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Updated: Aug 9, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Jaundice in new born and erythrocyte and plasma antioxidant defence system
S Majumder1, U Sarkar, D Sengupta
1Department of Biochemistry, Institute of Child Health, Calcutta, India.
Insights
Neonatal jaundice alters erythrocyte antioxidant defenses, lowering cellular glutathione. Erythrocyte glutathione reductase activity increases to compensate, while plasma glutathione levels rise in this study of neonatal jaundice.
Area of Science:
- Biochemistry
- Neonatal Physiology
- Oxidative Stress
Background:
- Neonatal jaundice is characterized by elevated serum unconjugated bilirubin.
- Antioxidant defense mechanisms are crucial for protecting cells from oxidative damage.
- Erythrocytes are particularly vulnerable to oxidative stress during neonatal hyperbilirubinemia.
Purpose of the Study:
- To investigate alterations in the antioxidant defense system of erythrocytes in neonatal jaundice.
- To evaluate the levels and activities of key antioxidant enzymes and glutathione in neonatal jaundice.
Main Methods:
- Analysis of serum unconjugated bilirubin levels.
- Measurement of cellular and plasma glutathione (reduced) levels.
- Assay of erythrocyte and plasma glutathione reductase, glutathione peroxidase, and gamma-glutamyl transpeptidase activities.
- Determination of erythrocyte glucose-6-phosphate dehydrogenase (G-6-PDH) activity.
Main Results:
- Significantly low cellular glutathione levels were observed in neonates with jaundice.
- Increased erythrocyte glutathione reductase activity and decreased cellular glutathione peroxidase activity were noted.
- Elevated plasma glutathione (reduced) levels and increased plasma glutathione reductase and gamma-glutamyl transpeptidase activities were found.
Conclusions:
- Neonatal jaundice is associated with compromised erythrocyte antioxidant defense mechanisms.
- The observed changes in glutathione metabolism suggest an adaptive response to oxidative stress in neonatal jaundice.
- Erythrocyte G-6-PDH activity remained within normal limits, indicating its stability during hyperbilirubinemia.
Abstract:
Alteration in the antioxidant defence mechanism of erythrocytes with rise in serum unconjugated bilirubin level in neonates has been observed. The cellular glutathione level was found to be significantly low. The activity of glutathione reductase in erythrocyte increased to combat the cellular loss of reduced glutathione in neonatal jaundice. In plasma fraction the level of glutathione (reduced) was found to be significantly higher with lowering of glutathione reductase level. Glutathione peroxidase was reduced in cellular level whereas an increase was observed in plasma fraction. Gamma glutamyl transpeptidase level was barely detectable in erythrocyte whereas an increase was observed in plasma fraction. In all the cases erythrocyte G-6-PDH activity level was found within normal limits.
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