Natural Antioxidants in Human Health and Disease -

Natural Antioxidants in Human Health and Disease (eBook)

Balz Frei (Herausgeber)

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2012 | 1. Auflage
588 Seiten
Elsevier Science (Verlag)
978-0-08-057168-3 (ISBN)
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This book serves as a comprehensive overview of the current scientific knowledge on the health effects of dietary and supplemental antioxidants (such as vitamins C and E). Chapters integrate information from basic research and animal studies, epidemiologic studies, and clinical intervention trials.
The popular media has taken great interest in antioxidants, with numerous articles emphasizing their role in preventing disease and the possible slowing of the aging process. These antioxidant vitamins may be important in preventing not only acute deficiency symptoms, but also chronic disorders such as heart disease and certain types of cancer. This book, therefore, is not only for scientists and doctors, but also for health writers, journalists, and informed lay people.
The text focuses on several human conditions for which there is now good scientific evidence that oxidation is an important etiological component. Specifically, antioxidants may prevent or slow down the progression of: Cancer, Cardiovascular disease, Immune system disorders, Cataracts, Neurological disorders, Degeneration due to the aging process.
This book serves as a comprehensive overview of the current scientific knowledge on the health effects of dietary and supplemental antioxidants (such as vitamins C and E). Chapters integrate information from basic research and animal studies, epidemiologic studies, and clinical intervention trials.The popular media has taken great interest in antioxidants, with numerous articles emphasizing their role in preventing disease and the possible slowing of the aging process. These antioxidant vitamins may be important in preventing not only acute deficiency symptoms, but also chronic disorders such as heart disease and certain types of cancer. This book, therefore, is not only for scientists and doctors, but also for health writers, journalists, and informed lay people.The text focuses on several human conditions for which there is now good scientific evidence that oxidation is an important etiological component. Specifically, antioxidants may prevent or slow down the progression of: Cancer, Cardiovascular disease, Immune system disorders, Cataracts, Neurological disorders, Degeneration due to the aging process.

