DOI QR코드

DOI QR Code

Diagnostic Value of Superoxide Dismutase in Tuberculous and Malignant Pleural Effusions

  • Wang, Xin-Feng (Department of Lab Medicine, Shandong Provincial Chest Hospital) ;
  • Wu, Yan-Hua (Department of Lab Medicine, Shandong Provincial Chest Hospital) ;
  • Jiao, Jin (Department of Lab Medicine, Shandong Provincial Chest Hospital) ;
  • Guan, Cui-Ping (Department of Lab Medicine, Shandong Provincial Chest Hospital) ;
  • Yang, Xiao-Guang (Department of Respiratory Medicine, Shandong Provincial Chest Hospital) ;
  • Wang, Mao-Shui (Department of Lab Medicine, Shandong Provincial Chest Hospital)
  • Published : 2013.02.28

Abstract

The aim of this study was to investigate the diagnostic value of superoxide dismutase (SOD) in tuberculous pleural effusions (TPEs) and malignant pleural effusions (MPEs). Pleural effusion (PE) samples from 100 patients were classified on the basis of diagnosis as TPE (n=57) and MPE (n=43). The activity of SOD was determined by pyrolgallol assay. A significant difference was observed in SOD activity (P<0.01) between TPE and MPE, levels of being significantly higher in TPE compared to MPE. With a threshold value of 41 U/L, the area under the ROC curve was 0.653, SOD had a sensitivity of 61.4% and a specificity of 61.0% for differential diagnosis. Thus, SOD activity in PE was not a good biomarker in differentiating TPE and MPE. To the best of our knowledge, five SOD isoforms may be present in PE. Identification of which SOD contributes to the difference of SOD level between TPE and MPE is very important for illustrating mechanisms and improving the differential diagnostic value.

