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Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:2309-2315

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1997;17:2309-2315.)
© 1997 American Heart Association, Inc.


Articles

Isoprostanes: Potential Markers of Oxidant Stress in Atherothrombotic Disease

Carlo Patrono; ; Garret A. FitzGerald

From the Center for Experimental Therapeutics and Department of Pharmacology, University of Pennsylvania School of Medicine, Philadelphia.

Correspondence to Dr G.A. FitzGerald, Center for Experimental Therapeutics, University of Pennsylvania, 905 Stellar-Chance Laboratories, 422 Curie Blvd, Philadelphia, PA 19104-6100. E-mail garret{at}spirit.gcrc.upenn.edu

Abstract Isoprostanes are emerging as a new class of biologically active products of arachidonic acid metabolism of potential relevance to human vascular disease. Their formation in vivo seems to reflect primarily, if not exclusively, a nonenzymatic process of lipid peroxidation. Enhanced urinary excretion of 8-iso-PGF2{alpha} has been described in association with cardiac reperfusion injury and with cardiovascular risk factors, including cigarette smoking, diabetes mellitus, and hypercholesterolemia. Besides providing a likely noninvasive index of lipid peroxidation in these settings, measurements of specific F2 isoprostanes in urine may provide a sensitive biochemical end point for dose-finding studies of natural and synthetic inhibitors of lipid peroxidation. Although the biological effects of 8-iso-PGF2{alpha} in vitro suggest that it and other isoeicosanoids may modulate the functional consequences of lipid peroxidation, evidence that this is likely in vivo remains inadequate at this time.


Key Words: F2 isoprostanes • lipid peroxidation • ischemia/reperfusion • hypercholesterolemia • cigarette smoking




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