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Diagnosis and Prevention of Oxidative Stress

Medically Reviewed by The Medindia Medical Review Team on Mar 14, 2023


How do you Diagnose Oxidative Stress?

Tests to measure oxidative stress (OS) of cells are specialized tests and may not be available in all laboratories. There are several techniques to measure OS. Standard OS measurement methods include direct and indirect assessment of OS. The direct methods directly estimate ROS levels while the indirect methods measure the levels of the products formed due to oxidation of cellular components by free radicals and an indirect measure of reactive oxygen species (ROS).

Direct MethodsIndirect Methods
  • Chemiluminescence to measure ROS levels (most common)
  • ROS levels in white cells and platelets by flow cytometry
  • Cytochrome c reduction test
  • Nitroblue tetrazolium test
  • Fluorescein isothiocyanate (FITC)-labelled lectins
  • Xylenol orange based assay
  • Electron spin resonance
  • Myeloperoxidase or Endtz test
  • evels of products of lipid peroxidation, protein oxidation and DNA oxidation
  • Chemokine levels
  • Levels of antioxidants, micronutrients and enzymes
  • Redox potential (GSH/GSSG)
  • Thiobarbituric acid assay (TBARS)

How to Manage and Prevent Oxidative Stress?

It is not possible to totally avoid free radical exposure and oxidative stress. Past the middle age, anti-oxidant supplements can help and work as free radical scavengers. These supplements in the diet include - Vitamin C, Vitamin E, beta-carotene, coenzyme Q10, and trace elements including selenium and zinc.


The following measures may reduce oxidative cell damage and diseases associated with free radical cell injury.

References:

  1. Free radicals, antioxidants and functional foods: Impact on human health - (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922001/)
  2. Laboratory assessment of oxidative stress in semen - (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249911/)

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