Hyponatremia and Oxidative Stress

Hyponatremia, i.e., the presence of a serum sodium concentration ([Na<sup>+</sup>]) < 136 mEq/L, is the most frequent electrolyte imbalance in the elderly and in hospitalized patients. Symptoms of acute hyponatremia, whose main target is the central nervous system, are explained by th...

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Autores principales: Benedetta Fibbi, Giada Marroncini, Cecilia Anceschi, Laura Naldi, Alessandro Peri
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/a72b27d94b104ca39ff47584009037c7
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spelling oai:doaj.org-article:a72b27d94b104ca39ff47584009037c72021-11-25T16:28:04ZHyponatremia and Oxidative Stress10.3390/antiox101117682076-3921https://doaj.org/article/a72b27d94b104ca39ff47584009037c72021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3921/10/11/1768https://doaj.org/toc/2076-3921Hyponatremia, i.e., the presence of a serum sodium concentration ([Na<sup>+</sup>]) < 136 mEq/L, is the most frequent electrolyte imbalance in the elderly and in hospitalized patients. Symptoms of acute hyponatremia, whose main target is the central nervous system, are explained by the “osmotic theory” and the neuronal swelling secondary to decreased extracellular osmolality, which determines cerebral oedema. Following the description of neurological and systemic manifestations even in mild and chronic hyponatremia, in the last decade reduced extracellular [Na<sup>+</sup>] was associated with detrimental effects on cellular homeostasis independently of hypoosmolality. Most of these alterations appeared to be elicited by oxidative stress. In this review, we focus on the role of oxidative stress on both osmolality-dependent and -independent impairment of cell and tissue functions observed in hyponatremic conditions. Furthermore, basic and clinical research suggested that oxidative stress appears to be a common denominator of the degenerative processes related to aging, cancer progression, and hyponatremia. Of note, low [Na<sup>+</sup>] is able to exacerbate multiple manifestations of senescence and to decrease progression-free and overall survival in oncologic patients.Benedetta FibbiGiada MarronciniCecilia AnceschiLaura NaldiAlessandro PeriMDPI AGarticlehyponatremiaosmotic stressoxidative stressROSsenescencecancerTherapeutics. PharmacologyRM1-950ENAntioxidants, Vol 10, Iss 1768, p 1768 (2021)
institution DOAJ
collection DOAJ
language EN
topic hyponatremia
osmotic stress
oxidative stress
ROS
senescence
cancer
Therapeutics. Pharmacology
RM1-950
spellingShingle hyponatremia
osmotic stress
oxidative stress
ROS
senescence
cancer
Therapeutics. Pharmacology
RM1-950
Benedetta Fibbi
Giada Marroncini
Cecilia Anceschi
Laura Naldi
Alessandro Peri
Hyponatremia and Oxidative Stress
description Hyponatremia, i.e., the presence of a serum sodium concentration ([Na<sup>+</sup>]) < 136 mEq/L, is the most frequent electrolyte imbalance in the elderly and in hospitalized patients. Symptoms of acute hyponatremia, whose main target is the central nervous system, are explained by the “osmotic theory” and the neuronal swelling secondary to decreased extracellular osmolality, which determines cerebral oedema. Following the description of neurological and systemic manifestations even in mild and chronic hyponatremia, in the last decade reduced extracellular [Na<sup>+</sup>] was associated with detrimental effects on cellular homeostasis independently of hypoosmolality. Most of these alterations appeared to be elicited by oxidative stress. In this review, we focus on the role of oxidative stress on both osmolality-dependent and -independent impairment of cell and tissue functions observed in hyponatremic conditions. Furthermore, basic and clinical research suggested that oxidative stress appears to be a common denominator of the degenerative processes related to aging, cancer progression, and hyponatremia. Of note, low [Na<sup>+</sup>] is able to exacerbate multiple manifestations of senescence and to decrease progression-free and overall survival in oncologic patients.
format article
author Benedetta Fibbi
Giada Marroncini
Cecilia Anceschi
Laura Naldi
Alessandro Peri
author_facet Benedetta Fibbi
Giada Marroncini
Cecilia Anceschi
Laura Naldi
Alessandro Peri
author_sort Benedetta Fibbi
title Hyponatremia and Oxidative Stress
title_short Hyponatremia and Oxidative Stress
title_full Hyponatremia and Oxidative Stress
title_fullStr Hyponatremia and Oxidative Stress
title_full_unstemmed Hyponatremia and Oxidative Stress
title_sort hyponatremia and oxidative stress
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a72b27d94b104ca39ff47584009037c7
work_keys_str_mv AT benedettafibbi hyponatremiaandoxidativestress
AT giadamarroncini hyponatremiaandoxidativestress
AT ceciliaanceschi hyponatremiaandoxidativestress
AT lauranaldi hyponatremiaandoxidativestress
AT alessandroperi hyponatremiaandoxidativestress
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