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Oxidative Stress and Antioxidant Protection: The Science of Free Radical Biology and< Disease provides an overview of the basic principles of free radical formation. The text delves into free radical formation in molecular biology and its effect on subcellular damage, as well as the role of antioxidant reserves as a protective mechanism. Oxidative Stress and Antioxidant Protection begins with a historical perspective of pioneers in oxidative stress with an introductory section that explains the basic principles related to oxidative stress in biochemistry and molecular biology, demonstrating both pathways and biomarkers. This section also covers diagnostic imaging and differential diagnostics. The following section covers psychological, physiologic, pharmacologic and pathologic correlates. This section addresses inheritance, gender, nutrition, obesity, family history, behavior modification, natural herbal-botanical products, and supplementation in the treatment of disease. Clinical trials are also summarized for major medical disorders and efficacy of treatment, with particular focus on inflammation, immune response, recycling, disease progression, outcomes and interventions. Each of the chapters describes what biomarker(s) and physiological functions may be relevant to a concept of specific disease and potential alternative therapy. The chapters cover medical terminology, developmental change, effects of aging, senescence, lifespan, and wound healing, and also illustrates cross-over exposure to other fields. The final chapter covers how and when to interpret appropriate data used in entry level biostatistics and epidemiology. Authored and edited by leaders in the field, Oxidative Stress and Antioxidant Protection will be an invaluable resource for students and researchers studying cell biology, molecular biology, and biochemistry, as well professionals in various health science fields.

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Table of Contents

Cover

Title Page

Copyright

List of contributors

Special recognition

Foreword

Preface

Section I: Introduction

Chapter 1: Introduction to free radicals, inflammation, and recycling

Historical perspective

Oxidative stress concept

Free radicals

Inflammatory pathways

Mitochondria

Educational redox

References

Chapter 2: Diagnostic imaging and differential diagnosis

Diagnostic method in clinical practice

Biomarkers in biological investigation

Biological imaging

Multiple choice questions

References

Section II: Clinical Correlations on Acute and Chronic Diseases

Chapter 3: Free radicals: their role in brain function and dysfunction

Introduction

The beneficial role of oxidative stress in the brain

The harmful role of oxidative stress in the brain

The role of oxidative stress (OS) in programmed neuronal death (apoptosis)

Oxidative stress in neonatal hypoxic-ischemic encephalopathy (HIE)

OS in inflammatory brain disease due to infection

OS in neuroimmunological disorders

OS in cerebrovascular disease

OS in traumatic brain injury

OS in neurodegenerative disorders

Alzheimer disease

OS in Parkinson disease (PD)

Therapeutic implications and opportunities

Multiple choice questions

Additional Reading

Chapter 4: Mediators of neuroinflammation

Introduction

Cells mediating neuroinflammation

Characteristics of microglial activation

Neuron–microglia interplay

Pathological implications of dysregulated microglial activation

Microglial activation as a diagnostic biomarker and therapeutic target

Multiple choice questions

References

Chapter 5: Oxidative and nitrative stress in schizophrenia

Introduction

Oxidative stress and psychiatric disorders

Biomarkers of oxidative stress in schizophrenia

Reactive nitrogen species in the central nervous system

Nitrative stress in schizophrenia

Role of glutathione in schizophrenia

Antioxidants

Nitric oxide and antipsychotics in schizophrenia

Concluding remarks

Multiple choice questions

References

Chapter 6: The effects of hypoxia, hyperoxia, and oxygen fluctuations on oxidative signaling in the preterm infant and on retinopathy of prematurity

Introduction

Anatomy and physiology of the human eye in adult and development

Premature birth

Oxygen and oxidative stress

Human ROP phases

The role of oxygen in ROP

Link between oxidative stress and oxygen in ROP

Clinical applications

Conclusions

Multiple choice questions

References

Chapter 7: Oxidative damage in the retina

Introduction

The vitreous

The retina

Age-related macular degeneration

Diabetic retinopathy

Multiple choice questions

References

Chapter 8: The role of oxidative stress in hearing loss

Introduction

Age-related hearing loss

Noise-induced hearing loss

Drug-induced hearing loss

Summary and conclusions

Multiple choice questions

References

Chapter 9: Disorders of children

Introduction – reactive oxygen species, antioxidative systems, and oxidative stress

Biomarkers for oxidative stress

Nitric oxide system blockade, endothelial dysfunction, and oxidative stress

Pregnancy as a state of oxidative stress

Prenatal disorders

Oxidative stress in fetal-to-neonatal transition

Evaluation of oxidative stress status in neonates using specific biomarkers

Breast milk – a rich source of antioxidants

Oxidative stress biomarkers in pediatric medicine

Infectious and inflammatory disorders (especially acute encephalopathy)

Redox modulation strategy for severe influenza encephalopathy

Summary and conclusions

Acknowledgments

Multiple choice questions

References

Chapter 10: Oxidative stress in oral cavity: interplay between reactive oxygen species and antioxidants in health, inflammation, and cancer

Oxidative stress – significance for oral and general environment

Reactive oxygen species – general outline

Oxidative stress – damage to cellular structures

Oxidative stress and antioxidants – implications in general and oral diseases

Multiple choice questions

References

Chapter 11: Oxidative stress and the skin

Introduction

Mechanisms of oxidative stress in the skin

Reactive oxygen species

Skin aging

Skin cancer

Vitiligo

Intrinsic defenses against free radicals

Topical antioxidants

Drug-induced skin photosensitization

Conclusion

Multiple choice questions

References

Chapter 12: Oxidative stress in osteoarticular diseases

Introduction

Rheumatoid arthritis

Osteoarthritis

Osteoporosis

Acknowledgments

Multiple choice questions

References

Chapter 13: Gene therapy to reduce joint inflammation in horses

Introduction

Animal model considerations

The nature and origins of horses

Pathobiology of joint disease

Current therapy for traumatic arthritis

Development of gene therapy in horses

Gene selection

Delivery system

Studies developing gene therapy for arthritis

Multiple choice questions

References

Chapter 14: Muscle and oxidative stress

Vitamins E and C and oxidative stress in muscle

Muscular disease and nutrition

Multiple choice questions

References

Chapter 15: Role of oxidants and antioxidants in male reproduction

Introduction

Male infertility: an oxidative role

Methods used to measure OS and TAC

Physiological role of ROS in reproductive system

Pathological roles of ROS in male reproduction

Antioxidants

Antioxidants: a therapeutic approach

Conclusion and key points

Multiple choice questions

References

Chapter 16: Role of oxidants and antioxidants in female reproduction

Introduction

Reactive oxygen species

Characteristics of reactive nitrogen species, physiological roles, and mechanisms of damage

Antioxidants

Antioxidant treatment for female infertility

Methods of detection of ROS in the female

Physiological roles and sources of ROS

Factors contributing to oxidative stress in the female

Pathological effects and associations of oxidative stress

Conclusion and key points

Multiple choice questions

References

Chapter 17: Reactive oxygen species, oxidative stress, and cardiovascular diseases

