Department of Surgical and Medical Critical Care, Section of Neonatology, Careggi University Hospital of Florence, 85 Florence, Italy.
Pediatr Pulmonol. 2009 Nov;44(11):1125-31. doi: 10.1002/ppul.21116.
Despite the role of reactive oxygen species in the development of respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) in preterm infants, the anti-oxidant properties of commercial surfactants have never been studied. We measured the superoxide dismutase (SOD) and catalase (CAT) activity, the scavenger activity against hydrogen peroxide (H(2)O(2)), and its changes after the addition of SOD and CAT in four natural surfactants, namely Infasurf, Curosurf, Survanta, and Alveofact. We found that they contain measurable amount of SOD and CAT. Curosurf and Survanta seem to have higher antioxidant effect than Infasurf and Alveofact. Moreover, the highest phospholipid concentration and recommended dose of Curosurf imply that its scavenger activity for each treatment dose in preterm infants is likely higher than that of Survanta. Finally, the supplementation with SOD and CAT induced a remarkable increase of antioxidant action in all studied surfactants.
尽管活性氧在早产儿呼吸窘迫综合征(RDS)和支气管肺发育不良(BPD)的发生发展中起重要作用,但目前还没有研究商业用表面活性剂的抗氧化特性。我们测量了四种天然表面活性剂(即:固尔苏、珂立苏、沛儿、肺表面活性物质)中超氧化物歧化酶(SOD)和过氧化氢酶(CAT)的活性、对过氧化氢(H₂O₂)的清除活性及其在添加 SOD 和 CAT 后的变化。我们发现它们含有可测量数量的 SOD 和 CAT。珂立苏和沛儿似乎比固尔苏和肺表面活性物质具有更高的抗氧化作用。此外,珂立苏的最高磷脂浓度和推荐剂量意味着其在每个治疗剂量下对早产儿的清除活性可能高于沛儿。最后,SOD 和 CAT 的补充显著增加了所有研究表面活性剂的抗氧化作用。