Brazilian Journal of Pathology and Laboratory Medicine

Malondialdehyde Levels and Ferric Reducing Ability of Plasma in Non-Alcoholic Fatty Liver Disease Patients: A Biomarker Study

Roaa Emad Ali
Department of Medical Chemistry, College of Medicine, University of Al -Qadisiyah, Al-Diwaniyah, Iraq

Ajile A. Alzamily
Department of Medical Chemistry, College of Medicine, University of Al -Qadisiyah, Al-Diwaniyah, Iraq

Osama M. Al Obaidi
Department of biotechnology College of biotechnology, university of Al-Qadisiyah, Al-Diwaniyah, Iraq

ABSTRACT

Background: Oxidative stress, defined as an imbalance between the production of free radicals and the body's ability to neutralize them with antioxidants, is a key contributor to the pathogenesis of Non-Alcoholic Fatty Liver Disease (NAFLD). Malondialdehyde (MDA), a marker of lipid peroxidation, and the Ferric Reducing Ability of Plasma (FRAP), a measure of total antioxidant potential, are critical biomarkers for assessing oxidative stress in NAFLD. Objective: This study aimed to evaluate serum MDA and FRAP levels in NAFLD patients to explore their potential as biomarkers for oxidative stress and antioxidant status. Methodology: A case-control study was conducted from December 2023 to March 2024, involving 120 NAFLD patients (mean age 51.62 ± 11.25 years) and 60 healthy controls (mean age 50.15 ± 9.56 years). Serum MDA levels were measured as an indicator of lipid peroxidation, while FRAP levels were assessed to evaluate total antioxidant capacity. Results: NAFLD patients demonstrated significantly lower FRAP levels compared to the control group (p < 0.05), indicating reduced antioxidant potential. Conversely, MDA levels were significantly higher in the NAFLD group, reflecting increased oxidative stress and lipid peroxidation. Conclusion: Elevated MDA and reduced FRAP levels are strongly associated with oxidative stress in NAFLD patients. These findings highlight the potential utility of MDA and FRAP as biomarkers for monitoring disease progression and evaluating therapeutic interventions targeting oxidative stress in NAFLD.

Keywords: NAFLD, Malondialdehyde (MDA), Ferric-Reducing Ability of Plasma (FRAP) and Reactive Oxygen Species (ROS).

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