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ANTIOXIDANTS in health and diseases MUHAMMAD IQBAL CHOUDHARY Dr. Panjwani Center for Molecular Medicine and Drug Research International Center for Chemical and Biological Sciences University of Karachi, Karachi-75270 Oxidation and Human Health One of the paradoxes of life on this planet is that the molecule that sustain aerobic life, oxygen, is not only fundamentally essential for energy metabolism and respiration, but implicated in many diseases and degenerative conditions. Marx, Science, 235, 529-531 (1985). Learning Objectives Understanding the relationship between oxidative stress, and health and diseases… • What are oxidants or ROS, types, sources, and activities? • Their role in normal physiological process • Their detrimental role in the onset and progression of diseases, chemical basis of oxidative damage! • Biomarkers of oxidative damage to the vital biomolecules and their analysis • What are antioxidants, types, sources and activities? • Perceived role of antioxidants in the preservation of health and prevention of diseases • Anti-oxidant drug development- challenges and opportunities CONTENT • • • • • • • • • • • • • • • • What is oxidation? Oxidation in biological system What are free radicals? Sources of free radicals Harmful effects of free radicals Damage to proteins and associated diseases Damage to DNA and associated diseases Damage to lipids and associated diseases Damage to carbohydrates and associated diseases What are antioxidants? Nature’s antioxidants system Dietary sources of antioxidants Oxidative Stress- Imbalance between oxidation and anti-oxidation Types of antioxidants Mechanism of anti-oxidation Bioassays used to discover new antioxidants Why This Topic? If you search for Antioxidants… • Sci-Finder • Pubmed • Google Search 305,081 Articles (April 2013) 384,341 Hits (April 2013) Over 7,000,000 Web pages (Jan. 2014) • Chemical Abstracts 131,961 Publications (2003-2013) What is Oxidation? • Combination of substrate with oxygen. • Reaction in which the atoms in a compound lose electrons. • Any compound, including oxygen, that can accept electrons is an oxidant or oxidizing agent (pro-oxidant), while a substance that donates electrons is a reductant or reducing agent (antioxidant). Oxidation in Biological System • We live in an aerobic environment • Oxygen is the life sustaining element • We consume approximately 3.5 kilograms of oxygen every day • 2.8 percent of the oxygen is not properly used and forms free radicals • Several kilograms of peroxides (harmful oxidized lipids) are produced in our body every year What are Free Radicals? • Free radicals (pro-oxidants) are any chemical species, capable of independent (although extremely short) existence with one or more unpaired electrons • Highly unstable and reactive • Looking for electrons from other sources to stabilize themselves. In this process they initiate a chain reaction of oxidation • Most commons are Reactive Oxygen Species (ROS) • Reactive Nitrogen Species (RNS) (NO., ONOO-, etc) or Reactive Sulfur Species (RSS) What are Reactive Oxygen Species (ROS)? • ROS are: a. b. • oxygen derived radicals (O2.-, .OH, ROO., 1O2, RO.) oxygen-derived non radical species (O2, H2O2, O3, ROOH, HOCl) They are now considered as major players in biochemical reactions, cellular response, and clinical outcome Triplet Oxygen (ground state) O O Singlet oxygen O O Superoxide O O Perhydroxyl Radical O O H Hydrogen Peroxide H O O H Hydroxyl Radical H O Hydroxyl Ion H O Water H O H O O: +22 O O O O: O O: +7.6 -21.7 H : O-O : H FREE ENERGY Kcal / mol -88 H:O +H:O:H -53.7 H:O:H Common Free Radicals Oxidant Description •O2-, superoxide anion One-electron reduced state of O2, formed in many autoxidation reactions and by the electron transport 2+ chain. Rather unreactive but can release Fe from iron-sulfur proteins and ferritin. Undergoes dismutation to form H2O2 spontaneously or by enzymatic catalysis and is a precursor for metalcatalyzed •OH formation. H2O2, hydrogen peroxide Two-electron reduction state, formed by dismutation of •O2- or by direct reduction of O2. Lipid soluble and thus able to diffuse across membranes. •OH, hydroxyl radical Three-electron reduction state, formed by Fenton reaction and decomposition of peroxynitrite. Extremely reactive, will attack most cellular components Common Free Radicals Oxidant Description ROOH, organic hydroperoxide Formed by radical reactions with cellular components such as lipids and nucleobases. RO•, alkoxy and ROO•, peroxy radicals Oxygen centered organic radicals. Lipid forms participate in lipid peroxidation reactions. Produced in the presence of oxygen by radical addition to double bonds or hydrogen abstraction. ONOO-, peroxynitrite Formed in a rapid reaction between •O2- and NO•. Lipid soluble and similar in reactivity to hypochlorous acid. Protonation