Oxygen-derived free radicals play an important role in multiple pediatric n
eurologic diseases. Five intracellular free radical scavenging enzymes and
three trace elements provide a significant portion of the body's defenses a
gainst free radical-mediated injury. Although the effects of age, sex, and
ethnicity on the body's antioxidant defenses have been described, no study
has examined whether racial differences exist. This pilot study sought to d
etermine the effect of racial differences on the activity of five free radi
cal scavenging enzymes and the concentrations of three associated trace ele
ments in normal, healthy American children. The erythrocyte and plasma acti
vities of five major free radical scavenging enzymes (glutathione peroxidas
e, glutathione reductase, glutathione-S-transferase, catalase, and superoxi
de dismutase) and plasma concentrations of three associated trace elements
(selenium, copper, and zinc) were determined for 83 healthy American childr
en, aged 1 to 18 years. One- and two-way interactions of race, age, and sex
with each dependent variable were analyzed. African-Americans had higher e
rythrocyte glutathione peroxidase activity, erythrocyte superoxide dismutas
e activity, and selenium and copper concentrations than Caucasians. Racial
inequalities do exist in free radical scavenging enzyme activity and trace
element concentration in healthy children. African-American children had hi
gher activity in the two most important free radical scavenging enzymes use
d by the brain compared to age- and sex-matched Caucasian children. Future
clinical research in free radical-mediated pediatric neurologic diseases ne
eds to consider race along with age and sex in both study design and data a
nalysis.