The Study of Influence of Psychosocial Rehabilitation on the Immunomodulatory Role of Alcohol Dependence, on Neutrophil Oxidative Burst Mechanism

Sanjay M. Goudar
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Abstract

Background: Alcohol is known to affect the immune system in diverse ways. Various studies have brought to light changes in both innate and acquired immunity in alcohol dependant subjects, making them more vulnerable to infections as compared to the general population. Objective: The current study emphasizes on the impact of alcohol on neutrophil oxidative burst mechanism and the changes in the same after a period of abstinence. Method: of the 25 alcohol dependant subjects, 21 subjects who met the inclusion and exclusion criteria were included in the study. SADQ questionnaire was administered to group them into mild, moderate and severely dependant. Their blood samples were collected before and after a psychosocial rehabilitation programme and studied for neutrophil oxidative burst phenomenon using nitro blue tetrazolium dye reduction test. Result: There was an increase in oxidative burst in all the subjects after the rehabilitation, however the increase was significant in mild and moderately alcohol dependant subjects. Conclusion: The impaired oxidative burst in alcohol dependant subjects may pave a way for infections. Hence an early detection of dysregulated immunity in alcohol dependant subjects may help decrease the morbidity and mortality.
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心理社会康复对酒精依赖免疫调节作用及中性粒细胞氧化应激机制影响的研究
背景:众所周知,酒精会以多种方式影响免疫系统。各种研究揭示了酒精依赖性受试者先天免疫和后天免疫的变化,使他们与普通人群相比更容易感染。目的:本研究着重探讨酒精对中性粒细胞氧化应激机制的影响及其在戒除一段时间后的变化。方法:在25名酒精依赖性受试者中,21名符合纳入和排除标准的受试者被纳入研究。SADQ问卷将他们分为轻度、中度和重度依赖者。在心理社会康复计划前后采集他们的血样,并使用硝基蓝四氮唑染料还原试验研究中性粒细胞氧化爆发现象。结果:康复后,所有受试者的氧化应激都有所增加,但轻度和中度酒精依赖性受试者则显著增加。结论:酒精依赖性受试者氧化应激受损可能为感染铺平道路。因此,早期发现酒精依赖性受试者的免疫失调可能有助于降低发病率和死亡率。
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