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Oxidative Stress, Mitochondrial Dysfunction, and Premature Ageing in Severe Acute Malnutrition in Under-Five Children
Dipanwita Saha1, Mohit Mehndiratta2, Aaradhana1
1Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, 110095, India.
Insights
Severe acute malnutrition (SAM) in children is linked to increased oxidative stress and mitochondrial dysfunction. However, this study found no evidence of premature ageing in these children.
Area of Science:
- Biochemistry
- Pediatrics
- Molecular Biology
Background:
- Severe acute malnutrition (SAM) is a critical health issue in children globally.
- Understanding the underlying molecular mechanisms of SAM, including oxidative stress and mitochondrial dysfunction, is crucial for effective intervention.
- The potential link between SAM, cellular damage, and premature ageing requires further investigation.
Purpose of the Study:
- To investigate oxidative stress, mitochondrial dysfunction, and premature ageing in children diagnosed with severe acute malnutrition (SAM).
- To compare key biomarkers between SAM children and healthy controls.
Main Methods:
- A cross-sectional study involving 40 children (1 month to 5 years) with SAM and 40 age/sex-matched controls.
- Assessment of oxidative stress via total antioxidant status (TAOS).
- Evaluation of mitochondrial dysfunction using mitochondrial DNA (mtDNA) content and premature ageing through telomere length (TL) measurements.
Main Results:
- Children with SAM exhibited significantly elevated oxidative stress, indicated by lower TAOS levels compared to controls (p < 0.001).
- Mitochondrial DNA (mtDNA) content was significantly higher in children with SAM, suggesting mitochondrial dysfunction (p < 0.001).
- No significant difference in telomere length (TL) was observed between SAM children and controls (p = 0.747).
Conclusions:
- Children with SAM experience significantly increased oxidative stress.
- The observed increase in oxidative stress may contribute to mitochondrial dysfunction in SAM.
- This study found no evidence of premature ageing, as indicated by telomere length, in children with SAM.
Objectives:
To assess oxidative stress, mitochondrial dysfunction, and premature ageing in children with severe acute malnutrition (SAM).
Methods:
This cross-sectional study was conducted in children (1 mo-5 y) with SAM (defined as per WHO criteria) presenting to Pediatrics inpatient department. Oxidative stress, mitochondrial dysfunction, and premature ageing were assessed by measuring and comparing total antioxidant status (TAOS), mitochondrial DNA (mtDNA) content, and telomere length (TL), respectively in 40 under-five children with SAM and 40 age- and sex-matched non-malnourished controls.
Results:
Oxidative stress was significantly increased in children with SAM, reflected by lower median (IQR) TAOS in cases as compared to controls [10.78 (9.08, 12.3) vs. 16.63 (15.20, 18.03) mM Trolox, p < 0.001]. Median (IQR) mtDNA content was significantly increased in children with SAM [188.7 (105.2, 398.9) vs. 116.2 (67.2, 154.6), p < 0.001]. There was no significant difference in telomere length between cases and controls [1184.5 (894, 1408) vs.1082.6 (823.3, 1479), p = 0.747].
Conclusion:
Children with SAM had significantly increased oxidative stress that possibly caused mitochondrial dysfunction but no premature ageing.
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