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abstract: 'Background: Reactive oxygen species have been implicated in the pathogenesis of ischemic and reperfusion injury. In the current work we have measured malondialdehyde (MDA), total thiols, total CK, CK-MB and AST in ECG proven acute myocardial infarction (AMI) patients immediately after admission and 24 hours after administration of thrombolytic agent streptokinase, and in healthy controls. Methods: Blood samples from 44 AMI patients and 25 age and sex matched healthy controls were obtained and analyzed for MDA, total thiols using spectrophotometric methods and cardiac enzymes CK, CK-MB and AST using automated analyzer. Results: We have found significant increase in MDA, CPK, CK-MB, AST (p< 0.001) and significant decrease in total thiols (p<0.001) in AMI patients after thrombolytic therapy compared to values at admission, and healthy controls. MDA correlated negatively with total thiols (r = - 0.333, p<0.05) and positively with CK-MB (r = 0.491, p<0.01) in AMI patients after thrombolytic therapy. Conclusions: Reperfusion following thrombolytic therapy increases reactive oxygen species with concomitant decrease in antioxidant total thiols.'
altloc:
- http://www.ojhas.org/issue35/2010-3-6.htm
chapter: ~
commentary: ~
commref: ~
confdates: ~
conference: ~
confloc: ~
contact_email: ~
creators_id:
- ~
- drjkshetty1978@yahoo.com
- prakashmungli@yahoo.co.in
creators_name:
- family: Babu
given: Suresh
honourific: ''
lineage: ''
- family: Shetty
given: Jeevan K
honourific: ''
lineage: ''
- family: Mungli
given: Prakash
honourific: ''
lineage: ''
date: 2010-10-15
date_type: published
datestamp: 2010-11-22 14:20:05
department: ~
dir: disk0/00/00/69/78
edit_lock_since: ~
edit_lock_until: 0
edit_lock_user: ~
editors_id:
- Kakkilaya BS
editors_name:
- family: Kakkilaya
given: Srinivas
honourific: Dr
lineage: ''
eprint_status: archive
eprintid: 6978
fileinfo: /style/images/fileicons/application_pdf.png;/6978/1/2010%2D3%2D6.pdf
full_text_status: public
importid: ~
institution: ~
isbn: ~
ispublished: pub
issn: ~
item_issues_comment: []
item_issues_count: 0
item_issues_description: []
item_issues_id: []
item_issues_reported_by: []
item_issues_resolved_by: []
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keywords: MDA; Total thiols; Myocardial infarction; Reperfusion injury
lastmod: 2011-03-11 08:57:42
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 3
pagerange: ~
pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Dr. B.S. Kakkilaya
refereed: TRUE
referencetext: "1.\tMisra MK, Sarwat M, Bhakuni P, Tuteja R, Tuteja N. Oxidative stress and ischemic myocardial syndromes. Med Sci Monit. 2009;15(10):RA209-19.\r\n2.\tOzmen D, Boydak B, Mutaf I, Zoghi M, Kumanlioglu K, Guner I, Bayindir O. The state of lipid peroxidation and antioxidants following thrombolytic therapy with rt-PA and streptokinase in acute myocardial infarction. Jpn Heart J. 1999 May;40(3):267-73.\r\n3.\tBudas GR, Churchill EN, Mochly-Rosen D. Cardio protective mechanisms of PKC isozyme-selective activators and inhibitors in the treatment of ischemia-reperfusion injury. Pharmacol Res. 2007;55:523–36.\r\n4.\tHori M, Nishida K. Oxidative stress and left ventricular remodelling after myocardial infarction. Cardiovasc Res. 2009;81:457–64.\r\n5.\tKharb S, Singh V, Ghalaut PS, Singh GP. Oxidative stress after acute myocardial infarction: effect of thrombolytic treatment. J Assoc Physicians India. 2000;48(6):578-80.\r\n6.\tGururajan P, Gurumurthy P, Nayar P, Chockalingam M, Bhuvaneshwari S, Babu S, Sarasabharati A, Victor D, Cherian KM. Lipid profile and non-enzymic antioxidant status in patients with acute coronary syndrome in South India. Heart Lung Circ. 2010;19(2):75-80.\r\n7.\tPrakash M, Shetty JK, Sudeshna Tripathy, Pannuri Vikram, Manish Verma. Serum paraoxonase activity and protein thiols in patients with hyperlipidemia. J Hainian Medical College. 2009;15(2):111-13.\r\n8.\tHorder M, Elser RC, Gerhardt M. Approved Recommendation on IFCC Methods for the Measurement of Catalytic Concentration of Enzymes. Part 7. IFCC Method for Creatine Kinase. Eur J Clin Chem Clin Biochem. 1991;29:435–56.\r\n9.\tGuzy PM: Creatine phosphokinase-MB (CPK-MB) and the diagnosis of myocardial infarction. West J Med. 1977;127:455-60.\r\n10.\tKlauke R, Schmidt E, Lorentz K. Recommendations for carrying out standard ECCLS procedures (1988) for the catalytic concentrations of creatine kinase, aspartate aminotransferase, alanine aminotransferase and f-glutamyltransferase at 37°C. Eur J Clin Chem Clin Biochem. 1993;31:901–09.\r\n11.\tMotchnik AP, Frei B, Ames NB. Measurement of antioxidants in human blood plasma: Protein thiols. In: Packer L, editor. Oxygen radicals in biological systems. Methods in Enzymology, Academic Press: California; 1994. p. 234(D):273-4.\r\n12.\tOhkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 1979;95(2):351-8.\r\n13.\tPasupathi P, Rao YY, Farook J, Saravanan G, BakthavathsalamG. Oxidative Stress and Cardiac Biomarkers in Patients with Acute Myocardial Infarction. Eur Jour of Sci Res. 2009;27(2):275-85.\r\n14.\tLevy Y, Bartha P, Ben-Amotz A, Brook JG, Dankner G, Lin S, Hammerman H. Plasma antioxidants and lipid peroxidation in acute myocardial infarction and thrombolysis. J Am Coll Nutr. 1998;17(4):337-41.\r\n15.\tOhlin H, Gustavsson CG, Pantev E, Thorvinger B, Ohlin AK. Transient release of lipid peroxidation products as a non-invasive marker of successful reperfusion after thrombolysis for myocardial infarction. Br Heart J. 1995;73(3):223-6.\r\n16.\tMimic-Oka J, Simic DV, Simic TP. Free radicals in cardiovascular diseases. Med. Biol 1999;6:11-22.\r\n17.\tJacobson MD, Reactive oxygen species and programmed cell death. Trends Biochem Sci. 1996;243:81-119.\r\n18.\tBhakuni P, Chandra M, Misra MK. Levels of free radical scavengers and antioxidants in post-perfused patients in myocardial infarction. Cur Sci 2005;89(1):168-70.\r\n19.\tMiyagawa W, Kennedy DO, Nakatani T, Ohtani S, Kim M, Yuasa IM. Protective effect of green tea polyphenols against the cytotoxicity of 1-4 napthoquinone in isolated rat hepatocytes. Biosci. Biotechnol Biochem. 1997;61:1901-05."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 19
series: ~
source: ~
status_changed: 2010-11-22 14:20:05
subjects:
- OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: Total Thiols and MDA Levels in Patients with Acute Myocardial Infarction Before and After Reperfusion Therapy
type: journale
userid: 4338
volume: 9