Front Cover 
1 
Natural Antioxidants in Human Health and Disease 4
Copyright Page 
5 
Table of Contents 8
Dedication 6
Contributors 16
Foreword 20
Preface 28
Part I: Oxidants and Antioxidants 30
Chapter 1. Free Radicals and Lipid Peroxidation: What They Are and How They Got That Way 30
I. Introduction 30
II. Putting the Proper Spin on Radicals 31
III. Radical Lifetimes 33
IV. Radical Chain Reactions and Lipid Autoxidation 35
V. Autoxidation and Kinetic Chain Length 39
VI. The Effects of Antioxidants 40
VII. Sources of Radicals in Living Systems 42
VIII. Cooxidations and Related Troublemakers 44
IX. Generation of Radicals in the Lipid or Water Phase 45
X. Autoxidation of PUFAs in LDL 46
XI. Epilogue 48
Chapter 2. Free Radicals in Biology: Sources, Reactivities, and Roles in the Etiology of Human Diseases 54
I. Introduction 54
II. Definitions 56
III. Chemistry and Reactivity of Free Radicals in Biological Systems 59
IV. Cellular Sources of Free Radicals 62
V. Radical Reactivity in Biological Systems 67
VI. Free Radicals, Antioxidants, and Disease 69
VII. Conclusions 83
Chapter 3. Oxidants and Mitochondrial Decay in Aging 92
I. Introduction 92
II. Age-Related Oxidative Damage to Cellular Macromolecules 94
III. Age-Related Changes in Mitochondria 101
IV. Effects of Calorie Restriction on Mitochondrial Function and Reactive Oxygen Species Production 113
V. Role of Mitochondrial Dysfunction and Reactive Oxygen Species in the Neuroendocrine, Immune, and Glycation Theories of Aging 117
VI. Summary 124
Chapter 4. Nonenzymatic Antioxidant Defense Systems 136
I. Introduction 136
II. Water-Soluble Antioxidants 139
III. Lipid-Soluble Antioxidants 142
IV. Concluding Remarks 150
Part II: Cancer 158
Chapter 5. Ascorbic Acid and Cancer: Animal and Cell Culture Data 158
I. Introduction 158
II. Animal Data 158
III. Cell Culture Studies of Possible Mechanisms of Ascorbate Action 171
IV. Conclusions 178
Chapter 6. Vitamin C, Vitamin C-Rich Foods, and Cancer: Epidemiologic Studies 186
I. Introduction 186
II. Analytic Studies by Cancer Site 188
III. Chemoprevention Trials 213
IV. Summary 217
Chapter 7. Vitamin E and Cancer Prevention 228
I. Introduction 228
II. Vitamin E 228
III. Experimental Models 231
IV. Epidemiologic Studies 235
V. Intervention Trials 256
VI. Conclusions and Recommendations 256
Chapter 8. Carotenoids and Cancer: Basic Research Studies 268
I. Introduction 268
II. How Do Carotenoids Interact with Cells? 269
III. How Do Carotenoids Prevent Cancer in Animals? 275
IV. Can Dietary ß–Carotene Materially Reduce Human Cancer Rates? 281
V. Mechanisms of Carotenoid Anticarcinogenesis 283
VI. Summary 284
Chapter 9. The Epidemiology of Selenium and Human Cancer 292
I. Introduction 292
II. Ecologic Studies 293
III. Analytical Epidemiologic Studies 294
III: Cardiovascular Disease 316
IV. Conclusions and Outlook 309
Chapter 10. The Pathogenesis of Atherosclerosis 316
I. Introduction 316
II. Initial Events in the Pathogenesis of Atherosclerosis 317
III. Mechanisms Leading to Progression: The Transitional Lesion 323
IV. The Mature or Complex Lesion 325
V. Atherosclerosis: A Substrate for Clinical Events 327
VI. Risk Factors and Atherogenesis 327
VII. Conclusions 328
Chapter 11. Antioxidant Protection of Low-Density Lipoprotein and Its Role in the Prevention of Atherosclerotic Vascular Disease 332
I. Introduction 332
II. Mechanisms of LDL Oxidation 334
III. Antioxidant Protection of LDL 344
IV. Antioxidant Protection of Lipoprotein (a) 355
V. Small-Scale Clinical Trials of LDL Antioxidant Protection 356
VI. Alternative Mechanisms of Antioxidant Action 364
VII. Conclusions 367
Chapter 12. Antioxidants as Antiatherogens: Animal Studies 382
I. Introduction 382
II. Antiatherogenic Effects of Antioxidants in Experimental Animals 383
III. Summary and Conclusions 405
Chapter 13. Natural Antioxidants and Cardiovascular Disease: Observational Epidemiologic Studies and Randomized Trials 416
I. Introduction 416
II. Descriptive Studies 417
III. Case–Control Studies 420
IV. Prospective Cohort Studies 422
V. Limitations of Observational Epidemiologic Data 430
VI. Randomized Trials 431
VII. Conclusions 434
Chapter 14. Myocardial lschemia–Reperfusion Injury and the Cardioprotective Potential of Natural Antioxidants 440
I. The Disease State of Myocardial Ischemia–Reperfusion 440
II. Oxidative Stress and the Pathogenesis of Myocardial Ischemia–Reperfusion Injury 444
III. The Clinical Significance of (Oxidative) Myocardial Ischemia–Reperfusion Injury 449
IV. Natural Antioxidants as Cardioactive Agents against Ischemia–Reperfusion Injury 450
V. Therapy with (Natural) Antioxidants for Myocardial Ischemia–Reperfusion Injury? 459
Part IV: Immunity and Infection 476
Chapter 15. Role of Antioxidants in the Maintenance of Immune Functions 476
I. Introduction 476
II. Free Radicals and Antioxidants 476
III. Immune Responses 477
IV. Risk Factors for Increased Exposure to Free Radicals, and/or Lowered Antioxidant Status: Effects on Immune Responses 
478 
V. Summary and Conclusions 489
Chapter 16. Ascorbic Acid in Neutrophils 498
I. Introduction and Experimental Limitations 498
II. Ascorbate Accumulation 499
III. Ascorbate and Neutrophil Function 504
IV. Summary 511
Chapter 17. Oxidants and Antioxidants in Viral Diseases: Metabolic Regulation and Auiotoxicity 518
I. Introduction 518
II. In Vitro Studies of Viral Pathogenesis 519
III. In Vivo Studies of Viral Pathogenesis 525
IV. Infections with Human and Simian Lentiviruses 530
V. Is There a Case for Antioxidants in the Therapy of Viral Diseases? 532
VI. Conclusions 535
Part V: Cataracts, Neurological Disorders, and Exercise 544
Chapter 18. Relationships between Natural Antioxidants and Cataract Formation 544
I. Normal Lens and Age-Related Cataract 544
II. Prevalence of Cataract and Related Disability: Public Health Impact 545
III. Oxidation and Cataract Formation 546
IV. Natural Antioxidants and Prevention of Cataract 548
V. Summary 556
Chapter 19. Vitamin E and Other Antioxidants in Neurological Function and Disease 564
I. Introduction 564
II. Antioxidant Deficiency 565
III. Increased Concentrations of Reactive Oxygen Species 575
IV. Summary and Conclusions 585
Chapter 20.The Role of Vitamin E and Other Antioxidants in Physical Exercise 596
I. Introduction 596
II. Physiological Effects of Exercise and Possible Mechanisms of Exercise-Induced Free Radical Generation 
596 
III. Antioxidant Defenses 598
IV. Summary 603
Index 606