Introduction

Impact of oxidative stress on pathogenesis of hypertension

Impact of oxidative stress on pathogenesis of atherosclerosis

Impact of oxidative stress on pathogenesis of ischemia/reperfusion injury

Impact of oxidative stress on pathogenesis of cardiac arrhythmia

Multiple choice questions

References

Chapter 18: Oxidative stress and antioxidant imbalance: respiratory disorders

Summary

Introduction

Respiratory infections

Airway diseases

Interstitial lung diseases

Asbestosis and lung cancer

Pulmonary arterial hypertension

Respiratory muscle dysfunction

Role of antioxidants in the management of lung diseases

Multiple choice questions

References

Chapter 19: Oxidative stress and type 1 diabetes

Introduction

Role of

β

-cell oxidative stress in T1D

Genetics of

β

cell sensitivity and resistance to ROS

ROS and autoimmunity in T1D

NADPH oxidase and T1D

Conclusions

Multiple choice questions

References

Chapter 20: Metabolic syndrome, inflammation, and reactive oxygen species in children and adults

Introduction

The biology of insulin resistance

The consequences of hyperinsulinism

The consequences of inadequate insulinization

Inflammation and the liver: prooxidant hepatocellular damage

Diabetes and reactive oxygen species

Conclusion

Multiple choice questions

References

Chapter 21: Oxidative stress in chronic pancreatitis

Summary

Introduction

Pancreas, chronic pancreatitis (CP), and symptoms

CP-induced production of oxidative stress

Alcoholic pancreatitis and oxidative stress

Environmental factors induction of ROS/RNS production, pancreatic inflammation, and cellular injuries

Application of antioxidants in amelioration of ROS/RNS-mediated pancreatic inflammation

Phytochemicals as chemoprevention regimen against CP

Conclusion

Multiple choice questions

References

Chapter 22: Wound healing and hyperbaric oxygen therapy physiology: oxidative damage and antioxidant imbalance

Introduction

Hyperbaric oxygen environment

Wound environment

Conclusion

Multiple choice questions

References

Chapter 23: Radiobiology and radiotherapy

A brief history of radiation therapy

Mechanism of radiation

Biology in cancer

4 R's: repair, redistribution, reoxygenation, and repopulation

The impact of free radicals

The role of oxygen in clinical radiation therapy

Hyperbaric oxygen

High linear energy transfer radiation

Neutrons in radiotherapy

Protons in radiotherapy

Chemical radiosensitizers

Conclusion

Multiple choice questions

References

Chapter 24: Chemotherapy-mediated pain and peripheral neuropathy: impact of oxidative stress and inflammation

Introduction

History of chemotherapy-induced peripheral neuropathy

Pathways involved in CIPN

Classes of chemotherapy associated peripheral neuropathy

Induction of peripheral neuropathy

Classifications of CIPN based on the severity

Amelioration of pain: current status

Summary and conclusions

Multiple choice questions

References

Chapter 25: Grape polyphenol-rich products with antioxidant and anti-inflammatory properties

Bioactive compounds in grape, wine, and wine by-products: phenolic compounds

Antioxidant and anti-inflammatory properties of grape extracts

Conventional and alternative solvent extraction processes

Concentration and purification

Conclusions

Multiple choice questions

References

Chapter 26: Isotonic oligomeric proanthocyanidins

Introduction

The discovery of OPCs

The characteristics of OPCs

The health-promoting properties of OPCs

Dosage and safety

Why isotonic?

Multiple choice questions

References

Chapter 27: Superoxide dismutase mimics and other redox-active therapeutics

Introduction – redoxome

Superoxide dismutases

What is an SOD mimic?

Design of an SOD mimic – introduction

Phase I. Mimicking the thermodynamics and kinetics of enzymatic dismutation establishes the first lead and efficacious SOD mimic – MnTE-2-PyP

5+

Phase II. Improving the Mn porphyrin bioavailability – third lead compound MnTnHex-2-PyP

5+

was identified

Phase III. Suppressing the toxicity of amphiphilic MnTnHex-2-PyP

5+

– fourth lead compound MnTnBuOE-2-PyP

5+

was identified

The activities of SOD mimics other than catalysis of dismutation

Interaction with signaling proteins and other cellular proteins

Which type of reaction(s) will an SOD mimic undergo

in vivo

?

Therapeutic effects of Mn porphyrins

Other SOD mimics

Is therapeutic efficacy proportional to SOD-like activity of SOD mimics?

Redox-active synthetic compounds other than SOD mimics

Redox-active natural compounds

Purity of drugs

Pharmacokinetics and bioavailability of redox-active drugs and SOD mimics

Summary

Acknowledgment

Multiple choice questions

References

Chapter 28: Herbal medicine: past, present, and future with emphasis on the use of some common species

Early Islamic herbal medicine

Ayurvedic, siddha, and traditional Chinese medicine

Present eminence of herbal medicine

Curcuma longa

, Zingiberacease

Nigella sativa

Zinzibar officinale

(Zingiberaceae, ginger)

Future potential of herbal medicine

Multiple choice questions

References

Chapter 29: Ayurvedic perspective on oxidative stress management

Ayurveda

Basic concepts of Ayurveda

Role of oxidative stress in disease development: Ayurvedic perspective

Pathophysiological basis of oxidative stress in Ayurveda

Ayurvedic management of oxidative stress

Current advances

Multiple choice questions

References

Chapter 30: Clinical trials and antioxidant outcomes

Introduction

Pathophysiology of oxidative pathways

Clinical trials

Clinical implications of research findings

Limitations of current clinical trials

Summary points

Multiple choice questions

References

Chapter 31: Statistical approaches to make decisions in clinical experiments

Introduction, preliminaries, and basic components of statistical decision-making mechanisms

R: statistical software

Likelihood

Tests on means of continuous data

The exact likelihood ratio test for equality of two normal populations

Empirical likelihood

Receiver operating characteristic curve analysis

Goodness-of-fit tests

Wilcoxon rank-sum tests

Tests for independence

Numerical methods for calculating critical values and powers of statistical tests

Concluding remarks

Appendix

Multiple choice questions

References

Webliographies

Index

End User License Agreement

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Guide

Cover

Table of Contents

Foreword

Preface

Section I: Introduction

Begin Reading

List of Illustrations

Chapter 1: Introduction to free radicals, inflammation, and recycling

Figure 1.1 Homeostasis is a balance between levels of free radicals (FR) and antioxidants (AOX).

Figure 1.2 Oxidative stress starts a cascade that can lead to chronic disease if not modified by corrective actions.

Figure 1.3 Free radicals (FR) are key to initiation and propagation of the paths that lead to disease. Antioxidants (AOX) are key to protection.

Chapter 2: Diagnostic imaging and differential diagnosis

Figure 2.1 Electroretinogram waveform.

t

0

is the time of light stimulus,

t

a

is the time to the peak of the negative deflection and

t

b

is the time to the peak of the positive deflection. A wave is the amplitude of the negative deflection, mainly from the photoreceptor cell depolarization; B wave is the amplitude of the positive deflection from the neurosensory retinal response to the photoreceptor cell depolarization. Times vary with species, but are generally in the 10–300 ms range. Amplitudes also vary widely, but are in the 20–500 mV range.

