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乳腺癌患者血清硫氧还蛋白、超氧化物歧化酶、丙二醛及晚期氧化蛋白产物的研究

An investigation into the serum thioredoxin, superoxide dismutase, malondialdehyde, and advanced oxidation protein products in patients with breast cancer.

作者信息

Kilic Nedret, Yavuz Taslipinar Mine, Guney Yildiz, Tekin Ercument, Onuk Erhan

机构信息

Faculty of Medicine, Department of Medical Biochemistry, Gazi University, Ankara, Turkey.

出版信息

Ann Surg Oncol. 2014 Dec;21(13):4139-43. doi: 10.1245/s10434-014-3859-3. Epub 2014 Jun 25.

Abstract

BACKGROUND

Reactive oxygen species (free radicals) play an important role in carcinogenesis. Extensive antioxidant defense mechanisms counteract free radicals in mammalian cells. Oxidative stress is a disturbance in the balance between the production of free radicals and antioxidant defenses. There is direct evidence that oxidative stress and lipid peroxidation (LPO) are linked to the etiology of breast cancer. The increasing global incidence of breast cancer emphasizes the need to understand the various mechanisms involved in breast tumorigenesis. The present study was undertaken to investigate the oxidative stress and antioxidant status in the blood samples of patients with breast cancer.

METHODS

The present study was based on 23 women who were surgically treated at Gazi University, Faculty of Medicine, Department of General Surgery. The malondialdehyde (MDA) levels as an index of LPO along with the examination of superoxide dismutase (SOD) activities and advanced oxidation protein product (AOPP) and thioredoxin (Trx) levels were determined in the blood samples of 23 patients with breast cancer and 13 healthy controls.

RESULTS

MDA, AOPP, and Trx levels and SOD activities were significantly higher in patients with breast cancer than the controls.

CONCLUSIONS

The results showed that oxidative stress may be related to breast cancer and especially some molecules, such as Trx and AOPP, may be useful biomarkers in breast cancer diagnosis and treatment. More detailed knowledge related to the pathophysiology of these molecules could provide valuable information on the origin and development of malignant tumors, such as breast cancer.

摘要

背景

活性氧(自由基)在致癌过程中起重要作用。广泛的抗氧化防御机制可抵消哺乳动物细胞中的自由基。氧化应激是自由基产生与抗氧化防御之间平衡的紊乱。有直接证据表明氧化应激和脂质过氧化(LPO)与乳腺癌的病因有关。全球乳腺癌发病率的上升凸显了了解乳腺癌发生的各种机制的必要性。本研究旨在调查乳腺癌患者血液样本中的氧化应激和抗氧化状态。

方法

本研究基于在加齐大学医学院普通外科接受手术治疗的23名女性。在23例乳腺癌患者和13名健康对照者的血液样本中,测定了作为LPO指标的丙二醛(MDA)水平,同时检测了超氧化物歧化酶(SOD)活性、晚期氧化蛋白产物(AOPP)和硫氧还蛋白(Trx)水平。

结果

乳腺癌患者的MDA、AOPP和Trx水平以及SOD活性均显著高于对照组。

结论

结果表明氧化应激可能与乳腺癌有关,尤其是某些分子,如Trx和AOPP,可能是乳腺癌诊断和治疗中有价值的生物标志物。与这些分子病理生理学相关的更详细知识可为乳腺癌等恶性肿瘤的起源和发展提供有价值的信息。

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