Oxidative stress

Oxidative stress represents an imbalance between the production and manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage. Disturbances in the normal redox state of tissues can cause toxic effects through the production of peroxides and free radicals that damage all components of the cell, including proteins, lipids, and DNA. Some reactive oxidative species can even act as messengers through a phenomenon called redox signaling.

In humans, oxidative stress is involved in many diseases. Examples include Sickle Cell Disease,^[1] atherosclerosis^{[citation needed]}, Parkinson's disease^{[citation needed]}, heart failure^{[citation needed]}, myocardial infarction^{[citation needed]}, Alzheimer's disease^{[citation needed]}, Schizophrenia^{[citation needed]}, Bipolar disorder^{[citation needed]}, fragile X syndrome^[2] and chronic fatigue syndrome^{[citation needed]}, but short-term oxidative stress may also be important in prevention of aging by induction of a process named mitohormesis.^[3] Reactive oxygen species can be beneficial, as they are used by the immune system as a way to attack and kill pathogens.

Chemical and biological effects

Chemically, oxidative stress is associated with increased production of oxidizing species or a significant decrease in the capability of antioxidant defenses, such as glutathione.^[4] The effects of oxidative stress depend upon the size of these changes, with a cell being able to overcome small perturbations and regain its original state. However, more severe oxidative stress can cause cell death and even moderate oxidation can trigger apoptosis, while more intense stresses may cause necrosis.^[5]

A particularly destructive aspect of oxidative* stress is the production of reactive oxygen species, which include free radicals and peroxides. Some of the less reactive of these species (such as superoxide) can be converted by oxidoreduction reactions with transition metals or other redox cycling compounds (including quinones) into more aggressive radical species that can cause extensive cellular damage.^[6] The major portion of long term effects is inflicted by damage on DNA.^[7] Most of these oxygen-derived species are produced at a low level by normal aerobic metabolism and the damage they cause to cells is constantly repaired. However, under the severe levels of oxidative stress that cause necrosis, the damage causes ATP depletion, preventing controlled apoptotic death and causing the cell to simply fall apart.^[8][9]

Oxidant	Description
•O2-, superoxide anion	One-electron reduction state of O2, formed in many autoxidation reactions and by the electron transport chain. Rather unreactive but can release Fe2+ from iron-sulfur proteins and ferritin. Undergoes dismutation to form H2O2 spontaneously or by enzymatic catalysis and is a precursor for metal-catalyzed •OH formation.
H2O2, hydrogen peroxide	Two-electron reduction state, formed by dismutation of •O2- or by direct reduction of O2. Lipid soluble and thus able to diffuse across membranes.
•OH, hydroxyl radical	Three-electron reduction state, formed by Fenton reaction and decomposition of peroxynitrite. Extremely reactive, will attack most cellular components
ROOH, organic hydroperoxide	Formed by radical reactions with cellular components such as lipids and nucleobases.
RO•, alkoxy and ROO•, peroxy radicals	Oxygen centred organic radicals. Lipid forms participate in lipid peroxidation reactions. Produced in the presence of oxygen by radical addition to double bonds or hydrogen abstraction.
HOCl, hypochlorous acid	Formed from H2O2 by myeloperoxidase. Lipid soluble and highly reactive. Will readily oxidize protein constituents, including thiol groups, amino groups and methionine.
ONOO-, peroxynitrite	Formed in a rapid reaction between •O2- and NO•. Lipid soluble and similar in reactivity to hypochlorous acid. Protonation forms peroxynitrous acid, which can undergo homolytic cleavage to form hydroxyl radical and nitrogen dioxide.

Table adapted from.^[10][11][12]

Production and consumption of oxidants

One source of reactive oxygen under normal conditions in humans is the leakage of activated oxygen from mitochondria during oxidative phosphorylation. However, E. coli mutants that lack an active electron transport chain produced as much hydrogen peroxide as wild-type cells, indicating that other enzymes contribute the bulk of oxidants in these organisms.^[13] One possibility is that multiple redox-active flavoproteins all contribute a small portion to the overall production of oxidants under normal conditions.^[14][15]

Other enzymes capable of producing superoxide are xanthine oxidase, NADPH oxidases and cytochromes P450. Hydrogen peroxide is produced by a wide variety of enzymes including several oxidases. Reactive oxygen species play important roles in cell signalling, a process termed redox signaling. Thus, to maintain proper cellular homeostasis, a balance must be struck between reactive oxygen production and consumption.

The best studied cellular antioxidants are the enzymes superoxide dismutase (SOD), catalase, and glutathione peroxidase. Less well studied (but probably just as important) enzymatic antioxidants are the peroxiredoxins and the recently discovered sulfiredoxin. Other enzymes that have antioxidant properties (though this is not their primary role) include paraoxonase, glutathione-S transferases, and aldehyde dehydrogenases.

