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Free Radicals & Antioxidants 614 351 Toxicology Supatra Porasuphatana, Ph.D. Contents • Introduction of oxygen toxicity • Free radicals/Reactive oxygen species • Sources of free radical formation • Types of free radicals • Free radical toxicity • Free radical and diseases • Antioxidants Page 2 23/05/60 Oxygen Toxicity • Evidences – High pressure oxygen inhibits bacterial growth – High pressure oxygen causes acute CNS toxicity – Oxygen exposure in premature babies – Experiments – Tissue damages by oxygen Page 3 23/05/60 Free Radicals “any species capable of independent existent that contains one or more unpaired electrons” Example : O H Hydroxyl radical ( OH) Radicals can be formed by… 1. The LOSS of a single electron from a non-radical, or by the GAIN of a single electron by a non-radical 2. The breakage of covalent bond ‘homolytic fission’ A B Page 4 A + B Example : H2O H + OH 23/05/60 Free Radical Nomenclature • A free radical is denoted by a superscript dot to the oxygen (or carbon) – • e.g., HO, NO, CH3 If a free radical is a charged species, the dot is put and then the charge – e.g., O2- (See “Free Radical Nomenclature, Suggestions” by Buettner, G.R., Schafer, F.Q.) Page 5 23/05/60 Free Radicals *2p p*2p p2p 2p *2s 2s *1s 1s Ground-state O2 Singlet O2 (3g-O2) (1DgO2) Page 6 Singlet O2 Superoxide Peroxide ion (Singlet 1g+O )O2 2 2 (O2 ) (1g+O (O2-) 2) 23/05/60 O O Oxygen (O2) Reactive Oxygen Species • Radicals – Hydroxyl radical O H H • Molecules – Hydrogen peroxide O O • Ions – Hypochlorite ion • Superoxide anion – which is both ion and radical Page 7 Hydroxyl radical (OH) H O H - O Hydrogen peroxide (H2O2) - Cl O O - Hydroxy anion (OH-) Hypochlorite anion (OCl-) - Superoxide anion (O2 ) 23/05/60 Types of Free Radicals • Oxygen-centered radicals – Singlet oxygen, superoxide, hydroxyl radicals • Sulfur-centered radicals – Thiyl radical (RS•) • Carbon-centered radicals – • CCl3, CH2•CHOH • Nitrogen-centered radicals – NO•, R2NO• Page 8 23/05/60 Oxygen-Centered Radicals • Reactive Oxygen Species (ROS) Radicals Non-Radicals Superoxide, O2- Hydrogen peroxide, H2O2 Hydroxyl, HO Hypochlorous acid, HOCl Peroxyl, ROO Ozone, O3 Alkoxyl, RO Singlet oxygen, 1Dg Hydroperoxyl, HOO Peroxynitrite, ONOO- Page 9 23/05/60 Superoxide Radicals - • Generation of superoxide (O2 ) – The addition a single electron to the ground-state molecule (O2 + eO2 -) • Biological generation of O2 - – Mitochondrial electron transport chain – Enzymatic reduction of oxygen (O2) – Xenobiotic metabolisms (redox cycling) – Respiratory burst (phagocytes) Page 10 23/05/60 Mitochondrial Electron Transport Chain • The most important source of O2- in vivo in most aerobic cells • Mitochondrial functions – Oxidation of NADH, FADH2, -oxidation of fatty acids, other metabolic pathway – ‘Electron transport chain’ in the inner mitochondrial membrane – Energy released is used for ATP synthesis Page 11 23/05/60 Superoxide Production from Mitochondrial Electron Transport Chain ‘Leaking’ of electron (to oxygen) during electron transport leads to the formation of O2- (O2 + ePage 12 O2-) 23/05/60 Biological Generation of Superoxide • Enzymatic reduction of oxygen XOD Xanthine/hypoxanthine Uric acid O2- O2 [XOD = xanthine oxidase] • Redox cycling : Paraquat NADPH Oxidized cytochomre P450 reductase H3C N NADP Reduced cytochomre P450 reductase H3C + N • + N CH3 O2 + N CH3 O2 - e- Paraquat Page 13 23/05/60 Respiratory Burst • Myeloperoxidase – Oxidizes Cl- to hypochlorous acid – Chronic granulomatous disease • NADPH oxidase enzyme NADPH O2 • outside inside O2 - • NADPH NADP+ ... O2 . - NADP+ O2 Phagocytic vacuole (phagosome) Page 14 23/05/60 Respiratory Burst NADPH oxidase complex • Cytoplasmic proteins (p47, p67, gp91, p22) • NADPH NADP+ + H+ • Electron is transferred