Journals / Ankara Medical Journal / 2021 / Cilt: 21 - Sayı: 3

OXIDATIVE STRESS IN PATIENTS WITH CARBON MONOXIDE POISONING

KARBON MONOKSİT ZEHİRLENMESİ OLAN HASTALARDA OKSİDATİF STRES

Pages
428–440
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of our study support that oxidative balance turns against antioxidants in cases of CO poisoning.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Oxidative stress refers to formation of more reactive oxygen species (ROS) than that are eliminated by cellular defense mechanisms (antioxidants).
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Key Findings & Data:Materials and Methods: On admission to emergency department and at the end of 24th hour after the oxygen therapy, total oxidant status (TOS) was measured as an oxidative stress parameter, total antioxidant status (TAS), paraoxonase (PON), serum paraoxonase (SPON), arylesterase (ARES), and thiol (TTL) levels were measured as indicators of antioxidant capacity.
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Conclusion & Impact:The results of our study support that oxidative balance turns against antioxidants in cases of CO poisoning.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Oxidative stress refers to formation of more reactive oxygen species (ROS) than that are eliminated by cellular defense mechanisms (antioxidants). The aim of this study is to determine oxidative stress developed in CO poisoning, to measure oxidant and antioxidant parameters and to study the effects of the NBO and HBO treatments on these parameters. Materials and Methods: On admission to emergency department and at the end of 24th hour after the oxygen therapy, total oxidant status (TOS) was measured as an oxidative stress parameter, total antioxidant status (TAS), paraoxonase (PON), serum paraoxonase (SPON), arylesterase (ARES), and thiol (TTL) levels were measured as indicators of antioxidant capacity. Results: TAS, TTL and ARES levels were found to be significantly lower in the patient group when compared to control group. There were no differences in both inital and 24th hour levels of oxidative stress parameters between the patients who received hyperbaric therapy and normobaric therapy. Conclusion: Continuing decrease of TAS, PON, SPON, ARES, and TTL may be because the antioxidant capacity has not yet been replaced or reperfusion ischemia is caused by treatment. The results of our study support that oxidative balance turns against antioxidants in cases of CO poisoning.

Özet

Amaç: Oksidatif stres, hücresel savunma mekanizmalarıyla (antioksidanlar) elimine edilenden daha fazla reaktif oksijen türü (ROS) oluşumunu ifade eder. Bu çalışmanın amacı, CO zehirlenmesinde gelişen oksidatif stresi belirlemek, oksidan ve antioksidan parametreleri ölçmek ve normobarik oksijen (NBO9 ve hiperbarik oksijen (HBO) tedavilerinin bu parametreler üzerindeki etkilerini incelemektir. Materyal ve Metot: Acil servise başvuruda ve oksijen tedavisi sonrası 24. saatin sonunda toplam oksidan durum (TOS) oksidatif stres parametresi, total antioksidan durum (TAS), paraoksonaz (PON), serum paraoksonaz (SPON), arilesteraz (ARES) ve tiol (TTL) seviyeleri, antioksidan kapasite göstergesi olarak ölçüldü. Bulgular: Hasta grubunda kontrol grubuna göre TAS, TTL ve ARES düzeyleri anlamlı olarak düşük bulundu. Hiperbarik tedavi ve normobarik tedavi alan hastalar arasında oksidatif stres parametrelerinin hem başlangıç hem de 24. saat düzeylerinde farklılık yoktu. Sonuç: TAS, PON, SPON, ARES ve TTL'de devam eden düşüş, antioksidan kapasitenin henüz değiştirilmemiş olmasından veya reperfüzyon iskemisinin tedaviden kaynaklanmasından kaynaklanıyor olabilir. Çalışmamızın sonuçları CO zehirlenmesi vakalarında oksidatif dengenin antioksidanlara ters döndüğünü desteklemektedir.

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Cite This Article

DEMİR, B., YILMAZ, M., GÜNAYDIN, G. P., ÇELİK, G. K., TUNCAY, M. E., KAVAKLI, H. Ş., ERSEN, T. (2022). OXIDATIVE STRESS IN PATIENTS WITH CARBON MONOXIDE POISONING. Ankara Medical Journal, Cilt: 21 - Sayı: 3, 428–440. https://ajindex.com/articles/441723

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References (14)

  1. Gerald Maloney. Carbon Monoxide. In: Tintinalli JE editors. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York: McGraw-Hill, 2011;1410–3
  2. Zengin S, Behçet A, Kartal S, et al. An assessment of antioxidant status in patients with carbon monoxide poisoning. World J Emerg Med. 2014;5(2):91-5 3. Guzman JA. Carbon monoxide poisoning. Crit Care Clinics. 2012;28(4):537– 48
  3. Hampson NB. Emergency department visits for carbon monoxide poisoning in the Pacific Northwest. J Emerg Med. 1998;16(5):695–8
  4. Hardy KR, Thom SR. Pathophysiology and treatment of carbon monoxide poisoning.Journal of Toxicology: Clinical Toxicology. 1994;32(6):613–29
  5. Goldbaum LR, Ramirez RG, Absalon KB. What is the mechanism of carbon monoxide toxicity? Aviation, space, and environmental medicine. 1975;46(10):1289–91
  6. Gutteridge JM. Lipid peroxidation and antioxidants as biomarkers of tissue damage. Clinical Chemistry 1995;41(12):1819-28
  7. Erel O. A new automated colorimetric method for measuring total oxidant status. Clinical biochemistry. 2005;38(12):1103-11
  8. Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation more stable ABTS radical cation. Clinical biochemistry. 2004;37(4):277-85
  9. Eckerson HW, Wyte MC, La Du BN. The human serum paraoxonase/arylesterase polymorphism. American journal of human genetics.1983;35(6):1126–38
  10. Haagen L, Brock A. A new automated method for phenotyping arylesterase (E.C.3.1.1.2.) based upon inhibition of enzymatic hydrolysis of 4-nitrophenyl acetate by phenyl acetate. Eur JClin Chem Clim Biochem. 1992;30:391–5
  11. Ellman G, Lysko H. A precise method for the determination of plasma sulfhydryl groups. Analytical biochemistry. 1979;93(1):98–102
  12. Hu ML (1994) Measurement of protein thiol groups and glutathione in plasma. Methods in enzymology. 233:380–5 14. Avşarogullari L, Senol V, Akdur O, et al. Characteristics of acute adult poisonings in a university hospital emergency department in central Turkey: a three-year analysis. J Pak Med Assoc. 2012;62(2):129–33
  13. Koylu R, Dundar Z. D, Koylu O, et al. The experiences in a toxicology unit: a review of 623 cases. J Clin Med Res. 2014;6(1):59-65
  14. Aslan Ş, Kemal EM, Karcıoğlu Ö, Meral M, Çakır Z, Katırcı Y. Karbonmonoksit zehirlenmeli hastalarda iskemik miyokardiyal hasarın araştırılması. Anadolu Kardiyoloji Dergisi. 2005;5:189–93 17. Keleş A, Demircan A, Kurtoğlu G. Carbon monoxide poisoning: how m