Oxidative Stress Markers in Neonatal Respiratory Distress Syndrome: Advanced Oxidation Protein Products and 8-hydroxy-2-deoxyguanosine in Relation to Disease Severity

Overview

Journal Pediatr Res

Specialties Biology
Pediatrics

Date 2019 Jun 20

PMID 31216566

Citations 14

Authors

Zeinab A Elkabany

Rania A El-Farrash

Dina M Shinkar

Eman A Ismail

Ahmed S Nada

Ahmed S Farag

Medhat A Elsayed

Dina H Salama

Eman L Macken

Saleh A Gaballah

Affiliations

Soon will be listed here.

Abstract

Objective: We assessed oxidant-antioxidant status and evaluated the role of lipid peroxidation, oxidative DNA damage, and protein oxidation in the development and severity of neonatal respiratory distress syndrome (RDS).

Methods: Forty preterm neonates with RDS were compared with another 40 preterm neonates without RDS enrolled as controls. Total antioxidant capacity (TAC), malondialdehyde (MDA), advanced oxidation protein products (AOPPs), 8-hydroxy-2-deoxyguanosine (8-OHdG), and trace elements (copper and zinc) were measured in cord blood (day 0) for all neonates and repeated on day 3 for the RDS group.

Results: Day 0 serum levels of MDA, AOPPs, and 8-OHdG were significantly higher in neonates with RDS than controls with a further increase on day 3. Days 0 and 3 levels of TAC, copper, and zinc were significantly lower in the RDS group compared with controls. Elevated serum levels of 8-OHdG and AOPPs were associated with severe RDS, invasive mechanical ventilation, and high mortality rate. 8-OHdG and AOPPs were positively correlated with MDA, oxygenation index, duration of ventilation, and duration of hospitalization.

Conclusions: Increased lipid, protein, and DNA oxidation is accompanied by alterations in the antioxidant defense status, which may play a role in the pathogenesis and severity of RDS.

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