International Journal of Molecular Sciences (Mar 2023)

Direct Application of 3-Maleimido-PROXYL for Proving Hypoalbuminemia in Cases of SARS-CoV-2 Infection: The Potential Diagnostic Method of Determining Albumin Instability and Oxidized Protein Level in Severe COVID-19

  • Ekaterina Georgieva,
  • Vasil Atanasov,
  • Rositsa Kostandieva,
  • Vanya Tsoneva,
  • Mitko Mitev,
  • Georgi Arabadzhiev,
  • Yovcho Yovchev,
  • Yanka Karamalakova,
  • Galina Nikolova

DOI
https://doi.org/10.3390/ijms24065807
Journal volume & issue
Vol. 24, no. 6
p. 5807

Abstract

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Oxidative stress and the albumin oxidized form can lead to hypoalbuminemia, which is a predisposing factor for reduced treatment effectiveness and an increased mortality rate in severe COVID-19 patients. The aim of the study is to evaluate the application of free radical 3-Maleimido-PROXYL and SDSL-EPR spectroscopy in the in vitro determination of ox/red HSA in serum samples from patients with SARS-CoV-2 infection. Venous blood was collected from patients intubated (pO2 max values and ΔH0 spectral parameters comparable to those of 3-Maleimido-PROXYL/DMSO. Based on the obtained results, we suggest that the stable nitroxide radical 3-Maleimido-PROXYL can be successfully used as a marker to study oxidized albumin levels in COVID-19.

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