P044 Associations of the redox state of cysteine-34 of human albumin with age, kidney function and vascular health Brigitte M. Winklhofer-Roob1, Karl Oettl2, Gernot Faustmann1, Theopisti Maimari2, Hildegard Hafner-Giessauf2, Beate Tiran2, Alexander R. Rosenkranz2 and Johannes M. Roob2 1 Karl-Franzens University of Graz, Graz, Austria 2 Medical University of Graz, Graz, Austria Background: The goal of the FP7-project BIOCLAIMS is to identify biomarkers of metabolic robustness and health. Albumin, a human plasma protein, is abundantly present in the circulation and highly susceptible to oxidative modification. Subjects and Methods: After an overnight fast, 784 healthy volunteers and patients with impaired renal function were studied for vascular status (flow-mediated dilatation, FMD; intima-media thickness, IMT), kidney function (estimated glomerular filtration rate, eGFR-MDRD), vitamin C status, and 3 fractions of human albumin, based on the redox state of cysteine-34: non-oxidized mercaptalbumin containing a free thiol group (HMA), reversibly oxidized non-mercaptalbumin-1 containing a disulfide (HNA-1), and irreversibly oxidized non-mercaptalbumin-2 containing a sulfinic or sulfonic acid group (HNA2), by HPLC with fluorescence detection (Methods Enzymol 2010;474:181). Results: HMA decreased with decreasing eGFR (r=0.639), while HNA1 showed the opposite (r=0.637). FMD (% change after ischemia) was positively associated with HMA (r=0.445) and inversely with HNA1 (r=0,447), while IMT increased with decreasing HMA (r=0.529) and with increasing HNA1 (r=-0,529). HMA decreased (r=0.622), while HNA1 increased (r=0.628) with age. Plasma ascorbate concentrations were positively associated with HMA (r=0.277) and inversely with HNA1 (r=0.288). All P-values <0.001. Changes in HNA2 were small, but still statistically significant for eGFR and age. Conclusions: The redox state of albumin is associated with age, vitamin C status, kidney function and vascular function/status and could serve as a biomarker of the capacity to cope with oxidative stress.
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