forms peroxynitrous acid, which can undergo homolytic cleavage to form hydroxyl radical and nitrogen dioxide. Source= Wikipedia What Free Radical does? Free radicals are cellular renegades; they wreak havoc by damaging DNA, altering biochemical compounds, corroding cell membranes and killing cells outright. Such molecular mayhem, scientists increasingly believe, plays a major role in the development of ailments like cancer, heart or lung diseases and cataracts. Many researchers are convinced that the cumulative effects of free radicals also underlie the gradual deterioration that is the hallmark of aging in all individuals, healthy as well as sick. TIME, April 6, 1992 publications Internal Sources of Free Radicals • • • • • • • • • Mitochondria Phagocytes (macrophages) Xanthine oxidase Reaction involving iron and other transition metals Arachidonate pathways Peroxisomes Exercise Inflammation Ischaemia/Reperfusion External Sources of Free Radicals • • • • • • Cigarette smoke Environmental pollutants Radiations Ultraviolet radiations Ozone Certain drugs, pesticides, anesthetics and industrial solvents Useful Functions of Free Radicals • Necessary in the maturation processes of cellular structures • Necessary in the antibacterial activity- White blood cells (phagocytes) releases free radicals to destroy invading pathogenic microbes as part of the body’s defense mechanism • Necessary in the immune system • Necessary in the prostaglandin biosynthesis • Some of them play an important role in cell signaling History: Harmful Effect of Free Radicals • 1775 Priestly- Toxicity of oxygen to the organism similar to burning of candle • 1954 Gilbert and Gersham- Free radicals are important player in biological environment and responsible for deleterious process in the cell • 1969 Mc Cord and Fridovich- Superoxide theory of toxicity Harmful Effect of Free Radicals- Perception • Free radicals can damage all cellular macromolecules including proteins, carbohydrates, lipids and nucleic acids • Destructive effect play a role in the onset and progression of different diseases and in normal aging. Oxidative Damage to Organs Ageing is one of the major consequences of oxidative damage 1956 Denham- Free Radical Theory of Ageing Human Ailments Associated with Oxidative Damage Neurological Alzheimer’s Disease Parkinson‘s Disease Endocrine Diabetes Gastrointestinal Acute Pancreatitis Human Ailments Associated with Oxidative Damage Others Conditions Obesity Loss of catalytic functions of proteins Toxicity Chronic Inflammation and arthritis Diseases Related to Oxidative Damage Exogenous v/s Endogenous Sources of Free Radicals • Exogenous ROS are extremely high • Exposure to endogenous oxidants is much more important and extensive, because it is a continued process during the entire life span • Mitochondria play an extremely important role in endogenous ROS production • Presence of metals (iron, copper, chromium, cobalt, vanadium) in un-complexed form significantly increase the level of oxidative stress. Damage to Lipids • Lipids are highly prone to get oxidized. • Polyunsaturated fatty acid (PUFA)- major part of the low-density lipoprotein (LDL) in blood. Damage to Lipids • Lipid peroxidation, if not terminated rapidly, can cause damage to cell membranes. • Removal of lipid peroxides is essential for mammalian life (Glutathione peroxidase IV knock-out mouse doesn’t survive beyond embryonic state). • Malondialdehyde (MDA) is an important biomarker of oxidative stress. It reacts with DNA bases to for DNAadduct End Products of Lipid Peroxidation These end products are the markers for lipid peroxidation determination. For example malondialdehyde (MDA) is detected in TBARS (Thiobarbituric Acid Reactive Substance) assay, specific for lipid peroxidation determination. 13-HPODE= 13- Hydroperxy9Z,11E-octdecdienoic acid 4-HNE= Hydroxynonenal Damage to Lipids-Associated Diseases • Alterations in the structures of lipid molecules lead to change in their physical properties, such as permeability, surface adhesion, etc. • It cause damage to the cell membrane, made up of mainly lipids. • Risk of cardiovascular diseases (CVD), including atherosclerosis. Damage to Lipids-Associated Diseases • End products of lipid peroxidation can also cause mutagenesis and carcinogenesis. For example malondialdehyde reacts with deoxyadenosine and deoxyguanosine in DNA to form a variety of DNA adducts. • Body has evolved a range of molecules, such as Vitamin E, and enzymes such as SOD, catalase, and peroxidase to control lipid peroxidation. • Knockout animals (which can not produce antioxidant enzymes), generally do not survive. Atherosclerosis and Oxidative Stress • Compelling evidence points oxidative stress as an important trigger in the complex chain of events leading to atherosclerosis. • It involves accumulation of macrophages in the arterial wall. Which then promptly