Objectives - Substantial evidence supports the hypothesis that oxygen free
radicals are involved in various neurodegenerative disorders. To assess the
presence of oxidative stress in Creutzfeldt-Jakob disease (CJD) we examine
d the concentrations of malondialdehyde (MDA) as an established marker of l
ipid peroxidation. Material and methods - MDA was quantified by high perfor
mance liquid chromatography (HPLC) in cerebrospinal fluid (CSF; n=12) and i
n serum (n=11) samples of CJD patients and healthy controls (n=15). Results
- Mean values in healthy controls: 2.56 nmol/ml +/- 0.46 (CSF) and 1.94 nm
ol/ml +/- 0.67 (serum); mean values in CJD patients: 2.64 nmol/ml +/- 0.67
(CSF) and 1.68 nmol/ml +/- 0.79 (serum). No significant (P > 0.05) differen
ce between CJD patients and controls was observed. Conclusions - The result
s indicated that the CSF and serum of CJD patients showed no higher endogen
ous levels of MDA as compared to normal healthy controls. These findings pr
ovide no evidence for an additional role of oxidative stress in the pathoge
netic mechanism underlying CJD neurodegeneration.