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Oxidative Stress Status in Post Stroke Patients: Sex Differences
Mariacristina Siotto1, Marco Germanotta1, Massimo Santoro2
1IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, Italy.
Healthcare (Basel, Switzerland)
|May 28, 2022
Summary
Stroke patients exhibit elevated oxidative stress, with higher levels linked to worse motor function in males. Sex differences in oxidative stress and its impact on recovery require further investigation.
Area of Science:
- Neuroscience
- Biochemistry
- Clinical Medicine
Background:
- Cerebral stroke leads to increased Reactive Oxygen Species (ROS), overwhelming antioxidant defenses and causing tissue damage.
- Oxidative stress status in stroke patients during rehabilitation is not well-understood.
- This study investigates oxidative stress markers in subacute stroke patients undergoing rehabilitation.
Purpose of the Study:
- To assess oxidative stress status (d-ROMs, BAP test, OSI index) in subacute stroke patients.
- To analyze glucose levels, lipid profiles, and their relationship with oxidative stress.
- To explore correlations between oxidative stress biomarkers and motor deficits, disability, and pain.
Main Methods:
- Serum analysis of hydroperoxides (d-ROMs), antioxidant activity (BAP test), and oxidative stress index (OSI).
- Measurement of glucose levels and lipid profiles.
- Correlation analysis between oxidative stress markers and clinical outcomes (motor deficits, disability, pain).
Main Results:
- Nearly all patients presented high d-ROMs levels, indicating significant oxidative stress.
- Females showed lower antioxidant capacity (BAP) and OSI index compared to males.
- In males, higher oxidative stress correlated with poorer motor performance and increased disability.
Conclusions:
- Subacute stroke patients exhibit substantial oxidative stress, with notable sex-based differences in antioxidant capacity.
- Oxidative stress appears to negatively impact motor function and disability in male stroke patients.
- Further research is warranted to elucidate persistent sex differences in oxidative stress post-stroke rehabilitation.

