Liao Mei-Fen, Chen Chun-Chuan, Hsu Ming-Hui
Department of Pediatrics, Ham-Ming Hospital, Changhwa City, Taiwan.
Acta Paediatr Taiwan. 2004 Jul-Aug;45(4):213-7.
Many studies have shown the balance between the oxygen reactive species (ROS) and the antioxidant capacities, and that the massive ROS generation could lead to cell damage and diseases such as atherosclerosis, aging and cancer. Changes in antioxidant capacity like free radicals scavenging antioxidant agents such as vitamin E, C content, serum concentrations of bilirubin, uric acid, albumin and antioxidant enzyme systems like SOD, and GPx activities have been described to be related to many diseases. However, the research on chronic airway inflammatory disease and the antioxidant defence system is still not enough. Understanding of the antioxidant status and antioxidant enzymes in asthmatic patients is still unclear. In the present controlled study, we investigated the total antioxidant status (TAS) in serum and the antioxidant enzyme (total SOD and GPx) activities in 46 asthmatic children and 52 normal controls. The serum level of TAS in asthmatic children was significantly lower than the controls. The SOD concentration in asthmatic children was higher than the control, however the GPx was much lower than the control children, even though it was not statistical significance. In conclusion, these results suggested the existence of higher oxidative stress and reactive oxygen species (ROS) in asthmatic children, and that the antioxidant capacities in asthmatic children were altered. If the production of ROS was persistent, it would result in chronic inflammation and the imbalance of oxidative-reductive status in those patients.
许多研究表明了氧自由基(ROS)与抗氧化能力之间的平衡,并且大量ROS的产生可导致细胞损伤以及诸如动脉粥样硬化、衰老和癌症等疾病。抗氧化能力的变化,如清除自由基的抗氧化剂(如维生素E、C含量)、胆红素、尿酸、白蛋白的血清浓度以及抗氧化酶系统(如超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GPx)活性)已被描述与许多疾病有关。然而,关于慢性气道炎症性疾病与抗氧化防御系统的研究仍然不足。对哮喘患者抗氧化状态和抗氧化酶的了解仍不清楚。在本对照研究中,我们调查了46名哮喘儿童和52名正常对照者血清中的总抗氧化状态(TAS)以及抗氧化酶(总SOD和GPx)活性。哮喘儿童的血清TAS水平显著低于对照组。哮喘儿童的SOD浓度高于对照组,然而GPx水平远低于对照儿童,尽管差异无统计学意义。总之,这些结果表明哮喘儿童存在更高的氧化应激和活性氧(ROS),并且哮喘儿童的抗氧化能力发生了改变。如果ROS的产生持续存在,将导致这些患者发生慢性炎症以及氧化还原状态失衡。