Simultaneous determination of cocaine, ecgonine methyl ester, benzoylecgonine, cocaethylene and norcocaine in dried blood spots by ultra-performance liquid chromatography coupled to tandem mass spectrometry.

Cocaine (COC) is one of the most widely abused drugs in the world and its sensitive and its reliable measurement in blood is of great importance in the field of forensic and clinical toxicology. Additionally, the determination of COC metabolites such as benzoylecgonine (BZE), cocaethylene (CE), ecgonine methyl ester (EME), and norcocaine (NCOC) are also of complementary diagnostic value. The quantification of COC and metabolites in dried blood spots (DBS) may be an alternative to conventional collection methods with several advantages, including easier, on-site, collection, transportation and storage. In this study, we present a simple and comprehensively validated UPLC-MS/MS assay to measured COC, BZE, EME, NCOC and CE in DBS. The evaluated assay was linear from 5-500 ng mL-1. Precision assays presented CV% of 1.27-6.82, and accuracy in the range of 97-113.78%. Low haematocrit values had a negative impact in the assay accuracy. COC, BE, NCOC and CE measurements can be made reliably in DBS stored for 14 days at room temperature, as well as at -20 °C and 45 °C. All evaluated compounds can be measured in DBS maintained at -20 °C for 14 days. DBS sampling can be used for the clinical evaluation of the exposure to COC, being an alternative for collection, short-term storage and transportation of blood at room and high temperatures.

Urinary 1-hydroxypyrene is associated with oxidative stress and inflammatory biomarkers in acute Myocardial Infarction.

Several studies have associated exposure to environmental pollutants, especially polycyclic aromatic hydrocarbons (PAHs), with the development of cardiovascular diseases. Considering that 1-hydroxypyrene (1-OHP) is the major biomarker of exposure to pyrenes, the purpose of this study was to evaluate the potential association between 1-OHP and oxidative stress/inflammatory biomarkers in patients who had suffered an acute myocardial infarction (AMI). After adopting the exclusion criteria, 58 post-infarction patients and 41 controls were sub-divided into smokers and non-smokers. Urinary 1-OHP, hematological and biochemical parameters, oxidative stress biomarkers (MDA, SOD, CAT, GPx and exogenous antioxidants) and the inflammatory biomarker (hs-CRP) were analyzed. 1-OHP levels were increased in post-infarct patients compared to controls (p < 0.05) and were correlated to MDA (r = 0.426, p < 0.01), CAT (r = 0.474, p < 0.001) and ß-carotene (r = -0.309; p < 0.05) in non-smokers. Furthermore, post-infarction patients had elevated hs-CRP, MDA, CAT and GPx levels compared to controls for both smokers and non-smokers. Besides, ß-carotene levels and SOD activity were decreased in post-infarction patients. In summary, our findings indicate that the exposure to pyrenes was associated to lipid damage and alterations of endogenous and exogenous antioxidants, demonstrating that PAHs contribute to oxidative stress and are associated to acute myocardial infarction.

Nitric oxide and reactive species are modulated in the polyphenol-induced ductus arteriosus constriction in pregnant sheep.

OBJECTIVE: Because we have previously demonstrated the relation between polyphenol-rich foods (PRF) consumption and ductus arteriosus constriction, in this work, pregnant sheep were submitted to oral PRF intake for 14 days to understand how this process occurs. Fetal Doppler echocardiography, oxidative and inflammatory biomarkers and total polyphenol excretion were evaluated. RESULTS: The high polyphenol intake induced ductus arteriosus constriction by 71.6% increase in systolic (P = 0.001) and 57.8% in diastolic velocities (P = 0.002), and 18.9% decrease in pulsatility index (P = 0.033), along with 1.7-fold increase in total polyphenol excretion, 2.3-fold decrease in inflammatory mediator nitric oxide and following redox status changes (mean ± standard deviation): higher protein carbonyls (1.09 ± 0.09 and 1.49 ± 0.31), catalase (0.69 ± 0.39 and 1.44 ± 0.33) and glutathione peroxidase (37.23 ± 11.19 and 62.96 ± 15.03) in addition to lower lipid damage (17.22 ± 2.05 and 12.53 ± 2.11) and nonprotein thiols (0.11 ± 0.04 and 0.04 ± 0.01) found before and after treatment, respectively. Ductal parameters correlated to NOx , catalase, glutathione peroxidase and protein carbonyl. CONCLUSION: Our results highlight the need to reduce maternal PRF intake in late pregnancy to prevent fetal duct constriction through NO-mediated vasoconstrictive action of polyphenols.