1

Free Radicals and Lipid Peroxidation: What They Are and How They Got That Way


William A. Pryor

I Introduction


The aim of this review is to outline what radicals are and how they react. We will start with a discussion of the lifetimes and reactivities of different types of radicals. Then we will examine the mechanistic types of reactions that radicals undergo. The peroxidation of lipids, one of the oldest examples of a radical chain reaction that plays a role in biological changes, will be discussed. Finally, we will consider some “side reactions” that very often accompany the main processes that occur in lipid peroxidation and that have biological consequences.

The term “free radical” was first used in the debates that took place among chemists in the period 1750–1890 about the possibility that parts of molecules could have an independent existence. In that period, analytical methods in general and molecular weight methods in particular were so crude that it was not clear whether a part or a whole molecule was under observation. For example, if butane were to split to form two ethyl radicals, as shown in reaction (1), the methods of the time could not distinguish between the two “free” ethyl radicals on the right and the two “bound” ethyl radicals in the molecule butane, shown on the left.

H3−CH2−CH2−CH3→2CH3−CH⋅2

  (1)

Some of the problems that chemists of the 1800s had with radicals can be seen from the quite acrimonious quotes from leading chemists of the era, taken from the review by Pryor (1968). For example, Laurent in 1842 stated that “chemistry has now become the science of [radicals] that do not exist!” In contrast, Frankland in 1850 argued that “the isolation of these four radicals [methyl, ethyl, valeryl, and amyl] eliminates any doubt of their actual existence and is a complete proof of the correctness of the theories of Berzelius and Liebig.” The murky status of radicals becomes clear from the statement of Wurtz in 1856: “Gerhardt’s assumptions that free radicals do not exist … cannot be maintained. Ethylene, carbon monoxide and sulfur dioxide may be regarded as free radicals since they form compounds by direct addition of two atoms of chlorine.” Clearly, Wurtz did not use the term “radical” in the same way that we do now, because neither carbon monoxide nor sulfur dioxide is a radical (although nitric oxide, another common gas, is). Mechanisms as well as atomic structures were unknown in those days, and chemists did not recognize that compounds that contain a carbon–carbon double bond (olefins) can add “two atoms of chlorine,” i.e., Cl2, either in a radical chain process or in an ionic process that does not involve radicals, depending on conditions (Pryor, 1966).

Thanks to pioneering work by Gomberg in 1900, Nernst in 1918, Herzfeld and Polanyi in the 1920s, and Paneth in 1929, the existence of “free” radicals both in the gas phase and in solution was unequivocally established in the period 1900–1930 (Pryor, 1968). Today, we use the terms “radical” and “free radical” interchangeably.

II Putting the Proper Spin on Radicals


We should start by defining the equivalent terms “radical” and “free radical”; the formal definition states that a radical is a chemical species with an unpaired electron (Pryor, 1966; Walling, 1957). Radicals can be neutral or negatively or positively charged. Most of the organic radicals we will be discussing are neutral (3., RO·, etc.), but many radical anions and radical cations are known and are important in biology. For example, superoxide, ⋅2−, is a radical anion. The oxidation of polycyclic aromatic hydrocarbons (PAHs) by a one-electron step is relatively easy, because the odd electron can be delocalized over the (generally) large number of benzene rings in these “bathroom tile” types of molecules; when a PAH loses an electron, it becomes a PAH cation radical, AH⋅+, and these species can be involved in the oxidative processes that convert PAHs to carcinogens (Todorovic et al., 1993; RamaKrishna et al., 1993; Cavalieri and Rogan, 1984; Rogan et al., 1993; Devanesan et al., 1993).

