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Antioxidative vitamin treatment: Effect on lipid peroxidation and limb swelling after revascularization operations

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Abstract

The objective of this study was to evaluate the antioxidative properties of the multivitamin cocktail Omnibionta® (α-tocopherol, ascorbic acid, retinol, vitamin B complex) in terms of diminishing lipid peroxidation with improvement of leg edema performance after limb revascularization operations in humans. Fifty-one subjects were selected; the control group contained 27 patients and the treatment group 24 patients, who received the vitamin cocktail intravenously before the start of reperfusion. All patients suffered from acute or chronic arterial occlusive disease, except two subjects with arterial trauma. MDA-TBARS in plasma, quantified by HPLC, taken as a measure of lipid peroxidation was significantly increased (p<0.001) in the control group 1 hour after reperfusion onset and decreased to its baseline value within the following 2 hours (0.73±0.26, 1.21±0.48, 0.99±0.48, 0.73±0.33 nmol/ml). In contrast, in the treatment group MDA-TBARS did not exceed the baseline value during the reperfusion period (0.93±0.30, 0.70±0.29, 0.65±0.23, 0.70±0.37 nmol/ml). Leg edema, expressed by extremity circumference, was significantly (p<0.008) elevated in the control group (30.7±4.04 cm versus 35.35±4.12 cm) compared to a lack of increase in the treatment group (29.25±5.13 cm versus 29.76±5.70 cm). These results suggest that antioxidative vitamin treatment might be valuable in preventing lipid peroxidation and decreasing extremity edema.

Résumé

L'objectif de cette étude a été d'évaluer les propriétés antioxydatives du cocktail multivitamine Omnibiota®, contenant les vitamines α-tocophérol, de l'acide ascorbique, du rétinol et du complexe vitamine B, pour diminuer les peroxydations lipidiques et améliorer l'oedème de jambe après reconstruction vasculaire chez l'homme. Cinquante et un sujets ont été sélectionnés, 27 formant le groupe témoin, et 24 patients recevant le cocktail en intraveineux avant la reconstruction vasculaire. Tous les patients avaient une maladie artérielle occlusive chronique, sauf deux qui souffraient d'un traumatisme artériel. Le MDA-TBARS dans le plasma, quantifié par HPLC, comme mesure de la peroxydation lipidique, était significativement augmenté (p<0.001) dans le groupe contrôle une heure après le début de la reperfusion et a diminué jusqu'aux valeurs du départ dans les deux heures suivantes (0.73±0.26, 1.21±0.48, 0.99±0.48, 0.73±0.33 nmol/ml). Dans le groupe traité, le MDA-TBARS n'a pas dépassé les valeurs de base pendant la période de reperfusion (0.93±0.30, 0.70±0.29, 0.65±0.23, 0.70±0.37 nmol/ml). L'oedème des membres inférieurs, exprimé en circonférence de l'extrémité de la jambe, était signficativement plus augmenté (p<0.008) dans le groupe contrôle (30.7±4.04 vs. 35.35±4.12 cm) que dans le groupe traité (29.25±5.13 vs 29.76±5.70 cm). Ces résultats suggèrent que le traitement vitaminique antioxydatif pourrait être utile dans la prévention de la peroxydation lipidique, réduisant ainsi l'oedème des extrémités.

Resumen

El objeto del presente estudio fue evaluar las propiedades antioxidantes del coctel multivitamínico Omnibionta® que contiene las vitaminas α-tocoferol, ácido ascórbico, retinol y el complejo B, en cuanto a disminuir la peroxidación lipídica y reducir el edema en las operaciones de revascularización de extremidades en humanos. Se seleccionaron 51 individuos: el grupo control de 27 pacientes y el grupo de tratamiento de 24 pacientes que recibieron el coctel multivitamínico por vía intravenosa antes del comienzo de la reperfusión. Todos los pacientes exhibían enfermedad arterial oclusiva aguda o crónica, excepto 2 pacientes con trauma arterial. Se hicieron determinaciones de MDA-TBARS en el plasma, cuantificado por HPLC, como medida de la peroxidación lipídica, encontrándose que se hallaba significativamente aumentada (p<0.001) en el grupo control 1 hora luego del comienzo de la reperfusión y que descendió hasta los niveles basales en el curso de las siguientes 2 horas (0.73±0.26, 1.21±0.48, 0.99±0.48, 0.73±0.33 nmol/ml). El edema de la pierna, según la circunferencia de las extremidades, apareció significativamente elevado (p<0.008) en el grupo control (30.7±4.04 vs. 35.35±4.12 cm) en comparación con el ningún aumento en el grupo de tratamiento (29.25±5.13 vs. 29.76±5.70 cm). Tales resultados sugieren que el tratamiento vitamínico antioxidante puede ser de valor en la prevención de la peroxidación lipídica con disminución del edema de la extremidad.

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  1. Division of General Surgery and Department of Vascular Surgery, Karl Franzens University of Graz, Auenbruggerplatz 29, A-8036, Graz, Austria

    H. Rabl M.D., G. Khoschsorur M.D. & W. Petek M.D.

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Rabl, H., Khoschsorur, G. & Petek, W. Antioxidative vitamin treatment: Effect on lipid peroxidation and limb swelling after revascularization operations. World J. Surg. 19, 738–744 (1995). https://doi.org/10.1007/BF00295919

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