Oxidation Products of Uric Acid and Ascorbic Acid in Preterm Infants with Chronic Lung Disease

Allantoin, the oxidation product of uric acid (UA), can be used as an in vivo marker of free radical generation. The aims of the present study were to evaluate the allantoin changes in plasma and bronchoalveolar lavage fluid (BALF) as well as to examine plasma levels of ascorbic acid (AA) and its ox...

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Veröffentlicht in:Biology of the neonate 1998-01, Vol.73 (1), p.24-33
Hauptverfasser: Ogihara, Tohru, Kim, Han-Suk, Hirano, Kazuya, Imanishi, Miho, Ogihara, Hiromi, Tamai, Hiroshi, Okamoto, Ryozo, Mino, Makoto
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container_end_page 33
container_issue 1
container_start_page 24
container_title Biology of the neonate
container_volume 73
creator Ogihara, Tohru
Kim, Han-Suk
Hirano, Kazuya
Imanishi, Miho
Ogihara, Hiromi
Tamai, Hiroshi
Okamoto, Ryozo
Mino, Makoto
description Allantoin, the oxidation product of uric acid (UA), can be used as an in vivo marker of free radical generation. The aims of the present study were to evaluate the allantoin changes in plasma and bronchoalveolar lavage fluid (BALF) as well as to examine plasma levels of ascorbic acid (AA) and its oxidation product, dehydroascorbic acid (DHAA), in infants with or without chronic lung disease (CLD) during the first week of life. The study population was 20 infants of 24–30 weeks gestation, comprising 10 who subsequently developed CLD and 10 without CLD. In the CLD infants, the plasma allantoin/UA ratio showed a significant increase after day 1 and continued to increase gradually to reach a peak on day 6 (6.5 ± 4.1% for CLD and 2.1 ± 0.9% for non-CLD infants). The allantoin/UA ratio in BALF was also higher in CLD infants and the difference reached significance on days 4–6 (41.2 ± 15.8% for CLD and 11.7 ± 9.9% for non-CLD infants). In contrast to allantoin, the plasma DHAA/AA ratio did not differ between the 2 groups throughout the study period. Our findings that the allantoin/UA ratios were significantly higher in CLD than non-CLD infants not only in plasma but also in BALF, and that the intergroup differences of this ratio in both plasma and BALF was more prominent in the latter half of the first week of life further confirm our previous speculation that oxygen radicals are involved in the development of neonatal CLD.
doi_str_mv 10.1159/000013956
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The aims of the present study were to evaluate the allantoin changes in plasma and bronchoalveolar lavage fluid (BALF) as well as to examine plasma levels of ascorbic acid (AA) and its oxidation product, dehydroascorbic acid (DHAA), in infants with or without chronic lung disease (CLD) during the first week of life. The study population was 20 infants of 24–30 weeks gestation, comprising 10 who subsequently developed CLD and 10 without CLD. In the CLD infants, the plasma allantoin/UA ratio showed a significant increase after day 1 and continued to increase gradually to reach a peak on day 6 (6.5 ± 4.1% for CLD and 2.1 ± 0.9% for non-CLD infants). The allantoin/UA ratio in BALF was also higher in CLD infants and the difference reached significance on days 4–6 (41.2 ± 15.8% for CLD and 11.7 ± 9.9% for non-CLD infants). In contrast to allantoin, the plasma DHAA/AA ratio did not differ between the 2 groups throughout the study period. Our findings that the allantoin/UA ratios were significantly higher in CLD than non-CLD infants not only in plasma but also in BALF, and that the intergroup differences of this ratio in both plasma and BALF was more prominent in the latter half of the first week of life further confirm our previous speculation that oxygen radicals are involved in the development of neonatal CLD.</description><identifier>ISSN: 1661-7800</identifier><identifier>ISSN: 0006-3126</identifier><identifier>EISSN: 1661-7819</identifier><identifier>EISSN: 1421-9727</identifier><identifier>DOI: 10.1159/000013956</identifier><identifier>PMID: 9458939</identifier><identifier>CODEN: BNEOBV</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Allantoin - analysis ; Allantoin - blood ; Anesthesia. Intensive care medicine. Transfusions. 