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Oxidative Stress Test

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Oxidative Stress Test

Simone Capelouto August 3, 2024 at 8:04 am

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  • #33392
    Simone Capelouto
    Member
    SSRP Certified

    Perhaps this is too specific, but do you place value on tests like Viome or Genova Nutreval studies for oxidative stress? Or are these tests just not reliable? I’m unclear how to accurately assess oxidative/cellular stress in practice. I’ve had patients with high oxidative stress measured on these tests but am warry about overdoing anti-oxidants…

    #33393
    Kristelle Reyes
    Member
    SSRP Staff
    #33394
    Anthony Castore
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    SSRP Certified

    Breath analysis can be used to assess oxidative stress by measuring specific volatile organic compounds (VOCs) that are indicative of oxidative processes occurring in the body. When oxidative stress occurs, it leads to the production of reactive oxygen species (ROS), which can damage cells, lipids, proteins, and DNA. This damage often results in the formation of various VOCs that can be exhaled and detected through breath analysis.

    Key Concepts:

    1. Volatile Organic Compounds (VOCs): Certain VOCs in the breath, such as ethane, pentane, and isoprene, are by-products of lipid peroxidation—a process where ROS attack lipids in cell membranes. The levels of these VOCs can serve as biomarkers for oxidative stress.
    2. Real-time, Non-invasive Assessment: Breath analysis offers a non-invasive and real-time method for assessing oxidative stress, which is advantageous compared to other methods like blood tests. It allows for continuous monitoring, which can be useful in both clinical settings and ongoing research.
    3. Detection Methods: Techniques such as gas chromatography-mass spectrometry (GC-MS) or selected ion flow tube mass spectrometry (SIFT-MS) are often used to detect and quantify these VOCs in breath samples. These methods are highly sensitive and can accurately reflect changes in oxidative stress levels.
    4. Clinical Applications: Breath analysis for oxidative stress is particularly useful in conditions where oxidative stress plays a significant role, such as chronic obstructive pulmonary disease (COPD), asthma, cardiovascular diseases, and even in athletes to monitor recovery and training stress.

    How It Works:

    When you exhale, VOCs produced as a result of oxidative stress are released into your breath. By collecting and analyzing these exhaled gases, it’s possible to quantify the levels of specific compounds associated with oxidative damage. Higher levels of these VOCs suggest higher oxidative stress, while lower levels indicate lower oxidative stress or effective antioxidant defense mechanisms.

    This may not be a practical solution so if you are looking at labs my thoughts would be to look at:

     

    Suggested Panel for Comprehensive Oxidative Stress Assessment:

    1. Malondialdehyde (MDA)
    • Assesses lipid peroxidation.
    2. F2-Isoprostanes
    • Provides a reliable measure of oxidative damage to lipids.
    3. 8-Hydroxy-2’-deoxyguanosine (8-OHdG)
    • Evaluates oxidative damage to DNA.
    4. Total Antioxidant Capacity (TAC)
    • Offers an overall measure of the body’s antioxidant defense.
    5. Glutathione (GSH/GSSG Ratio)
    • Indicates cellular oxidative balance and antioxidant status.
    6. Superoxide Dismutase (SOD) and Catalase
    • Measures enzymatic antioxidant defenses.
    7. Nitrotyrosine
    • Detects oxidative damage to proteins.
    8. Oxidized LDL (oxLDL)
    • Assesses oxidative modification of lipids related to cardiovascular risk.
    9. C-Reactive Protein (CRP)
    • Provides additional context by indicating inflammation, which often accompanies oxidative stress.

    Interpretation and Clinical Context:

    • High MDA or F2-Isoprostanes: Suggests significant lipid peroxidation, indicating cell membrane damage and a potential increase in oxidative stress-related diseases.
    • Elevated 8-OHdG: Indicates DNA damage, which may contribute to mutagenesis, cancer, and accelerated aging.
    • Low TAC, GSH/GSSG Ratio, or SOD/Catalase Activity: Suggests reduced antioxidant defenses, leaving the body more vulnerable to oxidative damage.
    • High Nitrotyrosine or oxLDL: Indicates oxidative damage to proteins and lipids, respectively, which is particularly relevant in the context of cardiovascular diseases and chronic inflammation.

    Clinical Application:

    This panel can be used in various clinical settings, including:

    • Monitoring Chronic Diseases: Such as cardiovascular disease, diabetes, neurodegenerative disorders, and cancer.
    • Evaluating the Effectiveness of Antioxidant Therapies: To determine if interventions are improving oxidative balance.
    • Assessing Overall Health and Aging: In preventive medicine, to understand an individual’s oxidative stress status and guide lifestyle or dietary modifications.

    The combination of these blood tests, can offer a detailed understanding of a patient’s oxidative stress status, allowing for more targeted and effective interventions.

    Another great option would be the Prodrome Scan.

    The Prodrome Scan is a specialized blood test that evaluates a range of biomarkers related to lipid metabolism, particularly focusing on plasmalogens, which are a type of phospholipid found in cell membranes, especially in the brain and heart. Plasmalogens play a critical role in protecting cells from oxidative damage and inflammation, making them essential for maintaining cellular health and function.

    What the Prodrome Scan Measures:

    1. Plasmalogen Levels:

       – Brain Plasmalogens:These are critical for maintaining the structure and function of neuronal membranes, and they play a role in cognitive health.

       – Heart Plasmalogens:Important for cardiovascular health, as they are involved in the integrity and function of heart muscle cells.

    2. Other Phospholipid Metabolites:

       – The scan may also measure related metabolites that give insights into the overall lipid health and metabolic status of an individual.

    3. Fatty Acids:

       – The Prodrome Scan can assess levels of various fatty acids, which are essential components of cell membranes and are involved in inflammatory processes.

    What Can Be Learned from the Prodrome Scan:

    Since plasmalogens are crucial for brain health, low levels can indicate a higher risk for neurodegenerative diseases like Alzheimer’s disease. Low heart plasmalogen levels might suggest a greater risk of cardiovascular diseases, as these lipids help protect heart cells from oxidative stress. By evaluating the levels of plasmalogens and other related lipids, the Prodrome Scan provides indirect insights into oxidative stress levels. Plasmalogens help protect cells from oxidative damage, so their depletion can suggest that oxidative stress is overwhelming the body’s defenses.

    Is the Prodrome Scan a Good Way to Assess Oxidative Stress?

    It is more of an indirect assessment. While the Prodrome Scan offers valuable insights into lipid metabolism and can suggest the presence of oxidative stress by showing depletion of plasmalogens, it does not directly measure oxidative stress markers like F2-isoprostanes, MDA, or 8-OHdG. The scan is highly useful for understanding the downstream effects of oxidative stress on lipid metabolism, particularly in relation to brain and heart health. Most of the time when there is concern with oxidative stress this is really what people want to assess. It can be a part of a broader assessment of oxidative stress but is not a direct measure like the specific blood tests mentioned earlier. It is particularly valuable in assessing the risk of neurodegenerative and cardiovascular diseases, where oxidative stress plays a significant role. However, if the primary goal is to quantify oxidative stress, combining this scan with other specific oxidative stress markers would provide a more comprehensive assessment.

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