PMID- 26401086 OWN - NLM STAT- MEDLINE DCOM- 20161011 LR - 20181113 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 21 IP - 35 DP - 2015 Sep 21 TI - Effect of tumor necrosis factor-alpha antagonists on oxidative stress in patients with Crohn's disease. PG - 10208-14 LID - 10.3748/wjg.v21.i35.10208 [doi] AB - AIM: To investigate changes in oxidative stress in Crohn's disease (CD) before and after anti-tumor necrosis factor (TNF)-alpha treatment. METHODS: A total of 42 patients with active CD, who were scheduled to be treated by anti-TNF-alpha antibodies, were enrolled. Serum levels of diacron-reactive oxygen metabolites (d-ROM), biological antioxidant potential (BAP), and modified ratio of oxidative stress and antioxidant capacity (m-OA) were measured using the Free Radical Analytical System before and 8 wk after induction of therapy with infliximab or adalimumab. The values for oxidative stress were correlated with disease activity and clinical response as determined by the CD activity index (CDAI) at 8 and 54 wk after the therapy. RESULTS: Prior to treatment, d-ROM showed significant correlations with CDAI (r = 0.42, P < 0.01). There was a significant negative correlation between m-OA and CDAI before and after treatment (r = -0.48 vs r = -0.42, P < 0.01). CDAI and d-ROM had decreased significantly by 8 wk after treatment (CDAI; 223.3 +/- 113.2 vs 158.3 +/- 73.4, P < 0.01, d-ROM; 373 +/- 133 vs 312 +/- 101, P < 0.05). However, neither BAP nor m-OA had changed significantly. In patients who had responded to the treatment at 8 wk, d-ROM, BAP, and m-OA levels before treatment did not differ significantly between patients with and without loss of response. CONCLUSION: Anti-TNF-alpha therapy decreases oxidative stress in patients with CD, but does not alter the production of antioxidants. Dysregulation of antioxidants may be associated with the disease. FAU - Yamamoto, Kazunari AU - Yamamoto K AD - Kazunari Yamamoto, Toshimi Chiba, Takayuki Matsumoto, Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka City, Iwate 020-8505, Japan. FAU - Chiba, Toshimi AU - Chiba T AD - Kazunari Yamamoto, Toshimi Chiba, Takayuki Matsumoto, Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka City, Iwate 020-8505, Japan. FAU - Matsumoto, Takayuki AU - Matsumoto T AD - Kazunari Yamamoto, Toshimi Chiba, Takayuki Matsumoto, Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka City, Iwate 020-8505, Japan. LA - eng PT - Clinical Study PT - Journal Article PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Biomarkers) RN - 0 (Gastrointestinal Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/adverse effects/*therapeutic use MH - Adolescent MH - Adult MH - Anti-Inflammatory Agents/adverse effects/*therapeutic use MH - Biomarkers/blood MH - Crohn Disease/blood/diagnosis/*drug therapy/immunology MH - Female MH - Gastrointestinal Agents/adverse effects/*therapeutic use MH - Humans MH - Infliximab/*therapeutic use MH - Male MH - Middle Aged MH - Oxidative Stress/*drug effects MH - Pilot Projects MH - Time Factors MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/immunology MH - Young Adult PMC - PMC4572802 OTO - NOTNLM OT - Anti-tumor necrosis factor-alpha antibody OT - Crohn's disease OT - Oxidative stress OT - Severity EDAT- 2015/09/25 06:00 MHDA- 2016/10/12 06:00 PMCR- 2015/09/21 CRDT- 2015/09/25 06:00 PHST- 2015/03/25 00:00 [received] PHST- 2015/06/01 00:00 [revised] PHST- 2015/07/15 00:00 [accepted] PHST- 2015/09/25 06:00 [entrez] PHST- 2015/09/25 06:00 [pubmed] PHST- 2016/10/12 06:00 [medline] PHST- 2015/09/21 00:00 [pmc-release] AID - 10.3748/wjg.v21.i35.10208 [doi] PST - ppublish SO - World J Gastroenterol. 2015 Sep 21;21(35):10208-14. doi: 10.3748/wjg.v21.i35.10208.