Boosting Antioxidant Defense: The Effect of Astaxantin on Superoxidase Dismutase and Malondialdehyde Reduction in Patients with Head and Neck Cancer Receiving Cisplatin Chemotherapy

  • 0Division of Hematology Medical Oncology, Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Kariadi Hospital, Indonesia.

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Summary

This summary is machine-generated.

Astaxanthin supplementation significantly reduced malondialdehyde (MDA) levels in head and neck cancer (HNC) patients undergoing cisplatin chemotherapy. While superoxide dismutase (SOD) levels did not show a significant increase, MDA reduction highlights astaxanthin's antioxidant benefits.

Area Of Science

  • Biochemistry
  • Oncology
  • Nutritional Science

Background

  • Cisplatin chemotherapy for head and neck cancer (HNC) can increase oxidative stress, leading to decreased superoxide dismutase (SOD) and increased malondialdehyde (MDA).
  • Astaxanthin, a potent antioxidant, is investigated for its potential to counteract these reactive oxygen species (ROS)-induced changes.

Purpose Of The Study

  • To evaluate the efficacy of astaxanthin in modulating SOD and MDA levels in HNC patients undergoing cisplatin treatment.
  • To compare the effects of astaxanthin with a combination of vitamin C and vitamin E.

Main Methods

  • A double-blind, randomized controlled trial with a pre-post test design involving 42 HNC patients.
  • The treatment group received astaxanthin (4 mg BID), while the control group received vitamin C (500 mg) and vitamin E (250 mg IU).
  • Statistical analysis using the Mann Whitney test to compare changes in SOD and MDA levels between groups.

Main Results

  • A significant reduction in MDA levels was observed in the astaxanthin group (p=0.000).
  • No significant difference was found in the delta reduction of SOD levels between the astaxanthin and vitamin C & E groups (p=0.443).
  • The study included patients with various HNC types, stages, and treatment regimens, with a mean age of 48.2 years.

Conclusions

  • Astaxanthin supplementation for 21 days demonstrated a significant ability to decrease MDA levels in HNC patients receiving cisplatin chemotherapy.
  • While not significantly impacting SOD, the observed reduction in MDA suggests astaxanthin's potential as an adjunct therapy to mitigate cisplatin-induced oxidative stress.

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