Nitric Oxide, Procalcitonin and Oxidative Stress Index Levels in Acute Bronchitis Patients

Authors

DOI:

https://doi.org/10.32007/jfacmedbagdad.6622257

Keywords:

Acute bronchitis; , lymphocytes; , Neutrophils; , Nitric oxide;, Procalcitonin.

Abstract

Background: Acute bronchitis, an inflammation of the lower respiratory tract characterized by an acute cough, is a prevalent clinical illness that leads patients to seek out primary healthcare services. About 5 percent of adults in the United States report having acute bronchitis annually, with 90 percent of those affected seeking medical attention.

Objectives: The study aimed to determine Nitric oxide, Procalcitonin (PCT), WBCs, neutrophils, lymphocytes, and Oxidative stress index (OSI) levels in acute bronchitis patients.

Methods: The study involved 120 volunteers aged 20–50 years old in Al-Zahra Teaching Hospital, Wasit City. 80 patients with acute bronchitis were conducted between (10 November 2022 to 20 March 2023). 40 people were used as a control group. Blood samples were collected from patients and controls. Complete blood account CBC was calculated using a blood sample with EDTA. Serum was used to calculate NO, PCT, and OSI. Blood counts were performed using the SYSMEX XP-300. Nitric oxide and Procalcitonin levels were measured using an ELISA kit. OSI was calculated using the equation OSI = Total oxidant status /Total antioxidant status x100.

Results: The current research presents the results of the Procalcitonin, nitric oxide, oxidative stress index, neutrophils, and lymphocytes. Age, BMI, and WBCs in acute bronchitis did not show any significant variances when compared between the two groups. In contrast, nitric oxide, Procalcitonin, oxidative stress, and Neutrophil levels showed a highly significant change among the acute bronchitis patient group compared to the control group.

Conclusion: Procalcitonin and nitric oxide may have a role in the diagnosis of acute bronchitis, in addition to lymphocytes and neutrophils.

 

 

 

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Author Biographies

  • Huda A. Abdulsada, College of Science for Women, University of Baghdad, Baghdad, Iraq.

    MSc Student 

  • Ekhlass M. Taha, Department of Chemistry, College of Science for Women, University of Baghdad, Baghdad, Iraq.

    supervisor

References

Pagels CM, Dilworth TJ, Fehrenbacher L, Singh M, Brummitt CF. Impact of an electronic best-practice advisory in combination with prescriber education on antibiotic prescribing for ambulatory adults with acute, uncomplicated bronchitis within a large integrated health system. Infection Control & Hospital Epidemiology. 2019 Dec;40(12):1348-55. https://doi.org/10.1017/ice.2019.295

Fu M, Wushouer H, Hu L, Li N, Guan X, Shi L, Ross-Degnan D. Outpatient prescribing pattern for acute bronchitis in primary healthcare settings in China. NPJ Primary Care Respiratory Medicine. 2021 May 10;31(1):24..‏ https://doi.org/10.1038/s41533-021-00234-y

Khaleel F, N-Oda N, Abed BA. Disturbance of Arginase Activity and Nitric Oxide Levels in Iraqi Type 2 Diabetes Mellitus. Baghdad Science Journal. 2018 Apr 1;15(2).https://doi.org/10.21123/bsj.2018.15.2.0189

Al-Azzauy AA. Evaluation of erythrocyte malondialdehyde, glutathione concentration, and serum nitric oxide levels in patients with Toxoplasma gondii. Ibn AL-Haitham journal for pure and applied science. 2016 Dec 29;24(1).. https://www.iasj.net/iasj/download/935accbff8915a26

Jeon YD, Lee JH, Lee YM, Kim DK. Puerarin inhibits inflammation and oxidative stress in dextran sulfate sodium-induced colitis mice model. Biomedicine & Pharmacotherapy. 2020 Apr 1;124:109847.https://doi.org/10.1016/j.biopha.2020.109847

Khomich OA, Kochetkov SN, Bartosch B, Ivanov AV. Redox biology of respiratory viral infections. Viruses. 2018 Jul 26;10(8):392..‏ https://doi.org/10.3390/v10080392

Chernyak BV, Popova EN, Prikhodko AS, Grebenchikov OA, Zinovkina LA, Zinovkin RA. COVID-19 and oxidative stress. Biochemistry (Moscow). 2020 Dec;85:1543-53.https://doi.org/10.1134/S0006297920120068

