Systemic markers of the redox balance in chronic obstructive pulmonary disease

• Published in: Biomarkers Vol. 9; no. 6; pp. 461 - 469
• Main Authors: Santos, M. C., Oliveira, A. L., Viegas-Crespo, A. M., Vicente, L., Barreiros, A., Monteiro, P., Pinheiro, T., De Almeida, A. Bugalho
• Format: Journal Article
• Language: English
• Published: London Informa UK Ltd 01.11.2004; Taylor & Francis
• Subjects: Aged; Antioxidants - chemistry; Antioxidants - metabolism; Biological and medical sciences; Biomarkers; Carbon - chemistry; Case-Control Studies; Chronic obstructive pulmonary disease, asthma; Copper - analysis; Elements; Erythrocytes - metabolism; glutathione peroxidase (GPx); Glutathione Peroxidase - metabolism; Humans; Iron - analysis; Medical sciences; Middle Aged; Oxidants - metabolism; Oxidation-Reduction; Oxidative Stress; Pneumology; Potassium - metabolism; protein carbonyls; Pulmonary Disease, Chronic Obstructive - metabolism; Rubidium - metabolism; Selenium - analysis; Smoking; Sulfhydryl Compounds - metabolism; superoxide dismutase (SOD); Time Factors; total thiols; trace elements; Zinc - analysis; Glutathione peroxidase; Human; Lung disease; Redox state; Thiol; Respiratory disease; Enzyme; Biological marker; Superoxide dismutase; Antioxidant; Chronic; Peroxidases; Bronchus disease; Oxidoreductases; Obstructive pulmonary disease
• ISSN: 1354-750X; 1366-5804
• DOI: 10.1080/13547500400024768

Chronic obstructive pulmonary disease (COPD) is highly prevalent and its pathogenesis is still not completely clarified. Clinically stable patients (n=21) and healthy subjects (n=24) were studied for blood markers of oxidative injury and antioxidant status. The plasma concentration of protein carbonyls was significantly increased in COPD patients, both ex-smokers (0.76±0.28 nmol mg−1) and smokers (0.99±0.20 nmol mg−1) versus controls (0.49±0.14 nmol mg−1). The concentration of total thiols was slightly enhanced in plasma of the COPD patients (ex-smokers 492±23 μmol l−1 and smokers 505±36 μmol l-1 versus controls 450±67 μmol l−1; p<0.05). The activity of the antioxidant enzyme superoxide dismutase was increased in erythrocytes (activity in U g−1 haemoglobin: ex-smokers 4460±763 and smokers 4114±1060 versus 3015±851 in controls; p<0.01), while glutathione peroxidase activity was decreased in total blood (activity in U g−1 haemoglobin: ex-smokers 27±9 and smokers 23±9 versus 47±25; p<0.01). Lower levels of selenium in plasma were also found for COPD patients (concentration in mg l-1: ex-smokers 0.030±0.019 and smokers 0.032±0.024 versus 0.058±0.023 in controls; p<0.01), being more evident in those with very low levels of arterial oxygen pressure. In addition, the levels of potassium and rubidium were increased in blood cells of the patient group. All these changes might reflect oxidant damage and an altered electrolytic homeostasis and can be interpreted as markers of COPD rather than as indicators of smoking habits.