Evidence for a hyper-reductive redox in a sub-set of heart failure patients

Journal of Translational Medicine
Thiagarajan SairamNamakkal Soorapan Rajasekaran

Abstract

Oxidative stress has been linked to heart failure (HF) in humans. Antioxidant-based treatments are often ineffective. Therefore, we hypothesize that some of the HF patients might have a reductive stress (RS) condition. Investigating RS-related mechanisms will aid in personalized optimization of redox homeostasis for better outcomes among HF patients. Blood samples were collected from HF patients (n = 54) and healthy controls (n = 42) and serum was immediately preserved in - 80 °C for redox analysis. Malondialdehyde (MDA; lipid peroxidation) levels by HPLC, reduced glutathione (GSH) and its redox ratio (GSH/GSSG) using enzymatic-recycling assay in the serum of HF patients were measured. Further, the activities of key antioxidant enzymes were analyzed by UV-Vis spectrophotometry. Non-invasive echocardiography was used to relate circulating redox status with cardiac function and remodeling. The circulatory redox state (GSH/MDA ratio) was used to stratify the HF patients into normal redox (NR), hyper-oxidative (HO), and hyper-reductive (HR) groups. While the majority of the HF patients exhibited the HO (42%), 41% of them had a normal redox (NR) state. Surprisingly, a subset of HF patients (17%) belonged to the hyper-reductive group...Continue Reading

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Citations

Jan 4, 2019·Circulation Research·Helena C Kenny, E Dale Abel
May 8, 2020·Antioxidants & Redox Signaling·Namakkal-Soorappan Rajasekaran
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Methods Mentioned

BETA
blood
MDA

Software Mentioned

GraphPad Prism
GraphPad

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