Exogenous and endogenous antioxidants attenuate the lipid peroxidation in workers occupationally exposed to paints.

Occupational exposure to organic solvents present in paints is responsible for an increased production of reactive species, thus enabling the development of several diseases. Besides, both exo- and endogenous antioxidant defense systems are necessary to avoid oxidative tissue damage. This study investigated possible protective effects of the exo- and endogenous antioxidants on oxidative damage in painters occupationally exposed to organic solvents (n = 42) and controls (n = 28). Retinol, lycopene and ß-carotene were significantly lower in the exposed group. Despite the fact that blood toluene was below the biological exposure limits, malondialdehyde levels and antioxidant enzyme activities were increased, whereas reduced glutathione levels were decreased in painters, compared to nonexposed subjects. Moreover, multivariate regression models showed that reduced glutathione and carotenoids (mainly ß-carotene) have the major influence on lipid peroxidation (LPO). The present work suggests that the exogenous antioxidants, such as carotenoids, could protect occupationally exposed subjects to xenobiotics from LPO.

In vivo toxicological evaluation of polymeric nanocapsules after intradermal administration.

Polymeric nanocarriers have shown great promise as delivery systems. An alternative strategy has been to explore new delivery routes, such as intradermal (i.d.), that can be used for vaccines and patch-based drug delivery. Despite their many advantages, there are few toxicity studies, especially in vivo. We report a safety assessment of biodegradable poly(ɛ-caprolactone) lipid-core nanocapsules (LNC) with a mean size of 245±10nm following single and repeated intradermal injections to Wistar rats. Suspensions were prepared by interfacial deposition of polymer. The animals (n=6/group) received a single-dose of saline solution (1.2ml/kg) or LNC (7.2×10(12)LNC/kg), or repeated-doses of two controls, saline solution or Tween 80 (0.9ml/kg), or three different concentrations of LNC (1.8, 3.6, and 5.4×10(12)LNC/kg) for 28 consecutive days. Clinical and physiological signs and mortality were observed. Samples of urine, blood, and tissue were used to perform toxicological evaluation. There were no clinical signs of toxicity or mortality, but there was a slight decrease in the relative body weights in the Tween 80-treated group (p<0.01) after repeated administration. No histopathological alterations were observed in tissues or significant changes in blood and urinary biomarkers for tissue damage. Mild alterations in white blood cells count with increases in granulocytes in the Tween-80 group (p<0.05) were found. Genotoxicity was evaluated through the comet assay, and no statistical difference was observed among the groups. Therefore, we conclude that, under the conditions of these experiments, biodegradable LNC did not present appreciable toxicity after 28 consecutive days of intradermal administration and is promising for its future application in vaccines and patch-based devices for enhancing the delivery of drugs.

Biomarkers of occupational exposure to air pollution, inflammation and oxidative damage in taxi drivers.

