Early Detection of High Oxidative Activity in Patients With Adenomatous Intestinal Polyps and Colorectal Adenocarcinoma: Myeloperoxidase and Oxidized Low-Density Lipoprotein in Serum as New Markers of Oxidative Stress in Colorectal Cancer.

Objectives: To detect whether signs of oxidative stress appear at early stages of colorectal adenocarcinoma (CRC), particularly in the polyp stage. We also aimed to evaluate the specific entities myeloperoxidase (MPO) and oxidized low-density lipoprotein (oxLDL) as novel markers of oxidation in the...

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Published in:Laboratory Medicine Vol. 46; no. 2; pp. 123 - 136
Main Authors: Crespo-Sanjuán, Jesús, Calvo-Nieves, María D., Aguirre-Gervás, Beatriz, Herreros-Rodríguez, José, Velayos-Jiménez, Benito, Castro-Alija, María J., Muñoz-Moreno, María F., Sánchez, Diego, Zamora-González, Nuria, Bajo-Grañeras, Raquel, García-Centeno, Rosa M., Cabrerizo, María E. Largo, Bustamante, María R., Garrote-Adrados, José A.
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Spring2015
Online Access:View this record in EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Early Detection of High Oxidative Activity in Patients With Adenomatous Intestinal Polyps and Colorectal Adenocarcinoma: Myeloperoxidase and Oxidized Low-Density Lipoprotein in Serum as New Markers of Oxidative Stress in Colorectal Cancer.
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        au:
          Crespo-Sanjuán, Jesús
          Calvo-Nieves, María D.
          Aguirre-Gervás, Beatriz
          Herreros-Rodríguez, José
          Velayos-Jiménez, Benito
          Castro-Alija, María J.
          Muñoz-Moreno, María F.
          Sánchez, Diego
          Zamora-González, Nuria
          Bajo-Grañeras, Raquel
          García-Centeno, Rosa M.
          Cabrerizo, María E. Largo
          Bustamante, María R.
          Garrote-Adrados, José A.
        affil: Department of Clinical Laboratory, Clinical Hospital University of Valladolid, Valladolid, Spain
      sug:
        subj:
          Colorectal Neoplasms Metabolism
          Adenocarcinoma Metabolism
          Adenomatous Polyps Metabolism
          Oxidative Stress Evaluation
          Tumor Markers, Biological Blood
          Oxidoreductases Blood
          Lycopene Blood
          beta Carotene Blood
          Survival
          Lipoproteins, LDL Cholesterol Blood
          Lipoproteins, HDL Cholesterol Blood
          Clinical Assessment Tools
          Comparative Studies
          T-Tests
          Data Analysis Software
          Analysis of Variance
          Chi Square Test
          Fisher's Exact Test
          Pearson's Correlation Coefficient
          Multivariate Analysis
          Logistic Regression
          Kaplan-Meier Estimator
          Survival Analysis
          Middle Age
          Aged
          Female
          Male
          Human
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Objectives: To detect whether signs of oxidative stress appear at early stages of colorectal adenocarcinoma (CRC), particularly in the polyp stage. We also aimed to evaluate the specific entities myeloperoxidase (MPO) and oxidized low-density lipoprotein (oxLDL) as novel markers of oxidation in the plasma of patients with CRC and to study the relationship between oxidative status in plasma and patient survival. Methods: We assayed serum or plasma specimens from healthy control subjects (n = 14), from patients with intestinal polyps (n = 39), and from patients with CRC (n = 128) to calculate the modified oxidative balance score (MOBS) using several serum markers (β-carotene, lycopene, vitamin A, vitamin E, MPO, and oxLDL). We also assayed the levels of C-reactive protein (CRP) and obtained lipid profiles. Finally, we studied the survival of patients in relationship to oxidative status (antioxidants and pro-oxidants) and inflammation markers, and added theses data to the lipid profile for each patient. Results: Oxidative stress levels increased as disease stage advanced. This increase was detected early in the polyp stage, before polyps progressed to cancer, and could be measured by the increase of such new markers as MPO and oxLDL, the decrease in antioxidants, and the MOBS value. Higher levels of oxidation correlated with lower survival. Conclusion: The oxidation process, which can cause mutations leading to CRC, begins development in the polyp stage. This process may be detected early by monitoring serum markers such as MPO and oxLDL.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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