The relation between oxidative stress parameters, ischemic stroke,and hemorrhagic stroke

Background/aim: The aims of this study were to investigate the significance of oxidative stress parameters in the pathogenesis of ischemic stroke and hemorrhagic stroke and to investigate their effects on stroke severity using the National Institutes of Health Stroke Scale (NIHSS). Materials and methods: A total of 92 patients, including 74 with ischemic stroke and 18 with hemorrhagic stroke, and 75 volunteers were enrolled in the study. Total oxidant status (TOS), total antioxidant status (TAS), paraoxonase, stimulating paraoxonase, arylesterase, and thiol levels were measured in both the patient and volunteer groups. NIHSS and oxidative stress index (OSI) scores were calculated. Results: TOS and OSI levels were significantly higher in the ischemia and hemorrhagic stroke groups than in the control group (P < 0.05). Arylesterase and thiol levels were significantly lower in the ischemia group than the control group (P < 0.05). No significant correlation was found between NIHSS score and TAS, TOS, OSI, paraoxonase, arylesterase, stimulated paraoxonase, and thiol levels (P > 0.05). Conclusion: Oxidative stress may play a role in the pathogenesis of both ischemic stroke and hemorrhagic stroke in terms of oxidants. We do not think that oxidative stress has any effect in determining stroke severity in either type of stroke.

The relation between oxidative stress parameters, ischemic stroke,and hemorrhagic stroke

Background/aim: The aims of this study were to investigate the significance of oxidative stress parameters in the pathogenesis of ischemic stroke and hemorrhagic stroke and to investigate their effects on stroke severity using the National Institutes of Health Stroke Scale (NIHSS). Materials and methods: A total of 92 patients, including 74 with ischemic stroke and 18 with hemorrhagic stroke, and 75 volunteers were enrolled in the study. Total oxidant status (TOS), total antioxidant status (TAS), paraoxonase, stimulating paraoxonase, arylesterase, and thiol levels were measured in both the patient and volunteer groups. NIHSS and oxidative stress index (OSI) scores were calculated. Results: TOS and OSI levels were significantly higher in the ischemia and hemorrhagic stroke groups than in the control group (P < 0.05). Arylesterase and thiol levels were significantly lower in the ischemia group than the control group (P < 0.05). No significant correlation was found between NIHSS score and TAS, TOS, OSI, paraoxonase, arylesterase, stimulated paraoxonase, and thiol levels (P > 0.05). Conclusion: Oxidative stress may play a role in the pathogenesis of both ischemic stroke and hemorrhagic stroke in terms of oxidants. We do not think that oxidative stress has any effect in determining stroke severity in either type of stroke.

