Vol. 21 No. 2 (2017)
ANESTHESIOLOGY & RESUSCITATION

Nitrotyrosine and its role in assessing the severity of oxidative stress and predicting the incidence of early postoperative complications

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  • O. Grebenchikov,
  • Zh. Philippovskaya,
  • T. Zabelina,
  • Yu. Skripkin,
  • O. Ulitkina,
  • V. Likhvantsev
O. Grebenchikov
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
Zh. Philippovskaya
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
T. Zabelina
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
Yu. Skripkin
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
O. Ulitkina
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
V. Likhvantsev
Moscow Regional Research and Clinical Institute, 129110 Moscow, Russian Federation
Bio
DOI: https://doi.org/10.21688/1681-3472-2017-2-77-84

Published 2017-07-10

Keywords

  • oxidative stress,
  • nitrotyrosine,
  • perioperative period,
  • cardiopulmonary bypass,
  • postoperative complications,
  • reactive oxygen species
    • ...More
    Less

How to Cite

Grebenchikov, O., Philippovskaya, Z., Zabelina, T., Skripkin, Y., Ulitkina, O., & Likhvantsev, V. (2017). Nitrotyrosine and its role in assessing the severity of oxidative stress and predicting the incidence of early postoperative complications. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 21(2), 77–84. https://doi.org/10.21688/1681-3472-2017-2-77-84

Copyright (c) 2017 Grebenchikov O.A., Philippovskaya Zh.S., Zabelina T.S., Skripkin Yu.V., Ulitkina O.N., Likhvantsev V.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Background. Currently, the incidence of complications and perioperative mortality in cardiac surgery is still higher than in general surgery. This is partly associated with the development of oxidative stress, which is regarded as excessive accumulation of reactive oxygen species and nitrogen species. There are nowadays few studies demonstrating an increase of nitrotyrosine plasma level in patients during cardiac surgery. The relationship of these changes with post-operative complications and adverse outcomes has not been studied yet.
Aim. Investigation the dynamics of the nitrotyrosine plasma level in patients after cardiac surgery and the assessment of its prognostic significance in terms of the development of early postoperative complications.
Methods. The prospective observational cohort study involved 28 adult patients admitted at the cardiac intensive care unit of Moscow Regional Research and Clinical Institute (Moscow, Russian Federation). The relationship of the oxidative stress severity measured by intraoperative nitrotyrosine plasma levels and the development of acute kidney injury, cardiac failure and systemic inflammatory response syndrome was studied.
Results. There was no significant perioperative dynamics of nitrotyrosine plasma levels when studying this oxidative stress marker in patients undergoing cardiac surgery. The level of nitrotyrosine plasma by the end of surgery was 12.1 [9.9; 13.0] nmol/mg of protein, which was 5% higher (p>0.5) than the initial level of 11.6 [9.3; 12.2] nmol/mg of protein, and returned to 11.5 [10.9; 12.4] after the 1st postoperative day. The same perioperative dynamics occurred in the subgroups with different surgery techniques: valve surgery, сoronary artery bypass grafting with cardiopulmonary bypass and off-pump сoronary artery bypass grafting.
Conclusion. The negative result achieved in the given study might suggest that there are no significant changes of the perioperative nitrotyrosine plasma level in patients undergoing cardiac surgery, as well as that there is no significant correlation between the nitrotyrosine plasma level of and the incidence of postoperative complications.

Received 26 December 2016. Accepted 4 May 2017.

Funding: The study was carried out within the state-funded research project “Oxidant stress in cardiac surgery: new markers-predictors of complication development and pathogenetically substantiated therapy” granted to Moscow Regional Research and Clinical Institute.

Conflict of interest: The authors declare no conflict of interest.

Author contributions

Conceptualization, study design: V.V. Likhvantsev.
Data collection and analysis: T.S. Zabelina, Yu.V. Skripkin, O.N. Ulitkina.
Drafting the article: O.A. Grebenchikov, Zh.S. Philippovskaya.
Critical revision of the article: O.A. Grebenchikov.
Final approval of the version to be published: V.V. Likhvantsev.

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