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Carcinogenesis Advance Access originally published online on June 10, 2004
Carcinogenesis 2004 25(10):1899-1909; doi:10.1093/carcin/bgh194
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Carcinogenesis vol.25 no.10 © Oxford University Press 2004; all rights reserved.

ARTICLE

Gender- and age-related distinctions for the in vivo prooxidant state in Fanconi anaemia patients

Giovanni Pagano1,11, Paolo Degan2, Marco d'Ischia3, Frank J. Kelly4, Federico V. Pallardó5, Adriana Zatterale6, S.Sema Anak7, Ebru E. Akisik7, Gerardo Beneduce1, Rita Calzone6, Elena De Nicola1, Christina Dunster4, Ana Lloret5, Paola Manini3, Bruno Nobili8, Anna Saviano9, Emilia Vuttariello1 and Michel Warnau10

1 Italian National Cancer Institute, ‘G. Pascale’ Foundation, Via M.Semmola 12, I-80131 Naples, Italy, 2 Italian National Cancer Institute, IST, Genoa, Italy, 3 Department of Organic Chemistry and Biochemistry, Federico II Naples University, Naples, Italy, 4 Division of Life Sciences, King's College, London, UK, 5 Department of Physiology, University of Valencia, Valencia, Spain, 6 Department of Genetics, Elena d'Aosta Hospital, ASL Napoli 1, Naples, Italy, 7 Department of Paediatric Haematology, Istanbul University, Istanbul, Turkey, 8 Department of Paediatrics, 2nd Naples University, Naples, Italy, 9 Department of Paediatrics, Cardarelli Hospital, Naples, Italy and 10 International Atomic Energy Agency–MEL, Monaco

11 To whom correspondence should be addressed Email: gbpagano{at}tin.it

Some selected oxidative stress parameters were measured in 56 Fanconi anaemia (FA) patients (42 untransplanted and 14 transplanted), 54 FA heterozygotes (parents) and 173 controls. Untransplanted FA patients showed a highly significant increase in leukocyte 8-hydroxy-2'-deoxyguanosine (8-OHdG) (P = 0.00003) and a borderline increase (P = 0.076) in urinary levels of 8-OHdG versus child controls. These increases were more pronounced in female FA patients (P = 0.00005 for leukocyte 8-OHdG and P = 0.021 for urinary 8-OHdG). Female FA patients also displayed a highly significant excess of spontaneous chromosomal breaks versus male patients (P = 0.00026), in the same female:male ratio (~1.4) as detected for both leukocyte and urine 8-OHdG levels. Plasma methylglyoxal (MGlx) levels were increased in untransplanted FA patients versus child controls (P = 0.032). The increases in leukocyte and urinary 8-OHdG and in MGlx levels were detected in young FA patients (≤15 years), whereas patients aged 16–29 years failed to display any differences versus controls in the same age group. A significant increase in oxidized:reduced glutathione (GSSG:GSH) ratio was observed (P = 0.046) in the FA patients aged ≤15 years, whereas those aged 16–29 years, both untransplanted and transplanted, displayed a decrease (P = 0.06) in the GSSG:GSH ratio versus the controls of the respective age groups. No significant changes were detected in plasma levels of vitamin C, vitamin E or uric acid. Transplanted FA patients showed lesser alterations in leukocyte 8-OHdG and in GSSG:GSH ratio versus untransplanted patients. The parents of FA patients displayed a significant increase in plasma MGlx levels (P = 0.0014) versus adult controls. The results suggest a gender- and age-related modulation of oxidative stress in FA patients. The observed increase in urinary 8-OHdG in untransplanted FA patients suggests a proficient removal of oxidized DNA bases.


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