Figure 2.2 Simple mass spectrogram of methane. The less abundant

13

C is hidden in the

12

C peaks except for

13

C

1

H

4

visible right of

12

C

1

H

4

peak.

Chapter 3: Free radicals: their role in brain function and dysfunction

Figure 3.1 The early and late cascade of events leading to nerve cell death in neonatal HIE.

Chapter 4: Mediators of neuroinflammation

Figure 4.1 Interplay between neuronal injury and microglial activation and the various mediators of neuroinflammation. TNF-α, tumor necrosis factor alpha; TACE, TNF-α converting enzyme; IL-1β, interleukin-1 beta; ICE, IL-1β converting enzyme; IL-1RA, interleukin-1 receptor antagonist; ROS, reactive oxygen species; NOX, NADPH oxidase; NO, nitric oxide; iNOS, inducible nitric oxide synthase; PGs, prostaglandins; COX, cyclooxygenase; HSP60, heat shock protein 60; MMP3, matrix metalloproteinase 3; siRNA, small interfering RNA.

Chapter 5: Oxidative and nitrative stress in schizophrenia

Figure 5.1 The predominance of oxidation processes caused by oxidative stress. (Figure prepared by A. Dietrich-Muszalska.)

Figure 5.2 Nitric oxide (NO) and peroxynitrite (ONOO

) syntheses; cNOS – cellular NOS. (Figure prepared by A. Dietrich-Muszalska.)

Figure 5.3 NO involvement in nitrative stress. (Figure prepared by A. Dietrich-Muszalska.)

Chapter 6: The effects of hypoxia, hyperoxia, and oxygen fluctuations on oxidative signaling in the preterm infant and on retinopathy of prematurity

Figure 6.1 Anatomy of the eye and vasculature. (Drawing by James Gilman, CRA, FOPS.)

Figure 6.2 Oxyhemoglobin dissociation curve depicting oxygen saturations with fetal and adult hemoglobin. (Drawing by James Gilman, CRA, FOPS.)

Figure 6.3 VEGF dilemma: retinal vascular development requires VEGF. (Drawing by James Gilman, CRA, FOPS.)

Figure 6.4 Subunits of NADPH oxidase and activation. The isoform NOX4 does not require aggregation with cytoplasmic subunits and becomes activated when it aggregates with p22phox. (Drawing by James Gilman, CRA, FOPS.)

Chapter 7: Oxidative damage in the retina

Figure 7.1 The rod photoreceptor cell (PRC) outer segment is the top Figure and the retinal pigment epithelial (RPE) cell is the bottom Figure The active form of rhodopsin visual pigment is an outer segment disk membrane-bound protein that absorbs light causing a conformational shift in the 11-

cis

-retinal (11-

cis

-RAL) moiety to all-

trans

-retinal (all-

trans

-RAL), resulting in cleavage of all-

trans

-RAL and opsin protein that stimulates the photoreceptor to trigger a neuronal impulse through a cyclic GMP pathway. The all-

trans

-RAL aldehyde is reduced to all-

trans

-retinol (all-

trans

-ROL) by an NADPH-dependent retinal dehydrogenase (RDH). The all-

trans

-ROL is transported through the interphotoreceptor matrix and into the RPE through a partially understood mechanism involving specific retinal-binding proteins in the interphotoreceptor matrix and in the RPE microsome. The all-

trans

-ROL is esterified by lecithin retinol acyltransferase to a fatty acid all-

trans

-retinyl ester, which then aggregates in a specialized microsome called a retinosome. RPE65 isomerase then hydrates the all-

trans

-retinyl ester and changes the ROL to the 11-

cis

-isomer and a free fatty acid. An NAD

+

-dependent retinal dehydrogenase oxidizes the 11-

cis

-ROL to 11-

cis

–RAL, which is then transported back to the membrane-bound apo-opsin where the two are covalently joined to form the activated rhodopsin, 11-

cis

-RAL-opsin.

Chapter 9: Disorders of children

Figure 9.1 Oxidative stress biomarkers in exhaled breath (“lung biomarkers”). Abbreviations: ADMA, asymmetric dimethylarginine; CO, carbon monoxide; NO, nitric oxide.

Figure 9.2 Effects of chronic nitric oxide blockade on oxidative stress status in young rats.

8, 9

Abbreviations: Cr, creatinine; L-NAME,

N

G

-nitro-L-arginine methyl ester; 8-OHdG, 8-hydroxy-2′-deoxyguanosine. Presented data are mean values of the markers. Oral administration of L-NAME (20, 50, and 80 mg/dl of drinking water), but not aminoguanidine (400 mg/dl), for 4 weeks of induced systemic hypertension and a significant reduction in urinary excretion of nitrite/nitrate. Rats treated with L-NAME also showed a significant increase in urinary 8-OHdG excretion compared with the control animals. The above effects were dependent on the dosage of L-NAME. The effects of L-NAME (50 mg/dl) on blood pressure and urinary nitrite/nitrate and 8-OHdG were restored by a large dose of L-arginine (2.0 g/dl), a precursor for nitric oxide synthesis.

Figure 9.3 Oxidative stress status in the fetoplacental unit. Increased generation of reactive oxygen species during growth of the fetoplacental unit is a prominent feature of pregnancy. Further enhancement of oxidative stress is likely to promote several pregnancy-related disorders including preeclampsia, fetal growth restriction, preterm labor, and low birthweight.

Figure 9.4 Correlations between oxidative stress biomarkers (total antioxidative capacity (TAC), thioredoxin-1) and clinical data (maternal body weight, body mass index).

16

Figure 9.5 Correlations between oxidative stress biomarkers (total hydroperoxides (TH), total antioxidative capacity (TAC), oxidative stress index (OSI), thioredoxin-1) and neonatal birthweight.

16

Figure 9.6 Urinary levels of acrolein-lysine, 8-hydroxy-2′-deoxyguanosine, and nitrite/nitrate in 1-month-old term and preterm neonates.

29

Abbreviations: Cr, creatinine; 8-OHdG, 8-hydroxy-2′-deoxyguanosine. Presented data are mean values of the markers. (a) Group 1: healthy term neonates (

n

= 10); Group 2a: stable preterm neonates (

n

= 21); Group 2b: sick preterm neonates (

n

= 16). *

p

< 0.05 versus Group 1, Group 2a. (b) In Group 2b, neonates developing active retinopathy exhibited significantly higher levels of acrolein-lysine than the other neonates without retinopathy did. *

p

< 0.05 versus sick preterm neonates without retinopathy.

Figure 9.7 Age-related changes of urinary levels of acrolein-lysine (a), 8-hydroxy-2′-deoxyguanosine, pentosidine, and nitrite/nitrate (b) in healthy children.