Chemical bonds are made up of a pair of electrons that have opposed spins, symbolized in this way: . In a two-electron bond, these two electrons occupy the same orbital (space), located between the two atomic nuclei that are bonded together by this electron pair. When a bond breaks, either both electrons can attach to one partner, as shown in reaction (2), or one electron can attach to each partner, as shown in reaction (3). In the former case, called heterolysis, ions are formed. In the latter case, called homolysis or homolytic bond scission, two fragments, each with one unpaired electron, are formed; these species with an odd number of electrons are radicals.

−Y→X++:Y−

  (2)

−Y→X⋅+⋅Y

  (3)

Because virtually all stable molecules have an even number of electrons in “closed” (complete) electronic orbitals, the scission shown in reaction (3) gives species with an odd number of electrons. These free radicals are called “open shell” species, because the orbital holding the single electron could hold another electron. If another electron were to be placed in this orbital, it must have a spin opposed in direction to the electron already there. This gives two electrons with opposed, or “paired,” spins, as shown in the representation . The spins of the two electrons must be different because the Pauli exclusion principle states that each electron in a molecule must have at least one quantum number (of the four total) that differs from those of all the other electrons. These quantum numbers can be thought of as the “address” of the electrons in a molecule. If the two electrons are in the same orbital, then the three quantum numbers that specify the location in space of the electrons are the same; therefore, to satisfy the Pauli principle, the spin quantum numbers of the two electrons must differ. One must be polarized “up” and one must be “down.” Incidently, it is this small energy difference that is utilized in electron spin resonance (ESR), a spectrographic technique that measures only those species with an odd electron. [ESR can also be referred to as electron paramagnetic resonance (EPR).] When the molecule is put in a magnetic field (so the electrons have an external reference to allow them to distinguish up from down, i.e., with or against the field), and the energy is scanned, species with pairs of electrons undergo transitions and no net energy is absorbed. However, radicals have one odd electron that “flips” its orientation from being with to against the field; the absorption of the small energy required by this electron flip is detected in ESR.

This business of spin can produce the unusual situation of a diradical, a species with two unpaired electrons that have the same spin. Because the two electrons have the same spin, they cannot go into the same orbital (Pauli principle) and are forced to stay apart. (Of course electrostatics also tells us that the two electrons would repel each other.) Dioxygen has two electrons with equal energy that occupy similarly shaped orbitals with identical energies (called “degenerate”), one on each oxygen atom. Hund’s rule states that when two electrons fill degenerate orbitals, they have the same spin, which forces them to stay apart. Thus, ground-state dioxygen (O2) is a diradical. If this ground-state “triplet” dioxygen is excited by 23 kcal/mol, it can pair the spins of these two electrons and put them both in the same orbital, forming the reactive species called singlet oxygen. (Singlet and triplet are terms that describe the number of equivalent spectroscopic states the species has.) The conversion of ground-state dioxygen (O2) to the excited singlet state (represented as 1O2) is shown in reaction (4).

O—O⋅triplet→O=Osinglet

  (4)

III Radical Lifetimes


The biological lifetimes of a number of types of radicals can be approximated by calculations in which their rate constants for reaction with their principal targets are combined with the estimated concentration of the targets in the vicinity where the radical is formed (Pryor, 1986). These calculated lifetimes are shown in Table I. Note that radical lifetimes vary from extremely short to infinitely long. The hydroxyl radical is so short-lived that it can only diffuse about 50 molecular diameters before it reacts. Thus, it is extremely reactive and can pull off a hydrogen atom from even the least likely molecules. However, this very reactivity makes the hydroxyl radical quite unselective in the damage it produces. For example, in an attack on the protein α-1-proteinase inhibitor, hydrogen peroxide specifically oxidizes a methionine residue and produces an inactive protein. In contrast, hydroxyl radicals appear to do a random,...

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