Oxidative Stress and Down Syndrome: A Systematic Review

Down syndrome (DS), the most common human aneuploidy, is associated with oxidative stress, which contributes to morphological abnormalities, immune dysfunction, cognitive impairment and accelerated ageing. This article aims to provide an overview of the studies on oxidative stress in DS, in particul...

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Main Authors: Goran Slivšek, Sandra Mijač, Ivan Dolanc, Marija Fabijanec, Silvija Petković, Renato Mautner, Karmen Lončarek, Josip Kranjčić, Alenka Boban Blagaić, Marin Marinović, Ksenija Vitale, Donatella Verbanac, Miran Čoklo, Jadranka Vraneković
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Antioxidants
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Online Access:https://www.mdpi.com/2076-3921/14/7/816
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author Goran Slivšek
Sandra Mijač
Ivan Dolanc
Marija Fabijanec
Silvija Petković
Renato Mautner
Karmen Lončarek
Josip Kranjčić
Alenka Boban Blagaić
Marin Marinović
Ksenija Vitale
Donatella Verbanac
Miran Čoklo
Jadranka Vraneković
author_facet Goran Slivšek
Sandra Mijač
Ivan Dolanc
Marija Fabijanec
Silvija Petković
Renato Mautner
Karmen Lončarek
Josip Kranjčić
Alenka Boban Blagaić
Marin Marinović
Ksenija Vitale
Donatella Verbanac
Miran Čoklo
Jadranka Vraneković
author_sort Goran Slivšek
collection DOAJ
description Down syndrome (DS), the most common human aneuploidy, is associated with oxidative stress, which contributes to morphological abnormalities, immune dysfunction, cognitive impairment and accelerated ageing. This article aims to provide an overview of the studies on oxidative stress in DS, in particular the investigation of endogenous and exogenous antioxidants, with a focus on endogenous systems. A literature search in MEDLINE and Scopus based on the PRISMA 2020 criteria revealed 41 relevant studies that mainly analysed blood samples (plasma or serum) and occasionally saliva or urine. The findings suggest that oxidative stress in DS is multifactorial and results from an imbalance of superoxide dismutase activity, overexpression of genes on chromosome 21, mitochondrial dysfunction and inflammation. Despite extensive studies over the decades, new sources and mechanisms for oxidative stress in DS continue to emerge, further highlighting the complexity of DS. The recognition that oxidative stress is a hallmark of DS emphasises the need to develop more sensitive and specific methods to detect it and to investigate the associated metabolic pathways in DS in more detail. The expansion of in vivo studies could facilitate the development of targeted interventions aimed at mitigating oxidative damage and ultimately improving outcomes for individuals with DS.
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series Antioxidants
spelling doaj-art-9f3801fd4bfd4057bdd871d67142f7bf2025-08-20T03:55:48ZengMDPI AGAntioxidants2076-39212025-07-0114781610.3390/antiox14070816Oxidative Stress and Down Syndrome: A Systematic ReviewGoran Slivšek0Sandra Mijač1Ivan Dolanc2Marija Fabijanec3Silvija Petković4Renato Mautner5Karmen Lončarek6Josip Kranjčić7Alenka Boban Blagaić8Marin Marinović9Ksenija Vitale10Donatella Verbanac11Miran Čoklo12Jadranka Vraneković13Institute for Anthropological Research, Gajeva ulica 32, 10000 Zagreb, CroatiaFaculty of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, CroatiaInstitute for Anthropological Research, Gajeva ulica 32, 10000 Zagreb, CroatiaFaculty of Pharmacy and Biochemistry, University of Zagreb, Ulica Ante Kovačića 1, 10000 Zagreb, CroatiaFaculty of Medicine, University of Rijeka, Ulica Braće Branchetta 20, 51000 Rijeka, CroatiaFaculty of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, CroatiaFaculty of Medicine, University of Rijeka, Ulica Braće Branchetta 20, 51000 Rijeka, CroatiaSchool of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000 Zagreb, CroatiaFaculty of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, CroatiaFaculty of Medicine, University of Rijeka, Ulica Braće Branchetta 20, 51000 Rijeka, CroatiaFaculty of Medicine, University of Zagreb, Šalata 3, 10000 Zagreb, CroatiaFaculty of Pharmacy and Biochemistry, University of Zagreb, Ulica Ante Kovačića 1, 10000 Zagreb, CroatiaInstitute for Anthropological Research, Gajeva ulica 32, 10000 Zagreb, CroatiaFaculty of Medicine, University of Rijeka, Ulica Braće Branchetta 20, 51000 Rijeka, CroatiaDown syndrome (DS), the most common human aneuploidy, is associated with oxidative stress, which contributes to morphological abnormalities, immune dysfunction, cognitive impairment and accelerated ageing. This article aims to provide an overview of the studies on oxidative stress in DS, in particular the investigation of endogenous and exogenous antioxidants, with a focus on endogenous systems. A literature search in MEDLINE and Scopus based on the PRISMA 2020 criteria revealed 41 relevant studies that mainly analysed blood samples (plasma or serum) and occasionally saliva or urine. The findings suggest that oxidative stress in DS is multifactorial and results from an imbalance of superoxide dismutase activity, overexpression of genes on chromosome 21, mitochondrial dysfunction and inflammation. Despite extensive studies over the decades, new sources and mechanisms for oxidative stress in DS continue to emerge, further highlighting the complexity of DS. The recognition that oxidative stress is a hallmark of DS emphasises the need to develop more sensitive and specific methods to detect it and to investigate the associated metabolic pathways in DS in more detail. The expansion of in vivo studies could facilitate the development of targeted interventions aimed at mitigating oxidative damage and ultimately improving outcomes for individuals with DS.https://www.mdpi.com/2076-3921/14/7/816aneuploidyantioxidantsbiomarkerschromosome disordersDown syndromefree radicals
spellingShingle Goran Slivšek
Sandra Mijač
Ivan Dolanc
Marija Fabijanec
Silvija Petković
Renato Mautner
Karmen Lončarek
Josip Kranjčić
Alenka Boban Blagaić
Marin Marinović
Ksenija Vitale
Donatella Verbanac
Miran Čoklo
Jadranka Vraneković
Oxidative Stress and Down Syndrome: A Systematic Review
Antioxidants
aneuploidy
antioxidants
biomarkers
chromosome disorders
Down syndrome
free radicals
title Oxidative Stress and Down Syndrome: A Systematic Review
title_full Oxidative Stress and Down Syndrome: A Systematic Review
title_fullStr Oxidative Stress and Down Syndrome: A Systematic Review
title_full_unstemmed Oxidative Stress and Down Syndrome: A Systematic Review
title_short Oxidative Stress and Down Syndrome: A Systematic Review
title_sort oxidative stress and down syndrome a systematic review
topic aneuploidy
antioxidants
biomarkers
chromosome disorders
Down syndrome
free radicals
url https://www.mdpi.com/2076-3921/14/7/816
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