SERUM LIPID LEVELS AND BIOCHEMICAL CRITERION OF COPD PATIENTS IN RELATION TO SMOKING STATUS

Main Article Content

Dr Samarah Naeem
Dr Nawab Zada Khan
Dr Salman Khan
Sanam Abro
Dr Maheen Saad
Dr Fouzia Qadir

Keywords

Smoking status, COPD, Tobacco Consumption, Lipid Profile, Uric acid, Biochemical Parameters

Abstract

Background: Air pollution and tobacco use are known to be associated with chronic obstructive pulmonary disease (COPD), nevertheless the former is the most investigated and implicated risk factor for the condition. One of the recognized features of this long-term lung condition is that it mostly results from persistent airway inflammation. Research suggests that smoking may have an impact on lipid metabolism since it is associated with low levels of HDL cholesterol along with elevated levels of triglycerides. Being the most prevalent aqueous antioxidant, uric acid concentration is considered to indicate the body's ability to combat oxidative stress.  The purpose of our study was to determine the association of smoking status with biochemical markers and lipid profiles in COPD patients.


Methods: This prospective study was conducted at D.I Khan Medical College, there were sixty COPD patients in all, and they were split into three groups based on whether they smoked or not: non-smokers, smokers, and ex-smokers. The comprehensive demographics of the enrolled cases were documented upon obtaining informed written consent. The collected data were analyzed using SPSS 24.0.


Results: Serum urea concentrations (p <0.04), smoking status (smoker, non-smoker, or ex-smoker), total serum cholesterol values (p <0.03), and the total number of packs-years for the smoker/ex-smoker categories all showed low correlations with the stages of COPD (p ˂ 0.04).


Conclusion: In addition to elevated low-density lipoprotein cholesterol (LDL-CHOL) or decreased blood uric acid levels, we found that smoking was associated with alterations in the lipid profiles of smokers and ex-smokers.