37

Abbreviations: Cr, creatinine; 8-OHdG, 8-hydroxy-2′-deoxyguanosine. Presented data are mean values of the markers. Note that younger subjects exhibit higher levels of urinary markers.

Figure 9.8 Mechanisms of brain damage in influenza-associated acute encephalopathy (IAE).

38

The findings presented in recent reports suggest that, in cases of severe IAE, either seasonal or 2009 pandemic, pathological manifestations similarly result from complex biological phenomena including overproduction of cytokines/chemokines and nitric oxide/reactive oxygen species, apoptosis induction, and vascular endothelial disruption. Additional exploration of these pathways is expected to contribute to the development of more effective adjunctive strategies in IAE.

Chapter 10: Oxidative stress in oral cavity: interplay between reactive oxygen species and antioxidants in health, inflammation, and cancer

Figure 10.1 Interplay between reactive oxygen species and antioxidants.

Figure 10.2 Oxidative stress and its involvement in several major diseases.

Figure 10.3 Generation of different reactive oxygen species.

Figure 10.4 Methods for determination of oxidative stress.

Chapter 11: Oxidative stress and the skin

Figure 11.1 A 69-year-old man presented with a 25-year history of gradual, asymptomatic thickening and wrinkling of the skin on the left side of his face. The physical examination showed hyperkeratosis with accentuated ridging, multiple open comedones, and areas of nodular elastosis. Histopathological analysis showed an accumulation of elastolytic material in the dermis and the formation of milia within the vellus hair follicles. Findings were consistent with the Favre–Racouchot syndrome of photodamaged skin, known as dermatoheliosis. The patient reported that he had driven a delivery truck for 28 years. Ultraviolet A (UVA) rays transmit through window glass, penetrating the epidermis and upper layers of dermis. Chronic UVA exposure can result in thickening of the epidermis and stratum corneum, as well as destruction of elastic fibers. This photoaging effect of UVA is contrasted with photocarcinogenesis. Although exposure to ultraviolet B (UVB) rays is linked to a higher rate of photocarcinogenesis, UVA has also been shown to induce substantial DNA mutations and direct toxicity, leading to the formation of skin cancer. The use of sun protection and topical retinoids and periodic monitoring for skin cancer were recommended for the patient. (Image from

The New England Journal of Medicine

, Jennifer Gordon and Joaquin Brieva, Unilateral dermatoheliosis, 366; 16 Copyright ©2012 Massachusetts Medical Society. Reprinted with permission from Massachusetts Medical Society.)

Figure 11.2 DNA damage: a central event in skin cancer. DNA damage is central to altered cell proliferation, differentiation, DNA repair, cell death, and immune system function required for skin cancer development. Exogenously and endogenously derived ROS (e.g., OH−. and H

2

O

2

) induce mutations in growth regulatory genes (e.g., p21 ras, p53) and can disrupt normal immune system function. The effects of ROS result in abnormal cellular physiology that contribute to elevated ROS (e.g., increased SOD activity), thus maintaining the DNA damage cycle, and the potential for cancer-causing events to occur.

Chapter 12: Oxidative stress in osteoarticular diseases

Figure 12.1 Effects of oxidative stress on chondrocytes and cartilage. ECM, extracellular matrix.

Figure 12.2 General mechanism of aging and bone damage produced by oxidative stress. UFA, unsaturated fatty acid.

Chapter 13: Gene therapy to reduce joint inflammation in horses

Figure 13.1 Normal and osteoarthritic synovium and cartilage transfected with scAAV packaged with genome coding for fluorescent green protein 10 days postinjection.

Chapter 15: Role of oxidants and antioxidants in male reproduction

Figure 15.1 Primary, secondary, and tertiary types of reactive oxygen species, including the reactive nitrogen species.

Figure 15.2 Potential generators of reactive oxygen species leading to oxidative stress in the male comprise endogenous and exogenous sources. Physiological levels of reactive oxygen species play a role in sperm capacitation, acrosome reaction, hyperactivation, and sperm–oocyte binding. However, at pathological levels, reactive oxygen species causes lipid peroxidation, DNA damage, and apoptosis, which lead to detrimental effects on male fertility.

Figure 15.3 Accumulation of reactive oxygen species and the depletion of endogenous antioxidants bring about a state of oxidative stress, which could result in lipid peroxidation and damaged mitochondrial and nuclear DNA.

Figure 15.4 Reactive oxygen species (superoxide anion, hydrogen peroxide, and hydroxyl radical) are generated from oxidative processes in the plasma membrane and mitochondria of the male gamete. These reactions involve the SOD and catalase antioxidant enzymes along with copper and iron, respectively.

Chapter 16: Role of oxidants and antioxidants in female reproduction

Figure 16.1 c-Jun N terminal kinase pathway and apoptosis. ROS act as secondary messengers that activate core apoptotic pathways via the activation of the c-Jun N-terminal kinase.

Figure 16.2 The consequences of ROS and oxidative stress. Exposure to pathological levels of ROS and oxidative stress causes cellular membrane and DNA damage along with protein manipulation.

Figure 16.3 Antioxidant supplementation efficacy as a therapeutic intervention. The efficacy of antioxidant supplementation as a therapeutic intervention remains inconclusive at this stage. The outcomes of studies involving intervention with oral antioxidant supplementation either support its use in alleviating the damaging effects of oxidative stress or show no effects on the reproductive parameters studied (selected studies are shown here).

Figure 16.4 Factors contributing to oxidative stress in the female reproductive system. Factors that contribute to the generation of oxidative stress in the female reproductive system include obesity, malnutrition, alcohol intake and smoking, misuse of drugs such as marijuana and cocaine, and exposure to environmental toxins.

Figure 16.5 Pregnancy complications and oxidative stress. Complications that may arise from oxidative stress conditions include recurrent pregnancy loss, spontaneous abortions, and preeclampsia.

Chapter 17: Reactive oxygen species, oxidative stress, and cardiovascular diseases

Figure 17.1 Pathogenesis of atherosclerosis.

Chapter 19: Oxidative stress and type 1 diabetes

Figure 19.1 ROS participate in multiple stages during T1D development. (1) ROS directly induce β-cell dysfunction; (2) ROS facilitate programmed β-cell death; (3) ROS produced by macrophage directly induce β-cell destruction. (4) ROS promote CD4

+

T-cell proliferation and secretion of inflammatory cytokines, which further induce β-cell damage. (5) During CD8

+

T-cell activation, ROS participate in antigen cross-presentation from dendritic cells to CD8

+

T cells. (6) CD8

+

T cells destroy β cells through perforin, granzyme, and FasL–Fas pathways. ROS facilitate β-cell damage in all these pathways.

Chapter 20: Metabolic syndrome, inflammation, and reactive oxygen species in children and adults

Figure 20.1 Common characteristics of the metabolic syndrome include centripetal obesity, dysglycemia, dyslipidemia, and hyperuricemia (detectable in the patient's plasma), hypertension, liver disease [non-alcoholic fatty liver (NAFL) or non-alcoholic steatohepatitis (NASH)], gout [manifested as pain in the great toe (podagra)], acanthosis nigricans and atherosclerotic cardiovascular disease (ASCVD), stroke, and peripheral vascular disease that can predispose to gangrene.

