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Intensity of lipid peroxidation in patients with cold injury

https://doi.org/10.25789/YMJ.2018.62.11

Abstract

The authors report their study on the intensity of lipid peroxidation processes and the state of antioxidant protection in patients with cold trauma of varying severity. It was established that in the organism of patients with frostbite of extremities, the intensity of free radical oxidation and the level of antioxidant defense depended on the degree of frostbite.

Clinical and biochemical studies were conducted in 151 people, 81 of whom were patients with a cold trauma of varying severity, who entered the burn department of the Republican Hospital №2. The control group included 70 practically healthy people. The material of the study was fasting venous blood samples, drawn from the ulnar vein.

The parameters of the intensity of free radical lipid oxidation (malonicdialdehyde, diene conjugates) and antioxidant protection (low-molecular antioxidants, activity of superoxide dismutase, catalase, glutathione peroxidase, glutathionereductase) were determined by spectrophotometric methods. Clinical and biochemical parameters in blood serum were determined on the biochemical automatic analyzer CobasMiraPlus (Roche).

In the body of patients with frostbite of the extremities of the first and second groups, a significant increase in the parameters of lipid peroxidation - MDA and DC - is observed. In patients of the second group, the intensity of lipid peroxidation processes was higher than in patients of the first group.

The state of the body’s antioxidant defense depends on the severity of the injury. In patients of the first group, the activity of SOD is increased by 8 times, CAT by 1.3 times, HP by 1.7 times, and GR activity decreased by 1.9 times in comparison with the control. The concentration of LMWA increases 2.1 times, and the content of ascorbic acid decreases by 1.2 times. In patients of the second group with respect to control, the activity of SOD increases 12.6 times, catalase 1.1 times, HP 1.5 times, and GH activity decreased 2.8 times. The content of LMAO increases 1.5 times, and the level of ascorbic acid in the blood decreases 2.4 times.

The shift in the prooxidant-antioxidant equilibrium toward the intensification of free radical reactions is also indicated by an increase in the coefficients: KSOD / CAT, KSOD / HP. The values of the coefficients (KSOD / CAT, KSOD / GP) depend on the severity of the cold trauma.

About the Authors

V. M. Nikolaev
Yakutsk Scientific Center of Complex Medical Problems
Russian Federation

Nikolaev Vyacheslav Mikhailovich - PhD, head of the department for studying adaptation mechanisms

677010, Yakutsk, ul. Sereylyakhskoyeshosse 4

phone: (4112) 32-19-81



R. Z. Alekseev
M.K. Ammosov North-Eastern Federal University; Yakutsk Scientific Center of Complex Medical Problems
Russian Federation

Alekseev Revo Zakharovich - MD, Professor;  Senior Researcher

677010, Yakutsk, ul. Sergelyakhskoyeshosse 4

phone: (4112) 32-19-81



S. A. Fedorova
M.K. AmmosovNorth-Eastern Federal University
Russian Federation

Fedorova Sardana Arkadevna - Doctor of Biological Sciences, Head of the Research Laboratory of Molecular Biology

677000, Yakutsk, ul. Kulakovsky, 46, k.504

phone: (4112) 49-68-42



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Review

For citations:


Nikolaev V.M., Alekseev R.Z., Fedorova S.A. Intensity of lipid peroxidation in patients with cold injury. Yakut Medical Journal. 2018;(2):34-38. https://doi.org/10.25789/YMJ.2018.62.11

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