Exposure to environmental pollutants has been recognised as a risk factor for cardiovascular events. 1-hydroxypyrene (1-OHP) is a biomarker of exposure to polycyclic aromatic hydrocarbons (PAHs) from traffic-related air pollution. Experimental studies indicate that PAH exposure could be associated with inflammation and atherogenesis. Thus, the purpose of this study was to evaluate whether the biomarker of PAH exposure is associated with biomarkers of inflammation and oxidative stress and if these effects modulate the risk of developing cardiovascular diseases in workers exposed to air pollution. This study included 60 subjects, comprising 39 taxi drivers and 21 non-occupationally exposed persons. Environmental PM2.5 and benzo[a]pyrene (BaP) levels, in addition to biomarkers of exposure and oxidative damage, were determined. Inflammatory cytokines (IL-1ß, IL-6, IL-10, TNF-α, IFN-γ and hs-CRP) and serum levels of oxidised LDL (ox-LDL), auto-antibodies (ox-LDL-Ab) and homocysteine (Hcy) were also evaluated. PM2.5 and BaP exhibited averages of 12.4±6.9 µg m(-3) and 1.0±0.6 ng m(-3), respectively. Urinary 1-OHP levels were increased in taxi drivers compared to the non-occupationally exposed subjects (p<0.05) and were positively correlated with pro-inflammatory cytokines and negatively correlated with antioxidants. Furthermore, taxi drivers had elevated pro-inflammatory cytokines, biomarkers of oxidative damage, and ox-LDL, ox-LDL-Ab and Hcy levels, although antioxidant enzymes were decreased compared to the non-occupationally exposed subjects (p<0.05). In summary, our findings indicate that taxi drivers showed major exposure to pollutants, such as PAHs, in relation to non-occupationally exposed subjects. This finding was associated with higher inflammatory biomarkers and Hcy, which represent important predictors for cardiovascular events. These data suggest a contribution of PAHs to cardiovascular diseases upon occupational exposure.

Genotoxicity and oxidative stress in gasoline station attendants.

We evaluated genotoxic effects of exposure to low levels of benzene, a class I human carcinogen, among gasoline station attendants (GSA). Oxidative stress and the protective effects of antioxidants on DNA damage were also analyzed. Although exposures were below ACGIH (American Conference of Governmental Industrial Hygienists) limits, the GSA group presented higher DNA damage indices and micronucleus frequencies, increased oxidative protein damage, and decreased antioxidant capacity relative to the control group. Duration of benzene exposure was correlated with DNA and protein damage. The biomarkers evaluated in this work may provide early signals of damage in subjects occupationally exposed to benzene.

Evaluation of lipid damage related to pathological and physiological conditions.

Several diseases and xenobiotics are known to generate reactive species that may trigger oxidative stress when not properly scavenged by the antioxidant defenses and result in tissue damage. We investigated lipid peroxidation (LPO) as a possible mechanism for tissue damage in some pathologies, in the normal aging process, and in subjects exposed to organic solvents. Plasmatic malondialdehyde (MDA) was quantified by high-performance liquid chromatography with visible wavelength detection in 239 subjects and divided into the following: acute myocardium infarction (AMI), diabetes without complications (D) and hemodialysis (HD) patients; into healthy children, adults, and elderly, all nonexposed to xenobiotics; and into painters occupationally exposed to organic solvents (P). Troponin, glycated hemoglobin, and transminases [aspartate aminotransferase (AST) and alanine aminotransferase] were analyzed. An increase in LPO was observed in AMI, D, HD, and P groups, when compared to healthy adults. No correlation between MDA and age was found. Further, we found positive correlations between MDA versus troponin (r = 0.47), MDA versus HbA1c (r = 0.56), and MDA versus AST (r = 0.41) in AMI, diabetics, and painters, respectively. This work has demonstrated increased lipid and protein damages in myocardium and blood, along with an alteration of hepatic transaminase activities and induction of LPO, suggesting that MDA levels are important to evaluate the extent of tissue alterations and development of acute and chronic conditions.

Acute and subchronic toxicity evaluation of poly(ε-caprolactone) lipid-core nanocapsules in rats.

Owing to concerns over the effects of the physicochemical properties of nanoparticles and their interaction with biological systems, further investigation is required. We investigated, for the first time, the toxicity of lipid-core nanocapsules (LNCs) containing a polymeric wall of poly(ε-caprolactone) and a coating of polysorbate 80 used as drug delivery devices (~245nm) in Wistar rats after single- and repeated-dose treatments. The suspensions were prepared by interfacial deposition of the polymer and were physicochemically characterized. Toxicological effects were determined after single doses of 18.03, 36.06, and 72.12 × 10(12) LNC/kg and repeated doses of 6.01, 12.02, and 18.03 × 10(12) LNC/kg for 28 days by ip administration. The results for both the treatments showed no mortality or permanent body weight changes during the experiments. A granulomatous foreign body reaction was observed in the liver and spleen of higher dose groups in acute and subchronic treatments. Most of the hepatotoxicity and nephrotoxicity markers were within the reference values and/or were similar to the control group. However, a slight alteration in the hematologic parameters was observed in both the studies. Thus, to verify a possible methodological influence, we performed an in vitro test to confirm such influence. These findings are in agreement with earlier reports regarding no appreciable toxicity of biodegradable polymeric nanoparticles, indicating that LNC might be a safe candidate for drug delivery system. Furthermore, the results presented in this study are important for health risk assessment and to implement strategies for testing biodegradable polymeric nanoparticles.