incorporate oxidized LDL to form foam cells. • ROS can lead to platelet activation and thrombosis formation. • Probucol has shown reduced progression of carotid atherosclerosis in clinical trials. Oxidative Damage to Proteins • .OH and RO. and cause damage to proteins • Direct damage include peroxidation, damage to specific amino acid residues, change in tertiary structures, degradation and fragmentation • No efficient mechanism of repair of protein damage exists • Proteolytic enzymes play an important role in the removal of damaged proteins Protein Oxidation Products • Aldehydes, keto and other carbonyl compounds • 3-Nitrotyrosine, produced by interaction of tyrosine and ONOO-, is a useful biomarker of oxidative protein damage • Ortho- and meta-tyrosines from phenylalanine. • Other damaged products include hydroxyproline, glutamyl semialdehyde, etc • Crossed linked proteins Damage to ProteinsAssociated Problems • Modified oxidized proteins are susceptible to many changes in their functions • This include chemical fragmentation, inactivation and increased proteolytic degradation • Oxidative changes in the structures of catalytic proteins lead to loss of enzyme activity • Altered cellular functions such as energy production, interference with the creation of membrane potential and change in the type and level of cellular proteins • Non- enzymatic glycation of proteins lead to multiple poteopathic disorders • Serum protein carbonyl concentration is directly related to muscle dysfunctions. Mechanism of Glycation of Protein- Role of ROS Glucose + Protein Schiff base Amadori product Protein Enediol O2 O2 O2 Mn OH Mn M (n -1) M (n -1) H2O2 Protein dicabonyl Advanced Glycation Endproducts Catalyzed by transition metals (M) and the superoxide radical generated are converted to the hydroxyl radical via the Fenton reaction. Oxidative Damage to DNA • DNA is stable, well protected molecules • ROS, specially .OH, can interact with it and cause several types of damage • Including modification of DNA bases, single- and double helical breaks, loss of purines, damage to deoxyribose sugar, DNA protein cross linkage and DNA repair system • Out of four bases, guanine is the most easily oxidizable nucleic acid base. Oxidative Damage to DNA • Oxidative Damage to DNA • Oxidative products of guanosine serve as biomarkers of damage to DNA molecule. Oxidative Damage to DNA • ROS in the cells lead to DNA damage, cause stable DNA lesions which are mutagenic, if un-repaired • Damaged DNA provide the wrong genetic code leading to unregulated protein synthesis and/or cell growth which results in cancer. • Presence of 8-oxo-2-deoxyguanosine (oxo8dG) in DNA is an important indicator of oxidative damage to DNA • Oxidative damage to DNA accumulate with ageing, increasing the possibilities of cancers and other disorders Damage to DNAAssociated Problems • Number of oxidative hits to DNA per cell per day is about 100,000 in the rat and about 10,000 in the human (Reason????) • There is an inherent mechanism (specific repair glycosylases, etc.) to repair most of the DNA damage caused by ROS • Oxidative lesions in DNA accumulate with age and eventually lead to serious health challenges (well established relationship between onset of cancers and age) Oxidative Stress Markers Oxidative stress end products detection Lipoperoxidation markers: malondialdehyde (MDA), conjugated dienes, isoprostanes Oxidative damage to protein markers : protein hydroperoxides Oxidative damage to DNA : modified nucleosides Potentialities of oxidative/nitrosative stress-related biomarkers Acta Medica Okayama, 61 (4), 181-189, 2007 What are Antioxidants? • Antioxidants (reductants or reducing agents) are compounds capable of preventing the pro-oxidation process or biological oxidative damage by scavenging or stabilizing reactive oxidative species. An antioxidant is a molecule stable enough to donate an electron to a rampaging free radical and neutralize it, thus reducing its capacity to damage. What are Antioxidants? • Antioxdiants produced during normal metabolism include glutathione, ubiquinol and uric acid • Antioxidant enzymes include glutathione peroxidases, superoxide dismutases and catalase • Antioxidants from dietary sources such as Vitamins E and C and carotenoids • Antioxidants from non-dietary sources include phenolic or polyphenolic compounds as well as selenium What Antioxidant Do??? WHY ARE ANTIOXIDANTS IMPORTANT ? They inhibit the conversion of nitrites to nitrosamines (which are tumor promoters) and enhance the immune response. Vitamins E, and C, ubiquinones, etc. remove free radicals from the epidermis of the skin and counteract their potentially damaging effect. They terminate free radical- induced cellular damage and functional degeneration (aging). They trap and neutralize free radicals and protect our body tissues from environmental pollutants. Sources of