Urinary excretion of 8-iso-PGF(2 alpha) in three patients during sepsis, recovery and state of health.
Sepsis is known to be associated with oxidative stress. Novel markers of oxidative stress are now believed to be F2-isoprostanes which are produced in situ in phospholipids and subsequently released into circulation and excreted in the urine. This study, therefore, sought to investigate whether the excretion of the isoprostane, 8-iso-PGF(2 alpha), is elevated during sepsis. The excretion of 8-iso-PGF(2 alpha), in the 24 h urine of three patients was studied in the septic stage, during mobilisation and in the state of health by a radioimmunological method. Extrapolating the urinary excretion of 8-iso-PGF(2 alpha) over time showed an insignificant variation in the excretion values during 24 h. The amount of mean 24 h urinary 8-iso-PGF(2 alpha) was about similar in the septic stage and in the state of health but increased remarkably during mobilisation in two of the patients. We suggest that mobilisation of septic patients can be associated with an increase of oxidative stress which may stem from an increase in oxygen consumption and/or from a depletion of antioxidants leading to the enhanced formation of free radicals.
Ekmekcioglu
Cem
C
Department of Physiology, Medical School, University of Vienna, Vienna, Austria. cem.ekmekcioglu@univie.ac.at
Schweiger
Brigitte
B
Strauss-Blasche
Gerhard
G
Mundigler
Gerald
G
Siostrzonek
Peter
P
Marktl
Wolfgang
W
D015237:Dinoprost / Q000031:analogs & derivatives*; D028441:F2-Isoprostanes / Q000652:urine*; D006262:Health; D006801:Humans; D007362:Intensive Care Units; D018384:Oxidative Stress; D020127:Recovery of Function; D018805:Sepsis / Q000652:urine*; D016482:Urinalysis / Q000379:methods
D028441:F2-Isoprostanes; C075750:8-epi-prostaglandin F2alpha; D015237:Dinoprost