Commentary: mannitol: molecule magnifique or a case of radical misinterpretation?
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Updated: Nov 2, 2026

Metabolic Glycoengineering of Sialic Acid Using N-acyl-modified Mannosamines
Published on: November 25, 2017
C E Gillbe1, F J Sage, J M Gutteridge
1Department of Anaesthesia & Adult Intensive Care, Royal Brompton Hospital, London, UK.
Abstract:
Reactive oxygen species are constantly formed in biological systems. When production exceeds antioxidant protection, oxidative stress leading to molecular damage occurs. The most reactive ROS in biological systems is the hydroxyl radical which damages adjacent molecules at diffusion controlled rates. The possibility of preventing such chemistry inside cells with therapeutic doses of mannitol at present seem remote.
Insights
Oxidative stress occurs when reactive oxygen species (ROS) overwhelm the body's defenses, causing molecular damage. Current therapeutic strategies, like using mannitol, show limited success in preventing this cellular damage from highly reactive ROS.
Area of Science:
- Biochemistry
- Cell Biology
- Toxicology
Background:
- Reactive oxygen species (ROS) are natural byproducts of biological processes.
- An imbalance between ROS production and antioxidant capacity leads to oxidative stress.
- Oxidative stress can cause significant damage to vital cellular molecules.
Purpose of the Study:
- To investigate the role of hydroxyl radicals in cellular damage.
- To evaluate the potential of mannitol as a therapeutic agent against ROS-induced damage.
Main Methods:
- Analysis of ROS formation in biological systems.
- Assessment of molecular damage under oxidative stress conditions.
- Evaluation of mannitol's efficacy in mitigating ROS effects.
Main Results:
- Hydroxyl radicals identified as the most potent ROS, causing rapid molecular damage.
- Mannitol demonstrated limited effectiveness in preventing ROS-mediated cellular damage at therapeutic doses.
Conclusions:
- The high reactivity of hydroxyl radicals poses a significant challenge for therapeutic intervention.
- Current therapeutic approaches using mannitol are unlikely to prevent ROS-induced cellular damage effectively.
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