from NADPH to O2, resulting in the formation of O2[NADPH : Reduced Nicotinamide Adenine Dinucleotide Phosphate] Page 15 23/05/60 Hydroxyl Radical (HO ) • Highly reactive oxygen radicals • Formation of hydroxyl radicals in biological systems – Ionizing radiation – Reaction of metal ions with hydrogen peroxide (Fenton reaction) – Formation of hydroxyl radical from ozone (O3) • Reactions of hydroxyl radicals – Hydrogen atom abstraction – Addition – Electron transfer Page 16 23/05/60 Fenton Reaction • Discovered by Fenton (1894) • “A mixture of hydrogen peroxide and an iron(II) salts causes the formation of hydroxyl radical” • Fe2+ + H2O2 intermediate complex Fe3+ + OH- + HO Fe3+ + H2O2 intermediate complex Fe2+ + O2 - + 2H+ Haber-Weiss reaction Fe2+ + H2O2 Fe3+ + OH- + HO Fe3+ + O2 - Fe2+ + O2 Net : O2 + H2O2 - Page 17 metal catalyst O2 + HO + OH23/05/60 Nitrogen-Centered Radicals • Nitric oxide (NO) – Endothelial derived-relaxing factor (EDRF) – Generated from the catalysis of L-arginine by nitric oxide synthase (NOS) enzymes – Functions • Vascular function, platelet aggregation, immune response, neurotransmitter, signal transduction • cytotoxicity – NO + O2Page 18 ONOO- (highly toxic) 23/05/60 Sources of Free Radicals • Endogenous sources of free radicals – Oxidative metabolic transformation • Mitochondrial respiratory chain • Oxygen burst (respiratory burst) during phagocytosis • Eicosanoid synthesis • Enzymatic reactions (oxygenases, oxidases) – Xenobiotic metabolism (redox cycling) Page 19 23/05/60 Sources of Free Radicals • Exogenous sources of free radicals – Ionizing radiation – Ultraviolet radiation – Ultrasound – Chemicals, tobacco smoke, etc Page 20 23/05/60 Roles of Free Radicals in Biological Systems • Enzyme-catalyzed reactions • Electron transport in mitochondria • Signal transduction & gene expression • Activation of nuclear transcription factors • Oxidative damages of molecules, cells, tissues • Antimicrobial actions • Aging & diseases Page 21 23/05/60 Oxidative Stress • Damages caused by free radicals/reactive oxygen species • Cellular damages at different levels (membrane, proteins, DNA, etc) lead to cell death, tissue injury, cellular toxicity, etc • Reduction of antioxidants (cause & consequence ?) • Prevented by the reduction of free radicals, inhibition of free radical formation Page 22 23/05/60 Oxidative Stress O2 Non-enzymatic sources OH Mitochondrial respiratory chain Glucose autoxidation Enzymatic sources NADPH oxidase Xanthine oxidase Cyclooxygenase O2- Fenton reaction (Fe or Cu) SOD H2O2 GSH GPx NO Catalase GSSG ONOOPage 23 H2O + O2 23/05/60 Free Radical Toxicity • Causes of free radical toxicity – Increase production of free radicals – Decrease level of defense system antioxidants) (e.g., • Lipid peroxidation • DNA damage • Protein oxidation Page 24 23/05/60 Lipid Peroxidation 1. Initiation of first-chain reaction • Abstraction of H+ by ROS ( OH) • Formation of lipid radical (LH ) • Formation of peroxyl radical (LOO , ROO ) • • • • 2. Propagation • H+ abstraction by lipid peroxyl radical (LOO ) • 3. Termination • Radical interaction Page 25 non-radical product 23/05/60 I Hydrogen abstraction • -H • Molecular rearrangement Conjugated diene • O2 Oxygen uptake Peroxy radical: abstract H• rom another fatty acid causing an autocatalytic chain reactions P O O • H• Lipid hydroperoxide Cyclic peroxide O Page 26 O I Initiation H P Propagation Cyclic endoperoxide 23/05/60 Products of Lipid Peroxidation Reactive Oxygen Species Lipid peroxides Alkanes Aldehyde products Conjugated dienes Malondialdehyde (MDA) n-aldehydes Page 27 ,-unsaturated aldehydes 23/05/60 PGF2-Isoprostane • A group of prostaglandin (PGF2)-like compounds produced by non-enzymatic free radical-induced peroxidation of arachidonic acid • Reliable biomarker of oxidative stress