Figure 20.2 Insulin binds to the insulin receptor to initiate signaling. Second messengers cause alternations in metabolism (e.g., increased glycolysis and glycogen synthesis and suppressed gluconeogenesis) and the movement of the insulin-responsive glucose transporter (GLUT4) from the cytoplasmic pool to the plasma membrane facilitating glucose uptake into the skeletal muscle and adipose tissue.

Figure 20.3 This Figure illustrates the delivery of free fatty acids (FFAs) from the omentum to the liver via the portal circulation. The omentum and adipose tissue secrete IL-1, IL-6, TNF-α, and resistin, whereas adiponectin secretion is deficient.

Chapter 22: Wound healing and hyperbaric oxygen therapy physiology: oxidative damage and antioxidant imbalance

Figure 22.1 Monoplace chamber using compressed 100% oxygen.

Figure 22.2 Multiplace chamber using compressed air and 100% oxygen hood.

Figure 22.3 Acute wound healing is an orderly process. Interruption of this process leads to prolonged inflammation and a vicious cycle of further injury and continued inflammation. Breaking this chronic wound cycle requires diligent intervention at multiple points.

Chapter 23: Radiobiology and radiotherapy

Figure 23.1 Radiation effect on DNA.

Figure 23.2 Cell cycle and cell cycle checkpoints.

Chapter 24: Chemotherapy-mediated pain and peripheral neuropathy: impact of oxidative stress and inflammation

Figure 24.1 As a result of chemotherapeutic regimen: (1) calcium overload ensues, secondary to Na and Ca channel activation, resulting in calpain activation and proteolysis of the cytoskeletal (e.g., microtubules and neurofilaments). Calpain activity may also activate NF-κB; (2) downstream generation of inflammatory cytokines, NO, and exacerbation of ROS production from mitochondria, and increased Ca release; (3) this is aggravated by the attendant activation of glia (astrocytes and microglia) and immune effectors [see text for details]. Successful intervention to ameliorate NF-κB-induced pathology and oxidative stress would improve the efficacy and dosing regimens with chemotherapeutics. DRG = dorsal root ganglia.

Chapter 25: Grape polyphenol-rich products with antioxidant and anti-inflammatory properties

Figure 25.1 Chemical structures of main phenolic compounds present in grapes and wines.

Figure 25.2 Beneficial effects of grape and grape-derived products.

Figure 25.3 General signaling mechanisms associated with inflammatory processes.

Chapter 26: Isotonic oligomeric proanthocyanidins

Figure 26.1 Oxidative stress contributes to many diseases.

Figure 26.2 OPC is an electron donor that regenerates vitamins C and E and has direct action on hydroxyl and lipid radicals.

Figure 26.3 Antioxidants provide electrons which prevent ROS reactions with vital cell components. OPCs also help regenerate vitamin C, vitamin E, vitamin A, indirectly neutralizing FRs to terminate corresponding chain reactions and the consequent vicious cycle.

Figure 26.4 OPC protects the cardiovascular system through reduction of inflammation.

Figure 26.5 An isotonic liquid formulation provides much better absorption of OPC than other formulations.

10

(Vijayalakslakshmi Nandakumar and Santosh K. Katiyar 2008. Reproduced with permission.)

Chapter 27: Superoxide dismutase mimics and other redox-active therapeutics

Figure 27.1 Cellular metabolism is redox controlled. Listed are some of the major metabolic pathways that involve electron shuttling among biomolecules. Some of the electron shuttling would eventually, intentionally (supporting signaling pathways) or not (such as mitochondrial respiration at complexes I and III where electron from ubiquinol would hit the surrounding oxygen and reduce it one-electronically to ), give rise to reactive oxygen, nitrogen, sulfur, selenium, and chlorine species (RS). Endogenous antioxidative defenses, for example, catalase, families of superoxide dismutases (SOD), glutathione peroxidases (GPx), and peroxyredoxins, are in charge of maintaining low nanomolar levels of reactive species (RS), that is, physiological redox environment (Figure 27.2).

If levels of RS increase, as a consequence of cellular injury, a cascade of signaling events are upregulated with the goal to restore normal redox environment. Redox-active pathways along with reactive species and endogenous low- and high-molecular antioxidants are now recognized as

redoxome and define cellular redox environment.

Redoxome is as critical for cell metabolism as are proteome and genome.

Figure 27.2 Redox-active molecules, reactive species, and antioxidants. Redox-active molecules/species (some of them listed here) and their involvement in redox-based pathways comprise the cellular redoxome. Redoxome is maintained by oxidation/reduction reactions, that is, electron shuttling; it is only natural that redox-active drugs may be best suited to restore it when perturbed in diseases.

Figure 27.3 In addition to the electron transport chain, several other metabolic pathways (some of which are listed here) produce superoxide and subsequently its progeny and contribute to oxidative stress. The production via such pathways is enhanced if redox environment is perturbed. Some enzymes would produce superoxide under pathological conditions such as family of nitric oxide synthases (NOS), and some would produce under both pathological and physiological conditions such NADPH oxidases. For example, family of nitric oxide synthases produces

NO under physiological conditions; yet in the absence of reducing equivalents (tetrahydrobiopterin) such as in case of oxidative stress, they would produce . Under oxidative stress and with excessive

NO production, the action of cytochrome oxidase complex IV, the terminal enzyme of ETC, may be blocked due to the nitrosylation of the Fe protoporphyrin active site.

Figure 27.4 The involvement of superoxide in the production of some of the major reactive species contributing to oxidative stress. Dismutation of leads to the formation of peroxide, a major signaling and damaging species, maintained under physiological conditions at nanomolar levels. With any free low-molecular weight Fe

2+

species around (e.g., aqua or carboxylato complexes), H

2

O

2

will produce the most oxidizing, yet shortly-lived hydroxyl radical

OH. When

OH is formed in the vicinity of nucleic acids (RNA and DNA), the major oxidative damage will occur. By the action of myeloperoxidase, H

2

O

2

will produce another strongly oxidizing hypochlorous acid, which is under physiological conditions in equilibrium with deprotonated and reactive form, ClO

. would react with

NO at diffusion-limited rates of >10

9

M

−1

s

−1

to form highly damaging peroxynitrite, predominantly in ONOO

form.

12

ONOO

would

in vivo

make an adduct with CO

2

, which would decompose to form two highly oxidizing radicals, and

NO

2

.

Figure 27.5 MnP-based “true” SOD mimics, that is, compounds that catalyze dismutation with

k

cat

() higher than

k

for self-dismutation of ∼5 × 10

5

M

−1

s

−1

at pH 7.

13

Figure 27.6 SOD mimics other than Mn porphyrins. Only “true” metal-bearing SOD mimics are listed referring to compounds that catalyze dismutation with

k

cat

() higher than

k

for self-dismutation of ∼5 × 10

5

M

−1

s

−1

at pH 7.