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  • Chen CY, Wu JS, Yang ST, Huang CY, Chang C, Sun GY, Lin NT. Stroke, angiogenesis and phytochemicals. Front Biosci 2012; 1: 599–610.
  • Go S, Worman DJ. Stroke, transient ischemic attack, and cervical artery dissection. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, NY, USA: McGraw-Hill; 2010. pp. 1122–1135.
  • Valko M, Rhodes CJ, Moncol J, Izakovic M, Mazur M. Free radicals, metals and antioxidants in oxidative stress-induced cancer. Chem-Biol Interact 2006; 160: 1–40.
  • Valko M, Leibfritz D, Moncol J, Cronin DMT, Mazur M, Telser J. Free radicals and antioxidants in normal physiological functions and human disease. Int J Biochem Cell B 2007; 39: 44–84.
  • Chen H, Yoshioka H, Kim GS, Jung EJ, Okami N, Sakata H, Maier CM, Narasimhan P, Goeders CE, Chan HP. Oxidative stress in ischemic brain damage: mechanisms of cell death and potential molecular targets for neuroprotection. Antioxid Redox Sign 2011; 14: 1505–1517.
  • Moskowitz MA, Lo EH, Iadecola C. The science of stroke: mechanisms in search of treatments. Neuron 2010; 67: 181–198.
  • Parizadeh MR, Azarpazhooh MR, Mobarra N, Nematy M, Alamdari DH, Tavalaie S, Sahebkar A, Hassankhani B, Ferns G, Ghayour-Mobarhan M. Prooxidant-antioxidant balance in stroke patients and 6-month prognosis. Clin Lab 2011; 57: 183– 191.
  • Çevik MU, Acar A, Yücel Y, Varol S, Akıl E, Arıkanoğlu A, Yüksel H. Investigation of total oxidants/antioxidants in patients with intracerebral haemorrhage. Turkish Journal of Neurology 2013; 19: 1–4.
  • Meyer BC, Hemmen MT, Jackson CM, Lyden DP. Modified National Institutes of Health Stroke Scale for use in stroke clinical trials: prospective reliability and validity. Stroke 2002; 33: 1261–1266.
  • Erel O. A novel automated method to measure total antioxidant response against potent free radical reactions. J Clin Biochem 2004; 37: 112–119.
  • Erel O. A new automated colorimetric method for measuring total oxidant status. J Clin Biochem 2005; 47: 119–129.
  • Harma M, Erel O. Oxidative stress in women with preeclampsia. Am J Obstet Gynecol 2005; 192: 656–657.
  • Harma M, Erel O. Measurement of the total antioxidant response in preeclampsia with a novel automated method. Eur J Obstet Gyn R B 2005; 118: 47–51.
  • Hu LM, Louie S, Cross CE, Motchnik P, Halliwell B. Antioxidant protection against hypochlorous acid in human plasma. J Lab Clin Med 1993; 121: 257–262.
  • Eckerson HW, Wyte CM, La Du BN. The human serum paraoxonase/arylesterase polymorphism. Am J Hum Genet 1983; 35: 1126–1138.
  • Haagen L, Brock A. A new automated method for phenotyping arylesterase (EC 3.1.1.2) based upon inhibition of enzymatic hydrolysis of 4-nitrophenyl acetate by phenyl acetate. Eur J Clin Chem Clin 1992; 30: 391–395.
  • Kotan D, Deniz O, Aygül R, Erel O, Akçay F. Relationship between serum and cerebrospinal fluid oxidative stress index and the infarct volume in patients with acute ischemic stroke. Türkiye Klinikleri J Med Sci 2013; 33: 630–634.
  • Aygul R, Kotan D, Demirbas F, Ulvi H, Deniz O. Plasma oxidants and antioxidants in acute ischaemic stroke. J Int Med Res 2006; 34: 413–418.
  • Prior LR, Cao G. In vivo total antioxidant capacity: comparison of different analytical methods. Free Radical Bio Med 1999; 27: 1173–1181.
  • Aygul R, Demircan B, Erdem F, Ulvi H, Yildirim A, Demirbas F. Plasma values of oxidants and antioxidants in acute brain hemorrhage: role of free radicals in the development of brain injury. Biol Trace Elem Res 2005; 108: 43–52.
  • Polidori MC, Mecocci P, Frei B. Plasma vitamin C levels are decreased and correlated with brain damage in patients with intracranial hemorrhage or head trauma. Stroke 2001; 32: 898– 902.
  • Leinonen JS, Ahonen JP, Lönnrot K, Jehkonen M, Dastidar PP, Molnár G, Alho H. Low plasma antioxidant activity is associated with high lesion volume and neurological impairment in stroke. Stroke 2000; 31: 33–39.
  • Lagowska-Lenard M, Stelmasiak Z, Bartosik-Psujek H. Influence of vitamin C on markers of oxidative stress in the earliest period of ischemic stroke. Pharmacol Rep 2010; 62: 751–756.
  • Thanoon IA, Abdul-Jabbar HA, Taha DA. Oxidative stress and C-reactive protein in patients with cerebrovascular accident (ischaemic stroke): the role of Ginkgo biloba extract. Sultan Qaboos Univ Med J 2012: 12: 197–205.
  • Acar A, Varol S, Uzar E, Akil E, Cevik MU, Arikanoglu A, Yucel Y, Tasdemir N, Evliyaoglu O, Ekici F. Evaluation of serum oxidant/antioxidant balance in patients with acute stroke. J Pak Med Assoc 2013; 63: 590–593.
  • Sheikh N, Tavilani H, Rezaie A, Vaisi-Raygani A, Salimi S. Relationship between estradiol and antioxidant enzymes activity of ischemic stroke. J Biomed Biotechnol 2009; 2009: 841468.
  • Mackness B, Hine D, Liu Y, Mastorikou M, Mackness M. Paraoxonase-1 inhibits oxidised LDL-induced MCP-1 production by endothelial cells. Biochem Biophys Res Co 2004; 318: 680–683.
  • Zhang G, Li W, Li Z, Lv H, Ren Y, Ma R, Li X, Kang X, Shi Y, Sun Y. Association between paraoxonase gene and stroke in the Han Chinese population. BMC Med Genet 2013; 14: 16.
  • Xu HW, Yuan N, Zhao Z, Zhang L, Xia J, Zeng KM, Xiao B, Yang SX, Tang BS. Study of the relationship between gene polymorphisms of paraoxonase 2 and stroke in a Chinese population. Cerebrovasc Dis 2008; 25: 87–94.
  • Kim NS, Kang K, Cha HM, Kang BJ, Moon J, Kang BK, Yu BC, Kim SY, Choi MS, Bang OS. Decreased paraoxonase-1 activity is a risk factor for ischemic stroke in Koreans. Biochem Biophys Res Co 2007; 364: 157–162.
  • Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 1979; 95: 351–358.
  • La Du BN, Eckerson HW. The polymorphic paraoxonase/ arylesterase isozymes of human serum. Fed Proc 1984; 43: 2338– 2341.
  • Bhattacharyya T, Nicholls SJ, Topol EJ, Zhang R, Yang X, Schmitt D, Fu X, Shao M, Brennan DM, Ellis SG et al. Relationship of paraoxonase 1 (PON1) gene polymorphisms and functional activity with systemic oxidative stress and cardiovascular risk. JAMA 2008; 299: 1265–1276.
  • Atmaca G. Antioxidant effects of sulfur-containing amino acids. Yonsei Med J 2004; 45: 776–788.
  • Parcell S. Sulfur in human nutrition and applications in medi- cine. Altern Med Rev 2002; 7: 22–44.
  • Fang YZ, Yang S, Wu G. Free radicals, antioxidants, and nutrition. Nutrition 2002; 18: 872–879.
  • Yardim-Akaydin S, Ozkan Y, Ozkan E, Torun M, Simşek B. The role of plasma thiol compounds and antioxidant vitamins in patients with cardiovascular diseases. Clin Chim Acta 2003; 338: 99–105.
  • Musumeci M, Sotgiu S, Persichilli S, Arru G, Angeletti S, Fois ML, Minucci A, Musumeci S. Role of SH levels and markers of immune response in the stroke. Dis Markers 2013; 35: 141–147.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Value of prealbumin in assessment of nutrition for critically ill patients (Reply to Letter to the Editor:)