Chamitava L, Cazzoletti L, Ferrari M, Garcia-Larsen V, Jalil A, Degan P, Fois AG, Zinellu E, Fois SS, Fratta Pasini AM, Nicolis M. Biomarkers of oxidative stress and inflammation in chronic airway diseases. International journal of molecular sciences. 2020 Jun 18;21(12):4339..‏ https://doi.org/10.3390/ijms21124339

Ascar IF, Khaleel FM, Hameed AS, Alabboodi MK. Evaluation of Some Antioxidants and Oxidative Stress Tests in Iraqi Lung Cancer Patients. Baghdad Science Journal. 2022 Nov 25;19(6 (Suppl.)):1466-.‏ http://dx.doi.org/10.21123/bsj.2022.19.4.ID0000

Schuetz P, Wirz Y, Sager R, Christ-Crain M, Stolz D, Tamm M, Bouadma L, Luyt CE, Wolff M, Chastre J, Tubach F. Effect of procalcitonin-guided antibiotic treatment on mortality in acute respiratory infections: a patient level meta-analysis. The Lancet infectious diseases. 2018 Jan 1;18(1):95-107.https://doi.org/10.1016/S1473-3099(17)30592-3

Jasem MA, Mahmood AE, Mahmood AI, Mustafa MM, Farhood KM. Comparison Between Procalcitonin and Traditional Blood Biomarkers in Diagnosis of Sepsis in Iraqi Wounded Soldiers. Ibn AL-Haitham Journal For Pure and Applied Science. 2018 Apr 23:49-58.https://doi.org/10.30526/2017.IHSCICONF.1770

Jaworska J, Komorowska-Piotrowska A, Pomiećko A, Wiśniewski J, Woźniak M, Littwin B, Kryger M, Kwaśniewicz P, Szczyrski J, Kulińska-Szukalska K, Buda N. Consensus on the application of lung ultrasound in pneumonia and bronchiolitis in children. Diagnostics. 2020 Nov 11;10(11):935.‏ https://doi.org/10.3390/diagnostics10110935

Kilercik M, Demirelce Ö, Serdar MA, Mikailova P, Serteser M. A new haematocytometric index: Predicting severity and mortality risk value in COVID-19 patients. PLoS One. 2021 Aug 5;16(8):e0254073. https://doi.org/10.1371/journal.pone.0254073

Hejrati A, Nurzadeh M, Roham M. Association of coronavirus pathogencity with the level of antioxidants and immune system. Journal of Family Medicine and Primary Care. 2021 Feb;10(2):609.https://doi.org/10.4103%2Fjfmpc.jfmpc_1007_20

Khudhair ME, Hameed IH, Mekhlef AK. A Prospective and Retrospective Study of Acute Bronchitis in Hillah City-Iraq. Research Journal of Pharmacy and Technology. 2017;10(11):3839-44.‏‏ http://dx.doi.org/10.5958/0974-360X.2017.00696.5

Lee YL, Chen YC, Chen YA. Obesity and the occurrence of bronchitis in adolescents. Obesity. 2013 Jan;21(1):E149-53. https://doi.org/10.1002/oby.20262

Dobner J, Kaser S. Body mass index and the risk of infection-from underweight to obesity. Clinical microbiology and infection. 2018 Jan 1;24(1):24-8.https://doi.org/10.1016/j.cmi.2017.02.013

Crouser ED, Parrillo JE, Seymour C, Angus DC, Bicking K, Tejidor L, Magari R, Careaga D, Williams J, Closser DR, Samoszuk M. Improved early detection of sepsis in the ED with a novel monocyte distribution width biomarker. Chest. 2017 Sep 1;152(3):518-26.https://doi.org/10.1016/j.chest.2017.05.039

James AL, Knuiman MW, Divitini ML, Musk AW, Ryan G, Bartholomew HC. Associations between white blood cell count, lung function, respiratory illness and mortality: the Busselton Health Study. European Respiratory Journal. 1999 May 1;13(5):1115-9.https://doi.org/10.1034/j.1399-3003.1999.13e29

Huang I, Pranata R. Lymphopenia in severe coronavirus disease (2019) (COVID-19): systematic review and meta-analysis. Journal of intensive care. 2020 Dec;8:1-0.

