The Relation between Serum Levels of Oxidants and Antioxidants with Asthma Severity

Document Type : Original Article(s)

Authors

1 Asociate Professor, Deartment of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Resident, Deartment of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Background: Asthma considered as an inflammatory disease and the role of systemic and local oxidative stress in the pathogenesis of the disease has been suggested. The imbalance between oxidants and antioxidants has a significant role in the creation and control of asthma symptoms. The aim of this research was to study the relation between serum levels of oxidants and antioxidants with the severity of asthma. Methods: In this observational-analytic cross-sectional study, 59 known asthmatic patients were included. The severity of asthma as mild, moderate, and severe was determined in studied patients based on their medical history, clinical symptoms, and pulmonary function tests. Serum levels of hydrogen superoxide, specific activity of superoxide dismutase enzymes and catalase, and total capacity of antioxidant levels in serum samples were evaluated.Findings: Mild, moderate, and severe asthma was presented among 21 (35.6%), 22 (37.3%), and 16 (27.1%) patients. There was significant positive relationship between the severity of asthma and specific activity of superoxide dismutase (P = 0.04; r = 0.21), mean of serum superoxide hydrogen (P < 0.01; r = 0.23), and the total capacity of antioxidants (P < 0.01; r = 0.31). There was significant negative relationship between the severity of asthma and specific activity of plasma catalase (P = 0.01; r = 0.28).Conclusion: The findings of current study confirmed the role of oxidant/antioxidant balance in asthma severity. To determine the more precise mechanisms of these compounds on pulmonary disease, especially asthma, further interventional studies on the effect of balance modification of oxidant/antioxidant on the severity, control, and the molecular basis of the disease is needed. 

Keywords


  1. Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 2004; 59(5): 469-78.
  2. Woolcock AJ, Peat JK. Evidence for the increase in asthma worldwide. Ciba Found Symp 1997; 206: 122-34.
  3. Nadeem A, Chhabra SK, Masood A, Raj HG. Increased oxidative stress and altered levels of antioxidants in asthma. J Allergy Clin Immunol 2003; 111(1): 72-8.
  4. MacPherson JC, Comhair SA, Erzurum SC, Klein DF, Lipscomb MF, Kavuru MS, et al. Eosinophils are a major source of nitric oxide-derived oxidants in severe asthma: characterization of pathways available to eosinophils for generating reactive nitrogen species. J Immunol 2001; 166(9): 5763-72.
  5. Chanez P, Dent G, Yukawa T, Barnes PJ, Chung KF. Generation of oxygen free radicals from blood eosinophils from asthma patients after stimulation with PAF or phorbol ester. Eur Respir J 1990; 3(9): 1002-7.
  6. Cluzel M, Damon M, Chanez P, Bousquet J, Crastes de PA, Michel FB, et al. Enhanced alveolar cell luminol-dependent chemiluminescence in asthma. J Allergy Clin Immunol 1987; 80(2): 195-201.
  7. Calhoun WJ, Salisbury SM, Bush RK, Busse WW. Increased superoxide release from alveolar macrophages in symptomatic asthma. Am Rev Respir Dis 1987; 135: A224.
  8. Vachier I, Damon M, Le DC, de Paulet AC, Chanez P, Michel FB, et al. Increased oxygen species generation in blood monocytes of asthmatic patients. Am Rev Respir Dis 1992; 146(5 Pt 1): 1161-6.
  9. Barnes PJ. Reactive oxygen species and airway inflammation. Free Radic Biol Med 1990; 9(3): 235-43.
  10. Comhair SA, Xu W, Ghosh S, Thunnissen FB, Almasan A, Calhoun WJ, et al. Superoxide dismutase inactivation in pathophysiology of asthmatic airway remodeling and reactivity. Am J Pathol 2005; 166(3): 663-74.
  11. Rahman I, Biswas SK, Kode A. Oxidant and antioxidant balance in the airways and airway diseases. Eur J Pharmacol 2006; 533(1-3): 222-39.
  12. Varshavskii BI, Trubnikov GV, Galaktipmpva LP, Koreniak NA, Koledeznaia IL, Oberemok AN. [Oxidant-antioxidant status of patients with bronchial asthma during inhalation and systemic glucocorticoid therapy]. Ter Arkh 2003; 75(3): 21-4.
  13. Marcal LE, Rehder J, Newburger PE, Condino-Neto A. Superoxide release and cellular gluthatione peroxidase activity in leukocytes from children with persistent asthma. Braz J Med Biol Res 2004; 37(11): 1607-13.
  14. Majori M, Vachier I, Godard P, Farce M, Bousquet J, Chanez P. Superoxide anion production by monocytes of corticosteroid-treated asthmatic patients. Eur Respir J 1998; 11(1): 133-8.
  15. Mak JC, Leung HC, Ho SP, Law BK, Lam WK, Tsang KW, et al. Systemic oxidative and antioxidative status in Chinese patients with asthma. J Allergy Clin Immunol 2004; 114(2): 260-4.
  16. Liao MF, Chen CC, Hsu MH. Evaluation of the serum antioxidant status in asthmatic children. Acta Paediatr Taiwan 2004; 45(4): 213-7.
  17. Hanta I, Kuleci S, Canacankatan N, Kocabas A. The oxidant-antioxidant balance in mild asthmatic patients. Lung 2003; 181(6): 347-52.
  18. Kirkham P, Rahman I. Oxidative stress in asthma and COPD: antioxidants as a therapeutic strategy. Pharmacol Ther 2006; 111(2): 476-94.