2016
DOI: 10.1007/s40257-016-0210-8
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Evaluation of Oxidant–Antioxidant Balance in Children with Atopic Dermatitis: A Case–Control Study

Abstract: The serum oxidant-antioxidant balance was impaired in children with AD. Serum melatonin levels were higher in children with AD; however, this was negatively correlated with disease severity. Serum NO levels and NO/melatonin and malondialdehyde/melatonin ratios were lower in children with AD than in healthy controls. Melatonin might be used as a promising antioxidant to evaluate disease severity in children with AD. Thus, further studies are needed to clarify the role of melatonin in AD pathogenesis.

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Cited by 19 publications
(36 citation statements)
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“…In the papers considered in our review, MDA was the most frequently measured marker of oxidative stress, in different types of samples. Compared to those found in healthy controls, serum levels of MDA of AD patients were significantly higher in two of four studies [25,26] and not significantly different in the other two [22,38]. Urinary MDA was evaluated in one paper [37] and, although the difference between patients and controls was not significant, a correlation was observed between MDA levels and AD severity and extent.…”
Section: Biomarkersmentioning
confidence: 78%
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“…In the papers considered in our review, MDA was the most frequently measured marker of oxidative stress, in different types of samples. Compared to those found in healthy controls, serum levels of MDA of AD patients were significantly higher in two of four studies [25,26] and not significantly different in the other two [22,38]. Urinary MDA was evaluated in one paper [37] and, although the difference between patients and controls was not significant, a correlation was observed between MDA levels and AD severity and extent.…”
Section: Biomarkersmentioning
confidence: 78%
“…In detail, four studies were published in the 1990s, nine in the 2000s, and 21 in the last decade. Different geographical areas (and ethnicities) were not uniformly represented: 16 studies [17,18,23,24,27,[32][33][34][35][36][37][38]40,42,45,46] were performed in Eastern Asia (8 in Japan, 6 in Korea, 2 in Taiwan), nine [21,28,31,39,41,43,44,47,48] in Europe (3 in Russia, 2 in Germany, 1 in Finland, Italy, Norway, Switzerland), four [20,22,29,30] in Middle Eastern countries (3 in Turkey, 1 in Israel), two [25,26] in Southern Asia (Bangladesh, India), and one [49] in the United States of America. Another study [19] included patients from multiple Canadian and European centers.…”
Section: Resultsmentioning
confidence: 99%
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“…Another way to get the oxidizing/antioxidant ratio is to measure the oxidants like superoxide anion (O 2 −· ) and nitric oxide (NO), and glutathione (GSH) or melatonin as antioxidants, although their use should not be frequent, because it exists only one report about melatonin in which it was calculated the NO/melatonin and MDA/melatonin ratios; the authors suggest that these ratios reflect an oxidant-antioxidant balance and could be used to determine OS homeostasis [25], but we should consider that within the OS homeostasis, melatonin is not one of the essential markers. On the other hand, if we calculate the ratio with the oxidants (O 2 −· , NO 2 − ) and GSH as the antioxidant, a problem may arise because the measurement of the oxidants is not easy to apply at patient samples; thus, there remains doubt about its possible usefulness [26].…”
Section: Resultsmentioning
confidence: 99%
“…For a parameter to be valid, it is important that validation studies are done. Although nitric oxide/melatonin and malondialdehyde/melatonin ratios have been used in a previous study by the current authors to evaluate the oxidant–antioxidant balance, advanced validation studies have not been conducted (Uysal, Avcil, Abas, & Yenisey, 2016).…”
Section: Introductionmentioning
confidence: 99%