PMID- 32908640 OWN - NLM STAT- MEDLINE DCOM- 20210512 LR - 20240329 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2020 DP - 2020 TI - Local and Systemic Oxidative Stress in Balkan Endemic Nephropathy Is Not Associated with Xanthine Oxidase Activity. PG - 8209727 LID - 10.1155/2020/8209727 [doi] LID - 8209727 AB - Balkan endemic nephropathy (BEN) represents a chronic tubulointerstitial nephropathy which is followed by the progression of kidney fibrosis to end-stage kidney failure. The critical involvement of poisons in food (aristolochic acid (AA), ochratoxin, and heavy metals) and selenium deficiency are among nutritive factors which contribute to the pathogenesis of BEN, due to reactive oxygen species (ROS) liberation and/or decreased antioxidative defence system. The aim of the study is to distinguish a possible systemic and local origin of ROS through the measurement of xanthine oxidase (XO) activity in urine and plasma, along with the determination of the oxidative changes in lipids and proteins. The study included 50 patients with BEN and 38 control healthy subjects. We noted increased levels of both thiobarbituric acid-reactive substances (TBARS) and advanced oxidation protein products (AOPPs) in the plasma of patients with BEN, compared to the control group (p < 0.001). The urinary levels of AOPPs were higher in patients with BEN in comparison to the control (p < 0.001). The specific activity of XO was significantly lower in plasma and urine in BEN samples, compared to controls (p < 0.005). Based on these results, we hypothesize that XO might not be considered a direct systemic or local contributor to ROS production in BEN, most probably because of the diminished kidney functional tissue mass and/or AA-induced changes in purine nucleotide conformation. The increased AOPP and TBARS level in both plasma and urine in BEN may predict ROS systemic liberation with toxic local effects. CI - Copyright (c) 2020 Andrej Veljkovic et al. FAU - Veljkovic, Andrej AU - Veljkovic A AUID- ORCID: 0000-0001-5950-7517 AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. FAU - Hadzi-Dokic, Jovan AU - Hadzi-Dokic J AD - Serbian Academy of Sciences and Arts, 11000 Belgrade, Serbia. FAU - Sokolovic, Dusan AU - Sokolovic D AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. FAU - Cukuranovic, Rade AU - Cukuranovic R AD - Clinical Center in Nis, 18000 Nis, Serbia. FAU - Cukuranovic-Kokoris, Jovana AU - Cukuranovic-Kokoris J AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. FAU - Basic, Dragoslav AU - Basic D AD - Clinical Center in Nis, 18000 Nis, Serbia. FAU - Dordevic, Branka AU - Dordevic B AUID- ORCID: 0000-0002-4521-1253 AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. FAU - Stojanovic, Marko AU - Stojanovic M AD - Clinical Center in Nis, 18000 Nis, Serbia. FAU - Smelcerovic, Andrija AU - Smelcerovic A AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. FAU - Kocic, Gordana AU - Kocic G AD - Faculty of Medicine, University of Nis, 18000 Nis, Serbia. LA - eng PT - Journal Article DEP - 20200818 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Thiobarbituric Acid Reactive Substances) RN - EC 1.17.3.2 (Xanthine Oxidase) SB - IM MH - Aged MH - Aged, 80 and over MH - Balkan Nephropathy/*enzymology/*pathology MH - Case-Control Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oxidation-Reduction MH - *Oxidative Stress MH - Thiobarbituric Acid Reactive Substances/metabolism MH - Xanthine Oxidase/*metabolism PMC - PMC7450339 COIS- The authors declare that there is no conflict of interest regarding the publication of this paper. EDAT- 2020/09/11 06:00 MHDA- 2021/05/13 06:00 PMCR- 2020/08/18 CRDT- 2020/09/10 05:35 PHST- 2020/05/19 00:00 [received] PHST- 2020/07/09 00:00 [revised] PHST- 2020/07/25 00:00 [accepted] PHST- 2020/09/10 05:35 [entrez] PHST- 2020/09/11 06:00 [pubmed] PHST- 2021/05/13 06:00 [medline] PHST- 2020/08/18 00:00 [pmc-release] AID - 10.1155/2020/8209727 [doi] PST - epublish SO - Oxid Med Cell Longev. 2020 Aug 18;2020:8209727. doi: 10.1155/2020/8209727. eCollection 2020.