Propofol enhances red cell antioxidant capacity in swine and humansPurpose: To determine the effect of an anaesthetic with antioxidant potential, propofol, on red blood cell (RBC) antioxidant enzyme activities and RBC susceptibility to peroxidative challenge. Methods: Propofol was administered by intravenous bolus (2.5 mg.kg -~) and continuous infusion (36 and 72 ml'hr -J in nine swine; 216 ml-hr "-~ in two swine), to achieve serum concentrations between 5 and 30/Jg.ml -~ for two hours at each rate. Arterial blood sampling was at 0,10, 30, 60, and 120 min for each rate of infusion, for measurement of plasma propofol concentration, activities of plasma and RBC superoxide dismutase, glutathione peroxidase, gluthathione reductase, RBC catalase, and RBC malondialdehyde (MDA) formation in response to ex vivo oxidative challenge with t-butyl hydrogen peroxide (tBHP; I .SmM). Antioxidant mechanisms were determined by in vitro study of MDA formation, GSH depletion, and oxidation of haemoglobin to methaemogl0bin in human erythrocytes exposed to propofol 0-75/uM. The antioxidant potential of propofol was Compared with that of alpha-tocopherol utilising the reaction with 2,4,6-tripyridyl-s-triazine (TPTZ). Results: Propofol had no effect on plasma or RBC antioxidant enzyme activities. It inhibited RBC MDA production over the range of 0-20/ug.ml -~ (y = -I 8.683x + 85.431; R 2 = 0.8174). Effective propofol concentrations for 25% and 50% reductions in MDA levels were 7-12 and 12-20/ug.ml -t, respectively. Propofol has a similar effect on human erythrocytes in vitro (R 2 = 0.98). Conclusion" Propofol antagonises the effects of forced peroxidation of red cells at anaesthetic and sub-anaesthetic concentrations in swine. Its actions include scavenging of oxygen derived free radicals in a tocopherol-like manner.Objectif : D&erminer I'effet d'un agent anesth&ique poss~dant un potentiel antioxydant, le propofol, sur I'activit~ d'un enzyme antioxydant des globules rouges (GR) et sur la susceptibilit~ des GR ~ une provocation peroxydative. M&hodes : Le propofol a ~t~ administr~ en bolus intraveineux (2,5 mg'kg -I) et en infusions continues (36 et 72 ml.h -~ chez 9 porcs; 216 ml'h -~ chez 2 porcs) pour obtenir des concentrations s&iques entre 5 et 30/ug'mff durant deux heures ~. chaque vitesse d'infusion. Des pr~l~vements sanguins par voie art&ielle ont ~t~ r~alis& ~ 0, 10, 30, 60 et 120 min. pour chaque vitesse d'infusion; on a mesur~ la concent~tion de propofol, I'activit~ de la superoxyde dismutase du plasma et des GR, de la peroxydase du glutathion, de la r~ductase du glutathion, de la catalase du GR, ainsi que de la formation dans le GR de la malondialdehyde (MDA) en r~ponse ~ une provocation oxydative ex vivo avec le peroxyde d'hydrog~ne t-butylique (tBHP, 1,5 mM). Les m&anismes antioxydants ont &~ d~termin& par I'& tude in vitro de la formation de MDA, de la d~pl&ion de GSH ainsi que de I'oxydation de I'h~mogl0bine en meth& moglobine dans des GR humains expos& au propofol 0-75/~M. Le potentiel antioxydant du propofol a ~t~ comp...