Abstract 119 | Pdf Downloads 39

References

1. Quaderi SA, Hurst JR. The unmet global burden of COPD. Glob Health Epidemiol Genom. 2018;3:e4.
2. Murray CJ, Atkinson C, Bhalla K, Birbeck G, Burstein R, Chou D, Dellavalle R, Danaei G, Ezzati M, Fahimi A, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310(6):591–608.
3. Salvi S. Tobacco smoking and environmental risk factors for chronic obstructive pulmonary disease. Clin Chest Med. 2014;35(1):17–27.
4. Brutsche MH, Downs SH, Schindler C, Gerbase MW, Schwartz J, Frey M, Russi EW, Ackermann-Liebrich U, Leuenberger P, Team S. Bronchial hyperresponsiveness and the development of asthma and COPD in asymptomatic individuals: SAPALDIA cohort study. Thorax. 2006;61(8):671–
5. Petrache I, Natarajan V, Zhen L, Medler TR, Richter AT, Cho C, Hubbard WC, Berdyshev EV, Tuder RM. Ceramide upregulation causes pulmonary cell apoptosis and emphysema-like disease in mice. Nat Med. 2005;11(5):491–8.
6. Lambert AA, Putcha N, Drummond MB, Boriek AM, Hanania NA, Kim V, Kinney GL, McDonald MN, Brigham EP, Wise RA, et al. Obesity is associated with increased morbidity in moderate to severe COPD. Chest. 2017;151(1):68–77.
7. Chen H, Li Z, Dong L, Wu Y, Shen H, Chen Z. Lipid metabolism in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2019;14:1009–18.
8. Clements JA. Surface tension of lung extracts. Proc Soc Exp Biol Med. 1957;95(1):170–2.
9. Lusuardi M, Capelli A, Carli S, Tacconi MT, Salmona M, Donner CF. Role of surfactant in chronic obstructive pulmonary disease: therapeutic implications. Respiration. 1992;59(Suppl 1):28–32.
10. Wouters EFM. Obesity and metabolic abnormalities in chronic obstructive pulmonary disease. Ann Am Thorac Soc 2017; 14(Suppl. 5): S389–S394.
11. Ngamjarus C, Chongsuvivatwong V, McNeil E. n4Studies: sample size calculation for an epidemiological study on a smart device. Siriraj Med J; 2016; 68: 160–170.
12. Baffi CW, Wood L, Winnica D, et al. Metabolic syndrome and the lung. Chest 2016; 149: 1525–1534.
13. van Bragt J, Vijverberg SJH, Weersink EJM, Richards LB, Neerincx AH, Sterk PJ, Bel EHD, Maitland-van der Zee AH. Blood biomarkers in chronic airway diseases and their role in diagnosis and management. Expert Rev Respir Med. 2018;12(5):361–74.
14. Bafadhel M, McKenna S, Terry S, Mistry V, Reid C, Haldar P, McCormick M, Haldar K, Kebadze T, Duvoix A, et al. Acute exacerbations of chronic obstructive pulmonary disease: identification of biologic clusters and their biomarkers. Am J Respir Crit Care Med. 2011;184(6):662–71.
15. Kolsum U, Donaldson GC, Singh R, Barker BL, Gupta V, George L, Webb AJ, Thurston S, Brookes AJ, McHugh TD, et al. Blood and sputum eosinophils in COPD; relationship with bacterial load. Respir Res. 2017;18(1):88.
16. Dickens JA, Miller BE, Edwards LD, Silverman EK, Lomas DA, Tal-Singer R, Evaluation of CLtISEsi. COPD association and repeatability of blood biomarkers in the ECLIPSE cohort. Respir Res. 2011;12:146.
17. Y. Shen, T. Yang, S. Guo, X. Li, L. Chen, T. Wang, et al.Increased serum ox-LDL levels correlated with lung function, inflammation, and oxidative stress in COPD.Mediators Inflamm, 2013 (2013), p. 972347
18. Y. Yamaguchi, J. Haginaka, S. Morimoto, Y. Fujioka, M. Kunitomo.Facilitated nitration and oxidation of LDL in cigarette smokers.Eur J Clin. Invest, 35 (2005), pp. 186-193
19. Minas M., Kostikas K., Papaioannou A.I., Mystridou P., Karetsi E., Georgoulias P., Liakos N., Pournaras S., Gourgoulianis K.I. The Association of Metabolic Syndrome with Adipose Tissue Hormones and Insulin Resistance in Patients with COPD without Co-morbidities. COPD. 2011;8:414–420.
20. Trofor L., Crisan-Dabija R., Cioroiu M.E., Man M.A., Cioroiu M.E., Buculei I., Cernat R.-I., Stefanescu C., Trofor A.C. Evaluation of oxidative stress in smoking and non-smoking patients diagnosed with anxious-depressive disorder. Farmacia. 2020;68:82–89.
21. Bays H.E. Adiposopathy is sick fat a cardiovascular disease? J. Am. Coll. Cardiol. 2011;57:2461–2473.
22. Ettinger W.H., Klinefelter H.F., Kwiterovitch P.O. Effect of short-term, low-dose corticosteroids on plasma lipoprotein lipids. Atherosclerosis. 1987;63:167–172.
23. Dülger H., Dönder A., Şekeroğlu M.R., Erkoç R., Özbay B. Investigation of the Relationship between Serum Levels of Cotinine and the Renal Function in Active and Passive Smokers. Ren. Fail. 2011;33:475–479.
24. Orth S.R., Ritz E. The renal risks of smoking: An update. Curr. Opin. Nephrol. Hypertens. 2002;11:483–488.
25. Trofor L., Crisan-Dabija R., Cioroiu M.E., Man M.A., Cioroiu M.E., Buculei I., Cernat R.-I., Stefanescu C., Trofor A.C. Evaluation of oxidative stress in smoking and non-smoking patients diagnosed with anxious-depressive disorder. Farmacia. 2020;68:82–89.

Most read articles by the same author(s)