in vivo – – – – – – Specific product of lipid peroxidation Stable compound Detectable level in biological samples Level increases during oxidative injury Formation is modulated by antioxidant status Not affected by lipid contents from diet Page 28 23/05/60 Page 29 23/05/60 Oxidative DNA Damage • Correlation with cancers and diseases • Oxidative DNA lesions by – Direct attack – Indirect activation of endonuclease enzymes • Oxidative modification of bases – mutation • Oxidative modification of sugar moieties – DNA strand break Page 30 23/05/60 A computer image depicts a hydroxyl radical attacking the sugar on the back bone of a DNA molecule Page 31 23/05/60 Oxidative DNA Damage O N N O O P O N O NH2 N O O O N O P O O N O O Page 32 O 23/05/60 Oxidative DNA Damage Page 33 23/05/60 Oxidative DNA Products Page 34 23/05/60 Oxidative DNA Damage • 8-Hydroxyguanine (8-OH-Gua) – GC TA transversions (frequently detected in p53 gene and ras protooncogene) • 2-Hydroxyadenine (2-OH-Ade) • 8-Hydroxyadenine (8-OH-Ade) • 5-Hydroxycytosine (5-OH-Cyt) • 5-Hydroxyuracil (5-OHUra) Page 35 23/05/60 Oxidative DNA Damage • Abstraction of H+ atom from carbon atoms of sugar molecules • Disproportionations and rearrangement lead to C-C bond fragmentation and DNA strand break Page 36 23/05/60 Protein Oxidation • Protein targets – Receptors, transport proteins, enzymes, etc – Secondary damage – autoimmunity • Protein oxidation products – Protein carbonyl group, 3-nitrotyrosine, other oxidized amino acids • Most susceptible amino acids – Tyrosine, histidine, cysteine, methionine Page 37 23/05/60 Protein Oxidation Oxidative protein degradations Modifications of amino acid chain Modifications of prosthetic group of enzymes Protein aggregation Protein fragmentation Activations of protease enzymes Page 38 23/05/60 Protein Oxidation Page 39 23/05/60 Free Radical Toxicity Page 40 23/05/60 Free Radicals and Diseases • Cancer • Inflammation/Infection • Ischemia-reperfusion injury – Cardiac ischemia-reperfusion injury – Cerebral ischemia-reperfusion injury • Neurodegenerative diseases • Cardiovascular diseases • Aging • Others (e.g., drug/chemical-induced toxicity, etc) Page 41 23/05/60 Oxidative DNA Damage & Cancer ROS can attack deoxyribose, purine, and pyrimidine bases in DNA resulting in DNA strand breaks DNA strand breaks induced by OH cause deletions and point mutations Page 42 23/05/60 Oxidative DNA Damage & Cancer Oxidative DNA damage Point mutation Chromosomal aberrations DNA strand breaks Oxidative modification of DNA Base modifications Sequence change Activation of kinases Activation of protooncogenes Inactivation of tumor suppressor genes Page 43 23/05/60 Oxidative DNA Damage & Cancer Hydroxyl radical-induced DNA oxidative damage • Hydroxylation of guanine residue (dG) to produce 8-OH-dG is the most common biomarker of OH-induced DNA damage • Detectable in cell, tissues, urine • Levels can be modulated by antioxidants Page 44 Figure : 8-OH-dG content in DNA samples isolated from control ( ), myeloma ( ) tissues, and lymphocytes ( ) of myoma patients. (Ref. Foskinski, M,. et al. Free Radic. Biol. Med.2002;29:597-601.) 23/05/60 Oxidative DNA Damage & Cancer Figure : The individual value of the urinary modified base (8-OH-Gua) (Ref. Rozalski, R. et al. Cancer Epidemiol. Biomarkers Prev.2002;11:1072-5.) Page 45 Figure: Correlation coefficient between the level of 8-OHdGuo in tumor tissues and the tumor size (Ref. Foksinski, M. et al. Free Radic. Biol. Med. 2000;29:597-601) 23/05/60 Oxidative Stress & Cancer Biomarkers of Oxidative Stress Colon cancer patients (n = 45) Control group (n=55) Plasma ascorbic acid (M) 29.45 ± 27.41 49.76 ± 29.24 Plasma a-tocopherol (M) 18.87 ± 14.50 24.69 ± 14.55 Plasma retinol (M) 0.80 ± 0.75 1.23 ± 0.61 Plasma uric acid (mg/dl) 3.73 ± 1.32 4.28 ± 1.13 8-oxoGuo/106 