Evaluation of oxidative stress markers in Rwanda during the SARS-CoV-2 pandemic: A cross-sectional study

PLOS Glob Public Health. 2023 Oct 25;3(10):e0002487. doi: 10.1371/journal.pgph.0002487. eCollection 2023.

Abstract

COVID-19 is mainly described as endothelial dysfunction, and due to the bidirectional link between oxidative stress and endothelial dysfunction, we initiated a program directed to the evaluation of the oxidative status of the population of Rwanda by measuring spectrophotometrically their plasma Reactive Oxygen Metabolites (d-ROMs) and Plasma Antioxidant Potential (PAT). The reference population was chosen to reflect the absence of actual or past SARS-CoV-2 infections as well as other clinically established infective status and reference intervals for d-ROM and PAT were identified. The average d-ROM was 378.6 UCARR with a standard deviation of 105.2, a value significantly higher than that reported for Caucasian or East Asian population (260-300 UCARR). The average PAT value was 2853.6, with a standard deviation of 635.7 UCOR, at the upper limit according to the averaged values for healthy Caucasian populations. The results of this study, the first so far reported on a sub-Saharan population, can effectively be used as a baseline value for clinical management of inflammatory conditions, for the stratification of at-risk individuals and to inform recommendations for effective use of public health resources.

Grants and funding

The National Council for Science and Technology of Rwanda supported the work under the ‘Special Collaboration Research Grant to Address COVID-19 Pandemic’ theme (NCST-NRIF/ COVID-19/004/2020) given to TH. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.