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Oxidative and antioxidative status of children with acute bronchiolitis
Rusen Dundaroz1, Ufuk Erenberk, Ozden Turel
1Department of Pediatrics, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey.
Insights
Oxidative stress is elevated in children with acute bronchiolitis, with higher oxidant and lower antioxidant levels observed. This imbalance, particularly in moderate cases, suggests a role in disease development.
Area of Science:
- Pediatric Medicine
- Biochemistry
- Respiratory Diseases
Background:
- Oxidative stress is implicated in the pathogenesis of acute and chronic lung inflammatory diseases.
- Understanding the oxidant/antioxidant balance is crucial for managing pediatric respiratory conditions.
Purpose of the Study:
- To evaluate the oxidant/antioxidant status in children diagnosed with acute bronchiolitis.
- To compare plasma total antioxidant capacity, total oxidant status, and oxidative stress index between patients and healthy controls.
Main Methods:
- A comparative study involving 31 children with acute bronchiolitis and 39 age-matched healthy controls.
- Assessment of plasma total antioxidant capacity (TAC), total oxidant status (TOS), and oxidative stress index (OSI).
- Classification of bronchiolitis patients into mild and moderate severity groups.
Main Results:
- Children with acute bronchiolitis exhibited significantly higher TOS and lower TAC compared to controls.
- Moderate bronchiolitis cases showed elevated TOS and OSI levels compared to mild cases and controls.
- A negative correlation was found between oxygen saturation and TOS in bronchiolitis patients.
Conclusions:
- The study demonstrates a disrupted oxidant-antioxidant system balance in children with moderate acute bronchiolitis.
- Oxidative stress is identified as a potential contributing factor in the pathogenesis of acute bronchiolitis.
- Findings highlight the importance of addressing oxidative stress in the management of pediatric lung inflammation.
Objective:
Oxidative stress has been shown to contribute to the pathogenesis of acute and chronic lung inflammatory diseases. This article aimed to evaluate the oxidant/antioxidant status of children with acute bronchiolitis through the measurement of plasma total antioxidant capacity, total oxidant status, and oxidative stress index.
Methods:
Children with acute bronchiolitis admitted to the pediatric emergency department of a university hospital between January and April of 2012 were compared with age-matched healthy controls. Patients with acute bronchiolitis were classified as mild and moderate bronchiolitis. Oxidative and antioxidative status were assessed by measurement of plasma total antioxidant capacity, total oxidant status, and oxidative stress index.
Results:
Thirty-one children with acute bronchiolitis aged between 3 months and 2 years, and 39 healthy children were included. Total oxidative status (TOS) was higher in patients with acute bronchiolitis than the control group (5.16±1.99 μmol H2O2 versus 3.78±1.78 μmol H2O2 [p=0.004]). Total antioxidant capacity (TAC) was lower in children with bronchiolitis than the control group (2.51±0.37 μmol Trolox eqv/L versus 2.75±0.39 μmol Trolox eqv/L [p=0.013]). Patients with moderate bronchiolitis presented higher TOS levels than those with mild bronchiolitis and the control group (p=0.03, p<0.001, respectively). Patients with moderate bronchiolitis had higher oxidative stress index levels than the control group (p=0.015). Oxygen saturation level of bronchiolitis patients was inversely correlated with TOS (r=-0.476, p<0.05).
Conclusion:
The balance between oxidant and antioxidant systems is disrupted in children with moderate bronchiolitis, which indicates that this stress factor may have a role in the pathogenesis of the disease.
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