A Comparison of Thiol/Disulphide Levels of Workers in Operating Rooms and Emergency Healthcare Centers

Objective: Thiol/disulphide homeostasis has a crucial role for life. The aim of this study was to compare thiol/disulphide homeostasis in healthcare professionals working in the operating room (Group 1) and healthcare professionals working in the emergency department (Group 2). Materials-Methods: This was a descriptive study. Fortynine operating room volunteers (Group 1) and 49 emergency department volunteers (Group 2) were included in this study. Thiol and disulphide concentrations were measured using the novel automated measurement method developed by Erel & Neşelioğlu in 2014. Result: The thiol/disulphide levels were compared in both groups; Native thiol in group 1 was 353,57 ± 49,86 μmol.L-1, and it was  333,73 ± 37,38 μmol.L-1 (p = 0.028) in group 2. total thiol values were 384,71 ± 52,36 μmol.L⁻¹ and 370,94 15,56 ± 5,36 μmol.L-1(P =0,133), respectively in group 1 and 2. In group 1,disulphide levels were  15,56±5,36 μmol.L-1,  in  group 2 it was  18,61 ± 7,71 μmol.L-1 (p = 0,025), disulphide/native thiol in  group 1 was 4,47 ± 1 %, and in  group 2 it was measured %, 5,73 ± 2,95% (p = 0.009). Disulphide/total thiol in the group 1 was 4,06 ± 1,32% and 5,03 ± 2,13% (p = 0,008) in group 2. Native thiol / total thiol levels were 90,23 ± 12,16% in group 1  and 89,93 ± 4,26% in  group 2 (p = 0,871). Native thiol level in group 1 and high level of disulphide in group 2 indicate that the exposure to oxidative stress in the emergency department is higher than in the operating room. Conclusion: Our results show that participants of emergency room group have statistically higher levels of disulphide than participants working in operating room which may suggest presence of oxidative stress related with workplace exposures.   Key Words: Health personnel, oxidative stress, thiol/disulphide homeostasis.    

[1]  A. Elhan,et al.  Evaluation of the level of dynamic thiol/disulphide homeostasis in adolescent patients with newly diagnosed primary hypertension , 2018, Pediatric Nephrology.

[2]  J. R. Braz,et al.  Occupational hazards, DNA damage, and oxidative stress on exposure to waste anesthetic gases , 2017, Revista brasileira de anestesiologia.

[3]  O. Erel,et al.  A novel oxidative stress marker in patients with Alzheimer’s disease: dynamic thiol–disulphide homeostasis , 2016, Acta Neuropsychiatrica.

[4]  O. Erel,et al.  Dynamic thiol/disulphide homeostasis in patients with newly diagnosed primary hypertension. , 2016, Journal of the American Society of Hypertension : JASH.

[5]  M. Comini Measurement and meaning of cellular thiol:disufhide redox status , 2016, Free radical research.

[6]  M. Çetin,et al.  Association of thiol/disulfide ratio with syntax score in patients with NSTEMI , 2015, Scandinavian cardiovascular journal : SCJ.

[7]  O. Erel,et al.  A novel and automated assay for thiol/disulphide homeostasis. , 2014, Clinical biochemistry.

[8]  B. Pepłońska,et al.  Relationship between intensity of night shift work and antioxidant status in blood of nurses , 2012, International Archives of Occupational and Environmental Health.

[9]  M. Dal,et al.  The effect of day and night shifts on oxidative stress and anxiety symptoms of the nurses. , 2012, European review for medical and pharmacological sciences.

[10]  Omid Aminian,et al.  Shift work as an oxidative stressor , 2005, Journal of circadian rhythms.

[11]  M. Abdollahi,et al.  Oxidative stress in operating room personnel: occupational exposure to anesthetic gases , 2005, Human & experimental toxicology.

[12]  J. McCord,et al.  The evolution of free radicals and oxidative stress. , 2000, The American journal of medicine.

[13]  S. Guler,et al.  Determination of thiol/disulphide homeostasis in type 1 diabetes mellitus and the factors associated with thiol oxidation , 2015, Endocrine.

[14]  Yousef Rezaei Chianeh,et al.  Protein Thiols as an Indicator of Oxidative Stress Oksidatif Stresin Bir Göstergesi Olarak Protein Thioller , 2014 .

[15]  S. Kumar Free Radicals and Antioxidants: Human and Food System , 2011 .

[16]  D. Leibfritz,et al.  Free radicals and antioxidants in normal physiological functions and human disease. , 2007, The international journal of biochemistry & cell biology.