Evidence for intestinal oxidative stress in patients with obstructive jaundice

Autor: Konstantinos Thomopoulos, Christos D. Georgiou, Constantine E Vagianos, Vassiliki N Nikolopoulou, Stelios F Assimakopoulos, Chrisoula D. Scopa, Nikolaos Patsoukis
Rok vydání: 2006
Předmět:
Zdroj: European Journal of Clinical Investigation. 36:181-187
ISSN: 1365-2362
0014-2972
Popis: Background Obstructive jaundice results in failure of the intestinal barrier with consequent systemic endotoxemia associated with septic complications. We have recently shown that gut barrier failure in experimental obstructive jaundice is associated with high intestinal oxidative stress. This study was undertaken to investigate whether oxidative alterations occur in the intestinal mucosa of patients with obstructive jaundice. Patients and methods Fifteen patients with malignant biliary obstruction and no signs of cholangitis and 15 control patients were subjected to duodenal biopsy to assess intestinal oxidative stress, estimated by lipid peroxidation (malondialdehyde – MDA) and glutathione redox state [reduced glutathione (GSH), glutathione disulphide (GSSG) and GSH/GSSG ratio]. In addition, mucosal biopsies were examined histologically and intestinal mucosal protein content was determined biochemically as an index of intestinal trophic state. Results Patients with obstructive jaundice presented high levels of intestinal oxidative stress, with significantly increased lipid peroxidation (P
Databáze: OpenAIRE