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Understanding mechanisms of antioxidant action in health and disease
1Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. bchbh@nus.edu.sg.
Abstract:
Several different reactive oxygen species (ROS) are generated in vivo. They have roles in the development of certain human diseases whilst also performing physiological functions. ROS are counterbalanced by an antioxidant defence network, which functions to modulate ROS levels to allow their physiological roles whilst minimizing the oxidative damage they cause that can contribute to disease development. This Review describes the mechanisms of action of antioxidants synthesized in vivo, antioxidants derived from the human diet and synthetic antioxidants developed as therapeutic agents, with a focus on the gaps in our current knowledge and the approaches needed to close them. The Review also explores the reasons behind the successes and failures of antioxidants in treating or preventing human disease. Antioxidants may have special roles in the gastrointestinal tract, and many lifestyle features known to promote health (especially diet, exercise and the control of blood glucose and cholesterol levels) may be acting, at least in part, by antioxidant mechanisms. Certain reactive sulfur species may be important antioxidants but more accurate determinations of their concentrations in vivo are needed to help assess their contributions.
Insights
Reactive oxygen species (ROS) play dual roles in health and disease. This review examines antioxidants, their mechanisms, and their effectiveness in preventing and treating diseases.
Area of Science:
- Biochemistry
- Physiology
- Pharmacology
Background:
- Reactive oxygen species (ROS) are integral to physiological processes but also implicated in disease development.
- An antioxidant defense network balances ROS levels, maintaining function and preventing oxidative damage.
- Understanding ROS and antioxidant interactions is crucial for human health.
Purpose of the Study:
- To review mechanisms of action for endogenous, dietary, and synthetic antioxidants.
- To identify knowledge gaps and future research directions in antioxidant science.
- To explore the successes and failures of antioxidant therapies in human diseases.
Main Methods:
- Review of existing literature on antioxidant mechanisms and clinical applications.
- Analysis of factors influencing antioxidant efficacy in vivo.
- Exploration of the role of lifestyle factors and novel antioxidant species.
Main Results:
- Antioxidants synthesized in vivo, from diet, and synthetically have diverse mechanisms.
- Gaps in knowledge exist regarding antioxidant efficacy and therapeutic application.
- Lifestyle factors like diet and exercise may exert health benefits partly through antioxidant mechanisms.
Conclusions:
- Antioxidant research needs to address knowledge gaps to improve therapeutic strategies.
- Further investigation into reactive sulfur species as antioxidants is warranted.
- Optimizing antioxidant defense is key to managing ROS-related diseases and promoting health.
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