Review Article

Approaches and Methods to Measure Oxidative Stress in Clinical Samples: Research Applications in the Cancer Field

Table 1

Oxidative damage to DNA, lipids, and proteins in clinical samples of cancer patients.

Type of cancerOxidative damage
DNALipidProtein

Bladder cancerUrinary 8-OHdG (ELISA): 8.12 ng/g creatinine compared to 4.13 ng/g in controls () [213]
Serum 8-OHdG (ELISA): 0.24 ng/mL
Urinary 8-OHdG (ELISA): 12.2 ng/mL [102]
Urinary 8-OHdG (ELISA): creatinine compared to in controls () [100]
Urinary MDA (TBARS): 9.54 μmol/g creatinine compared to 6.76 μmol/g in controls () [213]
Serum MDA (Yoshioka’s TBARS): compared to in controls () [183]
Tissue MDA (TBARS): protein compared to in controls (ns) [214]
Plasma PC content (DNPH): 0.5 mg/mg protein compared to 0.38 mg/mg in controls () [Figure 3(b)] [215]

Breast cancerTissue 8-OHdG (HPLC): per 105 dG compared to in corresponding noncancerous tissues () [216]
Tissue 8-OHdG (HPLC): per 105dG compared to in controls ()
Tissue 8-OHdG (IHC): signal intensity compared to in controls ()
Tissue hOGG1 (IHC): signal intensity compared to in controls () [108]
Serum MDA (TBARS): 6 μmol/L compared to 2 μmol/L in controls () [Figure 1(a)] [217]
Plasma MDA (Yagi’s TBARS): compared to in controls ()
Erythrocyte MDA (Donnan’s TBARS): compared to in controls () [218]
Tissue MDA (Ohkawa’s TBARS): protein compared to in adjacent normal tissues ()
Tissue LOOH (FOX method): tissue compared to in adjacent normal tissues ()
Tissue CD (Suryanarayana Rao and Recknagel): tissue compared to in adjacent normal tissues () [219]
Blood (TBARS): 26.14 nmol/mL compared to 15.83 nmol/mL in controls () [220]
Tissue PC content (ELISA): 3.5 nmol/mg protein lysate compared to 2.3 nmol/mg in adjacent normal tissues () [Figure 1(a)] [221]

Cervical cancerCellular 8-OHdG (IHC): (low grade) and signal intensity (high grade) compared to in controls ( and ) [222]
Urinary 8-OHdG (ELISA): creatinine compared to in controls (ns) [223]
Plasma MDA (Yagi’s TBARS): 6.5 nmol/mg Hg compared to 3.5 nmol/mg in controls () [Figure 1]
Plasma CD (Suryanarayana Rao and Recknagel): 1.75 μmol/mg Hg compared to 0.75 μmol/mg in controls () [Figure 1] [224]
Plasma MDA (Ohkawa’s TBARS): 6.2 nmol/mg Hb compared to 3.1 nmol/mg in controls () [Figure 2]
Erythrocyte MDA (Donnan’s TBARS): 5.1 nmol/mg Hg compared to 3 nmol/mg in controls () [Figure 5] [119]
Plasma MDA (HPLC): compared to in controls () [223]
Plasma LOOH (FOX method): compared to in controls () [225]
Plasma PC content (Levine’s DNPH): compared to in controls () [225]

Colorectal cancerTissue 8-OHdG (IHC): staining intensity compared to in corresponding normal epithelial cells ()
Tissue 8-OHdG (HPLC): per 105 dG compared to in corresponding surrounding tissues () [94]
Tissue 8-OHdG (HPLC): 49 [range: 23-114] per 106 dG compared to 21 [range: 9-39] per 106 dG in corresponding normal mucosa () [96]
Tissue 8-OHdG (HPLC): per 105dG compared to per 105dG in nontumorous counterparts ()
Tissue 8-OHdG lyase activity (Yamamoto): compared to in nontumorous counterparts ()
Tissue hOGG1 transcripts (quantitative RT-PCR): × 105 copies/μg RNA compared to × 105 copies/μg in nontumorous counterparts () [95]
Tissue 8-OHdG (HPLC): per 105 dG compared to per 105 dG in normal mucosa ()
Tissue hOGG (HPLC): of OHdG released from DNA/1 h compared to in normal mucosa () [109]
Blood 8-OHdG (HPLC): per 106dG compared to per 106dG in controls () [174]
Serum oxidized-LDL (ELISA): 39.2 U/L compared to 36.2 U/L in controls () [226]
Tissue MDA (HPLC): 1.7 ± 0.39 (stage II), (stage III), and tissue (stage IV) compared to in normal colon mucosa ()
Tissue 4-HNE (HPLC): (stage II), (stage III), and tissue (stage IV) compared to in normal colon mucosa () [83]
Tissue MDA (Ohkawa’s TBARS): protein compared to in normal mucosa () [109]
Tissue MDA (Beuge and Aust’s TBARS): tissue compared to in normal samples () [227]
Plasma PC content (ELISA): plasma compared to plasma in controls () [228]

