Oxidative stress plays an important role in the development of maladal anemia. The present study was undertaken to study the role of oxidant and antioxidants in the patients of Plasmodium falciparum malada (n = 25), Plasmodium vivax malada (n = 25) as against the normal control subjects (n =25). The parameters included are the hematological [hemoglobin, erythrocyte adenosine deaminase (ADA) activity, ADP -induced platelet aggregation] and serum total lipid peroxide as an index of oxidative stress and antioxidants [erythrocytic superoxide dismutase (SOD) activity, serum vitamin E] & serum iron.Significant alterations in all above parameters were noted in both groups of malaria patients as compared to control subjects. Maximum significant alterations in hematological parameters were noticed in P. falciparum infection as compared to P. vivax malada (p<0.001). Substantial dse in serum total lipid peroxides and a significant reduction in antioxidants such as serum vitamin E and serum iron were noted in R falciparum malaria as compared to R vivax malada (p< 0.001), whereas maximum decline in erythrocytic SOD activity was observed in R vivax infection as compared to R falciparum malaria (p<0.05). Follow-up examination revealed the restoration of the levels of all biochemical parameters to the normal level after 20 days of antimalarial therapy.The study specified severity of P. falciparum malaria and also functional duality of oxidant.
Leukemias are malignant neoplasms of hematopoietic stem cells characterized by diffuse infiltration of the blood and bone marrow by neoplastic cells. Leukemias are classified as acute and chronic according to clinical course and myeloid and lymphoid according to the cell predominantly involved in leukemic process. Free radicals are implicated in the pathogenesis of leukemia. Oxidative destruction of polyunsaturated fatty acid is called as lipid peroxidation. In this study, we determined serum malonyldialdehyde (MDA) level as a lipid peroxidation product in patients with leukemia. The mean serum MDA levels were significantly increased in leukemic patients (p<0.001) as compared to normal healthy controls. We observed significant difference in serum MDA levels with respect to sex only in patients with chronic myeloid leukemia. Whereas in age groups, we found significant trend in serum MDA levels in patients with CML, AML and ALL patients. There was no significant difference in serum MDA level in patients with CLL with respect to age. Our finding of the high levels of serum malondialdehyde in leukemic patients as compared to healthy control may be due to increased oxidative stress in patients with leukemia.
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