dG in lymphocytes 13.76 ± 7.19 9.57 ± 3.59 (Ref. Olinski, R., et al. Mutation Res. 2003;531:177-90) Page 46 23/05/60 Acquired Immunodeficiency Syndromes : Evidences • Cells infected with HIV can enhance production of superoxide anion • HIV-infected patients : Studies – Deficiency in SOD and catalase enzymes – Decreased concentrations of antioxidant vitamins – A significant increase in the level of 8-OHGua and 5-OHUra in lymphocytes -- apoptosis – Vitamin supplementations lead to the reduction of the level of oxidative DNA damage Page 47 23/05/60 Oxidative Stress in HIV-Infected Patients Study Results : Supplementation with antioxidant vitamins (vitamin A, E and C) prevents oxidative modification of DNA in lymphocytes of HIVinfected patients (Ref. Jaruga, P., et al. Free Radic. Biol. Med. 2002;32:414-20) Page 48 23/05/60 Ischemia-Reperfusion Injury • Ischemic – reoxygenation – Cardiac ischemic-reperfusion – Cerebral ischemic-reperfusion • Tissue damages caused by excessive production of free radicals – High concentration of oxygen – Low levels of antioxidants • Prevented by antioxidant supplementation Page 49 23/05/60 Ischemia-Reperfusion Injury ATP i s c h e m i a Xanthine dehydrogenase Ca2+-dependent protease AMP Xanthine oxidase Adenosine O2- Hypoxanthine/Purine REPERFUSION Xanthine/Hypoxanthine TISSUE INJURY O2 XOD O2 + H2O2 Fe2+ OH- + OH O2.- + uric acid O2 Page 50 23/05/60 Neurodegenerative Diseases/Neurotoxicity Diseases Acute Cerebral ischemia/ reperfusion Traumatic brain injury Chronic Alzheimer’s disease Parkinson’s disease Huntington’s disease Amyotrophic lateral sclerosis Page 51 Evidences O2.- and ONOO- increased, impaired mitochondrial function ROS increased, lipid peroxidation, protein oxidation increased, antioxidant decreased Oxidation of lipids, DNA, proteins increased, induction of ROS by amyloid- Oxidation of lipids, DNA, proteins increased in substantia nigra Oxidative damage increased in the basal ganglia, ROS levels increased ROS increased, oxidation of lipids, DNA and proteins increased, mutant of SOD 23/05/60 Cardiovascular Diseases • Elevated level of 8-OHGua in the lesion of the aorta wall in atherosclerotic patients • Level of 8-OHGua in lymphocytes of atherosclerotic patients was significantly higher than in the DNA of control group • Formation of oxidized LDL – Direct action : Foam cell formation – Indirect actions : Down regulates the base excision repair (BER) pathway, leading to higher level of 8-OHGua [prevented by antioxidant vitamins] Page 52 23/05/60 Atherosclerosis (A) Oxidized LDL stimulates monocyte chemotaxis (B) Oxidized LDL inhibits monocyte egress from the vascular wall (C) Monocytes differentiate into macrophages that internalize oxidized LDL, leading to foam cell formation (D) Oxidized LDL also causes endothelial dysfunction and injury (E) Oxidized LDL causes foam cell necrosis, resulting in the release of lysosomal enzymes and necrotic debris Page 53 23/05/60 Base Excision Repair (BER) 1. Removal of the incorrect base by an appropriate DNA N-glycosylate to create an AP site (abasic site; the position of the modified (damaged) base) 2. Nicking of the damaged DNA strand by AP endonuclease upstream of the AP site, thus creating a 3’-OH terminus of adjacent to the AP site 3. Extension of the 3’-OH terminus by a DNA polymerase, accompanied by excision of the AP site Page 54 23/05/60 Aging • AGING : a progressive accumulation of changes overtime that increases the probability of disease and death. • Two main theories of aging “Aging theories” • Programmed theory ~ a genetic timetable • Damage theory ~ injuries that build up overtime Page 55 23/05/60 Free Radical Theory of Aging • Aging ~ the cumulative consequences of free radical reactions • Life-span experiments – Relationship between antioxidants, redox-sensitive