High Concentration of Protein Oxidation Biomarker O-Tyr/Phe Predicts Better Outcome in Childhood Bacterial Meningitis.

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Rugemalira, Emilie
  • Roine, Irmeli
  • Pineiro-Ramos, Jose David
  • Andersson, Sture
  • Cruzeiro, Manuel Leite
  • Pelkonen, Tuula

Grupos

Abstract

Neuronal damage in bacterial meningitis (BM) partly stems from the hosts inflammatory response and induced oxidative stress (OS). We studied the association of cerebrospinal fluid (CSF) biomarkers indicating oxidative damage to proteins with course of illness and outcome in childhood BM in Angola. Ortho-tyrosine/phenylalanine (o-Tyr/Phe), 3-chlorotyrosine/para-tyrosine (3Cl-Tyr/p-Tyr), and 3-nitrotyrosine/para-tyrosine (3NO2-Tyr/p-Tyr) concentration ratios were measured in 79 BM admission CSF samples, employing liquid chromatography coupled to tandem mass spectrometry. Besides death, disease outcomes were registered on Day 7 of treatment and one month after discharge (control visit). The outcome was graded according to the modified Glasgow Outcome Scale (GOS), which considers neurological and audiological sequelae. Children with a o-Tyr/Phe ratio below the median were more likely to present focal convulsions and secondary fever during recovery and suboptimal outcome (GOS < 5) on Day 7 and at control visit (odds ratio (OR) 2.85; 95% CI 1.14-7.14 and OR 5.23; 95% CI 1.66-16.52, respectively). Their most common sequela was ataxia on Day 7 and at control visit (OR 8.55; 95% CI 2.27-32.22 and OR 5.83; 95% CI 1.12-30.4, respectively). The association of a higher admission CSF o-Tyr/Phe ratio with a better course and outcome for pediatric BM points to a beneficial effect of OS.

Datos de la publicación

ISSN/ISSNe:
2076-3921, 2076-3921

Antioxidants  MDPI

Tipo:
Article
Páginas:
-
PubMed:
36978869
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
1,008 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 2

Citas Recibidas en Scopus: 3

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Keywords

  • biomarker; children; ortho-tyrosine; oxidative stress; protein oxidation

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