13

The structures of Fe porphyrins, Mn and Fe corroles, Mn cyclic polyamine, M40403 (GC4403), water-soluble fullerene, and Mn salen EUK-207 (of cyclic structure that enhances its stability toward loss of Mn) are shown. Metal salts, for example, those of Mn, Ce, and Os, are also potent SOD mimics. Cerium dioxide comes in a form of ceria nanoparticles. While very potent SOD mimic in aqueous setting (

k

cat

as high as that of SOD enzyme), the OsO

4

is too toxic for therapeutic purposes. The Mn

2+

ion ligated with different low-molecular weight ligands is a fair SOD mimic; yet its clinical development might be precluded due to the neurotoxicity described as manganism.

15–17

Figure 27.7 (a) Crystal structure of human erythrocyte catalase (PDB ID: 1QQW), and (b) crystal structure of human cytochrome P450 (PDB ID: 2F9Q) and their active sites. Pictures are created with Cn3D 4.3.1.

26–28

Porphyrin is a macrocyclic ring that encapsulates metal; in turn, it affords the highest stability to a metal complex, assuring no loss of metal where reactions of interest occur. It is only natural that such ligand has been used by nature for numerous proteins and enzymes, such as myoglobin, guanylyl cyclase, oxidases, oxygenases, prolyl hydroxylases, catalase, cytochrome P450 family of enzymes, and so on. For the same reason, we have chosen to modify a metalloporphyrin structure to be efficient catalyst for dismutation.

Figure 27.8 Phase I of the design of porphyrin-based SOD mimic started from nonsubstituted Mn phenyl- and pyridylporphyrins, Mn(III)

meso-tetrakis-

phenylporphyrin, MnTPP

+

, and Mn(III)

meso-tetrakis

(pyridinium-2 (3 or 4)-yl)porphyrins, MnT-2(3 or 4)-PyP

+

. In these complexes, Mn is in its +3 oxidation state and is bound to four pyrrolic nitrogens.

24

Two of these form coordinated bonds with Mn – sharing the electrons with Mn. The other two nitrogens are deprotonated and are thus negatively charged and in turn provide one electron each to neutralize Mn 3+ charge. Consequently, one charge is left on Mn

3+

center in a resting state. The appropriate thermodynamics and kinetics for the catalysis of dismutation has been adjusted by alkylation of the pyridyl nitrogens with alkyl carbocations. In turn, the nitrogens end up carrying cationic charges. Those charges pull the electron density from the Mn site, making it electron deficient and in turn ready to accept electrons from anionic in the first step of dismutation process. Moreover, the charges impose favorable electrostatics attracting anionic superoxide. Electrostatics accounts for ∼2 orders of magnitude in the value of

k

cat

().

2, 23

Figure 27.9 The design of porphyrin-based SOD mimics. Starting from unsubstituted MnT-4-PyP

+

(Figure 27.8), the pyridyl nitrogens were first alkylated giving rise to

para

analog MnTM-4-PyP

5+

with fair SOD-like activity. To enhance electron-withdrawing effects, the nitrogens were then moved closer to the metal site from

para

into

ortho

positions. The MnTM(E)-2-PyP

5+

, the first lead, was synthesized. It is still the most frequently studied compound.

2, 23

Based on

ortho

pyridyl porphyrin, the imidazolyl analog (Figure 27.5) was subsequently synthesized and became the second lead – MnTDE-2-ImP

5+

. In order to improve the bioavailability of highly charged compounds, the alkyl chains were then lengthened and the third lead, MnTnHex-2-PyP

5+

was synthesized. Adapted from ref 216.

Figure 27.10 The substitutions of the porphyrin ring aimed to develop potent SOD mimics. Different substitutions were done on different

meso

and

beta

positions of porphyrin core. Also the carbons were replaced with nitrogens at

beta

and

meso

positions. The porphyrins of shrunken core, that is, corroles, and those of extended core, that is, porphycenes were synthesized by us and others also.

Figure 27.11 Structure–activity relationships for Mn porphyrins. The three structure–activity relationships were established between the

E

1/2

for Mn

III

P/Mn

II

P redox couple and for Mn porphyrins that have either cationic charges on periphery (triangles), anionic charges on periphery (circles), or no charges on periphery (open squares). All complexes have +1 charge on metal site in resting (stable) state, that is, Mn +3 oxidation state. Few compounds have Mn in +2 oxidation state in resting state, that is MnBr

8

TM-3(or 4)PyP

4+

. Adapted from ref 216.

Figure 27.12 The impact of electrostatics on dismutation. The electrostatic effects account for differences of more than two orders of magnitude in the catalysis of dismutation. The difference is higher between the porphyrins that are cationic (MnTE-2-PyP

5+

) and anionic (MnBr

8

TSPP

3−

) (400-fold) than is between the Mn porphyrins that are cationic (MnTE-2-PyP

5+

) and neutral (MnBr

8

T-2-PyP

+

) on the periphery (130-fold).

43

Figure 27.13 The impact of charge distribution on the SOD-like activity of MnP-based SOD mimics. The charge distribution contributed to 220-fold difference in

k

cat

() between compounds that appear similar on the first sight (with same number and types of atoms in their structures), with five-membered rings attached at

meso

positions. While both compounds bear two nitrogen atoms and three carbon atoms in each of their five-membered rings, those rings are differently organized. Different organization in turn results in different proximity of five positive charges to Mn site and in markedly different SOD-like activities.

70

Figure 27.14 Phases of the design of Mn porphyrin-based SOD mimics. In phase I, the critical impact of

ortho

cationic charges on the was recognized. This feature was then preserved in all subsequent analogs while the nature of pyridyl substituents was modified to optimize bioavailability and toxicity. In phase II, the lipophilicity of MnTE-2-PyP

5+

was enhanced, the MnTnHex-2-PyP

5+

was synthesized. Its enhanced efficacy, due in major part to its orders of magnitude higher accumulation within cell and mitochondria, overcomes its increased toxicity. The higher toxicity is, at least in part, due to its higher cellular accumulation. In phase III, the insertion of oxygen atoms into alkyl chains suppressed the toxicity in MnTnBuOE-2-PyP

5+

relative to MnTnHex-2-PyP

5+

without reducing the lipophilicity of the molecule. Adapted from ref 216.

Figure 27.15 The reactivity of Mn porphyrin-based SOD mimics toward different reactive species. Thus far, the reactivity toward , ONOO

, , ClO

,

NO, HNO, and H

2

O

2

was assessed for many Mn porphyrins. The data were published or reported at meetings.

2, 23

The data on and ONOO

are given in Table 27.1. The most potent SOD mimics, such as MnTE-2-PyP

5+

, have rate constant with somewhat higher than with ONOO

. The reactions with ClO

occur with similar rate constants to those with ONOO

.

2, 25, 85

While not listed here, the MnP-based SOD mimics are also reactive toward lipid-reactive species; no quantification is available. The reactivities toward thiols, simple and protein thiols, and toward ascorbate HA

has been quantified in part.

