Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease

Kazuhiro Sakaguchi,1 Masanori Yoshikawa,1 Yukio Fujita,1 Yoshifumi Yamamoto,1 Takahiro Ibaraki,1 Nobuhiro Fujioka,1 Takao Osa,1 Motoo Yamauchi,1 Hiroshi Ichikawa,2 Shigeo Muro1 1Department of Respiratory Medicine, Nara Medical University, Kashihara, Nara, Japan; 2Major of Medical Life Systems, Gradu...

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Main Authors: Sakaguchi K, Yoshikawa M, Fujita Y, Yamamoto Y, Ibaraki T, Fujioka N, Osa T, Yamauchi M, Ichikawa H, Muro S
Format: Article
Language:English
Published: Dove Medical Press 2023-04-01
Series:International Journal of COPD
Subjects:
Online Access:https://www.dovepress.com/serum-free-radical-scavenging-capacity-profiles-of-patients-with-chron-peer-reviewed-fulltext-article-COPD
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author Sakaguchi K
Yoshikawa M
Fujita Y
Yamamoto Y
Ibaraki T
Fujioka N
Osa T
Yamauchi M
Ichikawa H
Muro S
author_facet Sakaguchi K
Yoshikawa M
Fujita Y
Yamamoto Y
Ibaraki T
Fujioka N
Osa T
Yamauchi M
Ichikawa H
Muro S
author_sort Sakaguchi K
collection DOAJ
description Kazuhiro Sakaguchi,1 Masanori Yoshikawa,1 Yukio Fujita,1 Yoshifumi Yamamoto,1 Takahiro Ibaraki,1 Nobuhiro Fujioka,1 Takao Osa,1 Motoo Yamauchi,1 Hiroshi Ichikawa,2 Shigeo Muro1 1Department of Respiratory Medicine, Nara Medical University, Kashihara, Nara, Japan; 2Major of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, JapanCorrespondence: Masanori Yoshikawa, Department of Respiratory Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan, Tel +81-744-22-3051, Fax +81-744-29-0907, Email noriy@naramed-u.ac.jpBackground: Oxidative stress is an important mechanism for the development and progression of chronic obstructive pulmonary disease (COPD). It may also contribute to systemic manifestation in patients with COPD. Reactive oxygen species (ROS) including free radicals play a crucial role in oxidative stress in COPD. The aims of this study were to determine serum scavenging capacity profile against multiple free radicals and to evaluate its correlation with pathophysiology, exacerbations, and prognosis in patients with COPD.Methods: Serum scavenging capacity profile against multiple free radicals comprising hydroxyl radical (•OH), superoxide radical (O2−•), alkoxy radical (RO•), methyl radical (•CH3), alkylperoxyl radical (ROO•), and singlet oxygen (1O2) was assessed using the multiple free-radical scavenging method in 37 patients with COPD (mean age, 71 years; mean forced expiratory volume in 1 s, 55.2% predicted). The severity of emphysema was evaluated by Goddard classification on chest computed tomography. Exacerbations were recorded prospectively for 1 year and the overall mortality was assessed 5 years after the initial assessment.Results: •OH scavenging capacity was significantly decreased (p < 0.05) and O2−• and •CH3 scavenging capacity tended to decrease in patients with COPD compared to that in healthy controls. On the other hand, ROO• scavenging capacity tended to increase. In addition, RO• scavenging capacity was associated with severity of emphysema (p < 0.05) and exacerbation frequency (p < 0.02). There was a difference in the profile of the scavenging capacity between survived and deceased patients with COPD for 5 years after initial assessment.Conclusion: Characteristic profile of free radical scavenging capacity can provide insight into the pathophysiology and prognosis of patients with COPD.Keywords: oxidative stress, free radicals, the multiple free-radical scavenging method, pathophysiology, exacerbations, prognosis