Blood thioredoxin reductase activity, oxidative stress and hematological parameters in painters and battery workers: relationship with lead and cadmium levels in blood.

Oxidative stress has been shown to be involved in lead and cadmium toxicity. We recently showed that the activity of the antioxidant enzyme thioredoxin reductase (TrxR) is increased in the kidneys of lead-exposed rats. The present study evaluated the blood cadmium and blood lead levels (BLLs) and their relationship with hematological and oxidative stress parameters, including blood TrxR activity in 50 painters, 23 battery workers and 36 control subjects. Erythrocyte δ-aminolevulinate dehydratase (δ-ALA-D) activity and its reactivation index were measured as biomarkers of lead effects. BLLs increased in painters, but were even higher in the battery workers group. In turn, blood cadmium levels increased only in the painters group, whose levels were higher than the recommended limit. δ-ALA-D activity was inhibited only in battery workers, whereas the δ-ALA-D reactivation index increased in both exposed groups; both parameters were correlated to BLLs (r = -0.59 and 0.84, P < 0.05), whereas the reactivation index was also correlated to blood cadmium levels (r = 0.27, P < 0.05). The changes in oxidative stress and hematological parameters were distinctively associated with either BLLs or blood cadmium levels, except glutathione-S-transferase activity, which was correlated with both lead (r = 0.34) and cadmium (r = 0.47; P < 0.05). However, TrxR activity did not correlate with any of the metals evaluated. In conclusion, blood TrxR activity does not seem to be a good parameter to evaluate oxidative stress in lead- and cadmium-exposed populations. However, lead-associated changes in biochemical and hematological parameters at low BLLs underlie the necessity of re-evaluating the recommended health-based limits in occupational exposure to this metal.

Evaluation of genotoxicity and oxidative damage in painters exposed to low levels of toluene.

Toluene is an organic solvent used in numerous processes and products, including industrial paints. Toluene neurotoxicity and reproductive toxicity are well recognized; however, its genotoxicity is still under discussion, and toluene is not classified as a carcinogenic solvent. Using the comet assay and the micronucleus test for detection of possible genotoxic effects of toluene, we monitored industrial painters from Rio Grande do Sul, Brazil. The putative involvement of oxidative stress in genetic damage and the influences of age, smoking, alcohol consumption, and exposure time were also assessed. Although all biomarkers of toluene exposure were below the biological exposure limits, painters presented significantly higher DNA damage (comet assay) than the control group; however, in the micronucleus assay, no significant difference was observed. Painters also showed alterations in hepatic enzymes and albumin levels, as well as oxidative damage, suggesting the involvement of oxidative stress. According to multiple linear regression analysis, blood toluene levels may account for the increased DNA damage in painters. In summary, this study showed that low levels of toluene exposure can cause genetic damage, and this is related to oxidative stress, age, and time of exposure.

The relationships between exogenous and endogenous antioxidants with the lipid profile and oxidative damage in hemodialysis patients.