2, 40, 83, 86–91, 213, 214

Figure 27.17 Differential role of peroxide in the mechanism(s) of action(s) of Mn porphyrins in cancer versus normal cell. Cancer cell is already under oxidative stress and is vulnerable to any additional increase in it. This is frequently due to the perturbed balance between SOD enzymes and H

2

O

2

-removing enzymes, which results in high H

2

O

2

levels. The sensitivity to additional increase in oxidative stress has been employed in reactive species-producing cancer treatments such as radio- and chemotherapy, Normal cell has a variety of endogenous antioxidants to fight oxidative stress unless overwhelming. Most recent data indicate higher MnP levels in tumor than in normal tissue.

214,215

Thus, given higher H

2

O

2

and MnP levels, the yield of the reactions of the MnP in cancer and normal cells is differential and results in cancer cell death vs normal cell healing. The p50 and p65 are NF-κB subunits; p65-S-S-G and p50-S-S-G are glutathionylated subunits; cys p65 and cys p50 relate to cysteines of p50 and p65 subunits; complexes I, III, and IV are complexes of mitochondrial respiration; GSH, glutathione; NOS, nitric oxide synthase; GPx, glutathione peroxidase; TrxR, thioredoxin reductase; Prx, peroxiredoxin; HA

, monodeprotonated physiologically relevant form of ascorbic acid. The Nrf2/Keap1 pathway, which controls levels of endogenous antioxidative defenses, seems to be involved. For details on pathways listed, please refer to Forum Issue of

Antioxid Redox Signal

on “SOD therapeutics”, 2014.

88, 127, 128, 216

Figure 27.16 The role of H

2

O

2

in MnP-related cellular pathways. The most potent SOD mimics are able to oxidize a number of biological molecules (those studied thus far are listed here) in the presence of H

2

O

2

. AO, ascorbate oxidation; TO, thiol oxidation; TPx, thiol peroxidation; NAD-ox, NAD oxidation; NADP-ox, NADP oxidation; L-ox, lipid oxidation; L-Px, lipid peroxidation. Adapted from ref 216.

Figure 27.18 The interaction of SOD mimics with key cellular proteins. Only some of them are listed. The knowledge on new interactions emerges constantly. The interactions with HIF-1α, AP-1, SP-1, and NF-κB were demonstrated with several classes of SOD mimics (see manuscripts published in 2014, Forum Issue on “SOD Therapeutics”).

2, 122, 127, 132–135

The action upon Nrf2/Keap1 (with subsequent upregulation of numerous endogenous antioxidative defense systems, some of which are indicated here) has been reported with Mn(II) cyclic polyamine, nitroxide, and natural product curcumin. While the Nrf2/Keap1 was not directly assessed as a result of treatment with MnTnHex-2-PyP

5+

, the upregulation of most of the listed enzymes was seen in kidney ischemia/reperfusion rat model; the impact was enhanced when MnP was given along with

N

-acetylcysteine – H

2

O

2

producing system.

136, 137

The action upon protein thiols is direct, while the actions on other pathways may be indirect and waits further exploration.

86, 88

The inhibition of Na

+

/H

+

exchanger (NHE in this Figure only, otherwise normal hydrogen electrode) was shown in rat streptozotocin diabetes nephropathy model.

130

Adapted from ref 2.

Figure 27.19 Major classes of diseases where Mn porphyrin-based SOD mimics were successfully tested. Studies are done on cells, rodents, and nonhuman primates. Pulmonary radioprotection was tested on nonhuman primates.

146

More detailed list of diseases was provided in Refs.

2, 22, 25

. Some of the therapeutic effects of other drugs are listed in several review manuscripts.

2, 22, 25, 127, 133, 147

Figure 27.20 Structure–activity relationship between the and

E

1/2

for redox couple involved (dashed line for Mn

III

P/Mn

II

P and dotted line for Mn

IV

P/Mn

III

P). The relationship fits best for metal complexes and is not that good for nonmetal-based compounds such as nitroxides; its ability to affect superoxide dismutation is related to the fairly high rate constant for the reaction of nitroxide with protonated superoxide, very little of which is present at physiological pH. It seems that perhaps two relationships exist for two different redox couples and are slightly shifted based on different energetics of electron transfers involved with those couples. The maximum of the bell shape of the SAR describes the potential at which both steps of dismutation process occur at similar rates and where the

k

cat

() is in turn maximal. For those compounds that use Mn

III

P/Mn

II

P redox couple, at more negative potentials, the metal +3 oxidation state is stabilized and cannot be reduced with to start the dismutation process. At more positive potentials, Mn is stabilized in +2 oxidation state and cannot be oxidized with in the first step of dismutation process. For those compounds that use Mn

IV

P/Mn

III

P redox couple, such as corroles and biliverdins, the reverse is true. The first step would involve the oxidation of the metal site from Mn

3+

to Mn

4+

and the reduction of followed by reduction of metal to Mn +3 oxidation resting state with concomitant oxidation of . To identify the compounds reader is directed to Table 27.1. Adapted from ref 2.

Figure 27.21 Other redox-active therapeutics. Listed are compounds that are not able to both reduce and oxidize . Yet, during redox cycling, they can still affect

in vivo

levels of by removing it via oxidizing or reducing it. Due to its high oxidizing power, some compounds can be oxidized with ONOO

and cycle back with cellular reductants or perhaps other species (e.g., MnTBAP

3−

or AEOL11207).

Figure 27.22 Natural compounds that exhibit therapeutic effects. Some of those are attributed incorrectly to the SOD-like activity.

118

Chapter 28: Herbal medicine: past, present, and future with emphasis on the use of some common species

Figure 28.1 Molecular structures of some biologically active components in

Cucuma longa except paclitaxel is in Taxus brevifolia.

Figure 28.2 Molecular structures of some components in

Nigella sativa.

Figure 28.3 Molecular structures of some of the components of ginger.

Chapter 31: Statistical approaches to make decisions in clinical experiments

Figure 31.1 Screenshot of the R interface.

Figure 31.2 R data analysis output for measurements of HDL cholesterol levels (mg/dl) in healthy individuals.

Figure 31.3 Histogram of the differences in the number of acute care visits pre- and post-asthma training.

Figure 31.4 R data analysis output for measurements of HDL cholesterol levels (mg/dl)

X

and

Y

in the disease and healthy individuals, respectively.

Figure 31.5 ROC curves related to the biomarkers. The solid diagonal line corresponds to the ROC curve of biomarker

A

, where and . The dashed line displays the ROC curve of biomarker

B

, where and . The dotted line close to the upper left corner plots the ROC curve for biomarker

C

, where and .

Figure 31.6 The nonparametric estimators of ROC curves of three different biomarkers based on samples of sizes 1000. The solid diagonal line corresponds to the nonparametric estimator of the ROC curve of biomarker

A

, where and . The dashed line displays the nonparametric estimator of the ROC curve of biomarker

B

, where and . The dotted line close to the upper left corner plots the nonparametric estimator of the ROC curve for biomarker

C

, where and .

