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Antioxidant defense systems in newborns undergoing phototherapy

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Abstract

This paper was designed to investigate whether phototherapy is an oxidative stress in newborn infants undergoing phototherapy. A day-light continuous phototherapy was given to jaundiced 20 term and 16 preterm newborns for 72 hours. We measured serum vitamin E and the activities of red blood cell anti-oxidation enzymes (superoxide dismutase, catalase and glutathione peroxidase) before and after 72 h of phototherapy. Serum vitamin E levels were not different before and after 72 h of phototherapy in both preterm and term infants. In several studies, antioxidant enzyme activities have been shown to increase in response to oxidative stresses. In this study, however, the antioxidant enzyme activities in the hemolysate were similar before and at the end of the phototherapy in both preterm and full term. In conclusion, the results of ourin vivo study do not confirm the thesis that phototherapy is an oxidative stress in newborn infants. Therefore, phototherapy would preferably seem to be safe and efficient method of treatment for all neonates presenting with hyperbilirubinemia.

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References

  1. Tan KL. Phototherapy for neonatal jaundice.Ada Pediatr 1996; 85: 277–9.

    Article  CAS  Google Scholar 

  2. Ennever JF. Blue light, green light, white light, more light: treatment of neonatal jaundice.Clin Perinatol 1990; 17: 467–81.

    PubMed  CAS  Google Scholar 

  3. Mc Donagh. The role of singlet O2 in bilirubin photo-oxidation.Biochem Biophys Res Commun 1971; 44: 1306–09.

    Article  CAS  Google Scholar 

  4. Ostrea EM, Cepeda EE, Fleury CA, Balun JE. Red ceil membrane lipid peroxidation and hemolysis secondary to phototherapy.Acta Pediatr Scan 1985; 74: 378–81.

    Article  CAS  Google Scholar 

  5. Amin HJ, Shukla AK, Snyder F, Fung E, Anderson NM, Parsons HG. Significance of phototherapy-induced riboflavin deficiency in the full-term neonate.Biol Neonate 1992; 61: 76–81.

    PubMed  CAS  Google Scholar 

  6. Gromisch DS, Lopez R, Cole HS, Cooperman JM. Light (phototherapy)-induced riboflavin deficiency in the neonate.J Pediatr 1977; 90: 118–22.

    Article  PubMed  CAS  Google Scholar 

  7. Ostrea EM, Fleury CA, Balun JE, Ting EC. Accelerated degradation of essential fatty acids as a complication of phototherapy.J Pediatr 1983; 102: 617–9.

    Article  PubMed  Google Scholar 

  8. Tozzi E, Tozzi-Ciancarelli MG, Di Giulio Aet al. In vitro and in vivo effects of erythrocyte phototherapy on newborns.Biol Neonate 1989; 56: 204–9.

    PubMed  CAS  Google Scholar 

  9. Hulea SA, Smith TL, Wasowicz E, Kummerow FA. Bilirubin sensitized photo-oxidation of human plasma low density lipoprotein.Biochem Biophys Acta 1996; 1304: 197–209.

    PubMed  CAS  Google Scholar 

  10. Parshad R, Taylor WG, Sanford KK, Camalier RF, Gantt R, Tarone RE. Fluorescent light-induced chromosome damage in human IMR-90 fibroblasts. Role of hydrogen peroxide and related free radicals.Mutat Res 1980; 73: 115–24.

    PubMed  CAS  Google Scholar 

  11. Goyanes-Villaescusa JV, Ugarte M, Vasquez A. Sister chromatid exchange in babies treated by phototherapy.Lancet 1977; IIB: 1084–5.

    Article  Google Scholar 

  12. De Leenheer AP, De Bevere VO, Cruyl AA, Claeys AE. Determination of serum a-tocoferol (Vitamin E) by High Performance Liquid Chromatography.Clin Chem 24; 585–590, 1978.

    PubMed  Google Scholar 

  13. Misra HP, Firdovich I. The role of Superoxide anion in the auto-oxidation of epinephrine and a simple assay for Superoxide dismutase.J Biol Chem 1972; 247: 3170–5.

    PubMed  CAS  Google Scholar 

  14. Winterbourn CC, Hawkins RE, Brain M, Carrel RW. The estimation of red cell superoxide dismutase activity.J Lab Clin Med 1975; 85: 337–41.

    PubMed  CAS  Google Scholar 

  15. Aebi H. Catalasein vitro.Methods in Enzymol 1984; 105: 121–41.

    CAS  Google Scholar 

  16. Agar NS, Sadrzadeh MH, Hallaway PE, Eaton JW. Erythrocyte catalase.J Clin Invest 1986; 77: 319–21.

    Article  PubMed  CAS  Google Scholar 

  17. Paglia DE. Valentine MH. Studies on the quantitative and qualitative characterizationof erythrocyte glutathione peroxidase.J Lab Clin Med 1976; 70: 158–69.

    Google Scholar 

  18. Esterving D, Wang RJ. Sister chromatid exchanges and chromosome aberrations in human cells induced by H2O2 and other photoproducts generated in fluorescent light-exposed medium.Photochem Photobiol 1984; 40: 333–6.

    Article  Google Scholar 

  19. Galla A, Kitsiou-Tzeli S, Gourgiotis Det al. Sister chromatid exchanges in peripheral lymphocytes in newborns treated with phototherapy and vitamin E.Acta Pediatr 1992; 81: 820–3.

    Article  CAS  Google Scholar 

  20. Rosenfeld W, Concepcion L. Endogenous antioxidant defenses in neonates.J Free Radic Biol Med 1986; 2: 295–8.

    Article  PubMed  CAS  Google Scholar 

  21. Hadjigeorgiou E, Tzortzatou F, Malamitsi-Puchner A, Papadatos J, Papadakis D, Nicolopoulos D. Vitamin E serum levels in newborn infants undergoing phototherapy.Biol Neonate 1980; 38: 210–3.

    Article  PubMed  CAS  Google Scholar 

  22. Raes M, Michiels C, Remacle J. Comparative study of the enzymatic defence systems against oxygen-derived free radicals: the key role of glutathione peroxidase.Free Radic Biol Med 1987; 3: 3–13.

    Article  PubMed  CAS  Google Scholar 

  23. Warshaw JB, Wilson CW, Saito K, Prough RA. The response of glutathione and antioxidant enzymes to hyperoxia in developing lung.Pediatr Res 1985; 19: 819–23.

    Article  PubMed  CAS  Google Scholar 

  24. Town IG, Phillips GJ, Murdoch E, Holgate ST, Kelly FJ. Temporal association between pulmonary inflammation and antioxidant induction following hyperoxic exposure of the preterm guinea pig.Free Radic Res Commun 1993; 18: 211–21.

    PubMed  CAS  Google Scholar 

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Correspondence to Mete Akisü.

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Akisü, M., Yilmaz, D., Tüzün, S. et al. Antioxidant defense systems in newborns undergoing phototherapy. Indian J Pediatr 66, 651–655 (1999). https://doi.org/10.1007/BF02726243

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