Medida da atividade de ectonucleotidases e indicadores do estresse oxidativo em pacientes com infarto agudo do miocárdio

• Autor(a) principal: Bagatini, Margarete Dulce
• Data de Publicação: 2008
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Manancial - Repositório Digital da UFSM
• Texto Completo: http://repositorio.ufsm.br/handle/1/11084
• topic: Infarto agudo do miocárdio; NTPDase; 5'-nucleotidase; Plaquetas; Estresse oxidativo; Antioxidantes enzimáticos; Antioxidantes não enzimáticos; Acute myocardial infarction; Platelets; Oxidative stress; Enzymatic antioxidants; Nonenzymatic antioxidants; CNPQ::CIENCIAS BIOLOGICAS::BIOQUIMICA

Acute Myocardial Infarction (AMI) is one of the major public health problems in the world. Coronary occlusion, which occurs when an atherosclerotic plaque breaks, is the main mechanism that leads to AMI. With the objective of tissue reparation, there is an increase in platelet aggregation and thrombus formation. When ischemia/reperfusion occurs in AMI, Reactive Oxygen Species (ROS) are produced. The imbalance between ROS production and degradation may lead to an increase in oxidative stress. This study aimed to determine the activity of enzymes involved in thromboregulation, such as NTPDase and 5 -nucleotidase, as well as oxidative stress parameters. Evaluation of the oxidant system was carried out by lipid peroxidation and carbonyl protein determination, and the enzymatic and nonenzymatic antioxidant defense measurements were performed in platelets, total blood, plasma, and serum of AMI patients. The results demonstrated that an increase in the activity of NTPDase by ATP (54%) and ADP (45%) hydrolysis occurred in AMI patients when compared to the control group. The same occurred with 5 -nucleotidase activity. The hydrolysis of AMP increased 46% in AMI patients compared to the control group. The increase in ectonucleotidase activities could be related to a compensatory organic response to the pathologic state formed. Regarding oxidant levels, an increase in TBARS and carbonyl protein levels was observed in AMI patients when compared to the control group. The same occurred for the activities of the enzymatic antioxidants, superoxide dismutase (SOD), and catalase (CAT). However, a decrease in nonenzymatic antioxidants, such as vitamin C and vitamin E, was observed in AMI patients when compared to control. These results suggest an increase in oxidative stress in AMI, which was probably a result of the ischemic/reperfusion moment, as well as a decrease of antioxidant defenses. Furthermore, the increased antioxidant defense may act as a compensatory mechanism in consequence of the overproduction of ROS after AMI. No differences in the parameters tested were observed with the drugs utilized in AMI treatment in vitro. In conclusion, AMI results in oxidative damage as well as an increase in the organism s defenses as a compensatory response.