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与健康对照相比,哮喘成年患者全身氧化应激的特征及其与使用个人采样器收集的颗粒物氧化潜能的关联

Characterization of Systemic Oxidative Stress in Asthmatic Adults Compared to Healthy Controls and Its Association with the Oxidative Potential of Particulate Matter Collected Using Personal Samplers.

作者信息

Santibáñez Miguel, Núñez-Robainas Adriana, Barreiro Esther, Expósito Andrea, Agüero Juan, García-Rivero Juan Luis, Abascal Beatriz, Amado Carlos Antonio, Ruiz-Cubillán Juan José, Fernández-Sobaler Carmen, García-Unzueta María Teresa, Cifrián José Manuel, Fernandez-Olmo Ignacio

机构信息

Global Health Research Group, Departamento Enfermería, Faculty of Nursing, Universidad de Cantabria-IDIVAL, Avda. Valdecilla, s/n, 39008 Santander, Spain.

Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), 08003 Barcelona, Spain.

出版信息

Antioxidants (Basel). 2025 Mar 25;14(4):385. doi: 10.3390/antiox14040385.

Abstract

Inflammatory cell activation in asthma may lead to reactive oxygen species (ROS) overproduction with an imbalance between oxidant levels and antioxidant capacity, called oxidative stress (OS). Since particulate matter (PM) airborne exposure may also contribute to ROS generation, it is unclear whether PM contributes more to OS than inflammatory cell activation. In our ASTHMA-FENOP study, which included 44 asthma patients and 37 matched controls, we aimed to characterize OS using five serum markers: total ROS content, protein carbonyl content, oxidized low-density lipoprotein (OxLDL), 8-hydroxydeoxyguanosine, and glutathione. Volunteers wore personal samplers for 24 h, collecting fine and coarse PM fractions separately, and the oxidative potential (OP) was determined using two methods. We observed differences between asthmatic and non-asthmatic volunteers in some OS markers, such as OxLDL, with an adjusted mean difference of 50,059.8 ng/mL ( < 0.001). However, we did not find an association between higher PM-OP and increased systemic OS. This suggests that at our PM-OP exposure levels, OS generated by the inflammatory cells themselves is more relevant than that generated by airborne PM. This supports the idea that asthma is a heterogeneous disease at the molecular level, mediated by inflammatory cell activation, and that OS may have potential clinical implications.

摘要

哮喘中的炎症细胞激活可能导致活性氧(ROS)过度产生,使氧化剂水平与抗氧化能力失衡,即所谓的氧化应激(OS)。由于空气中颗粒物(PM)暴露也可能导致ROS生成,因此尚不清楚PM对氧化应激的影响是否比炎症细胞激活更大。在我们的ASTHMA-FENOP研究中,纳入了44名哮喘患者和37名匹配的对照,我们旨在使用五种血清标志物来表征氧化应激:总ROS含量、蛋白质羰基含量、氧化型低密度脂蛋白(OxLDL)、8-羟基脱氧鸟苷和谷胱甘肽。志愿者佩戴个人采样器24小时,分别收集细颗粒物和粗颗粒物部分,并使用两种方法测定氧化潜能(OP)。我们观察到哮喘志愿者和非哮喘志愿者在一些氧化应激标志物上存在差异,如OxLDL,调整后的平均差异为50,059.8 ng/mL(<0.001)。然而,我们没有发现较高的PM-OP与全身氧化应激增加之间存在关联。这表明在我们的PM-OP暴露水平下,炎症细胞自身产生的氧化应激比空气中的PM产生的氧化应激更相关。这支持了哮喘在分子水平上是一种异质性疾病的观点,由炎症细胞激活介导,并且氧化应激可能具有潜在的临床意义。

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