An exploratory study of neopterin and kynurenine pathway in pterygium

Pterygium is an inflammatory, vascular and degenerative disorder with unknown aetiology. The aim of this study was to evaluate the changes in neopterin levels, reflecting T-cell immunity, and the kynurenine pathway, the main degradation process of tryptophan, in pterygium. For this purpose, neopteri...

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Main Authors: Kilicarslan Bilge, Cardak Aziz, Girgin Gozde, Kemer Ozlem Evren, Baydar Terken
Format: Article
Language:English
Published: De Gruyter 2019-08-01
Series:Pteridines
Subjects:
Online Access:https://doi.org/10.1515/pteridines-2019-0019
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author Kilicarslan Bilge
Cardak Aziz
Girgin Gozde
Kemer Ozlem Evren
Baydar Terken
author_facet Kilicarslan Bilge
Cardak Aziz
Girgin Gozde
Kemer Ozlem Evren
Baydar Terken
author_sort Kilicarslan Bilge
collection DOAJ
description Pterygium is an inflammatory, vascular and degenerative disorder with unknown aetiology. The aim of this study was to evaluate the changes in neopterin levels, reflecting T-cell immunity, and the kynurenine pathway, the main degradation process of tryptophan, in pterygium. For this purpose, neopterin concentrations were measured in serum and tear samples by enzyme-linked immunosorbent assay (ELISA) in pterygium patients (n=31) and control group (n=32). Kynurenine (KYN) and tryptophan (TRP) serum levels were simultaneously determined by high-performance liquid chromatography (HPLC) for evaluation of the kynurenine pathway. Serum neopterin concentrations and kynurenine to tryptophan ratio (KYN/TRP) as an index of tryptophan breakdown were found increased in pterygium compared to controls (p<0.05). Although there was a 3-fold difference observed between serum and tear neopterin levels, no significant relationship was found. It can be concluded that neopterin may be used as a nonspecific biomarker that reflects immunological activity in pterygium and has clinical potential for evaluation of pterygium pathogenesis. These immune- or inflammatory-mediated changes were also supported by an increased KYN/TRP ratio in pterygium patients.
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spelling doaj.art-3a0f0ca0b88e4b89a6f0833960daed0f2022-12-21T21:34:46ZengDe GruyterPteridines0933-48072195-47202019-08-0130115315710.1515/pteridines-2019-0019pteridines-2019-0019An exploratory study of neopterin and kynurenine pathway in pterygiumKilicarslan Bilge0Cardak Aziz1Girgin Gozde2Kemer Ozlem Evren3Baydar Terken4Department of Toxicology, Faculty of Pharmacy, Hacettepe University, 90-06100, Ankara, TurkeyOphthalmology Clinic, Numune Research and Education Hospital, 90-06230, Ankara, TurkeyDepartment of Toxicology, Faculty of Pharmacy, Hacettepe University, 90-06100, Ankara, TurkeyOphthalmology Clinic, Numune Research and Education Hospital, 90-06230, Ankara, TurkeyDepartment of Toxicology, Faculty of Pharmacy, Hacettepe University, 90-06100, Ankara, TurkeyPterygium is an inflammatory, vascular and degenerative disorder with unknown aetiology. The aim of this study was to evaluate the changes in neopterin levels, reflecting T-cell immunity, and the kynurenine pathway, the main degradation process of tryptophan, in pterygium. For this purpose, neopterin concentrations were measured in serum and tear samples by enzyme-linked immunosorbent assay (ELISA) in pterygium patients (n=31) and control group (n=32). Kynurenine (KYN) and tryptophan (TRP) serum levels were simultaneously determined by high-performance liquid chromatography (HPLC) for evaluation of the kynurenine pathway. Serum neopterin concentrations and kynurenine to tryptophan ratio (KYN/TRP) as an index of tryptophan breakdown were found increased in pterygium compared to controls (p<0.05). Although there was a 3-fold difference observed between serum and tear neopterin levels, no significant relationship was found. It can be concluded that neopterin may be used as a nonspecific biomarker that reflects immunological activity in pterygium and has clinical potential for evaluation of pterygium pathogenesis. These immune- or inflammatory-mediated changes were also supported by an increased KYN/TRP ratio in pterygium patients.https://doi.org/10.1515/pteridines-2019-0019ocular pathologytryptophantearindoleamine 2,3-dioxygenaseeye disease
spellingShingle Kilicarslan Bilge
Cardak Aziz
Girgin Gozde
Kemer Ozlem Evren
Baydar Terken
An exploratory study of neopterin and kynurenine pathway in pterygium
Pteridines
ocular pathology
tryptophan
tear
indoleamine 2,3-dioxygenase
eye disease
title An exploratory study of neopterin and kynurenine pathway in pterygium
title_full An exploratory study of neopterin and kynurenine pathway in pterygium
title_fullStr An exploratory study of neopterin and kynurenine pathway in pterygium
title_full_unstemmed An exploratory study of neopterin and kynurenine pathway in pterygium
title_short An exploratory study of neopterin and kynurenine pathway in pterygium
title_sort exploratory study of neopterin and kynurenine pathway in pterygium
topic ocular pathology
tryptophan
tear
indoleamine 2,3-dioxygenase
eye disease
url https://doi.org/10.1515/pteridines-2019-0019
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