transcription factors and free radical levels – Age-related decline in activation tresholds of transcription factors and its normalization by antioxidants Page 56 23/05/60 Drug-Induced Toxicity Doxorubicin Page 57 23/05/60 Chemical-Induced Toxicity • Environmental pollutants : tobacco smoke, dust, etc • Organic solvents : benzene, carbon tetrachloride, etc • Other chemicals • Detection of oxidative biomarkers as an index of chemical exposure Page 58 23/05/60 Measurement of Oxidative Stress • Oxygen consumption • Oxidative markers “footprints” – Lipid peroxidation products (TBARs, lipid hydroperoxides, etc) – DNA hydroxylation products (8-OHGua, – Protein hydroxylation products (nitrosation products) • Free radical detection – Single photon counting – Chemiluminescence – Fluorescent probe – Electron paramagnetic resonance spectroscopy (EPR) Page 59 23/05/60 ANTIOXIDANTS 614 351 Toxicology Supatra Porasuphatana, Ph.D. Contents • Oxidant-Antioxidant balance • Biological actions of antioxidant defense system • Antioxidant defense system – Superoxide dismutase (SOD) – Catalase – Glutathione cycle/Glutathione peroxidase – Diet-derived antioxidants & Low molecular weight antioxidants • Roles in the cellular protection against oxidative stress & oxidative stress-related diseases Page 61 23/05/60 Oxidant-Antioxidant Balance Damage (Pro-oxidants) Page 62 Defense (Antioxidants) 23/05/60 Oxidant-Antioxidant Balance Decrease of antioxidant defense system Oxidative damage Page 63 23/05/60 Cellular Defense Mechanisms • Isolation of generation sites of reactive oxygen species • Inhibition of propagation phase of reactive oxygen species • Scavenging of reactive oxygen species • Repair of the damage caused by reactive oxygen species Page 64 23/05/60 Protection Against ROS Damage • Direct protection against ROS – Superoxide dismutase, Glutathione peroxidase, Catalase • Non-specific reduction system – Glutathione, Vitamin C • Protection against lipid peroxidation – Glutathione peroxidase, Vitamin E, -Carotene • Sequestration of metals – Transferrin, Lactoferrin, Ferritin, Metalothionein • Repair systems – DNA repair enzymes, Macroxyproteinases, Glutathione transferase Page 65 23/05/60 Antioxidant Defense System • Antioxidant Enzymes – Superoxide dismutase (SOD) – Catalase (CAT) – Glutathione peroxidase (GPx) • Endogenous non-enzymatic antioxidants – GSH, bilirubin Page 66 23/05/60 Antioxidant Defense System • Exogenous antioxidant molecules – -Tocopherol -- prevents oxidation of fatty acids – Carotenoids (-carotene, leutin, lycopene, etc) -- destroy a particularly damaging form of singlet oxygen – Ascorbic acid -- radical scavenging, recycling of vitamin E – Bioflavonoids -- potent antioxidant activity Page 67 23/05/60 Superoxide Dismutase (SOD) Function 2O2•- + 2H+ k ~ 2-4 x H2O2 + O2 109 M-1s-1 • Only enzyme known to react with radical • The presence of SOD implies O2.- produced in cell during normal metabolism • * SOD is a primary antioxidant enzyme Page 68 23/05/60 Forms of SOD Page 69 Procaryotic SOD MW/Da Fe-SOD 40,000 Mn-SOD 40,000 80,000 Subunits 2 2 4 Eucaryotic SOD MW/Da Mn-SOD 88,000 CuZn-SOD 32,000 EC (CuZn) 135,000 EC Mn-SOD 150,000 Subunits 4 2 4 2,4 23/05/60 Intracellular Location of SOD • CuZn-SOD – Cytoplasm, nucleus, lysosomes • Mn-SOD – Mitochondrial matrix • EC (CuZn) – Plasma membrane, extracellular • EC Mn-SOD – Plasma membrane Page 70 23/05/60 Structure and Properties of SOD • CuZn-SOD – One of the most stable protein – Inactivated by guanidine HCl, CN-, diethyldithiocarbamate (DETC) • EC-SOD – Inhibited by CN-, azide, H2O2, SDS – Located in extracellular fluids – Suppresses inflammation • Fe/Mn-SOD – Not stable Page 71 23/05/60 Catalase (CAT) Function : Removes H2O2 2 H2O2 2 H2O + O2 • Prevents lipid peroxidation and protein oxidation Page 72 23/05/60 Glutathione