Clinical Biochemistry Laboratory, IRCCS "Bambino Gesù" Children's Hospital, 00165 Rome, Italy.
Research Unit of Multifactorial and Complexes Phenotype Diseases, IRCCS "Bambino Gesù" Children's Hospital, 00165 Rome, Italy.
Nutrients. 2022 Sep 2;14(17):3637. doi: 10.3390/nu14173637.
Obesity has reached epidemic proportions, and the World Health Organization defined childhood overweight and obesity as a noncommunicable disease that represents the most serious public health challenges of the twenty-first century. Oxidative stress, defined as an imbalance between oxidants and antioxidants causing an impairment of the redox signals, is linked to the development of metabolic diseases. In addition, reactive oxygen species generated during metabolic disorder could increase inflammation, causing the development of insulin resistance, diabetes, and cardiovascular disease. We analyze serum levels of cysteine (Cys), cysteinyl-glycine (Cys-Gly), homocysteine (Hcy), and glutathione (GSH), and other markers of oxidative stress, such as thiobarbituric acid reactive substances (T-BARS), 8-isoprostane, and protein carbonyl in our children with obesity. Total antioxidant status was also determined. We found lower GSH and Cys-Gly levels, and higher Hcy and oxidative stress markers levels. We also found a positive correlation between Body Mass Index (BMI), Cys, GSH, and Hcy levels, between insulin and Cys levels, and between BMI and the homeostasis model assessment-estimated insulin resistance (HOMA-IR) with 8-isoprostane levels. Finally, we found a correlation between age and GSH and Cys levels. The deficiency of GSH could be restored by dietary supplementation with GSH precursors, supplying an inexpensive approach to oppose oxidative stress, thus avoiding obesity complications.
肥胖已达到流行程度,世界卫生组织将儿童超重和肥胖定义为非传染性疾病,是 21 世纪最严重的公共卫生挑战之一。氧化应激定义为氧化剂和抗氧化剂之间的失衡,导致氧化还原信号受损,与代谢疾病的发展有关。此外,代谢紊乱过程中产生的活性氧自由基会增加炎症,导致胰岛素抵抗、糖尿病和心血管疾病的发展。我们分析了肥胖儿童的血清半胱氨酸(Cys)、半胱氨酸-甘氨酸(Cys-Gly)、同型半胱氨酸(Hcy)和谷胱甘肽(GSH)水平以及其他氧化应激标志物,如硫代巴比妥酸反应物质(T-BARS)、8-异前列腺素和蛋白质羰基。还测定了总抗氧化状态。我们发现 GSH 和 Cys-Gly 水平较低,Hcy 和氧化应激标志物水平较高。我们还发现 BMI、Cys、GSH 和 Hcy 水平之间存在正相关,胰岛素和 Cys 水平之间存在正相关,BMI 和稳态模型评估-估计的胰岛素抵抗(HOMA-IR)与 8-异前列腺素水平之间存在正相关。最后,我们发现年龄与 GSH 和 Cys 水平之间存在相关性。GSH 的缺乏可以通过补充 GSH 前体来恢复,提供一种廉价的方法来对抗氧化应激,从而避免肥胖并发症。