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From the Department of Neurology and Medical School (Drs. Schulz, Dehmer, Bürk, and Dichgans, and H. Mende), University of Tübingen, Germany; Department of Neurology (Dr. Schöls), St. Josef Hospital, Ruhr-University, Bochum, Germany; Department of Human Genetics (Dr. Hardt), University of Essen, Germany; Department of Neurology (Dr. Vorgerd), Bergmannsheil Hospital, Ruhr-University, Bochum, Germany; ESA Inc. (Drs. Matson and Bogdanov), Chelmsford, MA; and Departments of Neurology and Neuroscience (Drs. Beal and Bogdanov), Weill Medical College & Cornell University and the New York Presbytarian Hospital, New York, NY.
Address correspondence and reprint requests to Dr. Jörg B. Schulz, Department of Neurology, University of Tübingen, Hoppe-Seyler-Str. 3, D-72076 Tübingen, Germany; e-mail: joerg.b.schulz{at}uni-tuebingen.de
Increased generation of reactive oxygen species may underlie the pathophysiology of Friedreich ataxia (FRDA). The authors measured concentrations of 8-hydroxy-2-deoxyguanosine (8OH2dG), a marker of oxidative DNA damage, in urine and of dihydroxybenzoic acid (DHBA), a marker of hydroxyl radical attack, in plasma of 33 patients with FRDA. They found a 2.6-fold increase in normalized urinary 8OH2dG but no change in plasma DHBA as compared with controls. Oral treatment with 5 mg/kg/day of the antioxidant idebenone for 8 weeks significantly decreased urinary 8OH2dG concentrations, indicating that 8OH2dG may be useful in monitoring therapeutic interventions in patients with FRDA.1721
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