PMID- 23189153 OWN - NLM STAT- MEDLINE DCOM- 20130516 LR - 20220321 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 11 DP - 2012 TI - Status of systemic oxidative stresses in patients with primary open-angle glaucoma and pseudoexfoliation syndrome. PG - e49680 LID - 10.1371/journal.pone.0049680 [doi] LID - e49680 AB - BACKGROUND: The involvement of local and systemic oxidative stress in intraocular pressure (IOP) elevation and optic nerve damage has been hypothesized in the pathogenesis of glaucoma. To test this, we measured the systemic levels of prooxidants and antioxidants by analyzing the blood biochemistry in patients with glaucoma. METHODS: Peripheral blood samples were collected from Japanese patients with primary open-angle glaucoma (PG) (n = 206), exfoliation syndrome (EX) (n = 199), and controls (n = 126). Plasma levels of lipid peroxides, ferric-reducing activity, and thiol antioxidant activity were measured by diacron reactive oxygen metabolites (dROM), biological antioxidant potential (BAP), and sulfhydryl (SH) tests, respectively, using a free radical analyzer. RESULTS: In the PG, EX, and control groups, the mean +/- standard deviation values were 355+/-63, 357+/-69, and 348+/-56 (U. Carr), respectively, for dROM; 1,951+/-282, 1,969+/-252, and 2,033+/-252 (micromol/L), respectively, for BAP (micromol/L); and 614+/-98, 584+/-91, and 617+/-99 (micromol/L), respectively, for SH. The differences in the BAP values were significant between the PG and control groups (p = 0.0062), for SH between the EX and control groups (p = 0.0017), and for SH between the PG and EX groups (p = 0.0026). After adjustment for differences in age and sex among groups using multiple regression analysis, lower BAP values were correlated significantly with PG (p = 0.0155) and EX (p = 0.0049). Higher dROM values with and without glaucoma were correlated with female gender, and lower SH values with older age. There were no significant differences between the higher (>/=21 mmHg) and lower (<21 mmHg) baseline IOPs in the PG group or between the presence or absence of glaucoma in the EX group. CONCLUSIONS: Lower systemic antioxidant capacity that measured by ferric-reducing activity is involved in the pathogenesis of PG and EX. FAU - Tanito, Masaki AU - Tanito M AD - Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Shimane, Japan. tanito-oph@umin.ac.jp FAU - Kaidzu, Sachiko AU - Kaidzu S FAU - Takai, Yasuyuki AU - Takai Y FAU - Ohira, Akihiro AU - Ohira A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121126 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antioxidants) RN - 0 (Sulfhydryl Compounds) RN - BBX060AN9V (Hydrogen Peroxide) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antioxidants/metabolism MH - Exfoliation Syndrome/blood/*metabolism MH - Female MH - Glaucoma, Open-Angle/blood/*metabolism MH - Humans MH - Hydrogen Peroxide/blood MH - Male MH - Middle Aged MH - *Oxidative Stress MH - Sulfhydryl Compounds/blood MH - Young Adult PMC - PMC3506654 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/11/29 06:00 MHDA- 2013/05/17 06:00 PMCR- 2012/11/26 CRDT- 2012/11/29 06:00 PHST- 2012/06/22 00:00 [received] PHST- 2012/10/12 00:00 [accepted] PHST- 2012/11/29 06:00 [entrez] PHST- 2012/11/29 06:00 [pubmed] PHST- 2013/05/17 06:00 [medline] PHST- 2012/11/26 00:00 [pmc-release] AID - PONE-D-12-18358 [pii] AID - 10.1371/journal.pone.0049680 [doi] PST - ppublish SO - PLoS One. 2012;7(11):e49680. doi: 10.1371/journal.pone.0049680. Epub 2012 Nov 26.