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Urinary 8-OHdG as a Biomarker for Oxidative Stress: A Systematic Literature Review and Meta-Analysis

Graille, Melanie, Wild, Pascal, Sauvain, Jean-Jacques, Hemmendinger, Maud, Guseva Canu, Irina, Hopf, Nancy B.·2020·International Journal of Molecular Sciences

Abstract

Oxidative stress reflects a disturbance in the balance between the production and accumulation of reactive oxygen species (ROS). ROS are scavenged by the antioxidant system, but when in excess concentration, they can oxidize proteins, lipids, and DNA. DNA damage is usually repaired, and the oxidized products are excreted in urine. 8-hydroxy-2-deoxyguanosine is considered a biomarker for oxidative damage of DNA. It is needed to define background ranges for 8-OHdG, to use it as a measure of oxidative stress overproduction. We established a standardized protocol for a systematic review and meta-analysis to assess background ranges for urinary 8-OHdG concentrations in healthy populations. We computed geometric mean (GM) and geometric standard deviations (GSD) as the basis for the meta-analysis. We retrieved an initial 1246 articles, included 84 articles, and identified 128 study subgroups. We stratified the subgroups by body mass index, gender, and smoking status reported. The pooled GM value for urinary 8-OHdG concentrations in healthy adults with a mean body mass index (BMI) ≤ 25 measured using chemical methods was 3.9 ng/mg creatinine (interquartile range (IQR): 3 to 5.5 ng/mg creatinine). A significant positive association was observed between smoking and urinary 8-OHdG concentrations when measured by chemical analysis. No gender effect was observed.

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Figure 1 Structure of 8-OHdG.
Figure 1 Structure of 8-OHdG.CC BY · PubMed Central
Figure 2 Flow chart of study selection.
Figure 2 Flow chart of study selection.CC BY · PubMed Central
Figure 3 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with chemical techniques in healthy (mean BMI ≤ 25 and no known disease), adult (18+ years) participants.
Figure 3 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with chemical techniques in healthy (mean BMI ≤ 25 and no known disease), adult (18+ years) participants.CC BY · PubMed Central
Figure 4 Forest plot of urinary 8-OHdG levels (ng/mg creatinine) measured with chemical techniques in healthy (mean BMI > 25 and no known disease), adult (18+ years) participants
Figure 4 Forest plot of urinary 8-OHdG levels (ng/mg creatinine) measured with chemical techniques in healthy (mean BMI > 25 and no known disease), adult (18+ years) participantsCC BY · PubMed Central
Figure 5 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with immunological techniques in healthy (mean BMI ≤ 25 and no known disease), adult (18+ years) participants.
Figure 5 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with immunological techniques in healthy (mean BMI ≤ 25 and no known disease), adult (18+ years) participants.CC BY · PubMed Central
Figure 6 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with immunological techniques in healthy (mean BMI > 25 and no known disease), adult (18+ years) participants.
Figure 6 Forest plot of urinary 8-OHdG concentrations (ng/mg creatinine) measured with immunological techniques in healthy (mean BMI > 25 and no known disease), adult (18+ years) participants.CC BY · PubMed Central

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Metadata

Authors
Graille, M., Wild, P., Sauvain, J.-J., Hemmendinger, M., Guseva Canu, I., & Hopf, N. B.
Affiliations
Center for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche, 21066 Epalinges-Lausanne, Switzerland
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2020-05-26
Volume
21
Issue
11
Pages
3743
ISSN
1422-0067
Cited by
330
References
3
Language
en

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