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spelling doaj.art-b2d2c7caff7d459cb97ac996b8bcb8742023-04-20T18:42:14ZengDove Medical PressInternational Journal of COPD1178-20052023-04-01Volume 1861562483143Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary DiseaseSakaguchi KYoshikawa MFujita YYamamoto YIbaraki TFujioka NOsa TYamauchi MIchikawa HMuro SKazuhiro Sakaguchi,1 Masanori Yoshikawa,1 Yukio Fujita,1 Yoshifumi Yamamoto,1 Takahiro Ibaraki,1 Nobuhiro Fujioka,1 Takao Osa,1 Motoo Yamauchi,1 Hiroshi Ichikawa,2 Shigeo Muro1 1Department of Respiratory Medicine, Nara Medical University, Kashihara, Nara, Japan; 2Major of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Kyoto, JapanCorrespondence: Masanori Yoshikawa, Department of Respiratory Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan, Tel +81-744-22-3051, Fax +81-744-29-0907, Email noriy@naramed-u.ac.jpBackground: Oxidative stress is an important mechanism for the development and progression of chronic obstructive pulmonary disease (COPD). It may also contribute to systemic manifestation in patients with COPD. Reactive oxygen species (ROS) including free radicals play a crucial role in oxidative stress in COPD. The aims of this study were to determine serum scavenging capacity profile against multiple free radicals and to evaluate its correlation with pathophysiology, exacerbations, and prognosis in patients with COPD.Methods: Serum scavenging capacity profile against multiple free radicals comprising hydroxyl radical (•OH), superoxide radical (O2−•), alkoxy radical (RO•), methyl radical (•CH3), alkylperoxyl radical (ROO•), and singlet oxygen (1O2) was assessed using the multiple free-radical scavenging method in 37 patients with COPD (mean age, 71 years; mean forced expiratory volume in 1 s, 55.2% predicted). The severity of emphysema was evaluated by Goddard classification on chest computed tomography. Exacerbations were recorded prospectively for 1 year and the overall mortality was assessed 5 years after the initial assessment.Results: •OH scavenging capacity was significantly decreased (p < 0.05) and O2−• and •CH3 scavenging capacity tended to decrease in patients with COPD compared to that in healthy controls. On the other hand, ROO• scavenging capacity tended to increase. In addition, RO• scavenging capacity was associated with severity of emphysema (p < 0.05) and exacerbation frequency (p < 0.02). There was a difference in the profile of the scavenging capacity between survived and deceased patients with COPD for 5 years after initial assessment.Conclusion: Characteristic profile of free radical scavenging capacity can provide insight into the pathophysiology and prognosis of patients with COPD.Keywords: oxidative stress, free radicals, the multiple free-radical scavenging method, pathophysiology, exacerbations, prognosishttps://www.dovepress.com/serum-free-radical-scavenging-capacity-profiles-of-patients-with-chron-peer-reviewed-fulltext-article-COPDoxidative stressfree radicalsthe multiple free-radical scavenging methodpathophysiologyexacerbationsprognosis
spellingShingle Sakaguchi K
Yoshikawa M
Fujita Y
Yamamoto Y
Ibaraki T
Fujioka N
Osa T
Yamauchi M
Ichikawa H
Muro S
Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
International Journal of COPD
oxidative stress
free radicals
the multiple free-radical scavenging method
pathophysiology
exacerbations
prognosis
title Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
title_full Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
title_fullStr Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
title_full_unstemmed Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
title_short Serum Free Radical Scavenging Capacity Profiles of Patients with Chronic Obstructive Pulmonary Disease
title_sort serum free radical scavenging capacity profiles of patients with chronic obstructive pulmonary disease
topic oxidative stress
free radicals
the multiple free-radical scavenging method
pathophysiology
exacerbations
prognosis
url https://www.dovepress.com/serum-free-radical-scavenging-capacity-profiles-of-patients-with-chron-peer-reviewed-fulltext-article-COPD
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