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Oxidative stress in pediatric nephrotic syndrome
Rajani Kamireddy1, Suchitra Kavuri, Sri Devi
1Department of Biochemistry, Kasturba Medical College, Manipal-576 119, Karnataka, India.
Summary
Children with nephrotic syndrome show altered antioxidant levels, with decreased glutathione and vitamin E, suggesting a compensatory response to oxidative stress during illness.
Area of Science:
- Pediatric Nephrology
- Oxidative Stress Research
- Biochemical Markers
Background:
- Nephrotic syndrome (NS) in children is a significant stressor.
- Oxidative damage may impact therapeutic responses in pediatric NS.
- Understanding oxidative status is crucial for managing NS.
Purpose of the Study:
- To investigate antioxidant and oxidative stress marker levels in children with nephrotic syndrome.
- To compare these levels during relapse and remission phases of NS.
- To evaluate differences compared to healthy controls.
Main Methods:
- Analyzed erythrocyte glutathione (GSH), superoxide dismutase (SOD), and malondialdehyde (MDA).
- Measured plasma ceruloplasmin (CP) and vitamin E concentrations.
- Compared levels in NS patients (relapse/remission) with healthy volunteers.
Main Results:
- Increased erythrocyte SOD in NS patients compared to controls.
- Decreased erythrocyte GSH and plasma vitamin E in NS patients (remission).
- Elevated plasma CP in NS remission; MDA showed no significant change.
Conclusions:
- Antioxidant levels significantly change in pediatric nephrotic syndrome.
- These alterations indicate a compensatory mechanism against increased oxidative stress.
- Further research into antioxidant status in NS is warranted.