Antioxidants • More than 4,000 antioxidants are known • Endogenous- Antioxidant enzymes include glutatione peroxidases, superoxide dismutases and catalase • Antioxidants from dietary sources, such as Vitamin E, Vitamin C and carotenoids • Antioxidants from non-dietary sources include phenolic or polyphenolic compounds Antioxidant Enzymes • Glutathione peroxidases (Seleno proteins) catalyze the reduction of lipid hydroperoxides to their corresponding alcohols • Superoxide dismutases, a family of metalcontaining enzymes (Mn, Fe, Zn, Cu), catalyze the dismutation of superoxide into oxygen and hydrogen peroxide • Catalases catalyze the decomposition of hydrogen peroxide to water and oxygen Major AntioxidantsVitamin E • Vitamin E, fat-soluble vitamin which exists in eight different forms. a-Tocopherol is the most active form in humans. • Vitamin E protect cells through its ability to limit production of free radicals • Dietary sources include wheat, almonds, sunflower seeds, etc. Major Antioxidants- Vitamin C • Vitamin C, or L-ascorbate is an essential nutrient, water-soluble • Vitamin C scavenge aqueous peroxyl radicals Major Antioxidants- Carotenoids • Organic pigments naturally occur in plants • 600 known carotenoids, and tetraterpenoids exist in nature • Most common are lycopene and vitamin A precursor bcarotene • They quench singlet oxygen primarily by a physical mechanism in which the excess energy of the singlet oxygen is transferred to the carotenoids electron rich structure Lycopene Major AntioxidantsPlant Phenolics • A large number of plant phenolics, such as flavanoids, and catechins act as free radical scavengers • Tea is the richest source of plant phenolics • French paradox – Flavanoids in red wine Major AntioxidantsPlant Phenolics Apigenin Apigenin Catechin Antioxidants at a glance Nutrient Vitamin E RDI 30 IU Vitamin C 60 mg Dietary Sources Vegetable oils (soy, corn, olive, cotton-seed, safflower, sunflower), nuts, sunflower seed, wheat germ Citrus, strawberries, tomatoes, cantaloupe, broccoli, asparagus, peppers, spinach, potatoes ß-Carotene NA Selenium 70 ug 55 ug Evidence 100-800 IU may lower heart disease risk by 30%-40% no evidence that RDI supplement form can prevent CHD or cancer may protect against CHD and macular degeneration Dark green, yellow, and orange vegetables: spinach, collard green broccoli, carrots, peppers, sweet potatoes; yellow fruits: peaches Egg yolks, tuna, seafood, chicken, 150-200 ug may lower liver, whole grains, plant grown in prostate cancer risk selenium-rich soil. Balance Between Oxidation and Antioxidation- Key to Health • Balance between pro-oxidants and oxidants is tightly regulated and extremely important for maintaining vital cellular and biological functions • The objective of the antioxidant therapy is not to eliminate all the ROS, but to strike a healthy balance. Oxidative and reductive stress Oxidant Reductant Oxidant Reductant Oxidative stress Reductive stress What is Oxidative Stress? • If there are too many free radicals produced and too few anti-oxidants, a condition of “oxidative stress” develop which may cause chronic diseases. • An imbalance between the production of various reactive species and the ability of the organism’s natural protective mechanism to cope with these reactive compounds and prevent adverse effects. • It has been proven to be related to degenerative diseases such as cancers, diabetes, premature ageing, Alzheimer’s disease, arthritis, etc. • Difficult to measure. Oxidative Stress Markers Free radical detection • Very difficult to analyze because of chemical and physical properties e.g. short half life Oxidative stress end products detection (foot print measurement) • more simple, a wide range of techniques available Some Common In Vitro Antioxidant Assays • • • • NO· ( Nitric Oxide) Radical Inhibition Assay for DPPH Radical Scavenging Activity Assay for xanthine oxidase inhibition Activity Assay for superoxide anion scavenging Activity a. Enzymatic generation of superoxide anion (through xanthine oxidase) b. Non-Enzymatic generation of superoxide anion (through NADH/Phenazine methosulphate system) Some Common In Vivo Antioxidant Assays • In vivo CCl4 (Carbon tetrachloride) hepatoxicity assay. • Antioxidant testing kits are now available to detects free radical activity in body. DILEMA OF REDOX IN LIVING SYSTEM • Difficult to quantify the oxidizing stress • Difficult to extrapolate in vitro and in vivo situations • Bioavailability is an issue • Interaction with other molecules • Whether antioxidants do help in the prevention of diseases? • More questions than answers!!!! Antioxidant Drug DevelopmentChallenges and Opportunities Clinical trials nightmare Non-conclusive results Requires new type of clinical studies than conventional double blind placebo trials. Preventive v/s therapeutic Raise questions to old believes? THANK YOU VERY MUCH