Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media

Many studies have evaluated the roles of free radicals and reactive oxygen species (ROS) in various diseases. To date, however, no systematic review has specifically investigated the involvement of free radicals and ROS in acute otitis media (OM), OM with effusion, and chronic OM. The present study...

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Main Authors: Jeongmin Lee, Seok Min Hong, Yong Sung Choi, Jinseok Lee, Joon Hyung Yeo, Sung Soo Kim, Jae Min Lee, Dong Keon Yon, Seung Geun Yeo
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Antioxidants
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Online Access:https://www.mdpi.com/2076-3921/14/1/3
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author Jeongmin Lee
Seok Min Hong
Yong Sung Choi
Jinseok Lee
Joon Hyung Yeo
Sung Soo Kim
Jae Min Lee
Dong Keon Yon
Seung Geun Yeo
author_facet Jeongmin Lee
Seok Min Hong
Yong Sung Choi
Jinseok Lee
Joon Hyung Yeo
Sung Soo Kim
Jae Min Lee
Dong Keon Yon
Seung Geun Yeo
author_sort Jeongmin Lee
collection DOAJ
description Many studies have evaluated the roles of free radicals and reactive oxygen species (ROS) in various diseases. To date, however, no systematic review has specifically investigated the involvement of free radicals and ROS in acute otitis media (OM), OM with effusion, and chronic OM. The present study therefore assessed the roles of free radicals and ROS in OM. SCOPUS, PubMed, Cochrane Library, EMBASE, and Google Scholar were comprehensively searched to identify studies assessing the roles of free radicals and ROS in OM. Relevant studies were identified and their findings summarized. The literature search identified 21 studies. A review of their findings showed that the concentrations of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), lipid hydroperoxide (LPO), and myeloperoxidase (MPO) were elevated in patients with acute OM; that the concentrations of H<sub>2</sub>O<sub>2</sub>, LPO, MPO, xanthine oxidase (XO), superoxide dismutase (SOD), glutathione peroxidase (GPX), malondialdehyde (MDA), hydroxyl radical (·OH), and nitrotyrosine were elevated in patients with OM with effusion; and that the levels of nitric oxide (NO), MPO, 4-hydroxynonenal (4-HNE), and malondialdehyde (MDA) were elevated in patients with chronic OM. Although some studies reported that SOD levels were increased in patients with OM with effusion, decreases in antioxidants such as SOD and catalase, as well as total antioxidant capacity, were observed across all types of OM. Although the levels of free radicals and ROS varied by type of OM, study design, control group selection, sample type, ROS and free radical markers, and antioxidant types, most studies showed increased ROS and decreased antioxidants in OM patients. These findings suggest that levels of free radicals and ROS are strongly associated with the pathophysiology of OM.
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spelling doaj-art-a8c75b6582204e3bb9472d85844d1f882025-01-24T13:19:04ZengMDPI AGAntioxidants2076-39212024-12-01141310.3390/antiox14010003Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis MediaJeongmin Lee0Seok Min Hong1Yong Sung Choi2Jinseok Lee3Joon Hyung Yeo4Sung Soo Kim5Jae Min Lee6Dong Keon Yon7Seung Geun Yeo8Department of Medicine, College of Medicine, Kyung Hee University Medical Center, Seoul 02447, Republic of KoreaDepartment of Otorhinolaryngology—Head and Neck Surgery, College of Medicine, Kyung Hee University Medical Center, Kyung Hee University, Seoul 02447, Republic of KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Kyung Hee University Medical Center, Seoul 02447, Republic of KoreaDepartment of Biomedical Engineering, Kyung Hee University, Seoul 02447, Republic of KoreaPublic Health Center, Danyang-gun 27010, Chungcheongbuk-do, Republic of KoreaDepartment of Biochemistry and Molecular Biology, College of Medicine, Kyung Hee University, Seoul 02447, Republic of KoreaDepartment of Otorhinolaryngology—Head and Neck Surgery, College of Medicine, Kyung Hee University Medical Center, Kyung Hee University, Seoul 02447, Republic of KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Kyung Hee University Medical Center, Seoul 02447, Republic of KoreaDepartment of Otorhinolaryngology—Head and Neck Surgery, College of Medicine, Kyung Hee University Medical Center, Kyung Hee University, Seoul 02447, Republic of KoreaMany studies have evaluated the roles of free radicals and reactive oxygen species (ROS) in various diseases. To date, however, no systematic review has specifically investigated the involvement of free radicals and ROS in acute otitis media (OM), OM with effusion, and chronic OM. The present study therefore assessed the roles of free radicals and ROS in OM. SCOPUS, PubMed, Cochrane Library, EMBASE, and Google Scholar were comprehensively searched to identify studies assessing the roles of free radicals and ROS in OM. Relevant studies were identified and their findings summarized. The literature search identified 21 studies. A review of their findings showed that the concentrations of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), lipid hydroperoxide (LPO), and myeloperoxidase (MPO) were elevated in patients with acute OM; that the concentrations of H<sub>2</sub>O<sub>2</sub>, LPO, MPO, xanthine oxidase (XO), superoxide dismutase (SOD), glutathione peroxidase (GPX), malondialdehyde (MDA), hydroxyl radical (·OH), and nitrotyrosine were elevated in patients with OM with effusion; and that the levels of nitric oxide (NO), MPO, 4-hydroxynonenal (4-HNE), and malondialdehyde (MDA) were elevated in patients with chronic OM. Although some studies reported that SOD levels were increased in patients with OM with effusion, decreases in antioxidants such as SOD and catalase, as well as total antioxidant capacity, were observed across all types of OM. Although the levels of free radicals and ROS varied by type of OM, study design, control group selection, sample type, ROS and free radical markers, and antioxidant types, most studies showed increased ROS and decreased antioxidants in OM patients. These findings suggest that levels of free radicals and ROS are strongly associated with the pathophysiology of OM.https://www.mdpi.com/2076-3921/14/1/3free radicalsreactive oxygen speciesotitis media
spellingShingle Jeongmin Lee
Seok Min Hong
Yong Sung Choi
Jinseok Lee
Joon Hyung Yeo
Sung Soo Kim
Jae Min Lee
Dong Keon Yon
Seung Geun Yeo
Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
Antioxidants
free radicals
reactive oxygen species
otitis media
title Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
title_full Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
title_fullStr Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
title_full_unstemmed Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
title_short Narrative Review of Free Radicals and Reactive Oxygen Species in Otitis Media
title_sort narrative review of free radicals and reactive oxygen species in otitis media
topic free radicals
reactive oxygen species
otitis media
url https://www.mdpi.com/2076-3921/14/1/3
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