Association between DNA and RNA oxidative damage and mortality in septic patients
JOURNAL OF CRITICAL CARE
Authors: Lorente, Leonardo; Martin, Maria M.; Gonzalez-Rivero, Agustin F.; Perez-Cejas, Antonia; Abreu-Gonzalez, Pedro; Ortiz-Lopez, Raquel; Ferreres, Jose; Sole-Violan, Jordi; Labarta, Lorenzo; Diaz, Cesar; Palmero, Salome; Jimenez, Alejandro
Abstract
Purpose: DNA and RNA oxidative damage occurs during sepsis. Higher urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels (from oxidation of guanosine from DNA) have been found in non-surviving patients than in surviving septic patients. However, the relation between DNA and RNA oxidative damage and mortality in septic patients has never been published; thus, the objective of this study was to determine the existence of this association. Methods: This prospective and observational study including septic patients was conducted in 8 Spanish Intensive Care Units. Serum concentrations of the three oxidizied guanine species (OGS) (8-OHdG from DNA, 8-hydroxyguanosine from RNA, and 8-hydroxyguanine from DNA or RNA) were determined, and malondialdehyde (to estimate lipid peroxidation) in the diagnosis of sepsis. Mortality at 30 days was the end-point study. Results: Non-surviving patients (n = 78) compared to surviving patients (n = 139) showed higher serum concentrations of OGS (p = .004) and malondialdehyde (p < .001). Simultaneously, an association between serum OGS concentrations and mortality in logistic regression analysis was found (OR = 1.105; 95% CI = 1.024-1.193; p = .01), and a positive correlation between serum levels of OGS and malondialdehyde (rho = 0.21; p = .002). Conclusions: The new findings from our study were that oxidative DNA and RNA damage in septic patients was associated with mortality and lipid peroxidation. (C) 2019 Elsevier Inc. All rights reserved.
Markers of nucleic acids and proteins oxidation among office workers exposed to air pollutants including (nano) TiO2 particles
NEUROENDOCRINOLOGY LETTERS
Authors: Pelclova, Daniela; Zdimal, Vladimir; Kacer, Petr; Vlckova, Stepanka; Fenclova, Zdenka; Navratil, Tomas; Komarc, Martin; Schwarz, Jaroslav; Zikova, Nadezda; Makes, Otakar; Zakharov, Sergey
Abstract
OBJECTIVES: Experimental studies using nanoscale TiO2 have documented lung injury, inflammation, oxidative stress, and genotoxicity. Human health data are extremely scarce. METHODS: In exhaled breath condensate (EBC) and urine of 22 office employees occupationally exposed to TiO2 during their visit in the production workshops for average 14 +/- 9 min/ day a panel of biomarkers of nucleic acids and proteins oxidation was studied, specifically 8-hydroxy-2-deoxyguanosine (8-OHdG), 8-hydroxyguanosine (8-OHG), 5-hydroxymethyl uracil (5-OHMeU), o-tyrosine (o-Tyr), 3-chlorotyrosine (3-ClTyr), and 3-nitrotyrosine (3-NOTyr). Examination was performed also in 14 comparable controls. RESULTS: The median respirable TiO2 mass concentration in the workshops was 0.40 mg/m(3), median number concentration was 2.32 x 10(4) particles/cm(3) with 80% of the particles being < 100 nm in diameter. All 6 markers of oxidation were elevated in EBC in factory office employees relative to controls (p<0.01). Significant association was found between their job in TiO2 production plant and 5 markers of oxidation (except 3-NOTyr) in the EBC in multivariate analysis. No elevation of markers was detected in the urine. CONCLUSION: This pilot study suggests that even short nanoTiO2 exposure may lead to pulmonary oxidative stress; however this effect may be short-term and reversible. The clinical significance of these findings is unclear and more studies are needed.