CONDITION OF LIPID PEROXIDE OXIDATION AND ANTIOXIDANT SYSTEM IN PATIENTS WITH INFECTIOUS MONONUCLEOSIS

M. Shustval, T. Liadova, O. Volobuieva, K. Pavlikova, A. Gamilovska
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Abstract

The indicators of the activity of lipid peroxidation and the antioxidant system were studied in dynamics in 158 patients with infectious mononucleosis depending on the severity of the clinical course of the disease. It is proved that lipid peroxidation is significantly activated in patients with infectious mononucleosis as the severity of the disease increases and therefore increases the oxidative activity of blood plasma, the concentration of dyne conjugates and malondialdehyde in the blood, decreases the activity of antioxidant enzymes of erythrocytes (catalase, superoxide dismutase, glutathione peroxidase, glutathione reductase), glutathione peroxidase and glutathione reductase activity in plasma and lowering the concentration of total and reduced glutathione in the blood, as well as reduce the antioxidant activity of blood plasma and erythrocytes. Lipid peroxidation significantly increase and the activity of the antioxidant system decrease in patients with infectious mononucleosis in the acute period of the disease, as evidenced by the increased concentration of dyne conjugates, malonic dialdehyde and total oxidative plasma activity in the blood, reduced activity of the total antioxidant activity of plasma and erythrocytes, the decrease in the activity of antioxidant enzymes of erythrocytes catalase, superoxide dismutase, glutathione peroxidase, glutathione peroxidase and glutathione reductase of blood plasma, the decrease in the concentration of glutathione in the blood. The most pronounced disorders of lipid peroxidation and antioxidant system activity were found in patients with moderate-severe and severe infectious mononucleosis. The development of cytolytic syndrome in infectious mononucleosis is associated with the action of reactive oxygen forms species and lipid hydroperoxide.
传染性单核细胞增多症患者脂质过氧化氧化及抗氧化系统状况
本文对158例传染性单核细胞增多症患者的脂质过氧化活性指标和抗氧化系统的动态变化进行了研究。研究证明,随着病情的加重,传染性单核细胞增多症患者的脂质过氧化作用明显激活,从而使血浆氧化活性、达因偶联物和丙二醛浓度升高,红细胞抗氧化酶(过氧化氢酶、超氧化物歧化酶、谷胱甘肽过氧化物酶、谷胱甘肽还原酶)活性降低。血浆中谷胱甘肽过氧化物酶和谷胱甘肽还原酶的活性,降低血液中总谷胱甘肽和还原性谷胱甘肽的浓度,并降低血浆和红细胞的抗氧化活性。传染性单核细胞增多症患者急性期脂质过氧化明显升高,抗氧化系统活性降低,表现为血中达因偶联物、丙二醛浓度和血浆总氧化活性升高,血浆和红细胞总抗氧化活性降低,红细胞过氧化氢酶、超氧化物歧化酶等抗氧化酶活性降低。谷胱甘肽过氧化物酶、谷胱甘肽过氧化物酶和谷胱甘肽还原酶的作用,降低血液中谷胱甘肽的浓度。脂质过氧化和抗氧化系统活性紊乱以中重度和重度传染性单核细胞增多症患者最为明显。传染性单核细胞增多症的细胞溶解综合征的发生与活性氧形态和脂质过氧化氢的作用有关。
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