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Knee replacement  surgery is an ischemia/reperfusion model, as it uses tourniquet applied to the  knee area to stop the blood flow during the operation. Fifty patients that were  undergoing elective arthroscopic knee surgery were included in our study. Human  8-oxoguanine glycosylase 1 (hOGG1) is an enzyme to repair specific DNA lesions  and a good marker of hydroxyl radical damage to DNA. XPD is another DNA repair  gene. We investigated the effect of hOGG1 (Ser326Cys) and XPD (Lys751Gln)  polymorphisms on the oxidative stress level after reperfusion. To evaluate  oxidative stress conditions, we measured 8-hydroxyguanosine and malondialdehyde  (MDA) levels. Polymorphism analyses were done by PCR-RFLP; serum  8-hydroxyguanosine and MDA levels were determined by enzyme-linked immunoassay.  There were no significant differences between serum MDA and 8-hydroxyguanosine  levels in the samples taken before and after tourniquet application; none of  these parameters were related with hOGG1 genotypes. However, we observed  increased MDA levels after tourniquet application in M allele carriers for the  XPD gene; this could mean that M allele carriers are more prone to DNA damage  due to oxidative activity.

XPD and hOGG1 gene polymorphisms in reperfusion oxidative stress