BACKGROUND: We sought to investigate the relationships among the plasma levels of carotenoids, tocopherols, endogenous antioxidants, oxidative damage and lipid profiles and their possible effects on the cardiovascular risk associated with hemodialysis (HD) patients. METHODS: The study groups were divided into HD and healthy subjects. Plasma carotenoid, tocopherol and malondialdehyde (MDA) levels, as well as erythrocyte reduced glutathione (GSH), were measured by HPLC. Blood antioxidant enzymes, kidney function biomarkers and the lipid profiles were analyzed by spectrophotometric methods. RESULTS: Plasma lycopene levels and blood glutathione peroxidase (GPx) activity were significantly decreased in HD patients compared with healthy subjects. Total cholesterol, low-density lipoprotein cholesterol (LDL-c), creatinine, urea, MDA, GSH, superoxide dismutase (SOD) and catalase (CAT) were significantly increased in HD (p < 0.05). Lycopene levels were correlated with MDA (r = -0.50; p < 0.01), LDL-c (r = -0.38; p = 0.01) levels, the LDL-c/HDL-c index (r = -0.33; p = 0.03) and GPx activity (r = 0.30; p = 0.03). Regression models showed that lycopene levels were correlated with LDL-c (ß estimated = -31.59; p = 0.04), while gender was correlated with the TC/HDL-c index and triglycerides. Age did not present a correlation with the parameters evaluated. GPx activity was negatively correlated with MDA levels and with the LDL-c/HDL-c and CT/HDL-c indexes. CONCLUSIONS: Lycopene may represent an additional factor that contributes to reduced lipid peroxidation and atherogenesis in hemodialysis patients.

Effects of low-level exposure to xenobiotics present in paints on oxidative stress in workers.

Paints are composed of an extensive variety of hazardous substances, such as organic solvents and heavy metals. Biomonitoring is an essential tool for assessing the risk to occupational health. Thus, this study analyzed the levels of biomarkers of exposure for toluene, xylene, styrene, ethylbenzene, and lead, as well as the oxidative stress biomarker alterations in painters of an industry. Lipid peroxidation biomarker (MDA), delta-aminolevulinate dehydratase (ALA-D), nonprotein thyol groups, superoxide dismutase and catalase (CAT) were analyzed in exposed and nonexposed subjects. We estimated which of the paint constituents have the greatest influence on the changes in the biomarkers of oxidative stress in this case of co-exposure. The results demonstrated that despite the fact that all the biomarkers of exposure were below the biological exposure limits, the MDA levels and antioxidant enzyme activities were increased, while nonprotein thyol groups and ALA-D levels were decreased in painters when compared with nonexposed subjects. After statistic test, toluene could be suggested as the principal factor responsible for increased lipid peroxidation and inhibition of ALA-D enzyme; however, further studies on the inhibition of ALA-D enzyme by toluene are necessary.

Intoxicação em cães e gatos: diagnóstico toxicológico empregando cromatografia em camada delgada e cromatografia líquida de alta pressão com detecção ultravioleta em amostras estomacais / Intoxication in dogs and cats: toxicological diagnosis using thin layer chromatography and high pressure liquid chromatography with ultraviolet detection in stomach samples

Agrotóxicos e raticidas são responsáveis por inúmeras intoxicações humanas e animais. Dados preliminares sugerem que o uso ilegal desses compostos com a finalidade de intoxicação fatal em pequenos animais é uma prática comum na região central do Estado do Rio Grande do Sul. O Laboratório de Toxicologia (LATOX) recebe amostras de casos em que a principal suspeita é a intoxicação por agrotóxicos ou raticidas (lícitos e ilícitos). O presente estudo teve como objetivo apresentar um levantamento das intoxicações de pequenos animais, analisadas pelo LATOX no período de 2004 a 2008, sendo identificados os xenobióticos por meio de métodos analíticos otimizados pelo laboratório, incluindo screening por cromatografia em camada delgada (CCD) e possível confirmação por cromatografia líquida de alta eficiência (CLAE-UV). No período, foram analisadas 68 amostras oriundas de intoxicações em cães e gatos. As amostras biológicas analisadas foram o estômago e o conteúdo estomacal, das quais a CCD permitiu a identificação de carbamatos, warfarina e estricnina. Esta mostrou ser uma técnica qualitativa eficiente e adequada para esse propósito, além de ser relativamente rápida, de baixo custo e de sofrer pouca interferência de componentes da matriz. Também foi realizado um screening toxicológico por CLAE-UV para os carbamatos n-metilados: aldicarb, carbaril, carbofuran e propoxur. O resultado das análises indicou que o principal agente tóxico encontrado foi o aldicarb (chumbinho), responsável por 39,7 por cento das intoxicações (27 casos), seguido por estricnina (seis casos), warfarina (três casos) e monofluoracetato de sódio (um caso). Sendo assim, o "chumbinho" foi o principal agente envolvido em intoxicações de cães e gatos na região central do Estado no período avaliado, e os métodos analíticos CCD e CLAE-UV podem ser utilizados de forma eficiente na rotina laboratorial para identificação e confirmação dos xenobióticos mais envolvidos nessas intoxicações.

