College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Taoyuan, Taiwan; Community Medicine Research Centre, Chang Gung Memorial Hospital, Keelung, Taiwan.
J Microbiol Immunol Infect. 2021 Jun;54(3):466-473. doi: 10.1016/j.jmii.2020.01.009. Epub 2020 Feb 13.
The association between oxidative stress and atopic diseases is uncertain. Several risk factors for atopic diseases have been identified, however, a comprehensive investigation of the relationship between oxidative stress markers and atopic indices related to atopic diseases is currently lacking.
We investigated 132 children who completed a 7-years follow-up in a birth cohort. Oxidative stress markers including plasma glutathione peroxidase (GPx), myeloperoxidase (MPO), total anti-oxidant capacity (TAC), and urine 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels were measured. Allergen-specific IgE levels, FeNO levels, and pulmonary function tests were also obtained.
The activity of GPx and levels of MPO were inversely correlated to food (shrimp and crab) and house dust mite sensitization respectively. The 8-OHdG levels were strongly negatively correlated with FeNO levels (p < 0.01). A significant positive correlation was found between TAC levels and pre-and post-bronchodilator FVC % and FEV1% predicted (p < 0.05). All oxidative stress markers were not associated with the risk of atopic diseases. However, GPx-related crab sensitization and 8-OHdG related FeNO levels were significantly associated with increased risk of allergic rhinitis, while MPO-related mite sensitization and TAC-related pulmonary function parameters were strongly associated with risk of asthma (p < 0.01).
Oxidative stress is strongly correlated with allergic indices, potentially playing a role in the modulation of allergic responses contributing to atopic diseases.
氧化应激与特应性疾病之间的关联尚不确定。已经确定了特应性疾病的一些危险因素,然而,目前缺乏对氧化应激标志物与特应性疾病相关特应性指标之间关系的全面研究。
我们调查了在一个出生队列中完成了 7 年随访的 132 名儿童。测量了氧化应激标志物,包括血浆谷胱甘肽过氧化物酶(GPx)、髓过氧化物酶(MPO)、总抗氧化能力(TAC)和尿液 8-羟基-2'-脱氧鸟苷(8-OHdG)水平。还获得了过敏原特异性 IgE 水平、FeNO 水平和肺功能测试结果。
GPx 的活性和 MPO 的水平与食物(虾和蟹)和屋尘螨致敏分别呈负相关。8-OHdG 水平与 FeNO 水平呈强烈负相关(p<0.01)。TAC 水平与预和后支气管扩张剂 FVC %和 FEV1%预测值呈显著正相关(p<0.05)。所有氧化应激标志物均与特应性疾病的风险无关。然而,GPx 相关的蟹致敏和 8-OHdG 相关的 FeNO 水平与过敏性鼻炎的风险增加显著相关,而 MPO 相关的螨致敏和 TAC 相关的肺功能参数与哮喘的风险强烈相关(p<0.01)。
氧化应激与过敏指数密切相关,可能在调节过敏反应中发挥作用,从而导致特应性疾病。