs group (0.50 vs. 0.34 ng/ml, p < 0.001). A significant correlation was found between the highest CIWA-Ar-C scores and serum 8-OHdG levels (β = 0.43, p = 0.001) in the non-DTs group, but not in the DTs group (β = 0.34, p = 0.19). An area under receiver operating characteristic curve of 0.83 suggests that 8-OHdG levels potentially differentiate patients with DTs from those without DTs. After dividing the patients into quartiles by 8-OHdG level, we found that compared to the patients in the third and fourth quartiles, the patients in the highest quartile had an odds ratio of 24.1 (p < 0.001) to have DTs, while those in the second highest quartile had an odds ratio of 3.5 (p = 0.19). Serum 8-OHdG levels did not significantly change after 1 week of detoxification in either group. Conclusions: Alcohol-dependent patients with DTs have higher serum 8-OHdG levels than those without DTs, suggesting that higher oxidative stress carries a greater risk of the occurrence of DTs.-
dc.format.extent 193680 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Alcoholism: Clinical and Experimental Research, 38(10), 2523-2528-
dc.subject (關鍵詞) 8-Hydroxy-2-Deoxyguanosine; Alcohol Dependence; Alcohol Withdrawal; Delirium Tremens; Oxidative Stress-
dc.title (題名) Comparison of Oxidative DNA Damage Between Alcohol-Dependent Patients With and Without Delirium Tremens-
dc.type (資料類型) articleen
dc.identifier.doi (DOI) 10.1111/acer.12539-
dc.doi.uri (DOI) http://dx.doi.org/10.1111/acer.12539-