OPİYAT KULLANIM BOZUKLUĞU HASTALARINDA İNFLAMASYON: NÖTROFİL/LENFOSİT, MONOSİT/LENFOSİT, TROMBOSİT/LENFOSİT, MONOSİT/LENFOSİT ORANLARI VE ORTALAMA TROMBOSİT HACMİ
PDF

Anahtar Kelimeler

Opiyat kullanım bozukluğu
inflamasyon
nötrofil/lenfosit oranı

Öz

Amaç: Bu çalışmada; Opiyat Kullanım Bozukluğu (OpKB) tanılı hastaların nötrofil/lenfosit (NLO), platelet/lenfosit (PLO), monosit/lenfosit (PLO) oranı gibi periferik inflamasyon belirteçlerini kontroller ile karşılaştırarak retrospektif incelemeyi amaçladık.
Yöntem: Çalışmaya; 201 kişi (101 kişi OpKB ve 100 kontrol) alındı. Tüm katılımcıların yaş, cinsiyet gibi demografik verilerini içeren demografik veri formu oluşturuldu. Sonrasında tam kan sayımı ile değerlendirilen laboratuvar parametreleri incelendi.
Bulgular: Tüm katılımcılar erkek ve yaş ortalaması 30,68±10,60 idi. Hasta grubunun hemoglobin değeri 14,78±1,29, hematokrit değeri 44,02±3,70 olarak hesap edildi. Yine hastalarda eritrosit 5,00±0,39 ve RDW-SD 43,90±4,26 ile sağlıklı kontrollerden yüksekti. NLO, MLO ve PLO değerleri hasta grubunda sağlıklı kontrollere göre düşük olarak hesap edildi.
Sonuç: OpKB hastalarında bazı inflamatuvar parametrelerinde değişiklikler olduğu gösterilmiştir. İnflamatuvar parametrelerindeki bu değişikliklere bağlı oluşabilecek komplikasyonlar; hem tedavi planı hem hastanın semptomlarının değerlendirilmesinde dikkate alınmalıdır.

PDF

Referanslar

Tarabar AF, Nelson LS. The resurgence and abuse of heroin by children in the United States. Curr Opin Pediatr 2003; 15(2): 210-215.

Bailey A, Yuferov V, Bendor J, et al. Immediate withdrawal from chronic “binge” cocaine administration increases mu-opioid receptor mRNA levels in rat frontal cortex. Brain Res Mol Brain Res 2005; 137(1-2): 258-262.

Rudd RA, Seth P, David F, Scholl L. Increases in drug and opioid-involved overdose deaths-United States, 20102015. MMWR Morb Mortal Wkly Rep 2016; 65(50-51): 1445-1452.

Webster LR. Risk factors for opioid-use disorder and overdose. Anesth Analg 2017; 125(5): 1741-1748.

Sharma B, Bruner A, Barnett G, Fishman M. Opioid use disorders. Child Adolesc Psychiatr Clin N Am 2016; 25(3): 473-487.

Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the future national survey results on drug use, 1975-2010. Volume I, Secondary School Students. Institute For Social Research, The University of Michigan; Ann Arbor, Michigan, USA: 2011.

Goldman D, Oroszi G, Ducci F. The genetics of addictions: uncovering the genes. Nat Rev Genet 2005; 6(7): 521532.

Strang J, Volkow ND, Degenhardt L, et al. Opioid use disorder. Nat Rev Dis Primers 2020; 6(1): 1-28.

Hawkins J, Catalano R, Miller J. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychol Bull 1992; 112(1): 64-105.

Meier A, Lambert-Harris C, McGovern M, et al. Co-occurring prescription opioid use problems and posttraumatic stress disorder symptom severity. Am J Drug Alcohol Abuse 2014; 40(4): 304-311.

Müller N. Inflammation in schizophrenia: pathogenetic aspects and therapeutic considerations. Schizophr Bull 2018; 44(5): 973-982.

Muneer A. Bipolar disorder: role of inflammation and the development of disease biomarkers. Psychiatry Investig 2016; 13(1): 18-33.

Michopoulos V, Powers A, Gillespie CF, et al. Inflammation in fear- and anxiety-based disorders: PTSD, GAD, and beyond. Neuropsychopharmacology 2017; 42(1): 254-270.

Sunbul M, Gerin F, Durmus E, et al. Neutrophil to lymphocyte and platelet to lymphocyte ratio in patients with dipper versus non-dipper hypertension. Clin Exp Hypertens 2014; 36(4): 217-221.

Soder HE, Berumen AM, Gomez KE, et al. Elevated neutrophil to lymphocyte ratio in older adults with cocaine use disorder as a marker of chronic inflammation. Clin Psychopharmacol Neurosci 2020; 18(1): 32-40.

