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Published on: July 15, 2020
Translational research involving oxidative stress and diseases of aging
Robert A Floyd1, Rheal A Towner, Ting He
1Experimental Therapeutics, Oklahoma Medical Research Foundation, Oklahoma City, OK 73104, USA. robert-floyd@omrf.org
Abstract:
There is ample mounting evidence that reactive oxidant species are exacerbated in inflammatory processes, many pathological conditions, and underlying processes of chronic age-related diseases. Therefore there is increased expectation that therapeutics can be developed that act in some fashion to suppress reactive oxidant species and ameliorate the condition. This has turned out to be more difficult than at first expected. Developing therapeutics for indications in which reactive oxidant species are an important consideration presents some unique challenges. We discuss important questions including whether reactive oxidant species should be a therapeutic target, the need to recognize the fact that an antioxidant in a defined chemical system may be a poor antioxidant operationally in a biological system, and the importance of considering that reactive oxidant species may accompany the disease or pathological system rather than being a causative factor. We also discuss the value of having preclinical models to determine if the processes that are important in causing the disease under study are critically dependent on reactive oxidant species events and if the therapeutic under consideration quells these processes. In addition we discuss measures of success that must be met in commercial research and development and in preclinical and clinical trials and discuss as examples our translational research effort in developing nitrones for the treatment of acute ischemic stroke and as anti-cancer agents.
Insights
Developing therapeutics targeting reactive oxidant species (ROS) is challenging. This research explores ROS as a therapeutic target, highlighting complexities in biological systems and the importance of preclinical models for conditions like stroke and cancer.
Area of Science:
- Biochemistry
- Pharmacology
- Pathology
Background:
- Reactive oxidant species (ROS) are implicated in inflammation, chronic diseases, and various pathological conditions.
- Targeting ROS for therapeutic benefit presents significant challenges due to their complex roles in biological systems.
- The development of effective ROS-suppressing therapeutics requires careful consideration of their operational efficacy in vivo.
Purpose of the Study:
- To critically evaluate the role of ROS as a therapeutic target in disease.
- To discuss the challenges associated with translating antioxidant properties from chemical systems to biological ones.
- To explore the utility of preclinical models in assessing the efficacy of ROS-targeting agents.
Main Methods:
- Review of existing evidence on ROS in disease pathogenesis.
- Analysis of the challenges in developing antioxidants for biological systems.
- Discussion of preclinical model requirements for evaluating ROS-dependent processes.
- Case study: Translational research on nitrones for acute ischemic stroke and cancer.
Main Results:
- ROS exacerbation is common in inflammatory and age-related diseases.
- Antioxidant efficacy in vitro does not always translate to in vivo effectiveness.
- Preclinical models are crucial for validating ROS involvement and therapeutic impact.
- Nitrones show promise as therapeutic agents for stroke and cancer.
Conclusions:
- Targeting ROS requires a nuanced understanding of their dual role in health and disease.
- Effective therapeutic development necessitates robust preclinical validation of ROS-dependent mechanisms.
- Translational research, exemplified by nitrone development, is key to advancing ROS-targeted therapies.
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