Vitamin D, C-reactive protein, and oxidative stress markers in chronic obstructive pulmonary disease

Sarika Pandey; Rajiv Garg; Surya Kant; Priyanka Gaur

doi:10.4103/tcmj.tcmj_198_19

Vitamin D, C-reactive protein, and oxidative stress markers in chronic obstructive pulmonary disease

Tzu Chi Med J. 2019 Dec 5;33(1):80-86. doi: 10.4103/tcmj.tcmj_198_19. eCollection 2021 Jan-Mar.

Authors

Sarika Pandey¹, Rajiv Garg¹, Surya Kant¹, Priyanka Gaur²

Affiliations

¹ Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
² Department of Physiology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Abstract

Objective: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Systemic inflammation and oxidant/antioxidant imbalance has been seen to play a key role in pathogenesis of COPD. The present study investigated the levels of inflammatory and antioxidant/oxidative stress biomarker in COPD patients and healthy subjects.

Materials and methods: The present study enrolled seventy COPD patients and seventy healthy controls from Department of Respiratory Medicine at a tertiary care hospital. Vitamin D, C-reactive protein (CRP), superoxide dismutase (SOD), catalase, and malondialdehyde (MDA) levels were measured in both cases and control. GraphPad PRISM version 6.01 was used for analysis of data.

Results: The levels of Vitamin D, SOD, Catalase, were found to be significantly lower among the COPD patients in comparison to healthy controls while levels of MDA and CRP were significantly higher (P = 0.0001).

Conclusion: The results showed oxidant/antioxidant imbalance and Vitamin D deficiency in COPD patients. Higher levels of CRP and oxidative stress markers were observed in COPD patients in comparison to healthy controls. A biomarker based study testing the efficacy of novel antioxidant or other agents will be helpful that can modify the course of this disease.

Keywords: Antioxidants; C-reactive protein; Chronic obstructive pulmonary disease; Oxidative stress; Vitamin D.