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8/18/2019 Malondialdehid
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Malondialdehid
Malondialdehyde (MDA) is an end-product of the radical-initiated oxidativedecomposition of polyunsaturated fatty acids; therefore, it is frequently used as a biomarker of
oxidative stress !
"he overproduction of reactive species results in oxidative stress #n other $ords, it can
be a combination of an increased formation of oxy%en-nitro%en derived radicals and reducedantioxidant capacity, causin% an imbalance that mi%ht result in the attack of cellular components,
especially lipids #t has been implicated in the patho%enesis of various diseases includin%diabetes,& cancer,' and atherosclerosis
ince it is complex measurin% free radicals directly in vivo, it is necessary to carry out the
quantification of cellular components $hich can react $ith these free radicals, such as proteins,D*A and mainly lipids+ nce lipid peroxides are unstable compounds, they tend to de%rade
rapidly in a variety of sub products MDA is one of the most kno$n secondary products of lipid
peroxidation, and it can be used as a marker of cell membrane inury
.ipid peroxidation is a free-radical-mediated chain of reactions that, once initiated,results in an oxidative deterioration of polyunsaturated lipids "he most common tar%ets are
components of biolo%ical membranes /hen propa%ated in biolo%ical membranes, thesereactions can be initiated or enhanced by a number of toxic products, includin% endoperoxidesand aldehydes
MDA, is a hi%hly reactive three carbon dialdehyde produced as a byproduct of polyunsaturated
fatty acid peroxidation and also durin% arachidonic acid metabolism for the synthesis of prosta%landins MDA can combine $ith several functional %roups on molecules includin%
proteins, lipoproteins, 0*A and D*A "he monitorin% of MDA levels in biolo%ical materials can
be used as an important indicator of lipid peroxidation in vitro and in vivo for various diseases&
A MDA formation route is described in1i%ure ! "he tar%et of reactive speciesis the
carbon-carbon double bond of polyunsaturated fatty
acids (#) "his double bond $eakens the carbon-hydro%en bond, allo$in% easy abstraction of the
hydro%en by a free radical "hen, a free radical can
abstract the hydro%en atom and a lipid free radicalis formed (##), $hich suffers oxidation %eneratin% a
peroxyl radical (###) "he peroxyl radical can react
$ith other polyunsaturated fatty acids, abstractin%an electron and producin% a lipid hydroperoxide
(#2) and another lipid free radical "his process can
be propa%ated continually in a chain reaction"he
lipid hydroperoxide is unstable and its
fra%mentation yields products such asmalondialdehyde (2) and '-hydroxy--nonenal
#n diabetes, persistent hyper%lycemia may cause hi%h production of free radicalattributed to protein %lycation or %lucose auto-oxidation MDA levels $ere found hi%her in "ype
diabetics than in healthy controls in a study carried out by 3esavulu et al.& "he research %roup
also observed that diabetic patients $ith coronary heart disease had hi%her levels of MDA thanthose diabetics $ithout this disease #t sho$s that cardiovascular diseases have also been related
to free radical-mediated mechanisms and to lipid peroxidation, alon% $ith the fact that they are a
4ambar skema pembentukan MDA dari polyunsaturated fatty acid
8/18/2019 Malondialdehid
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maor cause of mortality and morbidity in hemodialysis patients tudy reported by cott et al.
demonstrated that plasma MDA values $ere elevated in hemodialysis patients and hi%her in
hemodialysis patients $ith cardiovascular complications5o$ever, the exact role played by lipid peroxidation on cellular toxicity has not yet been
clearly identified $hether lipid peroxidation is the cause or is a secondary out come of cellular
inury