Porphyrin in metabolic syndrome

Porphyrin in metabolic syndrome

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Porphyrin metabolic disturbances were registered in 33 (76.7%)
patients
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[Porphyrin metabolism in men with metabolic syndrome]
Krivosheev AB, Kuimov AD, Peskov SA, Krivosheeva IA, Paul' GA
Klin Med (Mosk). 2006; 84(11): 57-60

Forty-three patients with metabolic syndrome (MS) were examined. The
urinary (uroporphyrin--UP and coproporphyrin--CP) and fecal (CP and
protoporphyrin) fractions of porphyrin, as well as the urinary
excretion of porphyrin precursors (S-aminolevulinic acid and
porphobilinogen) were measured. Porphyrin metabolic disturbances were
registered in 33 (76.7%) patients. Nine of these patients displayed
such qualitative changes as fraction mismatch (CP/UP < 1; the normal
value is 2.1 +/- 0.4), and an increase in the level of porphyrin
precursors, while their total urinary porphyrin level was normal. In
24 patients pathological changes in porphyrin exchange were
characterized by such quantitative changes as a many-fold increase in
urinary and/or fecal porphyrin fraction as well as the development of
secondary biochemical coproporphyrinuria syndromes, symptomatic
elevation of fecal porphyrin level, and latent late cutaneous
porphyria. Changes in porphyrin exchange in patients with metabolic
syndrome broaden the scope of disturbances occurring in this syndrome,
and allow considering these changes as additional criteria..

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