Keywords

References

  1. Akca H, Demiray A, Aslan M, et al (2012). Tumour suppressor PTEN enhanced enzyme activity of GPx, SOD and catalase by suppression of PI3K/AKT pathway in non-small cell lung cancer cell lines. J Enzyme Inhib Med Chem.
  2. Andersen P (1994). The T cell response to secreted antigens of Mycobacterium tuberculosis. Immunobiology, 191, 537-47. https://doi.org/10.1016/S0171-2985(11)80460-2
  3. Andrades M, Ritter C, de Oliveira MR, et al (2011). Antioxidant treatment reverses organ failure in rat model of sepsis: role of antioxidant enzymes imbalance, neutrophil infiltration, and oxidative stress. J Surg Res, 167, 307-13. https://doi.org/10.1016/j.jss.2009.08.005
  4. Bhuvarahamurthy V, Balasubramanian N,Govindasamy S (1996). Effect of radiotherapy and chemoradiotherapy on circulating antioxidant system of human uterine cervical carcinoma. Mol Cell Biochem, 158, 17-23.
  5. Carpagnano GE, Lacedonia D, Palladino GP, et al (2012). Could exhaled ferritin and SOD be used as markers for lung cancer and prognosis prediction purposes? Eur J Clin Invest, 42, 478-86. https://doi.org/10.1111/j.1365-2362.2011.02603.x
  6. Doruk S, Ozyurt H, Inonu H, et al (2011). Oxidative status in the lungs associated with tobacco smoke exposure. Clin Chem Lab Med, 49, 2007-12.
  7. Edwards KM, Cynamon MH, Voladri RK, et al (2001). Iron-cofactored superoxide dismutase inhibits host responses to Mycobacterium tuberculosis. Am J Respir Crit Care Med, 164, 2213-9. https://doi.org/10.1164/ajrccm.164.12.2106093
  8. Fattman CL, Schaefer LM, Oury TD (2003). Extracellular superoxide dismutase in biology and medicine. Free Radic Biol Med, 35, 236-56. https://doi.org/10.1016/S0891-5849(03)00275-2
  9. Golubovic S, Stankovic I, Ristic L, et al (2010). Antioxidant enzymes and lipid peroxidation products in patients with pulmonary tuberculosis. Med Pregl, 63, 450-3. https://doi.org/10.2298/MPNS1008450G
  10. Guerreiro M O, Petronilho F, Andrades M, et al (2010).Plasma superoxide dismutase activity and mortality in septic patients. J Trauma, 69, 102-6.
  11. Hosakote YM, Liu T, Castro SM, et al (2009). Respiratory syncytial virus induces oxidative stress by modulating antioxidant enzymes. Am J Respir Cell Mol Biol, 41, 348-57. https://doi.org/10.1165/rcmb.2008-0330OC
  12. Jaruga P, Zastawny T H, Skokowski J, et al (1994).Oxidative DNA base damage and antioxidant enzyme activities in human lung cancer. FEBS Lett, 341, 59-64. https://doi.org/10.1016/0014-5793(94)80240-8
  13. Johnson F,Giulivi C (2005). Superoxide dismutases and their impact upon human health. Mol Aspects Med, 26, 340-52. https://doi.org/10.1016/j.mam.2005.07.006
  14. Kwee J K, Mitidieri E, Affonso OR (1991).Lowered superoxide dismutase in highly metastatic B16 melanoma cells. Cancer Lett, 57, 199-202. https://doi.org/10.1016/0304-3835(91)90157-D
  15. Liang QL, Shi HZ, Qin XJ, et al (2008). Diagnostic accuracy of tumour markers for malignant pleural effusion: a meta-analysis. Thorax, 63, 35-41. https://doi.org/10.1136/thx.2007.077958
  16. Lombardi G, Zustovich F, Nicoletto MO, et al (2010). Diagnosis and treatment of malignant pleural effusion: a systematic literature review and new approaches. Am J Clin Oncol, 33, 420-3. https://doi.org/10.1097/COC.0b013e3181aacbbf
  17. Lopez N, Tormo C, De Blas I, et al (2012).Oxidative stress in Alzheimer's disease and mild cognitive impairment with high sensitivity and specificity. J Alzheimers Dis, 33, 823-9.
  18. Marklund S, Marklund G (1974). Involvement of the superoxide anion radical in the autoxidation of pyrogallol and a convenient assay for superoxide dismutase. Eur J Biochem, 47, 469-74. https://doi.org/10.1111/j.1432-1033.1974.tb03714.x
  19. Noor R, Mittal S, Iqbal J (2002). Superoxide dismutase--applications and relevance to human diseases. Med Sci Monit, 8, 210-5.
  20. Nozik-Grayck E, Suliman HB, Piantadosi CA (2005). Extracellular superoxide dismutase. Int J Biochem Cell Biol, 37, 2466-71. https://doi.org/10.1016/j.biocel.2005.06.012
  21. Oury TD, Day BJ, Crapo JD (1996). Extracellular superoxide dismutase in vessels and airways of humans and baboons. Free Radic Biol Med, 20, 957-65. https://doi.org/10.1016/0891-5849(95)02222-8
  22. Piddington D L, Fang F C, Laessig T, et al (2001). Cu,Zn superoxide dismutase of Mycobacterium tuberculosis contributes to survival in activated macrophages that are generating an oxidative burst. Infect Immun, 69, 4980-7. https://doi.org/10.1128/IAI.69.8.4980-4987.2001
  23. Porcel J M (2009). Tuberculous pleural effusion. Lung, 187, 263-70. https://doi.org/10.1007/s00408-009-9165-3
  24. Rahman N M, Chapman S J, Davies R J (2004). Pleural effusion: a structured approach to care. Br Med Bull, 72, 31-47.
  25. Rodriguez Z Z, Guanche D, Alvarez R G, et al (2009).Preconditioning with ozone/oxygen mixture induces reversion of some indicators of oxidative stress and prevents organic damage in rats with fecal peritonitis. Inflamm Res, 58, 371-5. https://doi.org/10.1007/s00011-009-0001-2
  26. Szatrowski TP, Nathan C F (1991). Production of large amounts of hydrogen peroxide by human tumor cells. Cancer Res, 51, 794-8.
  27. Valdes L, Pose A, San Jose E, et al (2003). Tuberculous pleural effusions. Eur J Intern Med, 14, 77-88. https://doi.org/10.1016/S0953-6205(03)00018-9
  28. Wang D, Zhu J, Sun M, et al (2012). Serum superoxide dismutase, a potential predictor for radiation pneumonitis following chemoradiotherapy in non-small cell lung cancer patients. Biomarkers, 17, 455-62. https://doi.org/10.3109/1354750X.2012.685952
  29. Yildiz Guney AB, Tansu Ulukavak Ciftci, Filiz Cimen, Ozgur Coskun (2004). Serum malondialdehyde levels and peroxide dismutase activities in pulmonary tuberculosis and lung cancer. Meslek Yuksekokulu Dergisi, 6, 33-8.
  30. Zanini D, Schmatz R, Pelinson L P, et al (2013). Ectoenzymes and cholinesterase activity and biomarkers of oxidative stress in patients with lung cancer. Mol Cell Biochem, 374, 137-48. https://doi.org/10.1007/s11010-012-1513-6

Cited by

  1. Serum protein S100A9, SOD3, and MMP9 as new diagnostic biomarkers for pulmonary tuberculosis by iTRAQ-coupled two-dimensional LC-MS/MS vol.15, pp.1, 2014, https://doi.org/10.1002/pmic.201400366
  2. Utility of Nuclear Morphometry in Effusion Cytology vol.15, pp.16, 2014, https://doi.org/10.7314/APJCP.2014.15.16.6919
  3. Age and sex distribution in malignant and tuberculous serous effusions: A study of 127 patients and review of the literature vol.15, pp.9, 2014, https://doi.org/10.1111/ggi.12412
  4. Efficacy of Mannatide Combined with Sodium Cantharidate Vitamin B6 in the Treatment of Malignant Pleural Effusions vol.16, pp.9, 2015, https://doi.org/10.7314/APJCP.2015.16.9.3913