The role of antioxidant enzymes in the development of respiratory diseases in children

Abstract

Background. Redox reactions are an important part of metabolism and are necessary both for replenishing energy needs and for delivering and utilizing oxygen. In the progression of bronchopulmonary pathology, an important role belongs to the excess amount of various compounds accumulated as a result of activation of lipid peroxidation, which leads to disruption of the membrane structure, lipid metabolism and toxic effects on cells and tissues of various organs and systems. The article summarizes current knowledge about the role of antioxidant enzymes in the pathogenesis of community-acquired pneumonia and non-obstructive bronchitis in children. They are of key importance in the stabilization of oxidative stress in the respiratory system pathology. A regulatory role in the antioxidant defense system of the enzyme superoxide dismutase (SOD) has been shown.Design and methods. The study involved 68 children (10–16 years old): 37 children with bronchitis, 31 with community-acquired pneumonia and 25 healthy children. Blood samples were taken for the subsequent SOD level determination.Results. A significant decrease in the SOD level and a low rate of normalization of its parameters in children with pneumonia were revealed. In children with bronchitis, the initial change in the SOD level was less significant, with a higher rate of its recovery.Conclusion. A significant SOD decrease in pneumonia indicates decompensation of oxidative stress processes in this group.