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Unbalanced oxidant-antioxidant status and its effects in pediatric diseases
Valentina Chiavaroli1, Cosimo Giannini, Stefania De Marco
1University of Chieti, Italy.
Insights
Oxidative stress, an imbalance in the body's antioxidant defenses, impacts childhood diseases. Early diagnosis and intervention are crucial for managing oxidative damage in children.
Area of Science:
- Pediatrics
- Biochemistry
- Pathophysiology
Background:
- Oxidative stress arises from an imbalance between reactive oxygen species production and antioxidant capacity.
- This imbalance contributes to disease pathogenesis in adults and plays a role in childhood pathologies.
- Unbalanced oxidant-antioxidant status can cause toxic effects even in infancy.
Purpose of the Study:
- To review the current understanding of the relationship between oxidative stress and systemic diseases in children.
- To focus on pre-pubertal children to minimize confounding factors like puberty-induced metabolic changes.
- To highlight the importance of early identification and diagnosis for therapeutic interventions.
Main Methods:
- Comprehensive literature review.
- Focus on studies involving pre-pubertal children.
- Analysis of the role of oxidative stress in childhood systemic diseases.
Main Results:
- Oxidative stress significantly influences the progression of various pathologies during childhood.
- The pre-pubertal age group provides a unique model to study oxidative stress without puberty-related metabolic interference.
- Evidence suggests that early detection of oxidative imbalance is key.
Conclusions:
- Oxidative stress is a critical factor in childhood disease development.
- Early diagnosis of oxidative stress in children is essential for timely therapeutic strategies.
- Targeting oxidative stress can mitigate damage and improve outcomes in pediatric patients.
Abstract:
Oxidative stress results from a disparity between the generation of reactive oxygen species and the antioxidant ability of the organism. The alteration of the oxidant-antioxidant system brings in adults an effective state of imbalance, which may influence the pathogenesis of many diseases. Oxidative stress also plays a pivotal role in the progression of various pathologies in childhood, through a manipulation of regulatory proteins. In fact, several studies have demonstrated that an unbalanced oxidant-antioxidant status is able to determine toxic effects even during infancy. Therefore, the aim of this review was to summarize current knowledge about the dynamic relationship between oxidative stress and systemic diseases during childhood. In order to better understand these complex mechanisms, a comprehensive review of the literature was done, focusing mainly on pre-pubertal children. In fact, this age-group offers a unique opportunity to exclude confounding factors, especially those related to the metabolic effects induced by puberty. Early identification of these very young patients should be aimed at minimizing the degree of oxidative damage. Only by achieving early diagnosis, will it be possible to identify those children who could benefit from specific therapeutic approaches targeting oxidative stress.
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