Oxidative and nitrosative stress in patients with meningitis
DOI:
https://doi.org/10.15584/ejcem.2022.1.10Keywords:
bacterial meningitis, oxidative stress, nitrotyrosine, tuberculous meningitis, viral menengitisAbstract
Introduction and aim. Meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, known as the meninges. In this study, oxidative and nitrosative stress were evaluated in cerebrospinal fluid (CSF) and blood samples that were taken from patients with meningitis. Our goal was to identify a fast and a reliable biomarker using these parameters in order to the early diagnose of bacterial meningitis.
Material and methods. In this study, 37 bacterial meningitis, 30 tuberculous meningitis and 30 viral meningitis cases were included. Serum/CSF total oxidant status (TOS) and total antioxidant status (TAS) were measured by the Erel method. Nitrotyrosine concentrations were quantified by using ELISA in both serum and CSF.
Results. Serum nitrotyrosine, CSF TAS and TOS levels were not significantly different in three groups (p>0.05). CSF nitrotyrosine levels were significantly higher in bacterial meningitis than tuberculous meningitis group (p<0.05). Viral meningitis patients had higher serum TOS and TAS concentrations than tuberculous meningitis group (p<0.05).
Conclusion. As a result, we can say that the oxidative and nitrosative stress markers studied are not a rapid and reliable biomarker in bacterial meningitis’s diagnosis.
Downloads
References
Barichello T, Generoso JS, Simões LR, Elias SG, Quevedo J. Role of oxidative stress in the pathophysiology of pneumococcal meningitis. Oxid Med Cell Longev. 2013;2013:371465.
de Menezes CC, Dorneles AG, Sperotto RL, Duarte MM, Schetinger MR, Loro VL.
Miric D, Katanic R, Kisic B, et al. Oxidative stress and myeloperoxidase activity during bacterial meningitis: effects of febrile episodes and the BBB permeability. Clin Biochem. 2010;43(3):246-252.
Hoffman O , Weber RJ. Pathophysiology and treatment of bacterial meningitis. The Adv Neurol Disord. 2009;2(6):401-412.
Kawakami Y, Monobe M, Kuwabara K, et al. A comparative study of nitric oxide, glutathione, and glutathione peroxidase activities in cerebrospinal fluid from children with convulsive diseases/children with aseptic meningitis. Brain Dev. 2006;28(4):243-246.
Kastenbauer S, Koedel U, Becker BF, Pfister HW. Oxidative stress in bacterial meningitis in humans. Neurology. 2002;58(2):186-191.
Rugemalira E, Roine I, Kuligowski J, et al. Protein Oxidation Biomarkers and Myeloperoxidase Activation in Cerebrospinal Fluid in Childhood Bacterial Meningitis. Antioxidants (Basel). 2019;8(10):441.
Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clinical Biochemistry. 2004;37:277-285.
Erel O. A new automated colorimetric method for measuring total oxidant status. Clinical Biochemistry. 2005;38:1103-1111.
Liechti FD, Grandgirard D, Leib SL. Bacterial meningitis: Insights into pathogenesis and evaluation of new treatment options: A perspective from experimental studies. Future Microbiol. 2015;10:1195-1213.
Srivastava R, Lohokare R, Prasad R. Oxidative stress in children with bacterial meningitis. J Trop Pediatr. 2013;59:305-308.
Tsukahara H, Haruta T, Todoroki Y, et al. Oxidant and antioxidant activities in childhood meningitis. Life Sci. 2002;71:2797-2780.
Barichello T, Generoso JS, Collodel A, Moreir AP, de Almeida SM. Pathophysiology of acute meningitis caused by Streptococcus pneumoniae and adjunctive therapy approaches. Arq Neuropsiquiatr. 2012;70(5):366-372.
Aycicek A, Iscan A, Erel O, Akcali M, Selek S. Total antioxidant/oxidant status in meningism and meningitis. Pediatr Neurol. 2006;35:382-386.
Tsukahara H, Haruta T, Hata I, Mayumi M. Nitric oxide inseptic and aseptic meningitis in children. Scand J Clin Lab Invest. 1998;58:73-79.
Misra UK, Kalita J, Tripathi A, Kumar M. Oxidative and endoplasmic reticulum stress in tuberculous meningitis related seizures. Epilepsy Res. 2019;156:106160.
van Furth AM, Seijmonsbergen EM, Groeneveld PH, van Furth R, Langermans JA. Levels of nitric oxide correlate with high levels of tumor necrosis factor alpha in cerebrospinal fluid samples from children with bacterial meningitis. Clin Infect Dis. 1996;22(5):876-888.
Kornelisse RF, Hoekman K, Visser JJ, et al. The role of nitric oxide in bacterial meningitis in children. J Infect Dis. 1996;174:120-126.
Abuhandan M, Çalık M, Almaz V, et al. Bakteriyel Menenjitli Çocuklarda Tedavi Öncesi ve Sonrası S-100B ve Oksidatif Durumun Değerlendirilmesi. Klimik Dergisi. 2012;25(2):67-70.
Mayhan WG. Nitric oxide donor-induced increase in permeability of the blood-brain barrier. Brain Research. 2000;866(1):101-108.
Benninger F, Steiner I . CSF in acute and chronic infectious diseases. Handb Clin Neurol. 2017;146:187-206.
Harris RA, Amor S. Sweet and sour—oxidative and carbonyl stress in neurological disorders. CNS Neurol Disord Drug Targets. 2011;10(1):82-107.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 European Journal of Clinical and Experimental Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.




