PMID- 10802224 OWN - NLM STAT- MEDLINE DCOM- 20000802 LR - 20220318 IS - 0891-5849 (Print) IS - 0891-5849 (Linking) VI - 28 IP - 6 DP - 2000 Mar 15 TI - Is the endogenous peroxyl-radical scavenging capacity of plasma protective in systemic inflammatory disorders in humans? PG - 926-33 AB - Systemic inflammatory response syndrome (SIRS) in humans is associated with heightened intravascular oxidative stress. The clinical significance of plasma endogenous antioxidative capability in SIRS remains undetermined. Time-sequence changes of plasma total radical-trapping antioxidant parameter (TRAP) and its components were measured in 135 patients with various clinical conditions leading to SIRS. The results were correlated with clinical parameters. Plasma TRAP significantly depressed upon diagnosis of SIRS (SIRS vs. healthy subjects (n = 50), 605.7 +/- 20.4 vs. 803.4 +/- 30.8 microM Trolox equivalent, p <.001). In survivors (n = 86), TRAP declined further during the course of SIRS, followed by a mild recovery at the end of follow-up. General linear mixed model analysis revealed that uric acid, vitamin C, vitamin E and unidentified antioxidants contributed to most of the changes in TRAP (each factor p <.001). In nonsurvivors (n = 49), TRAP increased steadily until death, and the increase was predominantly the result of the increased contribution of bilirubin (p <.01). Higher TRAP levels were not correlated with diminished blood oxidants formation (r = -0.13, p.05), lower intensity of lipid peroxidation (r = 0.261, p <.05) or lesser disease severity of SIRS. The results do not support the hypothesis that the endogenous peroxyl radical scavenging ability of plasma plays a protective role in the course of SIRS. FAU - Tsai, K AU - Tsai K AD - Oxidative Stress Clinical Research Group and Division of Critical Care, Department of Medicine, Taipei Veterans General Hospital, and National Yang-Ming University School of Medicine, Taipei, Taiwan. kctsai@vghtpe.gov.tw FAU - Hsu, T AU - Hsu T FAU - Kong, C AU - Kong C FAU - Lin, K AU - Lin K FAU - Lu, F AU - Lu F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Free Radic Biol Med JT - Free radical biology & medicine JID - 8709159 RN - 0 (Antioxidants) RN - 0 (Free Radical Scavengers) RN - 0 (Peroxides) RN - 3170-83-0 (perhydroxyl radical) SB - IM MH - Aged MH - Antioxidants/analysis MH - Female MH - Free Radical Scavengers/*blood/pharmacology MH - Humans MH - Male MH - Middle Aged MH - *Oxidative Stress MH - Peroxides/*blood MH - Systemic Inflammatory Response Syndrome/*blood MH - Time Factors EDAT- 2000/05/10 09:00 MHDA- 2000/08/06 11:00 CRDT- 2000/05/10 09:00 PHST- 2000/05/10 09:00 [pubmed] PHST- 2000/08/06 11:00 [medline] PHST- 2000/05/10 09:00 [entrez] AID - S0891584900001805 [pii] AID - 10.1016/s0891-5849(00)00180-5 [doi] PST - ppublish SO - Free Radic Biol Med. 2000 Mar 15;28(6):926-33. doi: 10.1016/s0891-5849(00)00180-5.