Review Article

Oxidative Stress Markers in Sputum

Table 1

Oxidative stress markers in sputum of patients with inflammatory airway disease.

MarkersRef.DetectionStudy patients Main findings

MDA[34]LC-MS/MSAsthma, COPD(i) Increase in stable asthma and COPD
(ii) No relationship with LF
[35]HPLCCOPD, AECOPD(i) Increase in stable COPD and AECOPD
(ii) Decrease upon recovery from AECOPD
(iii) No relationship with LF or sputum differential cell counts
[36]HPLCCF(i) Increase in stable CF
(ii) No relationship with LF or sputum differential cell counts
(iii) No association with NE/1-PI complex

Hexanal, heptanal, and nonanal[34]LC-MS/MSAsthma, COPD(i) Increase in hexanal and nonanal in stable COPD
(ii) Increase in hexanal in stable asthma

4-HHE, 4-HNE[34]LC-MS/MSAsthma, COPDNo change in stable asthma or COPD

Acrolein[34]LC-MS/MSAsthma, COPDIncrease in stable asthma and COPD#

8-Isoprostane[41]EIAAsthma (stable and acute), bronchiectasis(i) Increase in stable asthma and bronchiectasis
(ii) Further increase in acute asthma and decrease upon treatment
(iii) Correlation between FEV1 (% pred.) and log10FGF
[42]EIAHS, COPD(i) Increase in HS and stable COPD
(ii) Relationship with LF, PYI, and sputum neutrophils
[43]EIAHS, COPD(i) Increase in HS and stable COPD
(ii) No effect of aminoguanidine
[44]EIAAsthma, COPDIncrease in COPD but not mild asthma
[45]EIAAsthmaNo change in asthma
[46]EIACOPD, AECOPD(i) Increase in AECOPD compared to stable COPD
(ii) Relationship with sputum neutrophils and lymphocytes in stable COPD
(iii) No correlations with LF
[48]EIACF(i) Increase in acute but not stable CF
(ii) No effect of antibiotic treatment

Nitrosothiols[59]EIACOPD(i) Increase in stable COPD
(ii) Positive correlation with GSSG, but negative correlation with GSH in sputum
[60]EIANAEB, CVAHigher in NAEB than in CVA

3-NT[66]ICAsthma, COPD(i) Increase in positive cells in stable asthma and COPD#ā€‰
(ii) Negative correlation with FEV1 in COPD
[67]ICHSIncrease in positive cells in HS compared to nonsmokers
[68]ICAECOPDIncrease in positive cells in AECOPD
[69]ICAsthma(i) Increase in positive cells in refractory asthma compared to well-controlled asthma
(ii) Negative correlation with FEV1 (% pred)
[70]ICAsthma, COPD(i) No difference in positive cells between eosinophilic and noneosinophilic asthma
(ii) Decrease in positive cells in noneosinophilic asthma compared to COPD
[71, 72]HPLC, GC-MSCFIncrease in stable CF

8-OHdG[81]ELISACOPD, HS, and bronchiectasis(i) Increase in stable COPD compared to HS and bronchiectasis
(ii) Increase in HS compared to nonsmokers
[82]ELISAAsthma, HSIncrease in stable asthma and HS compared to nonsmokers

MDA: malondialdehyde, LC-MS/MS: liquid chromatography-tandem mass spectrometry, COPD: chronic obstructive pulmonary disease, AECOPD: acute exacerbation of chronic obstructive pulmonary disease, HPLC: high-performance liquid chromatography, CF: cystic fibrosis, NE/1-PI: neutrophil elastase/1-proteinase inhibitor, LF: lung function, 3-NT: 3-nitrotyrosine, EIA: enzyme immunoassay, 4-HHE: 4-hydroxyhexanal, 4-HNE: 4-hydroxynonenal, FEV1: forced expiratory volume in one second, HS: healthy smokers, PYI: pack-year index, IC: immunocytostaining, 8-OHdG: 8-hydroxy-2ā€²-deoxyguanosine, GSH: glutathione, GSSG: glutathione disulfide, NAEB: nonasthmatic eosinophil bronchitis, CVA: cough variant asthma, and ELISA: enzyme-linked immunosorbent assays; #markers and/or positive cells not detectable in healthy controls.