Original Contribution
Biomarkers of oxidative damage in cigarette smokers: Which biomarkers might reflect acute versus chronic oxidative stress?

https://doi.org/10.1016/j.freeradbiomed.2011.03.019Get rights and content

Abstract

Cigarette smoking predisposes to the development of multiple diseases involving oxidative damage. We measured a range of oxidative damage biomarkers to understand which differ between smokers and nonsmokers and if the levels of these biomarkers change further during the act of smoking itself. Despite overnight abstinence from smoking, smokers had higher levels of plasma total and esterified F2-isoprostanes, hydroxyeicosatetraenoic acid products (HETEs), F4-neuroprostanes, 7-ketocholesterol, and 24- and 27-hydroxycholesterol. Levels of urinary F2-isoprostanes, HETEs, and 8-hydroxy-2′-deoxyguanosine were also increased compared with age-matched nonsmokers. Several biomarkers (plasma free F2-isoprostanes, allantoin, and 7β-hydroxycholesterol and urinary F2-isoprostane metabolites) were not elevated. The smokers were then asked to smoke a cigarette; this acute smoking elevated plasma and urinary F2-isoprostanes, plasma allantoin, and certain cholesterol oxidation products compared to presmoking levels, but not plasma HETEs or urinary 8-hydroxy-2′-deoxyguanosine. Smokers showed differences in plasma fatty acid composition. Our findings confirm that certain oxidative damage biomarkers are elevated in smokers even after a period of abstinence from smoking, whereas these plus some others are elevated after acute smoking. Thus, different biomarkers do not measure identical aspects of oxidative stress.

Section snippets

Subject recruitment

Community-based subjects were recruited through advertisements and referrals. Smokers were defined as otherwise healthy individuals age 21 years and above who had smoked for at least 5 years before their study participation, and controls were age-matched individuals who had never smoked, nor were they exposed to cigarette smoke at work or at home. The mean ± SD age of smokers (n = 119) was 32 ± 11 years and of controls (n = 59) 31 ± 10 years. Information on demographic characteristics, body mass index, blood

Comparison of biomarkers between chronic smokers and controls

Plasma lipid and liver function parameters were comparable between smokers and controls except for plasma HDL, which was slightly lower in smokers (Table 1). Plasma and urinary nicotine and cotinine levels were significantly higher in smokers compared to controls, as expected (Table 1). We measured plasma levels of arachidonate, docosahexaenoate, and urate, which are precursors of oxidative damage (isoprostanes and allantoin) and other (e.g., HETEs) biomarkers. Plasma arachidonate levels were

Discussion

Cigarette tar contains stable semiquinone radicals that can reduce oxygen to superoxide and subsequently to hydrogen peroxide in biological fluids [2], [4], [6]. Moreover, cigarette tar also contains metal ions that can form hydroxyl radicals from hydrogen peroxide, and the gas phase of cigarette smoke contains numerous free radicals that can remain in the smoke for relatively long times [6].

In this study, we investigated the effects of cigarette smoke on a range of oxidative damage biomarkers.

Acknowledgments

We thank Dr. Ginger Milne and the Eicosanoid Core Laboratory, Vanderbilt University (Nashville, TN, USA), for providing the standards for F4-neuroprostane measurements. We are grateful to the National Medical Research Council (Grant NMRC/1157/2008) for their generous support of this study.

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