title: Total antioxidant capacity, hydrogen peroxide, malondialdehyde and total nitric oxide concentrations in patients with severe persistent allergic asthma: its relation to omalizumab treatment.
abstract: BACKGROUND
  Asthma is a chronic inflammatory disease and omalizumab is indicated for moderate-to-severe persistent asthma. The results of many studies have shown that oxidative stress is involved in asthma pathogenesis. However, there is no data available to evaluate the alterations in total antioxidant capacity, hydrogen peroxide, malondialdehyde, and total nitric oxide concentrations.
  
  
  OBJECTIVE
  The objective was to determine whether treatment with omalizumab in severe allergic asthma influences systemic levels of oxidative stress markers.
  
  
  METHODS
  The first group of 14 patients included 6 male and 8 female subjects with severe persistent asthma, having a mean age of 42.4 years. The second group included 14 newly diagnosed allergic asthma patients with a mean age of 43.8 years. All patients were followed in the Immunology and Allergy Clinic of the Antalya Education and Training Hospital and were evaluated by clinical status. A third group of 14 age-sex matched healthy controls were also included. Serum samples were collected and stored at -70 degrees C until use for the determination of total antioxidant capacity, hydrogen peroxide, malondialdehyde, and total nitric oxide concentrations. Serum IgE levels, ANA (antinuclear antibody), RF (rheumatoid factor), hepatitis markers, C3, C4, and eosinophil levels were evaluated in all patients. All assays were carried out in duplicate.
  
  
  RESULTS
  The mean IgE levels were as follow: Group I: 459.785 IU/mL; Group II: 124.8 IU/mL, and Group III: 39.88 IU/mL. Total antioxidant capacity levels of Group IB, group II, and group III were lower than the IA group. Total antioxidant capacity levels of groups II and III were higher than in group IB. Hydrogen peroxide concentrations in group IB were lower than in group IA, while concentrations in group II were higher than in group IB. The malondialdehyde concentration of group IB was lower than in all other groups. The malondialdehyde concentration of group III was higher than all other groups. The malondialdehyde concentration of group II was lower than in group III. The total nitric oxide level of group IB was lower than all other groups. The total nitric oxide level of group III was higher than all other groups, while that of group II was higher than for both groups IA/IB.
  
  
  CONCLUSIONS
  To monitor the omalizumab treatment efficacy in severe allergic asthma patients, total antioxidant capacity, hydrogen peroxide, malondialdehyde, and total nitric oxide concentrations might be new markers.
authors.affiliation: Allergology and Clinical Immunology Unit, Antalya Education and Research Hospital, Antalya, Turkey. adidyal@yahoo.com
authors.forename: Arzu Didem
authors.initials: AD
authors.lastname: Yalcin
authors.forename: Reginald M
authors.initials: RM
authors.lastname: Gorczynski
authors.forename: Gizem Esra
authors.initials: GE
authors.lastname: Parlak
authors.forename: Aysegul
authors.initials: A
authors.lastname: Kargi
authors.forename: Atil
authors.initials: A
authors.lastname: Bisgin
authors.forename: Emel
authors.initials: E
authors.lastname: Sahin
authors.forename: Sukran
authors.initials: S
authors.lastname: Kose
authors.forename: Saadet
authors.initials: S
authors.lastname: Gumuslu
mesh_terms: D000328:Adult; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D000888:Antibodies, Anti-Idiotypic / Q000627:therapeutic use*; D061067:Antibodies, Monoclonal, Humanized / Q000627:therapeutic use*; D001249:Asthma / Q000097:blood / Q000188:drug therapy*; D005260:Female; D006801:Humans; D006861:Hydrogen Peroxide / Q000097:blood*; D007073:Immunoglobulin E / Q000097:blood; D008297:Male; D008315:Malondialdehyde / Q000097:blood*; D009569:Nitric Oxide / Q000097:blood*; D000069444:Omalizumab; D018384:Oxidative Stress; D012130:Respiratory Hypersensitivity / Q000097:blood / Q000188:drug therapy*; D012882:Skin Tests
chemical_list: D018927:Anti-Asthmatic Agents; D000888:Antibodies, Anti-Idiotypic; D061067:Antibodies, Monoclonal, Humanized; D000069444:Omalizumab; D009569:Nitric Oxide; D007073:Immunoglobulin E; D008315:Malondialdehyde; D006861:Hydrogen Peroxide