The pesticides and rodenticides are responsible for several human and animal intoxications. Preliminary data suggest that the illegal use of these compounds to poison small animals is a common practice in the central region of the Rio Grande do Sul state. The Laboratory of Toxicology received samples, of cases in which the main suspected cause of death is poisoning by pesticides or exogenous rodenticides (licit and illicit). The aim of this study was show the survey of small animals poisoned and analyzed by LATOX during the period of 2004 to 2008 identifying the xenobiotics by optimized analytical methods, including screening by thin-layer chromatography (TLC) and a possible confirmation by high performance liquid chromatography - ultraviolet detection (HPLC-UV). In this period 68 samples were analyzed from small poisoned animals. The biological samples analyzed were stomach and stomach content and the TLC permitted carbamates, warfarin and stricnine identification. This proved to be an efficient and adequate technique for this purpose, relatively fast, inexpensive and with low matrix interference. The screening by HPLC for N-methyl carbamates was also realized: aldicarb, carbaryl, carbofuran and propoxur. The analysis showed that the main toxic agent found was aldicarb (chumbinho), responsible for 39.7 percent of poisoning (27 cases), followed by stricnine (6 cases), warfarin (3 cases) and sodium monofluoracetate (1 case). Thus, the 'chumbinho' was the main agent involved in dogs and cats poisoning in the central region of the state, during the analyzed period. The analytical methods TLC and HPLC can be used efficiently in laboratorial routine for identification and confirmation of xenobiotics involved in these poisonings.

Presence of p-synephrine in teas commercialized in Porto Alegre (RS/Brazil) / Presença de p-sinefrina em chás comercializados em Porto Alegre (RS / Brasil)

Citrus aurantium (bitter orange) is characterized by the presence of p-synephrine, an amine structurally and pharmacologically related to ephedrine. Besides the same adverse effects as ephedrine, nowadays it is believed that altered levels of p-synephrine can be associated to the occurrence of migraine and cluster headaches. Leaves and fruits of this species are highly commercialized in form of teas and herbal preparations, but without taking into account the risks associated with its use. This work describes a survey of teas and herbal preparations containing C. aurantium, commercialized in Porto Alegre (RS/Brazil), in order to verify the presence of p-synephrine. Comparing with the mean amount available in the supermarkets, around 20 percent of the teas and 10 percent of the herbal preparations declared the presence of C. aurantium in their labels. In a sampling of 15 teas and 2 herbal preparations selected for the analysis, the presence of p-synephrine was characterized in all samples, with levels between 0.0040 to 0.2308 percent, leading to a caution that even being natural products, they are not free of adverse effects.

Citrus aurantium (laranjeira-azeda) é caracterizada pela presença de p-sinefrina, amina estrutural e farmacologicamente similar à efedrina. Além de poder causar efeitos adversos similares aos da efedrina, atualmente acredita-se que níveis endógenos alterados de p-sinefrina possam estar associados à causa da enxaqueca. Folhas e frutos desta espécie são largamente comercializados na forma de chá e em preparados de erva-mate, sem que sejam considerados os riscos associados ao seu uso. Neste sentido, este trabalho descreve uma pesquisa em chás e preparados de erva-mate comercializados em Porto Alegre, para verificar a presença de C. aurantium e p-sinefrina. Comparando com a quantidade média disponível nas prateleiras dos supermercados, cerca de 20 por cento dos chás e 10 por cento dos preparados de erva-mate declaravam nos rótulos conter C. aurantium. De uma amostragem de 15 chás e 2 preparados de erva-mate selecionados para análise, em todos foi caracterizada a presença de p-sinefrina com níveis variando de 0,0040 a 0,2308 por cento, levando ao alerta de que mesmo sendo naturais, estes produtos podem não ser destituídos de reações adversas.