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The aims of the present study were to evaluate the allantoin changes in plasma and bronchoalveolar lavage fluid (BALF) as well as to examine plasma levels of ascorbic acid (AA) and its oxidation product, dehydroascorbic acid (DHAA), in infants with or without chronic lung disease (CLD) during the first week of life. The study population was 20 infants of 24–30 weeks gestation, comprising 10 who subsequently developed CLD and 10 without CLD. In the CLD infants, the plasma allantoin/UA ratio showed a significant increase after day 1 and continued to increase gradually to reach a peak on day 6 (6.5 ± 4.1% for CLD and 2.1 ± 0.9% for non-CLD infants). The allantoin/UA ratio in BALF was also higher in CLD infants and the difference reached significance on days 4–6 (41.2 ± 15.8% for CLD and 11.7 ± 9.9% for non-CLD infants). In contrast to allantoin, the plasma DHAA/AA ratio did not differ between the 2 groups throughout the study period. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Ascorbic Acid - blood</topic><topic>Ascorbic Acid - chemistry</topic><topic>Ascorbic Acid - metabolism</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - analysis</topic><topic>Biomarkers - blood</topic><topic>Bronchoalveolar Lavage Fluid - chemistry</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>Dehydroascorbic Acid - blood</topic><topic>Emergency and intensive care: neonates and children. Prematurity. 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The aims of the present study were to evaluate the allantoin changes in plasma and bronchoalveolar lavage fluid (BALF) as well as to examine plasma levels of ascorbic acid (AA) and its oxidation product, dehydroascorbic acid (DHAA), in infants with or without chronic lung disease (CLD) during the first week of life. The study population was 20 infants of 24–30 weeks gestation, comprising 10 who subsequently developed CLD and 10 without CLD. In the CLD infants, the plasma allantoin/UA ratio showed a significant increase after day 1 and continued to increase gradually to reach a peak on day 6 (6.5 ± 4.1% for CLD and 2.1 ± 0.9% for non-CLD infants). The allantoin/UA ratio in BALF was also higher in CLD infants and the difference reached significance on days 4–6 (41.2 ± 15.8% for CLD and 11.7 ± 9.9% for non-CLD infants). In contrast to allantoin, the plasma DHAA/AA ratio did not differ between the 2 groups throughout the study period. Our findings that the allantoin/UA ratios were significantly higher in CLD than non-CLD infants not only in plasma but also in BALF, and that the intergroup differences of this ratio in both plasma and BALF was more prominent in the latter half of the first week of life further confirm our previous speculation that oxygen radicals are involved in the development of neonatal CLD.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>9458939</pmid><doi>10.1159/000013956</doi><tpages>10</tpages></addata></record>
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identifier ISSN: 1661-7800
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subjects Allantoin - analysis
Allantoin - blood
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Ascorbic Acid - blood
Ascorbic Acid - chemistry
Ascorbic Acid - metabolism
Biological and medical sciences
Biomarkers - analysis
Biomarkers - blood
Bronchoalveolar Lavage Fluid - chemistry
Chronic Disease
Cohort Studies
Dehydroascorbic Acid - blood
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Female
Free Radicals
Humans
Infant, Newborn
Infant, Premature, Diseases - blood
Infant, Premature, Diseases - metabolism
Intensive care medicine
Lung Diseases - blood
Lung Diseases - metabolism
Male
Medical sciences
Original Paper
Oxidation-Reduction
Uric Acid - blood
Uric Acid - chemistry
Uric Acid - metabolism
title Oxidation Products of Uric Acid and Ascorbic Acid in Preterm Infants with Chronic Lung Disease
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