Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system

Oxidant/antioxidant imbalance has been reported in some infectious diseases, including community-acquired pneumonia (CAP). The aim was to assess the antioxidant status in adults with CAP and its relationship with clinical severity at admission. Fifty-nine patients with CAP were enrolled and categori...

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Autores principales: Castillo,Rodrigo L, Carrasco,Rodrigo A, Álvarez,Pedro I, Ruiz,Mauricio, Luchsinger,Vivian, Zunino,Enna, Martínez,María A, Avendaño,Luis F
Lenguaje:English
Publicado: Sociedad de Biología de Chile 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000200013
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spelling oai:scielo:S0716-976020130002000132013-08-19Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense systemCastillo,Rodrigo LCarrasco,Rodrigo AÁlvarez,Pedro IRuiz,MauricioLuchsinger,VivianZunino,EnnaMartínez,María AAvendaño,Luis F Pneumonia oxidative stress reduced glutathione lipid peroxidation Oxidant/antioxidant imbalance has been reported in some infectious diseases, including community-acquired pneumonia (CAP). The aim was to assess the antioxidant status in adults with CAP and its relationship with clinical severity at admission. Fifty-nine patients with CAP were enrolled and categorized at admission by the FINE score, from July 2010 to October 2012. In the same period 61 controls were enrolled. Plasma samples were obtained at admission for determination of the ferric reducing ability of plasma (FRAP) and lipid peroxidation (8-isoprostane). Erythrocyte reduced (GSH)/oxidized (GSSG) glutathione, malondialdehyde (MDA) and antioxidant enzyme activity were assessed. Antioxidant status in adults with CAP represented by FRAP and the GSH/GSSG ratio were 16.8% (p=0.03) and 39.7% (p=0.04) lower than control values, respectively. In addition, FRAP values showed a positive correlation with GSH/GSSG ratio (r=0.852; p<0.02; n=59). The CAP group showed greater lipid peroxidation in both plasma and erythrocytes. The FINE score correlated negatively with FRAP (r= -0.718; p<0.05; n=59) and positively with MDA and F2 isoprostane levels (r=0.673; p<0.05; n=59; r=0.892; p<0.01; n=59, respectively). Antioxidant status alterations correlated with clinical severity. The FRAP assay and lipid peroxidation biomarkers may provide a useful parameter for estimating the severity and the clinical outcome of patients with CAP.info:eu-repo/semantics/openAccessSociedad de Biología de ChileBiological Research v.46 n.2 20132013-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000200013en10.4067/S0716-97602013000200013
institution Scielo Chile
collection Scielo Chile
language English
topic Pneumonia
oxidative stress
reduced glutathione
lipid peroxidation
spellingShingle Pneumonia
oxidative stress
reduced glutathione
lipid peroxidation
Castillo,Rodrigo L
Carrasco,Rodrigo A
Álvarez,Pedro I
Ruiz,Mauricio
Luchsinger,Vivian
Zunino,Enna
Martínez,María A
Avendaño,Luis F
Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
description Oxidant/antioxidant imbalance has been reported in some infectious diseases, including community-acquired pneumonia (CAP). The aim was to assess the antioxidant status in adults with CAP and its relationship with clinical severity at admission. Fifty-nine patients with CAP were enrolled and categorized at admission by the FINE score, from July 2010 to October 2012. In the same period 61 controls were enrolled. Plasma samples were obtained at admission for determination of the ferric reducing ability of plasma (FRAP) and lipid peroxidation (8-isoprostane). Erythrocyte reduced (GSH)/oxidized (GSSG) glutathione, malondialdehyde (MDA) and antioxidant enzyme activity were assessed. Antioxidant status in adults with CAP represented by FRAP and the GSH/GSSG ratio were 16.8% (p=0.03) and 39.7% (p=0.04) lower than control values, respectively. In addition, FRAP values showed a positive correlation with GSH/GSSG ratio (r=0.852; p<0.02; n=59). The CAP group showed greater lipid peroxidation in both plasma and erythrocytes. The FINE score correlated negatively with FRAP (r= -0.718; p<0.05; n=59) and positively with MDA and F2 isoprostane levels (r=0.673; p<0.05; n=59; r=0.892; p<0.01; n=59, respectively). Antioxidant status alterations correlated with clinical severity. The FRAP assay and lipid peroxidation biomarkers may provide a useful parameter for estimating the severity and the clinical outcome of patients with CAP.
author Castillo,Rodrigo L
Carrasco,Rodrigo A
Álvarez,Pedro I
Ruiz,Mauricio
Luchsinger,Vivian
Zunino,Enna
Martínez,María A
Avendaño,Luis F
author_facet Castillo,Rodrigo L
Carrasco,Rodrigo A
Álvarez,Pedro I
Ruiz,Mauricio
Luchsinger,Vivian
Zunino,Enna
Martínez,María A
Avendaño,Luis F
author_sort Castillo,Rodrigo L
title Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
title_short Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
title_full Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
title_fullStr Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
title_full_unstemmed Relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
title_sort relationship between severity of adult community-acquired pneumonia and impairment of the antioxidant defense system
publisher Sociedad de Biología de Chile
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602013000200013
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