The redox state as a correlate of senescence and wasting and as a target for therapeutic intervention

The loss of body cell mass (bcm) in senescence and wasting is poorly understood. We now show that the plasma cystine/acid soluble thiol ratio, ie, an indicator of the redox state, is increased in old age and cancer patients and correlated with a decrease in bcm and plasma albumin. A cause/effect rel...

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Veröffentlicht in:Blood 1998-07, Vol.92 (1), p.59-67
Hauptverfasser: HACK, V, BREITKREUTZ, R, KINSCHERF, R, RÖHRER, H, BÄRTSCH, P, TAUT, F, BENNER, A, DRÖGE, W
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container_end_page 67
container_issue 1
container_start_page 59
container_title Blood
container_volume 92
creator HACK, V
BREITKREUTZ, R
KINSCHERF, R
RÖHRER, H
BÄRTSCH, P
TAUT, F
BENNER, A
DRÖGE, W
description The loss of body cell mass (bcm) in senescence and wasting is poorly understood. We now show that the plasma cystine/acid soluble thiol ratio, ie, an indicator of the redox state, is increased in old age and cancer patients and correlated with a decrease in bcm and plasma albumin. A cause/effect relationship was suggested by two independent studies with N-acetyl-cysteine (NAC). NAC caused an increase in the bcm of healthy persons with high plasma cystine/thiol ratios, and treatment of cancer patients with NAC plus interleukin-2 caused an increase in bcm, plasma albumin, and functional capacity. Albumin levels below 680 micromol/L were associated with an increase in body water. Our studies suggest that the shift in the redox state may contribute to the loss of bcm and may provide a quantitative guideline for therapeutic intervention. Treatment of cancer patients with thiol-containing antioxidants may improve the quality of life.
doi_str_mv 10.1182/blood.v92.1.59.413a05_59_67
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subjects Acetylcysteine - administration & dosage
Adolescent
Adult
Aged
Aged, 80 and over
Aging - metabolism
Antineoplastic agents
Biological and medical sciences
Cell Death
Child
Child, Preschool
Combined treatments (chemotherapy of immunotherapy associated with an other treatment)
Cystine - blood
Female
Free Radical Scavengers - administration & dosage
Free Radical Scavengers - therapeutic use
Humans
Male
Medical sciences
Middle Aged
Neoplasms - drug therapy
Neoplasms - metabolism
Neoplasms - physiopathology
Oxidation-Reduction - drug effects
Pharmacology. Drug treatments
Serum Albumin - metabolism
Sulfhydryl Compounds - blood
title The redox state as a correlate of senescence and wasting and as a target for therapeutic intervention
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