Oxidative stress markers in bipolar disorder and first-degree relatives: differential associations of ischemia-modified albumin and superoxide dismutase - Report - MDSpire

Oxidative stress markers in bipolar disorder and first-degree relatives: differential associations of ischemia-modified albumin and superoxide dismutase

  • By

  • Ece Buyuksandalyaci Tunc

  • Burcu Kok Kendirlioglu

  • Hidayet E. Arat-Çelik

  • Esma Corekli Kaymakci

  • Serhat Tunc

  • Suat Kucukgoncu

  • Salim Neselioglu

  • Ozcan Erel

  • June 26, 2026

  • 0 min

Share

Clinical Report: Differential Relationships of IMA and SOD in Bipolar Disorder

Overview

This study evaluates the levels of ischemia-modified albumin (IMA) and superoxide dismutase (SOD) in patients with bipolar disorder (BD), their unaffected first-degree relatives (FDRs), and healthy controls (HCs).

Background

Bipolar disorder (BD) is associated with oxidative stress, which can lead to neuronal damage and inflammation. This study aims to evaluate the relationships between oxidative stress markers like IMA and SOD in BD patients, FDRs, and HCs.

Data Highlights

GroupIMA LevelsSOD Levels
BD PatientsHigher (β = 0.17, p = 0.007)Higher (β = 0.37, p = 0.015)
FDRsNo significant differenceHigher (β = 0.41, p = 0.009)
HCsReferenceReference

Key Findings

  • IMA levels were significantly higher in BD patients compared to HCs.
  • No significant difference in IMA levels was found between FDRs and HCs.
  • SOD levels were significantly elevated in both BD patients and FDRs compared to HCs.
  • After adjusting for medication use, SOD differences remained significant only in FDRs.
  • ROC analyses indicated modest discriminative performance for IMA and SOD (AUC range: 0.63–0.66).

Clinical Implications

Further investigation is needed to explore the role of IMA and SOD in bipolar disorder.

Conclusion

The study evaluates the roles of IMA and SOD in bipolar disorder.

Related Resources & Content

  1. Yang et al., BMC Psychiatry, 2025 -- Differential Relationships of IMA and SOD in Bipolar Disorder
  2. NICE, Recommendations | Bipolar disorder: assessment and management, 2025
  3. Current state and future directions of biomarkers for bipolar disorder, ScienceDirect, 2025
  4. Biomarkers in bipolar disorder: A positional paper from the International Society for Bipolar Disorders Biomarkers Task Force, Deakin University
  5. BMC Psychiatry (Springer) — Correlations of oxidative stress markers with niacin sensitivity in male patients with chronic schizophrenia
  6. BMC Psychiatry (Springer) — Comparative Analysis of Biochemical Metabolism and Cognitive Abilities in Bipolar I versus Bipolar II Disorder
  7. conexiant — Links Between Depression and Alzheimer’s
  8. Archives of Toxicology — Addressing Oxidative Stress and Associated Conditions in Alzheimer’s Disease
  9. Recommendations | Bipolar disorder: assessment and management | Guidance | NICE
  10. Current state and future directions of biomarkers for bipolar disorder: A systematic review of studies from 2013 to 2025 - ScienceDirect
  11. Item - Biomarkers in bipolar disorder: A positional paper from the International Society for Bipolar Disorders Biomarkers Task Force - Deakin University - Figshare
  12. BMC PsychiatryYang et al. BMC Psychiatry (2025) 25:258
  13. Oxidative DNA Damage Diminishes After Treatment of Unipolar and Bipolar Depressive Episodes: A Systematic Review and Meta-Analysis of Longitudinal Studies | medRxiv
  14. The blood-brain barrier in bipolar disorders: A systematic review - ScienceDirect
  15. Comparison of oxidative stress parameters, thiol-disulfide homeostasis, and pro-inflammatory cytokines levels in patients with bipolar disorder and their first-degree relatives - ScienceDirect
  16. Frontiers | Oxidative Stress Markers in Bipolar Disorder and First-Degree Relatives: Differential Associations of Ischemia-Modified Albumin and Superoxide Dismutase

Original Source(s)

Related Content