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TOTAL ANTIOXIDANT STATUS (TAS)
Introduction:
Free radicals have been implicated in numerous human
diseases including cancer, heart disease, lung disease, eye disorders, inflammatory
disease, rheumatoid arthritis and the aging process. Free radicals are formed in the human
body during normal cellular metabolism and after exposure to any of the following agents
UV light, gamma radiation, environmental pollutants (such as metals and xenobiotics) and
cigarette smoke. For more information on free radicals
section of this web site.
Antioxidant systems are capable of removing free
radicals, thereby providing protection from free radical attack from such destructive
molecules as H2O2 and the RO., ROO. and O2. radicals.
Three main groups of antioxidants make up the
antioxidant defense system. These include the primary, secondary, and tertiary defense.
The TAS test measures the total antioxidant effect of these three defense systems
in circulation. The three systems are as follows:
- Primary antioxidants
work by preventing the
formation of new free radical species. These include superoxide dismutase (SOD),
glutathione peroxidase (GPx) and metal-binding proteins (e.g. ferritin or ceruloplasmin).
- Secondary antioxidants
trap radicals thereby
preventing chain reactions. Examples include Vitamin E, vitamin C, beta-carotene, uric
acid, bilirubin, and albumin.
- Tertiary antioxidants
repair biomolecules damaged
by free radicals. These include DNA repair enzymes.
References:
- Boyce, N, Oxidative Stress Testing: A New Addition to Lab Menus? Clin. Lab
News 23:1-2 (1997).
- Diaz, MN, et al., Antioxidants and Atherosclerotic Heart Disease, New Engl.
J. Med. 337:408-416 (1997).
- Halliwell, B & Gutteridge, JMC, The Antioxidants of Human Extracellular Fluids,
Archives of Biochemistry and Biophysics 280:1-8 (1990).
- Jacob, RA, The Integrated Antioxidant System, Nutrition Research 15:755-766
(1995).
- Knoght, JA, Diseases Related to Oxygen-derived Free Radicals, Ann. Clin.
Lab. Sci. 25:111-121 (1995).
- Martinez-Cayuela, M, Oxygen Free Radicals and Human Disease, Biochimie 77:147-161
(1995).
- Rusting, RL, Why Do We Age? Scientific American December:130-141
(1992).
Assay Principle
The test is designed to measure all of the
antioxidants present in the specimen by their abilities to inhibit a specific enzymatic
oxidation reaction. The assay response is standardized against the antioxidant standard
Trolox.
References:
- Miller, NJ et al. A novel method for measuring antioxidant capacity and its
application to monitoring the antioxidant status in premature neonates, Clinical
Science 84:407-412 (1993).
- Miller, NJ & Rice-Evans, CA, Spectrophotometric determination of antioxidant
activity, Redox Report 2:161-171 (1996).
- Miller, NJ et al. Serum total antioxidant activity after myocardial infarction, Ann.
Clin. Biochem. 34:85-90 (1997).
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Copyright © 1997 King James Medical Laboratory, Inc.
Last modified: December 03, 1998