2017
DOI: 10.1016/j.bjid.2016.11.004
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Oxidative stress in sepsis. Possible production of free radicals through an erythrocyte-mediated positive feedback mechanism

Abstract: It was found that sepsis led to a high oxidative stress and to extensive modification of erythrocytes. It is proposed that a positive feedback mechanism, involving the activation of circulating leukocytes by these modified erythrocytes would maintain the pro-oxidative state even after the disappearance of bacteria.

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Cited by 33 publications
(36 citation statements)
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“…It is known that in sepsis, endogenous antioxidant capacity decreases and cell damage occurs as a result of the formation of oxidant/antioxidant imbalance and free radicals increase in this situation which is defined as oxidative stress (Macdonald, Galley, & Webster, 2003;Oliveira, Pontes-de-Carvalho, Couto, & Noronha-Dutra, 2017;Prauchner, 2017). MDA is one of the most important markers of oxidative stress.…”
Section: Ta B L Ementioning
confidence: 99%
“…It is known that in sepsis, endogenous antioxidant capacity decreases and cell damage occurs as a result of the formation of oxidant/antioxidant imbalance and free radicals increase in this situation which is defined as oxidative stress (Macdonald, Galley, & Webster, 2003;Oliveira, Pontes-de-Carvalho, Couto, & Noronha-Dutra, 2017;Prauchner, 2017). MDA is one of the most important markers of oxidative stress.…”
Section: Ta B L Ementioning
confidence: 99%
“…Oxidative stress is the serious cause of organ disability in critically ill patients (Ghashut et al, 2017). Reducing the antioxidant capacity (Rogobete et al, 2017) in these patients due to inefficient oxidative phosphorylation (Lorente et al, 2018) leads to an increase in free radicals (Oliveira, Pontes-de-Carvalho, Couto, & Noronha-Dutra, 2017), which is actually a possible mechanism for damage caused by the sepsis (Kumar et al, 2018). Some natural compounds and herbal derivatives have anti-inflammatory and antioxidant effects that can improve sepsis symptoms, such as zinc (Ganatra et al, 2017), magnesium (Esen et al, 2004), Q10 (Abitagaoglu et al, 2015), and curcumin (Chen, Lu, et al, 2018).…”
mentioning
confidence: 99%
“…Red blood cells rheological changes can alter RDW in septic patients [13]. Mechanisms of changes in shape (sphericity), volume and deformability are still not completely understood [13], but several have been proposed in septic patients: phosphatidylserine redistribution on the outer red blood cell membrane leaflet [14,15], alterations of RBC sialic acid membrane content [16,17], band 3 protein phosphorylation [18], redox imbalances [19][20][21], calcium [22], 2,3-diphosphoglycerate [23] and adenosine triphosphate [24] homeostasis alterations and nitric oxide pathway modulation [25,26]. Also, inflammatory response indirectly modulates hematopoiesis through abnomal iron metabolism, increased hemolysis and decreased erythrocyte life span which will lead, in turn, to an increased release of the immature forms into the bloodstream [19].…”
Section: Possible Pathophysiological Mechanisms Explaining Rdw Changementioning
confidence: 99%