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Updated: Jul 21, 2026

Free Radicals in Chemical Biology: from Chemical Behavior to Biomarker Development
Published on: April 15, 2013
Excessive free radical generation in the blood of children suffering from asthma
K R Shanmugasundaram1, S S Kumar, S Rajajee
1Department of Medical Biochemistry, Dr. A.L.M.P.G. Institute of Basic Medical Sciences, University of Madras, Taramani Campus, - 600 113, Chennai, India. erbs@satyam.net.in
Insights
Children with asthma exhibit increased oxygen free radicals and reduced antioxidant defenses, correlating with disease severity. These findings suggest oxygen metabolites play a role in airway inflammation and may serve as biomarkers for asthma susceptibility and treatment monitoring.
Area of Science:
- Biochemistry
- Pediatric Pulmonology
- Oxidative Stress Research
Background:
- Asthma is a chronic respiratory condition characterized by airway inflammation.
- Oxidative stress, an imbalance between free radicals and antioxidants, is implicated in asthma pathogenesis.
- Understanding oxidative stress markers in children with asthma is crucial for disease management.
Purpose of the Study:
- To evaluate blood biochemical parameters related to oxygen free radicals and antioxidant defenses in children with asthma.
- To assess the correlation between free radical production, antioxidant status, and asthma severity.
- To explore the potential of oxidative stress markers in predicting asthma susceptibility and monitoring therapy.
Main Methods:
- Studied 210 asthmatic children (5-18 years) during episodes and recovery, plus 180 healthy controls.
- Assayed superoxide and hydroxyl radical formation, lipid peroxidation products, antioxidant enzymes, and free radical scavengers in blood.
- Measured serum IgE and peak expiratory flow rate (PEFR) to assess allergic reactions and lung capacity.
Main Results:
- Asthmatic children showed excessive superoxide and hydroxyl radical production, correlating with lower PEFR (disease severity).
- Significantly lower levels of superoxide dismutase and free radical scavengers were observed in asthmatics, even in resting conditions.
- Evidence supports a correlation between asthma severity and increased oxygen radical production.
Conclusions:
- Oxygen metabolites are implicated in modulating airway inflammation in asthma.
- Elevated superoxide and hydroxyl radical production may indicate asthma susceptibility.
- These oxidative stress markers could be valuable for monitoring therapeutic interventions in pediatric asthma.
Abstract:
The aim of the present study is to evaluate the biochemical parameters in blood relevant to oxygen free radicals and antioxidant defenses in children with asthma. A total of 210 asthmatic children, aged 5-18 years, were studied at two different times, once during a severe episode of wheeze (during episode category) and the other after recovery (resting condition). A total of 180 healthy children participated in the study as age and sex matched healthy controls. Superoxide and hydroxyl radical assays were used as a measure of free radical formation. Antioxidant enzymes and free radical scavengers in blood were also assayed. Lipid peroxidation products were assayed in plasma and erythrocytes to evaluate the imbalance (if any) between oxidant (radical) formation and their inactivation. Serum IgE concentrations and peak expiratory flow rate (PEFR) were used as measures of allergic reactions and residual lung capacity, respectively. Excessive production of superoxide and hydroxyl radicals were noted in the blood cells in asthmatics and were correlated to the severity of disease measured as PEFR. Superoxide dismutase and free radical scavengers in blood were significantly lower in asthma, even during resting condition. The present observations endorse the correlation between disease severity and oxygen radical production in asthma subjects. Oxygen metabolites may play a direct or indirect role in the modulation of airway inflammation. Excessive superoxide and hydroxyl radical production may be used as a marker for susceptibility to asthma and for monitoring therapeutic measures.
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