The Differences in the Cellular and Plasma Antioxidative Capacity Between Transient and Defined Focal Brain Ischemia: Does it Suggest Supporting Time-Dependent Neuroprotection Therapy?
There are many opened questions about the precocious role of oxidative stress in the physiopathology of the early stage of transitory ischemic attack (TIA) and defined focal brain ischemia, as well as about its correlation with clinical severity, short-lasting and clinical outcome prediction in these conditions. The study evaluates the values of glutathione (GSH), glutathione peroxidase, and superoxide dismutase (SOD) in hemolysates and total thiol content (-SH), advanced oxidation protein products (AOPP), SOD, and malondialdehyde (MDA) in plasma, in TIA and stroke patients in the early stage of their neurological onset. The results are interpreted in view of the potential relationship between tested parameters and clinical severity and clinical outcome prediction. Better hemolysates' and total antioxidant profile with higher values of AOPP were observed in TIA compared to stroke patients (p < 0.05). The stroke patients with initially better clinical presentation showed better antioxidant profile with lower values of AOPP (p < 0.05). In TIA patients, this was observed for GSH, -SH content, and AOPP (p < 0.05), which correlated with a short risk for stroke occurrence in this group (p < 0.01). Beyond MDA values, all tested parameters showed correlation with clinical outcome in stroke patients (p < 0.05). The measurement of oxidative stress in TIA and stroke patients would be important for identifying patients' subgroups which might receive supporting therapy providing better neurological recovery and clinical outcome. That approach might give us an additional view of a short-lasting risk of stroke occurrence after TIA, and its clinical outcome and prognosis.
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia. srljub@gmail.com.|Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia. srljub@gmail.com.
Srdjan
S
Ljubisavljevic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.
Tatjana
T
Cvetkovic
Center for Clinical Biochemistry, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Lilika
L
Zvezdanovic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.
Svetlana
S
Stojanovic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.
Ivana
I
Stojanovic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.
Gordana
G
Kocic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.|Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Miroslava
M
Zivkovic
Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Lidija
L
Paunovic
Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Ljiljana
L
Milenkovic
Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Dragisa
D
Lukic
Clinic of Neurology, Clinical Center Nis, Bul. Dr. Zorana Djindjica 48, Nis, 18000, Serbia.
Jelena
J
Stamenovic
Faculty of Medicine, University of Nis, Bul. Dr. Zorana Djindjica 81, Nis, 18000, Serbia.
Dusica
D
Pavlovic
D000293:Adolescent; D000328:Adult; D062107:Advanced Oxidation Protein Products / Q000494:pharmacology*; D000975:Antioxidants / Q000378:metabolism / Q000494:pharmacology*; D002545:Brain Ischemia / Q000378:metabolism* / Q000628:therapy; D005260:Female; D005978:Glutathione / Q000378:metabolism*; D005979:Glutathione Peroxidase / Q000378:metabolism; D006801:Humans; D002546:Ischemic Attack, Transient / Q000378:metabolism; D008297:Male; D008315:Malondialdehyde / Q000494:pharmacology*; D008875:Middle Aged; D000066829:Neuroprotection / Q000502:physiology*; D018384:Oxidative Stress / Q000502:physiology; D013997:Time Factors; D055815:Young Adult
D062107:Advanced Oxidation Protein Products; D000975:Antioxidants; D008315:Malondialdehyde; D005979:Glutathione Peroxidase; D005978:Glutathione
Oxidative stress; Stroke; Transitory ischemic attack