Cycle Glutathione ~ Glu-Cys-Gly Reduced glutathione (GSH) Oxidized glutathione (GSSG) Function : gets rid of H2O2 or ROOH (hydroperoxide) ROOH Glutathione peroxidase ROH + H2O Page 73 2 GSH NADPH Glutathione reductase GSSG NADP 23/05/60 Glutathione Biosynthesis Two Step-Mechanism 1. By enzyme g-glutamylcysteine synthetase L-glutamate + L-cysteine + ATP L-g-glutamylcysteine +ADP + Pi 2. By enzyme glutathione synthetase L-g-glutamylcysteine + glycine + ATP GSH + ADP + Pi Buthionine sulphoximine (BSO) inhibits g-glutamylcysteine synthetase Cellular GSH Page 74 increase sensitivity to toxicants 23/05/60 Glutathione Peroxidase (GPx) Function : Removes H2O2 & ROOH ROOH + 2 GSH ROH + H2O + GSSG Deficiency in GPX leads to oxidative hemolysis Protects against lipid peroxidation *Selenium* Page 75 23/05/60 Low Molecular Mass Agents • Compounds synthesized in vivo – bilirubin, melatonin, lipoic acid, uric acid, etc. • Compounds derived from the diet – Ascorbic acid – Vitamin E Page 76 23/05/60 Ascorbic Acid Antioxidant Function Donate 1 e- semidehydroascorbate (ascorbyl radical) Relatively unreactive Page 77 23/05/60 Ascorbate-Glutathione Cycle DHA + 2GSH Page 78 ascorbate + GSSG 23/05/60 Tocopherol “Chain-breaking antioxidant” Scavenges peroxy radical Inhibits chain reaction of lipid peroxidation Eight naturally-occurring substances d--, d--, d-g-tocopherols d--, d--, d-g-tocotrienols Page 79 23/05/60 Antioxidant Network • Antioxidant network Page 80 23/05/60 Biological Properties of Natural Antioxidants • Natural antioxidants – Polyphenols (phenolic, flavonoids), carotenoids, lycopene, etc • Electron donor property – Ability of antioxidant to donate electron to a species (free reducing property an radical) – – Antioxidant remains stable Page 81 23/05/60 Basic Ring System of Flavonoids Page 82 23/05/60 Basic Structure of Flavonoids 3’ 2’ 8 7 A 6 B O C 4’ 2 5’ OH 6’ 3 OH 5 O HO O HO OH O Page 83 Quercetin 23/05/60 Two-Stage Oxidation of Quercetin OH OH HO . R-O O O R-OH HO O HO OH . O O R-O O O HO HO OH O Orthoquinone Page 84 Hydrogen-bond stabilized semiquinone OH R-OH HO O . O HO OH H O O HO OH O Extended paraquinone (J. Agric. Food Chem. 2003;51:1684-90) 23/05/60 Roles of Antioxidants in Protection Against Oxidative Damage • Animal models – Transgenic mice overexpressing SOD, CAT, GPx show an increase tolerance in oxidative damage (ischemia-reperfusion, heart & brain injury, hyperoxia, adriamycin and paraquat toxicity) – Antioxidant gene knockout mice increased susceptibility to oxidative damage (ischemia-reperfusion, free radical generation) Page 85 23/05/60 Roles of Antioxidants in Protection Against Oxidative Damage • Human studies – Aging (mitochondrial dysfunctions leads to excessive production of free radicals – tissue damage), age-related diseases (cataract, cancer, etc) – Chronic diseases (cancer, cardiovascular disease, diabetes, neurodegenerative diseases, inflammation, etc) – Oxidative injury caused by chemicals, drugs, etc Page 86 23/05/60 SUMMARY • Characteristics of free radicals/reactive • • • • • • oxygen species Endogenous/Exogenous formation of free radicals Oxidative cell damage (lipids, DNA, proteins) Oxidative damage-related carcinogenesis Antioxidants (types, functions) Antioxidant network Roles in the preventions against oxidative damage Page 87 23/05/60 References/ Suggesting Readings • Halliwell, B., Gutteridge, J.C.M. (eds.) Free Radical in Biology and Medicine. 3rd ed. • Packer, J., Hiramatsu, M., Yoshikawa, T. (eds.) Antioxidant food supplements in human health. Academic Press. • De Zwart, L.L., et al. Free Radic. Biol. Med. 1999;26:202- 26. • Roberts, L.J. II, Morrow, J.D. Free Radic. Biol. Med. 2000;28:505-13. • Olinski, R., et al. Free Radic. Biol. Med. 2002;33:192-200. • Mayne, S.T. J Nutr. 2003; 133 (Suppl 3): 933S-940S. Page 88 23/05/60