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Antioxidants, nature and chemistry
Submitted by Dr. Tamer Fouad, M.D.
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Antioxidants are substances
that protect other chemicals of the body from damaging
oxidation reactions
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Antioxidant System
The body
has developed several endogenous antioxidant systems to deal
with the production of ROI. These systems can be divided into
enzymatic and nonenzymatic groups. Figure
4 summarizes the sites of action of the various antioxidants.

Fig. 4: Generation sequence of
reactive oxygen species following univalent reduction of oxygen
and the various sites of action of the different antioxidants
(Nohl, 1993).
The enzymatic antioxidants include superoxide
dismutase (SOD), which catalyses the conversion of O2·⁻
to H2O2
and H2O; catalase, which then converts H2O2
to H2O and O2; and glutathione peroxidase,
which reduces H2O2 to H2O.
Fig. 5: Sources of intracellular
oxidative stress and sites of antioxidant activity (Bulger and
Helton, 1998).
The nonenzymatic antioxidants
include the lipid-soluble vitamins, vitamin E and vitamin A
or provitamin A (beta-carotene), and the water-soluble vitamin
C and GSH. Vitamin E has been described as the major chain-breaking
antioxidant in humans (Packer,
1992). Because of its lipid solubility, vitamin E is located
within cell membranes, where it interrupts lipid peroxidation
and may play a role in modulating intracellular signalling pathways
that rely on ROI (Kagan
et al. 1990; Azzi et al. 1993). Vitamin E can also directly
quench ROI, including O2·⁻,
·OH, and (Algayer et
al. 1992) 1O2.

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The enzymatic and nonenzymatic antioxidant
systems are intimately linked to one another and appear to interact
with one another (Fig.6). Both vitamin C and GSH have been implicated
in the recycling of alpha-tocopherol radicals (Reed,
1993). In addition, the trace elements selenium, manganese,
copper, and zinc also play important roles as nutritional antioxidant
cofactors. Selenium is a cofactor for the enzyme glutathione
peroxidase, and manganese, copper, and zinc are cofactors for
SOD (see earlier). Zinc also acts to stabilize the cellular
metallothionein pool, which has direct free radical quenching
ability (Bray and Bettger,
1990). The complex interactions of these different antioxidant
systems may imply that therapeutic strategies will depend on
combination therapy of various antioxidants rather than a single
agent.
Fig. 6: Interactions among antioxidants. Reactive oxygen intermediates
(ROI) induce membrane lipid peroxidation resulting in a chain
reaction that can be interrupted by the direct scavenging of
lipid peroxyl radicals by vitamin E (VE) and beta-carotene.
Vitamin E can then be recycled by both vitamin C (VC) and glutathione
(GSH). The reducing ability of GSH is catalyzed by the enzyme
glutathione peroxidase (GSSG). Glutathione is then recycled
by NADPH, which is facilitated by glutathione reductase (GSSG).
LOO· = active species of the lipid peroxyradical; LOOH-reduced
lipid radical; VE-O· = active radical form of VE; VE-OH = the
reduced form (Bulger and Helton, 1998).
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