The plasma retinol levels as pro-oxidant/oxidant agents in haemodialysis patients.

BACKGROUND: Oxidative stress is a process involved in haemodialysis-related pathologies such as cerebrovascular diseases. Retinol is the major circulating form of vitamin A and it is elevated in haemodialysis (HD) patients. It is known that these patients present anaemia that is not totally responsive to erythropoietin. The aim of this study was to evaluate the influence of plasma retinol levels on oxidative stress biomarkers, especially on delta-aminolevulinate dehydratase. METHODS: Plasma retinol and malondialdehyde (MDA) levels were quantified by HPLC-UV/VIS; blood activities of catalase (CAT), superoxide dismutase (SOD) and delta-aminolevulinate dehydratase (ALA-D) were analysed by spectrophotometric methods, in HD patients (n = 29) and healthy subjects (n = 20). RESULTS: The MDA and retinol levels, SOD and CAT activities were significantly increased in HD patients. ALA-D activity was significantly decreased. Retinol levels were correlated with MDA levels (r = 0.68), CAT (r = 0.39), SOD (r = 0.40) and ALA-D (r = -0.55). A partial correlation between retinol levels with ALA-D (r = 0.43), SOD (r = 0.30) and CAT (r = 0.36) activity was found, utilizing MDA levels as co-variable. CONCLUSION: Higher retinol levels may be associated with the increase of SOD and CAT activities, but this increase was not sufficient to prevent the lipid peroxidation and ALA-D thiolic group oxidation. In this manner, our results could suggest that high retinol levels contribute as an additional factor to the oxidative tissue damage.

Quantification of reduced glutathione by HPLC-UV in erythrocytes of hemodialysis patients.

Reduced glutathione (GSH) is a well-known multifunctional antioxidant. Its depletion is linked to a number of pathologies, such as renal insufficiency. Feasible methodologies in clinical chemistry are vital. Therefore a methodology for GSH quantification was optimized and validated by HPLC-UV. Important aspects such as acid deproteinization and GSH stability were established. The erythrocytes were hemolyzed, deproteinized, derivatized with 5,5-dithio-bis (2-nitrobenzoic) acid and analyzed using HPLC, on an RP18 gradient elution, lambda=330 nm. The method was applied to hemodialysis patients (n=75) compared with healthy subjects (n=40). The assay was linear from 0.5 to 3.0 mm (r2>0.99). The intra- and inter-run reproducibilities were obtained with CV%<10%. The accuracy (bias %) ranged from 1.32 to -6.38%, and the recovery was >94%. The derivatized sample was stable for 60 days at -20 degrees C. The GSH levels in hemodialysis patients showed a significant increase compared with healthy subjects (p<0.05) and an inverse correlation with age (r=-0.286; p=0.013) was found. This method used UV detection, reduction of the phosphate concentration in the mobile phase and effective protein removal with trichloroacetic acid. The method proved to be reproducible, precise, accurate and stable. Thus, it can be suggested for routine laboratory tests for the verification of physiopathological conditions.

The influence of the serum vitamin C levels on oxidative stress biomarkers in elderly women.

OBJECTIVES: To verify if there is influence of the vitamin C blood levels on oxidative stress markers in elderly people. In order to verify it, women from a public retirement home were compared to non-institutionalized ones; all of them were in healthy conditions. DESIGN AND METHODS: Vitamin C, albumin, reduced glutathione, malondialdehyde (MDA), protein carbonyls and delta-aminolevulinate dehydratase activity (ALA-D) were analyzed in older women either from a public retirement home (n=45) or non-institutionalized (n=22). RESULTS: The institutionalized ones showed significant decrease for vitamin C levels (p=0.002), ALA-D and MDA (p<0.05). Correlations were found between vitamin C and both albumin and ALA-D, also between ALA-D and both protein carbonyls and age. CONCLUSIONS: The institutionalized women presented decreased vitamin C, albumin, MDA and ALA-D compared to non-institutionalized. Thus, it could be suggested that vitamin C tends to protect blood thiolic proteins. Moreover, its blood delta-aminoevulinate dehydratase activity seemed to be an additional biomarker of oxidation stress in healthy elderly.