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Value of prealbumin in assessment of nutrition for critically ill patients

Mehmet AĞILLI, Şafak EKİNCİ

Sexuality and sexual dysfunction in spinal cord-injured men in Turkey

Ramazan Yavuz AKMAN, Evrim Coşkun ÇELİK, Metin KARATAŞ

A study of the effect of Bacillus thuringiensis serotype H14 (subspecies israelensis)delta endotoxin on Musca larva

Mohammad Reza MEHRABI, Laya ZOGHIMOFRAD, Mahboubeh MAZINANI, Azim AKBARZADEH, Amirabbas RAHIMI

Healthy subjects' knowledge of surgical complications: a hospital-based survey

ABDUSSAMED YALÇIN, ERSİN GÜRKAN DUMLU, MEHMET TOKAÇ, ÖMER PARLAK, LEVENT ÖZTÜRK, MEHMET KILIÇ

Asymmetric dimethylarginine is not a good predictor of ischemiausing myocardial perfusion scintigraphy

MELİH ENGİN ERKAN, MUHAMMET AŞIK, Taner UÇGUN, Nilgün YILDIZ, AYŞE YILMAZ, Yusuf ASLANTAŞ, Serkan BULUR, HURİ TİLLA İLÇE, Mustafa YILDIRIM, Ramazan MEMİŞOĞULLARI, AHMET SEMİH DOĞAN

Effects of melatonin and theanine administration on pentylenetetrazole-inducedseizures and brain tissue oxidative damage in ovariectomized rats

SHADI CHOOPANKAREH, FARZANEH VAFAEE, MOHAMMAD NASER SHAFEI, HAMID REZA SADEGHNIA, REZA SALARINIA, LEILA ZAREPOOR, MAHMOUD HOSSEINI

Epidemiological and clinical characteristics and management of oropharyngeal tularemia outbreak

Mustafa Önder UZUN, Keramettin YANIK, Müge ERDEM, Uğur KOSTAKOĞLU, Gürdal YILMAZ, Yeliz Tanriverdi ÇAYCI

Investigation of the effect of changes in muscle strength in gestational ageupon fear of falling and quality of life

Emrah ATAY, Fatma Başalan İZ

Self-perception of quality of life in patients treated with antipsychotics

Lorena DIMA, Daniel VASILE, Liliana ROGOZAE, Muhammad ZIA-UL-HAQ, Shazia Anwer BUKHARI, Marius MOGA