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Oxidative stress and enzymic-non-enzymic antioxidant responses in children with acute pneumonia
Mustafa Cemek1, Hüseyin Caksen, Fahri Bayiroğlu
1Department of Chemistry (Biochemistry Division), Faculty of Science, Afyon Kocatepe University, Afyon, Turkey. mcemek@yahoo.com
Insights
Children with acute pneumonia exhibit increased oxidative stress and significantly lower levels of both enzymic and non-enzymic antioxidants. This study highlights a critical imbalance in antioxidant status during pediatric pneumonia.
Area of Science:
- Pediatric Medicine
- Biochemistry
- Oxidative Stress Research
Background:
- Acute pneumonia in children is a significant health concern.
- Oxidative stress plays a role in various inflammatory conditions.
- Understanding antioxidant status is crucial for managing pediatric diseases.
Purpose of the Study:
- To investigate oxidative stress markers.
- To assess the status of enzymic and non-enzymic antioxidants in children with acute pneumonia.
- To compare these markers between children with pneumonia and healthy controls.
Main Methods:
- Studied 28 children with acute pneumonia and 29 controls (ages 2-12).
- Measured whole blood malondialdehyde (MDA) and reduced glutathione (GSH).
- Assessed serum levels of beta-carotene, retinol, vitamin C, vitamin E, catalase (CAT), ceruloplasmin (CLP), total bilirubin, erythrocyte superoxide dismutase (SOD), and glutathione peroxidase (GPx).
Main Results:
- Children with pneumonia showed higher MDA, CLP, and total bilirubin levels.
- Significantly lower levels of SOD, GPx, beta-carotene, retinol, vitamin C, vitamin E, and GSH were observed in the pneumonia group.
- Serum CAT levels did not show a statistically significant difference between groups.
Conclusions:
- Acute pneumonia in children is associated with elevated oxidative stress.
- Enzymic and non-enzymic antioxidant activities are significantly reduced in pediatric acute pneumonia.
- These findings suggest a compromised antioxidant defense system in children suffering from acute pneumonia.
Abstract:
In this article, oxidative stress and enzymic-non-enzymic antioxidants status were investigated in children with acute pneumonia. Our study included 28 children with acute pneumonia and 29 control subjects. The age ranged from 2 to 11 years (4.57+/-2.13 years) and 2 to 12 years (4.89+/-2.22 years) in the study and control groups, respectively. Whole blood malondialdehyde (MDA) and reduced glutathione (GSH), serum beta-carotene, retinol, vitamin C, vitamin E, catalase (CAT), ceruloplasmin (CLP), total bilirubin, erythrocyte superoxide dismutase (SOD) and glutathione peroxidase (GPx) levels were studied in all subjects. There was a statistically significant difference between the groups for all parameters except for serum CAT. Whole blood MDA, serum CLP and total bilirubin levels were higher in the study group than those of the control group. However, SOD, GPx, beta-carotene, retinol, vitamin C, vitamin E and GSH levels were lower in the study group compared with the control group. All antioxidant vitamin activities were decreased in children with acute pneumonia. Our study demonstrated that oxidative stress was increased whereas enzymic and non-enzymic antioxidant activities were significantly decreased in children with acute pneumonia.
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