Yang AP, Liu JP, Tao WQ, Li HM. The diagnostic and predictive role of NLR, d-NLR and PLR in COVID-19 patients. International immunopharmacology. 2020 Jul 1;84:106504.https://doi.org/10.1016/j.intimp.2020.106504

Camp JV, Jonsson CB. A role for neutrophils in viral respiratory disease. Frontiers in immunology. 2017 May 12;8:550.

Rossi JF, Lu ZY, Massart C, Levon K. Dynamic immune/inflammation precision medicine: the good and the bad inflammation in infection and cancer. Frontiers in immunology. 2021 Feb 23;12:595722..‏ https://doi.org/10.3389/fimmu.2021.595722

https://doi.org/10.3389/fimmu.2021.595722

Mercier J, Voutsadakis IA. The platelets-neutrophils to lymphocytes ratio: a new prognostic marker in metastatic colorectal cancer. Journal of Gastrointestinal Oncology. 2018 Jun;9(3):478.https://doi.org/10.21037%2Fjgo.2018.03.13

Mao C, Yuan JQ, Lv YB, Gao X, Yin ZX, Kraus VB, Luo JS, Chei CL, Matchar DB, Zeng Y, Shi XM. Associations between superoxide dismutase, malondialdehyde and all-cause mortality in older adults: a community-based cohort study. BMC geriatrics. 2019 Dec;19:1-9.

Sánchez-Rodríguez MA, Mendoza-Núñez VM. Oxidative stress indexes for diagnosis of health or disease in humans. Oxidative medicine and cellular longevity. 2019 Nov 25;2019.https://doi.org/10.1155/2019/4128152

Karkhanei B, Ghane ET, Mehri F. Evaluation of oxidative stress level: Total antioxidant capacity, total oxidant status and glutathione activity in patients with COVID-19. New Microbes and New Infections. 2021 Jul 1;42:100897..‏ https://doi.org/10.1016/j.nmni.2021.100897

Lin N, Verma D, Saini N, Arbi R, Munir M, Jovic M, Turak A. Antiviral nanoparticles for sanitizing surfaces: A roadmap to self-sterilizing against COVID-19. Nano Today. 2021 Oct 1;40:101267.. https://doi.org/10.1016/j.nantod.2021.101267

Garren MR, Ashcraft M, Qian Y, Douglass M, Brisbois EJ, Handa H. Nitric oxide and viral infection: Recent developments in antiviral therapies and platforms. Applied materials today. 2021 Mar 1;22:100887..‏ https://doi.org/10.1016/j.apmt.2020.100887

Sodano F, Gazzano E, Fruttero R, Lazzarato L. NO in Viral Infections: Role and Development of Antiviral Therapies. Molecules. 2022 Apr 5;27(7):2337.https://doi.org/10.3390/molecules27072337

Mohammed SK, Taha EM, Muhi SA, Hosbital AY. PENTRAXIN3 AND NITRIC OXIDE-ASSOCIATED WITH AN ATHEROGENIC INDEX AND TYPE II DIABETES MELLITUS. Biochemical & Cellular Archives. 2020 Apr 1;20(1).https://doi.org/10.35124/bca.2020.20.1.2009

Gautam S, Cohen AJ, Stahl Y, Toro PV, Young GM, Datta R, Yan X, Ristic NT, Bermejo SD, Sharma L, Restrepo MI. Severe respiratory viral infection induces procalcitonin in the absence of bacterial pneumonia. Thorax. 2020 Nov 1;75(11):974-81..‏ http://dx.doi.org/10.1136/thoraxjnl-2020-214896

Carbonell R, Moreno G, Martín-Loeches I, Bodí M, Rodríguez A. The Role of Biomarkers in Influenza and COVID-19 Community-Acquired Pneumonia in Adults. Antibiotics. 2023 Jan 12;12(1):161.. https://doi.org/10.3390/antibiotics12010161

 Acute bronchitis; lymphocytes; Neutrophils; Nitric oxide; Procalcitonin.

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Published

01.07.2024

How to Cite

1.
Abdulsada HA, Taha EM. Nitric Oxide, Procalcitonin and Oxidative Stress Index Levels in Acute Bronchitis Patients. J Fac Med Baghdad [Internet]. 2024 Jul. 1 [cited 2024 Oct. 12];66(2):129-34. Available from: https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2257

Publication Dates

Received

2023-10-29

Revised

2024-02-08

Accepted

2024-03-10

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