PMID- 22883481 OWN - NLM STAT- MEDLINE DCOM- 20130206 LR - 20131121 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 321 IP - 1-2 DP - 2012 Oct 15 TI - Oxidative stress in multiple sclerosis patients in clinical remission: association with the expanded disability status scale. PG - 49-53 LID - 10.1016/j.jns.2012.07.045 [doi] AB - Increased levels of oxidative stress markers and/or decreased levels of antioxidant molecules have been described in patients with multiple sclerosis (MS). This imbalance has been implicated in demyelination and axonal damage. The aims of this study were to evaluate oxidative stress in MS patients and to verify its correlation with disability as assessed by the expanded disability status scale (EDSS). This case-controlled study included 91 patients with relapsing-remitting multiple sclerosis (RR-MS) and 196 healthy individuals matched by age, gender, ethnicity, smoking status, and body mass index. Oxidative stress was evaluated by tert-butyl hydroperoxide-initiated chemiluminescence (CL-LOOH), carbonyl protein, nitric oxide metabolites (NOx), total radical-trapping antioxidant parameter (TRAP), sulfhydryl groups of proteins and serum uric acid levels. MS patients exhibited higher plasma levels of CL-LOOH (p<0.0001) and carbonyl protein (p=0.0081), and lower plasma levels of NOx (p<0.0001), TRAP (p=0.0088), and sulfhydryl groups (p=0.0003) compared to the control subjects. A multivariate analysis showed an association between oxidative markers and the presence of MS. Patients with an EDSS >3.5 showed higher CL-LOOH than control subjects (p=0.0093). A positive correlation was observed between CL-LOOH and EDSS (r=0.3244, p=0.0026) and between carbonyl protein and EDSS (r=0.3012, p=0.0041). These results demonstrate that oxidative stress plays an important role in the physiopathology of MS progression. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Oliveira, Sayonara Rangel AU - Oliveira SR AD - Postgraduate Program, Health Sciences Center, State University of Londrina, Londrina, Brazil. FAU - Kallaur, Ana Paula AU - Kallaur AP FAU - Simao, Andrea Name Colado AU - Simao AN FAU - Morimoto, Helena Kaminami AU - Morimoto HK FAU - Lopes, Josiane AU - Lopes J FAU - Panis, Carolina AU - Panis C FAU - Petenucci, Diego Lima AU - Petenucci DL FAU - da Silva, Eloisa AU - da Silva E FAU - Cecchini, Rubens AU - Cecchini R FAU - Kaimen-Maciel, Damacio Ramon AU - Kaimen-Maciel DR FAU - Reiche, Edna Maria Vissoci AU - Reiche EM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120809 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - 0 (Mediator Complex) RN - 268B43MJ25 (Uric Acid) RN - 31C4KY9ESH (Nitric Oxide) SB - IM MH - Adult MH - Disability Evaluation MH - *Disabled Persons MH - Female MH - Humans MH - Luminescence MH - Male MH - Mediator Complex/metabolism MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/*metabolism/*physiopathology MH - Nitric Oxide/metabolism MH - Oxidative Stress/*physiology MH - Protein Carbonylation/physiology MH - Statistics, Nonparametric MH - Uric Acid/metabolism EDAT- 2012/08/14 06:00 MHDA- 2013/02/07 06:00 CRDT- 2012/08/14 06:00 PHST- 2012/03/17 00:00 [received] PHST- 2012/05/26 00:00 [revised] PHST- 2012/07/19 00:00 [accepted] PHST- 2012/08/14 06:00 [entrez] PHST- 2012/08/14 06:00 [pubmed] PHST- 2013/02/07 06:00 [medline] AID - S0022-510X(12)00399-1 [pii] AID - 10.1016/j.jns.2012.07.045 [doi] PST - ppublish SO - J Neurol Sci. 2012 Oct 15;321(1-2):49-53. doi: 10.1016/j.jns.2012.07.045. Epub 2012 Aug 9.