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Volume 55, Number 11, December 12, 2000
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Neurology 2000;55:1719-1721
© 2000 American Academy of Neurology


Brief Communications

Oxidative stress in patients with Friedreich ataxia

J. B. Schulz, MD, T. Dehmer, MD, L. Schöls, MD, H. Mende, C. Hardt, MD, M. Vorgerd, MD, K. Bürk, MD, W. Matson, PhD, J. Dichgans, MD, M.F. Beal, MD and M.B. Bogdanov, PhD

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 (8OH2’dG), 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 8OH2’dG 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 8OH2’dG concentrations, indicating that 8OH2’dG may be useful in monitoring therapeutic interventions in patients with FRDA.–1721




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