Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury

Individuals with a history of mild traumatic brain injury (mTBI) are at an increased risk for neurodegenerative disease, suggesting that intrinsic neuroprotective mechanisms, such as the endogenous antioxidant reservoir, may be depleted long-term after mTBI. Here, we retrospectively analyzed symptom...

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Main Authors: Lilia A. Koza, Allison N. Grossberg, McKensey Bishop, Chad Prusmack, Daniel A. Linseman
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Advances in Redox Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667137924000043
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author Lilia A. Koza
Allison N. Grossberg
McKensey Bishop
Chad Prusmack
Daniel A. Linseman
author_facet Lilia A. Koza
Allison N. Grossberg
McKensey Bishop
Chad Prusmack
Daniel A. Linseman
author_sort Lilia A. Koza
collection DOAJ
description Individuals with a history of mild traumatic brain injury (mTBI) are at an increased risk for neurodegenerative disease, suggesting that intrinsic neuroprotective mechanisms, such as the endogenous antioxidant reservoir, may be depleted long-term after mTBI. Here, we retrospectively analyzed symptoms and blood antioxidants in patients with a history of mTBI who presented to Resilience Code, a sports medicine clinic in Colorado. Significant decreases in alpha-tocopherol, selenium, linoleic acid, taurine, docosahexaenoic acid, and total omega-3 were measured in the total mTBI population versus controls. Male mTBI patients showed depletion of a larger array of antioxidants than females. Patients with a history of mTBI also reported significantly worsened emotional, energy, head, and cognitive symptoms, with males displaying more extensive symptomology. Multiple or chronic mTBI patients had worsened symptoms than single or acute/subchronic mTBI patients, respectively. Finally, male mTBI patients with the largest reductions in polyunsaturated fatty acids (PUFAs) displayed worse symptomology than male mTBI patients with less depletion of this antioxidant reservoir. These results demonstrate that antioxidant depletion persists in patients with a history of mTBI and these deficits are sex-specific and associated with worsened symptomology. Furthermore, supplementation with specific antioxidants, like PUFAs, may diminish symptom severity in patients suffering from chronic effects of mTBI.
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spelling doaj.art-d93b5e1f7f404ad9b56a7b0cc1bec6862024-03-16T05:09:55ZengElsevierAdvances in Redox Research2667-13792024-04-0110100097Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injuryLilia A. Koza0Allison N. Grossberg1McKensey Bishop2Chad Prusmack3Daniel A. Linseman4Department of Biological Sciences and Knoebel Institute for Healthy Aging, University of Denver, Denver, CO 80208, United StatesDepartment of Biological Sciences and Knoebel Institute for Healthy Aging, University of Denver, Denver, CO 80208, United StatesDepartment of Biological Sciences and Knoebel Institute for Healthy Aging, University of Denver, Denver, CO 80208, United StatesResilience Code, Englewood, CO 80112, United StatesDepartment of Biological Sciences and Knoebel Institute for Healthy Aging, University of Denver, Denver, CO 80208, United States; Corresponding author at: University of Denver, Engineering & Computer Science Building, Room 553, 2155 E. Wesley Ave, Denver, CO 80208, United States.Individuals with a history of mild traumatic brain injury (mTBI) are at an increased risk for neurodegenerative disease, suggesting that intrinsic neuroprotective mechanisms, such as the endogenous antioxidant reservoir, may be depleted long-term after mTBI. Here, we retrospectively analyzed symptoms and blood antioxidants in patients with a history of mTBI who presented to Resilience Code, a sports medicine clinic in Colorado. Significant decreases in alpha-tocopherol, selenium, linoleic acid, taurine, docosahexaenoic acid, and total omega-3 were measured in the total mTBI population versus controls. Male mTBI patients showed depletion of a larger array of antioxidants than females. Patients with a history of mTBI also reported significantly worsened emotional, energy, head, and cognitive symptoms, with males displaying more extensive symptomology. Multiple or chronic mTBI patients had worsened symptoms than single or acute/subchronic mTBI patients, respectively. Finally, male mTBI patients with the largest reductions in polyunsaturated fatty acids (PUFAs) displayed worse symptomology than male mTBI patients with less depletion of this antioxidant reservoir. These results demonstrate that antioxidant depletion persists in patients with a history of mTBI and these deficits are sex-specific and associated with worsened symptomology. Furthermore, supplementation with specific antioxidants, like PUFAs, may diminish symptom severity in patients suffering from chronic effects of mTBI.http://www.sciencedirect.com/science/article/pii/S2667137924000043Traumatic brain injuryAntioxidantsBiomarkersSymptomologyPolyunsaturated fatty acids
spellingShingle Lilia A. Koza
Allison N. Grossberg
McKensey Bishop
Chad Prusmack
Daniel A. Linseman
Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
Advances in Redox Research
Traumatic brain injury
Antioxidants
Biomarkers
Symptomology
Polyunsaturated fatty acids
title Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
title_full Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
title_fullStr Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
title_full_unstemmed Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
title_short Sex-specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
title_sort sex specific antioxidant biomarker depletion in patients with a history of mild traumatic brain injury
topic Traumatic brain injury
Antioxidants
Biomarkers
Symptomology
Polyunsaturated fatty acids
url http://www.sciencedirect.com/science/article/pii/S2667137924000043
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