Effect of natural polyphenols (Pycnogenol) on oxidative stress markers in children suffering from Crohn's disease--a pilot study

Free Radic Res. 2013 Aug;47(8):624-34. doi: 10.3109/10715762.2013.807508. Epub 2013 Jun 13.

Abstract

Crohn's disease (CD) is a nonspecific, chronic inflammatory disease of the gastrointestinal tract. It is supposed that in etiopathogenesis oxidative stress (OS) plays a role. However, its precise role in the active and non-active states of disease is not known yet. We conducted a pilot study focusing on the relationship between OS of CD in remission and the possibility to influence clinical parameters and markers of OS by polyphenolic extract, Pycnogenol® (Pyc). Compared to 15 healthy controls 15 pediatric CD patients (all were in remission according to their disease activity index - PCDAI) had reduced the activity of Cu/Zn-superoxide dismutase (SOD) and increased the oxidative damage to proteins. We found negative correlations between markers of inflammation (calprotectin, CRP) as well as between PCDAI and total antioxidant capacity (TAC). Activities of antioxidant enzymes, SOD, and glutathione peroxidase (GPX) negatively correlated with calprotectin and PCDAI. Pyc (2 mg/kg) positively influenced the parameters of OS in CD patients after 10 weeks of administration.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Amine Oxidase (Copper-Containing) / metabolism
  • Antioxidants / metabolism
  • Biomarkers / metabolism
  • Child
  • Crohn Disease / diagnosis
  • Crohn Disease / drug therapy
  • Crohn Disease / metabolism*
  • Female
  • Flavonoids / administration & dosage
  • Flavonoids / pharmacology*
  • Humans
  • Inflammation / metabolism
  • Leukocyte L1 Antigen Complex / metabolism
  • Male
  • Mesalamine / administration & dosage
  • Mesalamine / therapeutic use
  • Oxidative Stress / drug effects*
  • Pilot Projects
  • Plant Extracts

Substances

  • Antioxidants
  • Biomarkers
  • Flavonoids
  • Leukocyte L1 Antigen Complex
  • Plant Extracts
  • Mesalamine
  • pycnogenols
  • Amine Oxidase (Copper-Containing)