Evidence map›Paper›PMID 41393733›Full record

ArticleCureus2025

Erythrocyte Glutathione/Redox Balance and Serum Thiol/Disulfide Homeostasis in Hepatitis B and Hepatocellular Carcinoma.

Nuray Uremis, Kadir Gisi, Teoman Sakalar, Fatma Inanc Tolun

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nuray UremisDepartment of Medical Biochemistry, Kahramanmaras Sutcu Imam University, Kahramanmaras, TUR.
Kadir GisiDepartment of Gastroenterology, Kahramanmaras Sutcu Imam University, Kahramanmaras, TUR.
Teoman SakalarDepartment of Medical Oncology, Kahramanmaras Sutcu Imam University, Kahramanmaras, TUR.
Fatma Inanc TolunDepartment of Medical Biochemistry, Kahramanmaras Sutcu Imam University, Kahramanmaras, TUR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Oxidative stress and imbalance in thiol-disulfide homeostasis play a crucial role in the pathogenesis and progression of liver-related diseases. This study aimed to determine the thiol-based redox system and glutathione homeostasis by evaluating erythrocyte glutathione (GSH), superoxide dismutase (SOD), total antioxidant status (TAS), total oxidant status (TOS), and malondialdehyde (MDA) levels and serum thiol/disulfide and GSH parameters in patients with hepatitis B virus (HBV) and hepatocellular carcinoma (HCC). Methodology The study included 60 HBV and 22 HCC patients and 40 healthy subjects. SOD, TAS, TOS, oxidative stress index (OSI), MDA, GSH, total thiol, native thiol, and disulfide levels were measured to determine serum and erythrocyte oxidant/antioxidant balance. The relationship between these biomarkers and liver function tests was evaluated. Results In the serum of HBV and HCC patients, significant increases were observed in MDA, TOS, and OSI levels. In contrast, significant decreases were noted in GSH, SOD, TAS, total thiol, and native thiol levels. Oxidant-antioxidant parameters in erythrocytes paralleled those in serum. In HBV patients, alanine aminotransferase and lactate dehydrogenase levels were negatively correlated with TOS and OSI. In addition, a positive correlation was found between hepatitis B surface antigen levels and total thiol and native thiol levels. MDA, SOD, and total thiol levels showed high diagnostic performance in the diagnosis of HCC with area under the curve values of 0.993, 0.800, and 0.815, respectively. Conclusions Measurement of serum thiol-disulfide balance and erythrocyte SOD, MDA, and TOS levels may be helpful in the diagnosis of HBV and HCC. Antioxidant support that increases GSH and thiol levels is a critical approach to prevent disease progression.

Indexed as

antioxidantglutathionehepatitis bhepatocellular carcinomaoxidative stressthiol

Identifiers

PMID41393733
PMCPMC12701706

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.