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Antioxidant supplementation attenuates oxidative stress in chronic hepatitis C patients.
Gastroenterol Hepatol. 2012 Jun-Jul; 35(6):386-94.GH

Abstract

Reactive oxygen species (ROS) overgeneration is involved in the pathogenesis of hepatitis C. The aim of this study was to evaluate the antioxidant status in the blood of HCV infected patients treated or not with standard therapy before and after supplementation of vitamins E, C and zinc. Biomarkers of oxidative stress were evaluated in the blood of three groups of patients: group 1 - controls; group 2 - HCV patients without treatment examined before and after a daily antioxidant supplementation (vitamin E 800 mg, C 500 mg and zinc 40 mg) for 6 months; and group 3 - HCV patients treated with pegylated interferon combined with ribavirin, also examined before and after the same antioxidant supplementation. Before antiviral treatment HCV patients showed enhanced superoxide dismutase, catalase and glutathione peroxidase activities and decreased glutathione reductase activity, while lipoperoxidation was increased and reduced glutathione showed decreased levels compared to controls. Treatment with standard therapy enhanced the activities of catalase and glutathione S-transferase, increased contents of protein carbonyl and promoted further reduced glutathione depletion. After antioxidant supplementation, decreased catalase and glutathione S-transferase activities, decreased lipoperoxidation in group 2, and increased reduced glutathione contents in both supplemented groups were detected. Before antioxidant supplementation, alanine aminotransferase and gamma glutamyl transferase contents showed significant increases in group 2.

CONCLUSION

Untreated HCV patients and also those treated with the standard therapy are coping with a systemic oxidative stress. The antioxidant supplementation conferred an antioxidant protection to both supplemented groups attenuating oxidation processes related to the disease.

Authors+Show Affiliations

Departamento de Ecologia e Zoologia, Universidade Federal de Santa Catarina, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22608494

Citation

Farias, Mirelle S., et al. "Antioxidant Supplementation Attenuates Oxidative Stress in Chronic Hepatitis C Patients." Gastroenterologia Y Hepatologia, vol. 35, no. 6, 2012, pp. 386-94.
Farias MS, Budni P, Ribeiro CM, et al. Antioxidant supplementation attenuates oxidative stress in chronic hepatitis C patients. Gastroenterol Hepatol. 2012;35(6):386-94.
Farias, M. S., Budni, P., Ribeiro, C. M., Parisotto, E. B., Santos, C. E., Dias, J. F., Dalmarco, E. M., Fröde, T. S., Pedrosa, R. C., & Wilhelm Filho, D. (2012). Antioxidant supplementation attenuates oxidative stress in chronic hepatitis C patients. Gastroenterologia Y Hepatologia, 35(6), 386-94. https://doi.org/10.1016/j.gastrohep.2012.03.004
Farias MS, et al. Antioxidant Supplementation Attenuates Oxidative Stress in Chronic Hepatitis C Patients. Gastroenterol Hepatol. 2012 Jun-Jul;35(6):386-94. PubMed PMID: 22608494.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antioxidant supplementation attenuates oxidative stress in chronic hepatitis C patients. AU - Farias,Mirelle S, AU - Budni,Patrícia, AU - Ribeiro,Carine M, AU - Parisotto,Eduardo B, AU - Santos,Carla Eliete I, AU - Dias,Johnny Ferraz, AU - Dalmarco,Eduardo M, AU - Fröde,Tânia Silvia, AU - Pedrosa,Rozangela C, AU - Wilhelm Filho,Danilo, Y1 - 2012/05/17/ PY - 2012/01/13/received PY - 2012/02/28/revised PY - 2012/03/06/accepted PY - 2012/5/22/entrez PY - 2012/5/23/pubmed PY - 2012/12/10/medline SP - 386 EP - 94 JF - Gastroenterologia y hepatologia JO - Gastroenterol Hepatol VL - 35 IS - 6 N2 - UNLABELLED: Reactive oxygen species (ROS) overgeneration is involved in the pathogenesis of hepatitis C. The aim of this study was to evaluate the antioxidant status in the blood of HCV infected patients treated or not with standard therapy before and after supplementation of vitamins E, C and zinc. Biomarkers of oxidative stress were evaluated in the blood of three groups of patients: group 1 - controls; group 2 - HCV patients without treatment examined before and after a daily antioxidant supplementation (vitamin E 800 mg, C 500 mg and zinc 40 mg) for 6 months; and group 3 - HCV patients treated with pegylated interferon combined with ribavirin, also examined before and after the same antioxidant supplementation. Before antiviral treatment HCV patients showed enhanced superoxide dismutase, catalase and glutathione peroxidase activities and decreased glutathione reductase activity, while lipoperoxidation was increased and reduced glutathione showed decreased levels compared to controls. Treatment with standard therapy enhanced the activities of catalase and glutathione S-transferase, increased contents of protein carbonyl and promoted further reduced glutathione depletion. After antioxidant supplementation, decreased catalase and glutathione S-transferase activities, decreased lipoperoxidation in group 2, and increased reduced glutathione contents in both supplemented groups were detected. Before antioxidant supplementation, alanine aminotransferase and gamma glutamyl transferase contents showed significant increases in group 2. CONCLUSION: Untreated HCV patients and also those treated with the standard therapy are coping with a systemic oxidative stress. The antioxidant supplementation conferred an antioxidant protection to both supplemented groups attenuating oxidation processes related to the disease. SN - 0210-5705 UR - https://www.unboundmedicine.com/medline/citation/22608494/Antioxidant_supplementation_attenuates_oxidative_stress_in_chronic_hepatitis_C_patients_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0210-5705(12)00110-0 DB - PRIME DP - Unbound Medicine ER -