Lung cancerTissue TG (IHC): and percent positive rate in nonlesion sites of never smokers and current smokers, respectively [44]Plasma MDA (TBARS): compared to in smoker controls and in nonsmoker controls (ns) [120]
Serum MDA (Ohkawa’s TBARS): compared to s 1.4 ± 0.8 in healthy smoker controls () [229]
Plasma PC content (Levine’s DNPH): protein compared to in smoker controls and in nonsmoker controls () [120]

Liver cancerTissue 8-OHdG (IHC): 8.605 staining intensity compared to 4.845 in nonalcoholic steatohepatitis controls () [105]
Tissue 8-OHdG (HPLC): 52 fmol/μg DNA compared to 129 fmol/μg in adjacent normal tissues () [230]
Plasma MDA (TBARS): compared to in corresponding post-resection samples ()
Tissue MDA (TBARS): protein compared to in adjacent normal tissues ()
Plasma oxidized-LDL (ELISA): compared to in corresponding post-resection samples () [90]
Tissue MDA (TBARS): 0.49 nmol/mg protein compared to 0.71 nmol/mg in adjacent normal tissues () [230]
Tissue MDA (Ohkawa’s TBARS): protein compared to in adjacent normal tissues () [143]
Plasma MDA (HPLC): (stage I/II) and (stage III/IV) compared to in controls () [231]
Urine 8-iso-PGF2α (LC-MS): 0.92 pmol/mg creatinine compared to 0.8 pmol/mg in controls () [232]
Plasma PC content (DNPH): 0.3 nmol/mg protein compared to 0.2 nmol/mg in controls () [Figure 1(a)] [233]

Ovarian cancerSerum 8-OHdG (ELISA): [101]
Serum 8-OHdG (ELISA): [234]
Tissue 8-OHdG (ELISA): per 106 dG compared to per 106 dG in adjacent normal tissues () [235]
Tissue MDA (TBARS): 0.65 μM compared to 0.15 μM in controls () [Figure 2] [33]
Serum MDA (Buege and Aust’s TBARS): (stage II) and (stage IV) compared to in controls () [236]
Serum MDA (TBARS): compared to in controls () [237]
Erythrocytes MDA (TBARS): Hb compared to in controls () [238]
Tissue PC content (Mesquita’s DNPH): 18 nmol/mg total protein compared to 5.5 nmol/mg in controls () [Figure 3] [33]
Tissue PC content (Levine’s DNPH): 10-14 nmol/mg protein compared to 4 nmol/mg in normal surrounding samples () [Figure 1] [56]

Prostate cancerUrinary 8-OHdG (ELISA): creatinine compared to in controls () [100]
Urinary 8-OHdG (ELISA): creatinine compared to in controls () [239]
Plasma MDA (TBARS): 10.5 nmol/mL compared to 7.5 nmol/mL in controls () [Figure 1(a)] [171]
Serum MDA (Yoshioka’s TBARS): compared to in controls () [240]
Erythrocytes MDA (TBARS): Hb compared to in controls ()
Plasma MDA (TBARS): × 10−2 nmol/mL compared to × 10−2 nmol/mL in controls () [67]
Serum PC (Levine’s DNPH): 1.06 nmol/mg protein compared to 0.88 nmol/mg in controls () [Figure 1(b)] [171]

Skin cancerUrinary 8-OHdG (ELISA): creatinine compared to in controls ()
Tissue 8-OHdG (IHC): IRS compared to in controls and in adjacent epidermis ()
Tissue hOGG1 (IHC): IRS compared to in controls and in adjacent epidermis () [107]
Plasma MDA (TBARS): 2.367 μM compared to 1.860 μM in controls () [241]
Cellular PUFAs (GC-MS): arachidonic acid/total fatty acids compared to in normal melanocytes () [79]
Plasma MDA (HPLC): (T1/T2) and (T3/T4) compared to in controls () [75]
Serum MDA (TBARS): 65 μmol/L compared to 52 μMol/L in controls () [Figure 5] [242]
N/A

Thyroid cancerSerum 8-OHdG (ELISA): compared to in controls () [243]Tissue MDA (Uchiyama and Mihara’s TBARS): tissue (follicular carcinoma) and (papillary carcinoma) compared to in controls () [244]
Tissue MDA (Uchiyama and Mihara’s TBARS): tissue compared to in adjacent tissue () [245]
Blood MDA (Uchiyama and Mihara’s TBARS): compared to in controls ()
Blood LOOH (FOX method): compared to in controls () [246]
Serum LOOH (FOX method): compared to in controls () [243]
Plasma MDA (Yagi’s TBARS): compared to in controls ()
Erythrocytes MDA (Donnan’s TBARS): compared to in controls () [247]
Blood AOPP (Witko-Sarsat): compared to in controls () [246]
Blood PC content (Levine’s DNPH): compared to in controls () [248]