Demir B, Kocamer-Sahin S, Ozsoy F, et al. Neutrophil-lymphocyte ratio and platelet-lymphocyte ratio in methamphetamine use disorder. Psychiatr Clin Psychopharmacol 2021; 31(1): 34-39.

Omar YA, Randhawa T, Attar B, et al. Prognostic value of neutrophil-lymphocyte ratio in patients with severe alcoholic hepatitis. Cureus 2019; 11(11): 6141-6151.

Salarian A, Kadkhodaee M, Zahmatkesh M, et al. Opioid use disorder induces oxidative stress and inflammation: the attenuating effect of methadone maintenance treatment. Iranian J Psychiatry 2018; 13(1): 46-54.

Baykara S, Şirin Berk Ş, Kaya Ş, Ocak D. Evaluation of complete blood cell count parameters and lymphocyte-related ratios in patients with Opioid Use Disorder. J Immunoassay Immunochem 2022; 43(3): 259-270.

Fecho K, Maslonek KA, Dykstra LA, Lysle DT. Assessment of the involvement of central nervous system and peripheral opioid receptors in the immunomodulatory effects of acute morphine treatment in rats. J Pharmacol Exp Ther 1996; 276(2): 626-636.

Orum MH, Kara MZ. Platelet to lymphocyte ratio (PLR) in alcohol use disorder. J Immunoassay Immunochem 2020; 41(2): 184-194.

Nakanishi N, Yoshida H, Okamoto M, et al. Association of alcohol consumption with white blood cell count: A study of Japanese male office workers. J Intern Med 2003; 253(3): 367-374.

Cıcek E, Demırel B, Cıcek IE, et al. Increased neutrophil-lymphocyte and platelet-lymphocyte ratios in male heroin addicts: a prospective controlled study. Clin Psychopharmacol Neurosci 2018; 16(2): 190-196.

Orum MH, Kara MZ. Monocyte-to-lymphocyte ratio and platelet-to-lymphocyte ratio in opioid use disorder and marijuana use disorder. Dusunen Adam 2020; 33(2): 139-145.

Ransing RS, Patil B, Grigo O. Mean platelet volume and platelet distribution width level in patients with panic disorder. J Neurosci Rural Pract 2017; 8(2): 174-178.

Guzel D, Yazici AB, Yazici E, Erol A. Alterations of the hematologic cells in synthetic cannabinoid users. J Clin Lab Anal 2017; 31(6): 1-7.

Castaneira G, Rojas K, Galili Y, et al. Idiopathic thrombocytopenic purpura induced by synthetic cannabinoid. J Addict Med 2019; 13(3): 235-236.

Brantl SA, Khandoga AL, Siess W. Mechanism of platelet activation induced by endocannabinoids in blood and plasma. Platelets 2014; 5(3): 151-161.

De Angelis V, Koekman AC, Weeterings C, et al. Endocannabinoids control platelet activation and limit aggregate formation under flow. PLoS One 2014; 9(9): e108282..

Kulu M, Özsoy F, Demir B. Alkol ve madde kullanım bozukluğu tanılı hastalarda inflamasyon düzeyleri. Çukurova Tıp Derg 2021; 46(4): 1558-1565.

Marazziti D, Torrigiani S, Carbone MG, et al. Neutrophil/lymphocyte, platelet/lymphocyte and monocyte/lymphocyte ratios in mood disorders. Curr Med Chemistry 2022; 29(36): 5758-5781..

Zhu X, Zhou J, Zhu Y, et al. Neutrophil/lymphocyte, platelet/lymphocyte and monocyte/lymphocyte ratios in schizophrenia. Australas Psychiatry 2021; 30(1): 95-99.

Mazza MG, Lucchi S, Rossetti A, Clerici M. Neutrophil-lymphocyte ratio, monocyte-lymphocyte ratio and plateletlymphocyte ratio in non-affective psychosis: a meta-analysis and systematic review. World J Biol Psychiatry 2020; 21(5): 326-338.

Baykara S, Kaya Ş, Berk SS. Complete blood count parameters and lymphocyte-related ratios in patients with alcohol use disorder. J Addict Depend 2019; 20(4): 206-213.

Fecho K, Nelson CJ, Lysle DT. Phenotypic and functional assessments of immune status in the rat spleen following acute heroin treatment. Immunopharmacology 2000; 46(3): 193-207.

Pérez-Castrillón JL, Pérez-Arellano JL, García-Palomo JD, et al. Opioids depress in vitro human monocyte chemotaxis. Immunopharmacol 1992; 23(1): 57-61.

Creative Commons License

Bu çalışma Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License ile lisanslanmıştır.

Telif Hakkı (c) 2025 Bağımlılık Dergisi

##plugins.themes.healthSciences.displayStats.downloads##

##plugins.themes.healthSciences.displayStats.noStats##