Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : February | Volume : 12 | Issue : 2 | Page : BC01 - BC05

Association of Serum Homocysteine and hs-CRP with Idiopathic Generalised Epilepsy and Duration of Antiepileptic Drug Therapy

DKV Prasad, TS Prabhakararao, U Satyanarayana, T Surya Prabha, Anjana Munshi

1. Assistant Professor, Department of Biochemistry, NRI Institute of Medical Sciences, Visakhapatnam, Andhra Pradesh, India. 2. Professor, Department of Paediatrics, NRI Institute of Medical Sciences, Visakhapatnam, Andhra Pradesh, India. 3. Professor, Director Research, Department of Biochemistry, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences, Gannavaram, Andhra Pradesh, India. 4. Associate Professor, Department of Neurology, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India. 5. Professor, Department of Human Genetics, Central University of Punjab, Bathinda, Punjab, India.

Correspondence Address :
Dr. DKV Prasad,
Assistant Professor, Department of Biochemistry, NRI Institute of Medical Sciences, Anil Neerukonda Hospital,
Bheemunipatnam (Mandal), Sangivalasa, Visakhapatnam-531162, Andhra Pradesh, India.
E-mail: drprasaddkv@yahoo.co.in

Abstract

Introduction: Several human and experimental studies have revealed that chronic inflammation may play a vital role in neurodegenerative processes including epilepsy. There is accumulating evidence that inflammatory processes affect the pathophysiology of different epilepsy types.

Aim: To assess the concentrations of Homocysteine (Hcy) and High Sensitivity C-Reactive Protein (hs-CRP) in Idiopathic Generalised Epilepsy (IGE) patients and their association with IGE and duration of the Anti Epileptic Drugs (AEDs).

Materials and Methods: This case-control study consisted of 100 IGE patients (50 tonic–clonic, 15 absence and 35 myoclonic seizures) and equal number of healthy controls. Hcy levels were assayed by Centaur XP using ADVIA centaur Hcy; whereas hs-CRP levels by ELISA method using commercially available kits.

Results: The Hcy and hs-CRP levels were significantly increased in both the patient groups (<18 years and >18 years). Significant difference in the levels of Hcy was observed between different epilepsy types of <18 years patients (p=0.01), whereas hs-CRP in >18 years patients (<0.05). Significantly elevated levels of hs-CRP were noticed in non-responders group compared to responders (<0.05). There was a positive correlation between hs-CRP and Hcy (R2=0.44 and p<0.001) and significant difference in the levels of Hcy and hs-CRP was observed in the patient subgroups who were on AEDs for different time periods (=1 year, 1- =5 years and >5 years) (p=0.002 and p<0.05 respectively) since, AEDs can induce oxidative stress.

Conclusion: Hyperhomocysteinaemia (Hyper-Hcy) can induce as well as promote oxidative stress and hence, it can be implicated in neurodegeneration in epilepsy. Elevated levels of hs-CRP in non-responders may be resulted by the contribution of inflammatory pathways in ictogenesis in epileptic tissue, causing intractable epilepsy.

Keywords

Anti epileptic drugs, Hyperhomocysteinaemia, Neurodegeneration, Oxidative stress

How to cite this article :

DKV Prasad, TS Prabhakararao, U Satyanarayana, T Surya Prabha, Anjana Munshi. ASSOCIATION OF SERUM HOMOCYSTEINE AND HS-CRP WITH IDIOPATHIC GENERALISED EPILEPSY AND DURATION OF ANTIEPILEPTIC DRUG THERAPY. Journal of Clinical and Diagnostic Research [serial online] 2018 February [cited: 2018 May 26 ]; 12:BC01-BC05. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=February&volume=12&issue=2&page=BC01-BC05&id=11148

DOI and Others

DOI: 10.7860/JCDR/2018/30001.11148

Date of Submission: May 10, 2017
Date of Peer Review: Jun 19, 2017
Date of Acceptance: Aug 24, 2017
Date of Publishing: Feb 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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