Quantificação laboratorial de cobre sérico por espectrofotometria Vis comparável à espectrometria de absorção atômica com chama / Laboratorial quantification of serum copper by Vis spectrophotometry in comparison to flame atomic absorption spectrometry

INTRODUÇÃO: O cobre é um nutriente essencial para os humanos, e a manutenção dos seus níveis é importante, uma vez que seu metabolismo está envolvido com estresse oxidativo e patologias, como a Doença de Wilson. Neste trabalho, um método de espectrofotometria visível (espectrofotometria Vis) foi validado, aplicado em indivíduos jovens e comparado com espectrometria de absorção atômica com chama (EAA-chama). MÉTODOS: Concentrações séricas de cobre foram medidas por EAA-chama e por espectrofotometria Vis, através da reação de cobre com batocuproína, l = 484 nm. Curvas analíticas em solução aquosa e com adição de padrão foram efetuadas para verificar linearidade, recuperação e precisão do método espectrofotométrico. Amostras de sangue de 12 indivíduos (média de idade 22 anos) foram analisadas por ambos os métodos e comparadas entre si. Os resultados foram expressos em média ± desvio-padrão. RESULTADOS: As curvas com adição de padrão e aquosa (n = 5) apresentaram coeficientes de regressão superiores a 0,99 e de variação inter e intradia inferiores a 15 por cento. Os valores de cobre sérico encontrados para o método espectrofotométrico foram 1,17 ± 0,39 e 0,73 ± 0,14 mg/l para mulheres e homens, respectivamente. Para EAA-chama foram encontrados 1,13 ± 0,43 e 0,59 ± 0,13 mg/l para mulheres e homens, respectivamente. Os resultados mostraram correlação de Pearson significativa (r = 0,946; p < 0,05). Os níveis séricos de cobre foram significativamente maiores em mulheres do que em homens (p < 0,05). CONCLUSÃO: O método espectrofotométrico visível demonstrou ser linear, reprodutível e aplicável, oferecendo uma alternativa confiável à quantificação de cobre por EAA-chama. Além disso, é uma técnica simples, rápida e barata, que pode ser utilizada na rotina laboratorial clínica.

BACKGROUND: Copper is an essential nutrient for humans and maintenance of its adequate levels is important, since its metabolism is involved with oxidative stress and patolologies, such as Wilson's disease. In this work, a visible spectrophotometric method was validated, applied in young subjects and compared to flame atomic absorption spectrometry (FAAS) in serum copper levels determination. METHODS: Serum copper concentrations were measured by FAAS and by spectrophotometry, through copper reaction with bathocuproine, l = 484 nm. Aqueous curves and spiked serum curves were realized to verify linearity, recovery and precision of the visible spectrophotometric method. Blood samples from 12 subjects (mean 22 years) were analyzed in both methodologies and compared to each other. The results were expressed by mean ± standard deviation. RESULTS: Spiked serum and aqueous curves (n = 5) showed coefficient of regression superior to 0.99 and inter and intra-day coefficient of variation lower than 15 percent. The serum copper values found to Vis spectrophotometric method were 1.17 ± 0.39 and 0.73 ± 0.14 mg/l to women and men, respectively. To FAAS 1.13 ± 0.43 and 0.59 ± 0.13 mg/l were found to women and men, respectively. Both results showed a significant Pearson correlation (r = 0.946; p < 0.05). Besides, serum copper levels were significantly higher in women than in men (p < 0.05). CONCLUSION: The Vis spectrophotometric method demonstrated to be linear, reproducible and applied, offering a reliable alternative to FAAS copper quantification. Moreover, Vis spectrophotometry is a simple, quickly and not expensive technique, and it could be widely used as routine in clinical laboratory.