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Role of activation of lipid peroxidation in the mechanisms of acute methanol poisoning

Identifikátory výsledku

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    Role of activation of lipid peroxidation in the mechanisms of acute methanol poisoning

  • Popis výsledku v původním jazyce

    Context: The role of activation of lipid peroxidation in the mechanisms of acute methanol poisoning has not been studied. Objective: We measured the concentrations of lipid peroxidation markers in acutely intoxicated patients with known serum concentrations of methanol and leukotrienes. Methods: Blood serum samples were collected from 28 patients hospitalized with acute intoxication and from 36 survivors 2 years after discharge. In these samples, concentrations of 4-hydroxy-trans-2hexenal (HHE), 4-hydroxynonenal (HNE), and malondialdehyde (MDA) were measured using the method of liquid chromatography-electrospray ionization-tandem mass spectrometry. Results: The maximum acute serum concentrations of all three lipid oxidative damage markers were higher than the follow-up serum concentrations: HNE 71.7+-8.0ng/mL versus 35.4+-2.3ng/mL; p<.001; HHE 40.1+-6.7ng/mL versus 17.7+-4.1ng/mL; p<.001; MDA 80.0+-7.2ng/mL versus 40.9+-1.9ng/mL; p<.001. The survivors without methanol poisoning sequelae demonstrated higher acute serum concentrations of the markers than the patients with sequelae. A correlation between measured markers and serum leukotrienes was present: HNE correlated with LTC4 (r1/40.663), LTD4 (r1/40.608), LTE4 (r1/40.771), LTB4 (r1/40.717), HHE correlated with LTC4 (r1/40.713), LTD4 (r1/40.676), LTE4 (r1/40.819), LTB4 (r1/40.746), MDA correlated with LTC4 (r1/40.785), LTD4 (r1/40.735), LTE4 (r1/40.814), LTB4 (r1/40.674); all p<.001. Lipid peroxidation markers correlated with anion gap (r1/40.428, 0.388, 0.334; p1/4.026, .045, .080 for HNE, HHE, MDA, respectively). The follow-up serum concentrations of lipid oxidation markers measured in survivors with and without visual/neurological sequelae 2 years after discharge did not differ. Conclusion: Our results demonstrate that lipid peroxidation plays a significant role in the mechanisms of acute methanol poisoning. The acute concentrations of three measured biomarkers were elevated in comparison with the follow-up concentrations. Neuronal membrane lipid peroxidation seems to activate leukotriene-mediated inflammation as a part of the neuroprotective mechanisms. No cases of persistent elevation were registered among the survivors 2 years after discharge.

  • Název v anglickém jazyce

    Role of activation of lipid peroxidation in the mechanisms of acute methanol poisoning

  • Popis výsledku anglicky

    Context: The role of activation of lipid peroxidation in the mechanisms of acute methanol poisoning has not been studied. Objective: We measured the concentrations of lipid peroxidation markers in acutely intoxicated patients with known serum concentrations of methanol and leukotrienes. Methods: Blood serum samples were collected from 28 patients hospitalized with acute intoxication and from 36 survivors 2 years after discharge. In these samples, concentrations of 4-hydroxy-trans-2hexenal (HHE), 4-hydroxynonenal (HNE), and malondialdehyde (MDA) were measured using the method of liquid chromatography-electrospray ionization-tandem mass spectrometry. Results: The maximum acute serum concentrations of all three lipid oxidative damage markers were higher than the follow-up serum concentrations: HNE 71.7+-8.0ng/mL versus 35.4+-2.3ng/mL; p<.001; HHE 40.1+-6.7ng/mL versus 17.7+-4.1ng/mL; p<.001; MDA 80.0+-7.2ng/mL versus 40.9+-1.9ng/mL; p<.001. The survivors without methanol poisoning sequelae demonstrated higher acute serum concentrations of the markers than the patients with sequelae. A correlation between measured markers and serum leukotrienes was present: HNE correlated with LTC4 (r1/40.663), LTD4 (r1/40.608), LTE4 (r1/40.771), LTB4 (r1/40.717), HHE correlated with LTC4 (r1/40.713), LTD4 (r1/40.676), LTE4 (r1/40.819), LTB4 (r1/40.746), MDA correlated with LTC4 (r1/40.785), LTD4 (r1/40.735), LTE4 (r1/40.814), LTB4 (r1/40.674); all p<.001. Lipid peroxidation markers correlated with anion gap (r1/40.428, 0.388, 0.334; p1/4.026, .045, .080 for HNE, HHE, MDA, respectively). The follow-up serum concentrations of lipid oxidation markers measured in survivors with and without visual/neurological sequelae 2 years after discharge did not differ. Conclusion: Our results demonstrate that lipid peroxidation plays a significant role in the mechanisms of acute methanol poisoning. The acute concentrations of three measured biomarkers were elevated in comparison with the follow-up concentrations. Neuronal membrane lipid peroxidation seems to activate leukotriene-mediated inflammation as a part of the neuroprotective mechanisms. No cases of persistent elevation were registered among the survivors 2 years after discharge.

Klasifikace

  • Druh

    Jimp - Článek v periodiku v databázi Web of Science

  • CEP obor

  • OECD FORD obor

    30108 - Toxicology

Návaznosti výsledku

Ostatní

  • Rok uplatnění

    2018

  • Kód důvěrnosti údajů

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Údaje specifické pro druh výsledku

  • Název periodika

    Clinical Toxicology

  • ISSN

    1556-3650

  • e-ISSN

  • Svazek periodika

    56

  • Číslo periodika v rámci svazku

    10

  • Stát vydavatele periodika

    US - Spojené státy americké

  • Počet stran výsledku

    11

  • Strana od-do

    893-903

  • Kód UT WoS článku

    000449536500004

  • EID výsledku v databázi Scopus

    2-s2.0-85044750203