List of Tables

Chapter 1: Introduction to free radicals, inflammation, and recycling

Table 1.1 Biomarkers for oxidative stress

Chapter 4: Mediators of neuroinflammation

Table 4.1 Components of microglial activation cascade

Chapter 6: The effects of hypoxia, hyperoxia, and oxygen fluctuations on oxidative signaling in the preterm infant and on retinopathy of prematurity

Table 6.1 Circulations of adult and developing eye

Table 6.2 Parameters used to classify retinopathy of prematurity

Table 6.3 Major animal models of OIR

Chapter 7: Oxidative damage in the retina

Table 7.1 Mapped and identified retinal dystrophy genes.

8

Chapter 9: Disorders of children

Table 9.1 Pediatric diseases possibly associated with enhanced oxidative stress

Table 9.2 Increased cerebrospinal fluid levels of oxidative stress biomarkers in acute encephalopathy.

38

Chapter 10: Oxidative stress in oral cavity: interplay between reactive oxygen species and antioxidants in health, inflammation, and cancer

Table 10.1 Reactive oxygen species and their main characteristics

Table 10.2 Exogenous antioxidants with particular significance to oral cavity conditions

Chapter 15: Role of oxidants and antioxidants in male reproduction

Table 15.1 Common oxygen-free radicals in male reproduction

Table 15.2 Common nitrogen-free radicals in male reproduction

Table 15.3 Overview of major methods of ROS and RNS detection

Table 15.4 Glutathione peroxidase (GPx), glutathione reductase (GR), superoxide dismutase (SOD), catalase (CAT).

6, 44, 52–57

Chapter 16: Role of oxidants and antioxidants in female reproduction

Table 16.1 Overview of the major methods of ROS and RNS detection

Table 16.2 Overview of oxidative stress and pregnancy complications

Chapter 24: Chemotherapy-mediated pain and peripheral neuropathy: impact of oxidative stress and inflammation

Table 24.1 Commonly used chemotherapy agents associated with peripheral neuropathy

Table 24.2 Taxanes and hypersensitivity reaction modulation

Table 24.3 Vitamin E and chemotherapy-induced peripheral neuropathy (CIPN)

Chapter 25: Grape polyphenol-rich products with antioxidant and anti-inflammatory properties

Table 25.1 Classification of phenolic compounds from grapes and wines

Table 25.2 Techniques proposed for the extraction of the phenolic fraction from grapes, grapes products, and by-products and the major variables affecting the process

Chapter 27: Superoxide dismutase mimics and other redox-active therapeutics

Table 27.1 Metal-centered reduction potential

E

1/2

versus NHE (for M

III

/M

II

redox couple, M being metal, except when indicated otherwise), for the catalysis of dismutation , log

k

red

(ONOO

) for the one-electron reduction of ONOO

to

NO

2

) and the lipophilicity of redox-active drugs expressed in terms of log value of the partition between

n

-octanol and water, log

P

OW

Chapter 30: Clinical trials and antioxidant outcomes

Table 30.1 Observational studies assessing clinical outcomes associated with the consumption of antioxidant vitamins

Table 30.2 Large interventional trials of antioxidant vitamins

Chapter 31: Statistical approaches to make decisions in clinical experiments

Table 31.1 The R commands that produce introductory descriptive statistics based on a numerical vector

x

Table 31.2 Comparison of the classical EL and density-based EL approaches

Oxidative Stress and Antioxidant Protection

The Science of Free Radical Biology and Disease

EDITED BY

 

Donald Armstrong

 

Robert D. Stratton

 

Copyright © 2016 by John Wiley & Sons, Inc. All rights reserved

Published by John Wiley & Sons, Inc., Hoboken, New Jersey

Published simultaneously in Canada

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Cover image: Getty/Luk Cox

List of contributors

Aneela Afzal

Advanced Imaging Research Center Oregon Health and Science University Portland, OR, USA

 

Mohammad Afzal

Department of Biological Sciences Faculty of Science Kuwait University Safat, Kuwait

 

Ashok Agarwal

American Center for Reproductive Medicine Cleveland Clinic Cleveland, OH 44195, USA

 

María José Alcaraz

Department of Pharmacology and IDM University of Valencia Valencia, Spain

 

Ryyan Alobaidi

Pathology Department King Saud University Riyadh, KSA

 

Juan A. Ardura

Bone and Mineral Metabolism Laboratory Instituto de Investigación Sanitaria (IIS) – Fundación Jiménez Díaz and UAM Madrid, Spain

 

Donald Armstrong

Department of Biotechnical and Clinical Laboratory SciencesState University of New York at Buffalo Buffalo, NY, USA

Department of Ophthalmology University of Florida College of Medicine Gainesville, FL, USA

 

Ines Batinic-Haberle

Department of Radiation Oncology Duke University School of Medicine Durham, NC, USA

 

Maurizio Battino

Department of Dentistry and Specialized Clinical Sciences Biochemistry Section Università Politecnica delle Marche Ancona, Italy

 

Bogdan Calenic

Department of Biochemistry Faculty of Dental Medicine University of Medicine and Pharmacy ‘CAROL DAVILA’ Bucharest, Romania

 

Jing Chen

Department of Pathology, Immunology, and Laboratory Medicine University of Florida College of Medicine Gainesville, FL, USA

 

Xiwei Chen

Department of Biostatistics School of Public Health and Health Professions State University of New York at Buffalo

 

Renan C. Chisté

Departamento de Ciências Químicas Faculdade de Farmácia Universidade do Porto REQUIMTE 4050-313 Porto, Portugal

 

Patrick Colahan

Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Florida Gainesville, FL, USA

 

D. Scott Covington

Healogics, Inc. Jacksonville, FL, USA

 

Anna Dietrich-Muszalska

Department of Biological Psychiatry The Chair of Experimental and Clinical Physiology Medical University of Lodz Lodz, Poland

 

Herminia Domínguez

Departamento de Enxeñería Química Facultad de Ciencias Universidade de Vigo (Campus Ourense) Ourense, Spain

 

Hassan A. N. El-Fawal

The Pharmaceutical Research Institute and Neurotoxicology Laboratory Albany College of Pharmacy and Health Sciences Albany, NY, USA

 

Pedro Esbrit

Bone and Mineral Metabolism Laboratory Instituto de Investigación Sanitaria (IIS) – Fundación Jiménez Díaz and UAM Madrid, Spain

 

Elena Falqué

Departamento de Química Analítica Facultad de Ciencias Universidade de Vigo (Campus Ourense) Ourense, Spain

 

Eduarda Fernandes

Departamento de Ciências Químicas Faculdade de Farmácia Universidade do Porto REQUIMTE 4050-313 Porto, Portugal

 

Marisa Freitas

Departamento de Ciências Químicas, Faculdade de Farmácia Universidade do Porto REQUIMTE 4050-313 Porto, Portugal

 

Natan Gadoth