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

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Clinical Scorecard: Differential Relationships of Ischemia-Modified Albumin and Superoxide Dismutase with Oxidative Stress Indicators in Bipolar Disorder and Their First-Degree Relatives

At a Glance

CategoryDetail
ConditionBipolar Disorder
Key MechanismsOxidative stress and antioxidant defense mechanisms
Target PopulationPatients with bipolar disorder, their first-degree relatives, and healthy controls
Care SettingPsychiatric evaluation and oxidative stress assessment

Key Highlights

  • Elevated IMA levels in BD patients indicate disease-related oxidative stress.
  • SOD levels are significantly elevated in both BD patients and unaffected first-degree relatives.
  • Thiol-disulfide homeostasis parameters show no significant differences after adjustment for confounders.
  • Ferroxidase levels did not differ significantly between groups.
  • Modest discriminative performance for IMA and SOD biomarkers.

Guideline-Based Recommendations

Diagnosis

  • Psychiatric diagnoses confirmed using SCID-5.

Management

  • Monitor oxidative stress markers in BD patients and their first-degree relatives.

Monitoring & Follow-up

  • Evaluate IMA and SOD levels as potential biomarkers of oxidative stress.

Risks

  • Familial vulnerability indicated by elevated SOD levels in first-degree relatives.

Patient & Prescribing Data

Patients with bipolar disorder and their unaffected first-degree relatives.

Consider the role of oxidative stress in the management of bipolar disorder.

Clinical Best Practices

  • Utilize fasting blood samples for accurate measurement of oxidative stress markers.
  • Adjust for confounders such as age, sex, smoking status, and body mass index in analyses.

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