title: Altered anti-oxidant status and increased lipid peroxidation in marasmic children.
abstract: BACKGROUND
  Protein energy malnutrition (PEM) is a common pediatric health problem in developing countries. Although the clinical features of PEM are well known, its pathophysiology is still unclear. Free radicals have been implicated in pathogenesis of PEM. In the present study, oxidant/anti-oxidant status in marasmus was investigated.
  
  
  METHODS
  Red cell glutathione, glutathione peroxidase and superoxide dismutase and their related cofactors, serum selenium and copper, were studied in marasmic and control children. Serum lipid peroxidation was also evaluated to assess oxidative stress.
  
  
  RESULTS
  The red cell glutathione levels and glutathione peroxidase activities were found to be significantly lower in the marasmic children than in the controls. Red cell superoxide dismutase (SOD) activity was not different between two groups. Serum selenium and copper concentrations were significantly lower in the marasmic children than in the control subjects. The malondialdehyde concentration, which is an index of lipid peroxidation, was significantly higher in the marasmic group compared with the controls.
  
  
  CONCLUSIONS
  The anti-oxidant defense system was affected in marasmic children. Reduced anti-oxidant status and increased oxidative stress occurs in marasmic children.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Harran University, Sanliurfa, Turkey. mansur@doruk.net.tr
authors.forename: M M
authors.initials: MM
authors.lastname: Tatli
authors.forename: H
authors.initials: H
authors.lastname: Vural
authors.forename: A
authors.initials: A
authors.lastname: Koc
authors.forename: M
authors.initials: M
authors.lastname: Kosecik
authors.forename: A
authors.initials: A
authors.lastname: Atas
mesh_terms: D003300:Copper / Q000097:blood; D005260:Female; D005609:Free Radicals / Q000378:metabolism; D005979:Glutathione Peroxidase / Q000378:metabolism; D006801:Humans; D007223:Infant; D015227:Lipid Peroxidation / Q000502:physiology*; D008297:Male; D008315:Malondialdehyde / Q000097:blood; D018384:Oxidative Stress; D011502:Protein-Energy Malnutrition / Q000097:blood / Q000378:metabolism*; D012643:Selenium / Q000097:blood; D013482:Superoxide Dismutase / Q000378:metabolism
chemical_list: D005609:Free Radicals; D008315:Malondialdehyde; D003300:Copper; D005979:Glutathione Peroxidase; D013482:Superoxide Dismutase; D012643:Selenium