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Changes in urinary dinor dihydro F(2)-isoprostane metabolite concentrations, a marker of oxidative stress, during and following asthma exacerbations.

AbstractTo investigate changes in oxidant stress during and following acute asthma exacerbations, this study measured 2,3-dinor-5,6-dihydro-15-F(2t)-IsoP (F(2)-IsoP-M), the major urinary metabolite of 15-F(2t)-IsoP, in eight asthmatic adults, during and following an asthma hospitalization. F(2)-IsoP-M concentrations at admission and follow-up were significantly higher than discharge (admission median: 4.12 ng/Cr mg, range 1.89-7.8; follow-up: 2.47 ng/Cr mg (1.56-6.86); discharge: 1.42 ng/Cr mg (0.7-4.44); both p<0.01), but not significantly different between admission and follow-up. F(2)-IsoP-M concentrations at follow-up were higher than a control group with stable asthma (0.68 ng/Cr mg (0.31-1.5), p=0.0008). In conclusion, asthma exacerbations requiring hospitalization are associated with 6-fold higher urinary F(2)-IsoP-M concentrations compared to stable asthmatics. F(2)-IsoP-M concentrations decreased significantly during hospitalization, but significant elevations 3 months following hospitalization suggest ongoing oxidative stress despite clinical improvement. Urinary F(2)-IsoP-M may be a clinically useful, simple non-invasive systemic measure of oxidative stress in asthmatics, providing information not captured by spirometry or symptoms.
AuthorsPingsheng Wu, Lyman J Roberts 2nd, Ayumi K Shintani, James R Sheller, Patricia A Minton, Stanley B Higgins, Tina V Hartert (Affiliation: Department of Medicine and the Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.)
JournalFree radical research (Free Radic Res) Vol. 41 Issue 9 Pg. 956-62 (Sep 2007) ISSN: 1071-5762 England
PMID17729112 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • 2,3-dinor-5,6-dihydro-15-F-isoprostane
  • Biological Markers
  • 8-epi-prostaglandin F2alpha
  • Dinoprost
Topics
  • Adult
  • Asthma (diagnosis)
  • Biological Markers (urine)
  • Case-Control Studies
  • Dinoprost (analogs & derivatives, metabolism, urine)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oxidative Stress