Alterações oxidativas em portadores de doença de Parkinson: correlação com critérios clínicos e estágios da doença

Abstract

Parkinson's disease (PD) is a neurologic disease of the most prevalent. In this disease, have neurodegeneration in the nigrostriatal system with altered neuronal circuitry of the basal ganglia leading to motor impairment characteristic of the disease. The classic symptoms are resting tremor, rigidity, akinesia or bradykinesia and postural instability. The pathogenesis of PD remains unclear. However, it is estimated that the mitochondrial and the development of oxidative stress in the substantia nigra have an important role in this process. The diagnosis of PD is clinical and usually occurs late, when most neurons nigrais is degenerate. Some studies have shown the neuroprotective effect of antiparkinsonian medications, and the earlier introduction of treatment better the long-term prognosis of the disease. Therefore, the peripheral development of markers to assist in early diagnosis is important for to start the treatment time delay the progress of neuronal death. The aim of this study was to verify the existence of alterations in oxidant and antioxidant parameters in blood of PD patients and its relationship with disease stage and clinical criteria. We evaluated 30 patients with PD and 30 individuals without the disease. To evaluate the stage of disease and clinical character were applied Hoehn & Yahr and UPDRS (unified scale for Parkinson's disease) scales in parkinsonian patients. To evaluate the oxidative activity in plasma of individuals, was analyzed by measuring lipid peroxidation products from the action of Reactive Oxygen and Nitrogen (Eron, TBARS) and to evaluate the antioxidant response was made to evaluate the Total Antioxidant Capacity (TEAC). In groups mild DP and moderate DP was found higher TBARS value and lower TEAC value compared to controls and impairment PD (p <0.05), confirming the presence of oxidative stress in the early stages of PD. In this study these parameters proved to be good peripheral markers of oxidative stress, contributing to an early diagnosis of PD.