Oxidative stress contributes to tissue injury following irradiation and hyperoxia. It is suspected (though not proven) to be important in neurodegenerative diseases including Lou Gehrig's disease (aka MND or ALS), Parkinson's disease, Alzheimer's disease, and Huntington's disease. Oxidative stress is thought to be linked to certain cardiovascular disease, since oxidation of LDL in the vascular endothelium is a precursor to plaque formation. Oxidative stress also plays a role in the ischemic cascade due to oxygen reperfusion injury following hypoxia. This cascade includes both strokes and heart attacks. Oxidative stress has also been implicated in chronic fatigue syndrome.^[16]

Antioxidants as supplements

The use of antioxidants to prevent disease is controversial.^[17] In a high-risk group like smokers, high doses of beta carotene increased the rate of lung cancer.^[18] In less high-risk groups, the use of vitamin E appears to reduce the risk of heart disease.^[19] In other diseases, such as Alzheimer's, the evidence on vitamin E supplementation is mixed.^[20][21] Since dietary sources contain a wider range of carotenoids and vitamin E tocopherols and tocotrienols from whole foods, ex post facto epidemiological studies can have differing conclusions than artificial experiments using isolated compounds. However, AstraZeneca's radical scavenging nitrone drug NXY-059 shows some efficacy in the treatment of stroke.^[22]

Oxidative stress (as formulated in Harman's free radical theory of aging) is also thought to contribute to the aging process. While there is good evidence to support this idea in model organisms such as Drosophila melanogaster and Caenorhabditis elegans,^[23][24] recent evidence from Michael Ristow's laboratory suggests that oxidative stress may also promote life expectancy of Caenorhabditis elegans by inducing a secondary response to initially increased levels of reactive oxygen species.^[25] This process was previously named mitohormesis or mitochondrial hormesis on a purely hypothetical basis.^[26] The situation in mammals is even less clear.^[27][28][29] Recent epidemiological findings support the process of mitohormesis, and even suggest that antioxidants may increase disease prevalence in humans (although the results were influenced by studies on smokers).^[30]

Metal catalysts

Metals such as iron, copper, chromium, vanadium and cobalt are capable of redox cycling in which a single electron may be accepted or donated by the metal. This action catalyzes reactions that produce reactive radicals and can produce reactive oxygen species. The most important reactions are probably Fenton's reaction and the Haber-Weiss reaction, in which hydroxyl radical is produced from reduced iron and hydrogen peroxide. The hydroxyl radical then can lead to modifications of amino acids (e.g. meta-tyrosine and ortho-tyrosine formation from phenylalanine), carbohydrates, initiate lipid peroxidation, and oxidize nucleobases. Most enzymes that produce reactive oxygen species contain one of these metals. The presence of such metals in biological systems in an uncomplexed form (not in a protein or other protective metal complex) can significantly increase the level of oxidative stress. In humans, hemochromatosis is associated with increased tissue iron levels, Wilson's disease with increased tissue levels of copper, and chronic manganism with exposure to manganese ores.

The reaction of transition metals with proteins oxidated by Reactive Oxygen Species or Reactive Nitrogen Species can yield reactive products that accumulate with time and contribute to aging and disease. For example, in Alzheimer's patients, peroxidized lipids and proteins accumulate in lysosomes of the patient's brain cells.^[31]

Non-metal redox catalysts

Certain organic compounds in addition to metal redox catalyts can also produce reactive oxygen species. One of the most important classes of these are the quinones. Quinones can redox cycle with their conjugate semiquinones and hydroquinones, in some cases catalyzing the production of superoxide from dioxygen or hydrogen peroxide from superoxide. Oxidative stress generated by the reducing agent uric acid may be involved in the Lesch-Nyhan syndrome, stroke, and metabolic syndrome. Likewise, production of reactive oxygen species in the presence of homocysteine may figure in homocystinuria, as well as atherosclerosis, stroke, and Alzheimers.

Immune defense

The immune system uses the lethal effects of oxidants by making production of oxidizing species a central part of its mechanism of killing pathogens; with activated phagocytes producing both ROS and reactive nitrogen species. These include superoxide (•O₂-), nitric oxide (•NO) and their particularly reactive product, peroxynitrite (ONOO-).^[32] Although the use of these highly reactive compounds in the cytotoxic response of phagocytes causes damage to host tissues, the non-specificity of these oxidants is an advantage since they will damage almost every part of their target cell.^[12] This prevents a pathogen from escaping this part of immune response by mutation of a single molecular target.

See also

• Acatalasia
• Nitric oxide
• Denham Harman
• Harry Demopoulos
• Pro-oxidant
• Antioxidant
• Redox signaling
• Mitohormesis
• Malondialdehyde, an oxidative stress marker

References

1. ^ Amer, J., Ghoti, H., Rachmilewitz, E., Koren, A., Levin, C. and Fibach, E. (January 2006). "Red blood cells, platelets and polymorphonuclear neutrophils of patients with sickle cell disease exhibit oxidative stress that can be ameliorated by antioxidants". British Journal of Haematology 132 (1): 108–113. doi:10.1111/j.1365-2141.2005.05834.x. PMID 16371026. 
2. ^ de Diego-Otero Y, Romero-Zerbo Y, el Bekay R, Decara J, Sanchez L, Rodriguez-de Fonseca F, del Arco-Herrera I. (March 2009). "Alpha-tocopherol protects against oxidative stress in the fragile X knockout mouse: an experimental therapeutic approach for the Fmr1 deficiency.". Neuropsychopharmacology 34 (4): 1011–26. doi:10.1038/npp.2008.152. PMID 18843266. 
3. ^ Gems D, Partridge L (March 2008). "Stress-response hormesis and aging: "that which does not kill us makes us stronger"". Cell Metab. 7 (3): 200–3. doi:10.1016/j.cmet.2008.01.001. PMID 18316025. http://www.ucl.ac.uk/~ucbtdag/Gems_2008.pdf. 
4. ^ Schafer FQ, Buettner GR (2001). "Redox environment of the cell as viewed through the redox state of the glutathione disulfide/glutathione couple". Free Radic. Biol. Med. 30 (11): 1191–212. doi:10.1016/S0891-5849(01)00480-4. PMID 11368918. 
5. ^ Lennon SV, Martin SJ, Cotter TG (1991). "Dose-dependent induction of apoptosis in human tumour cell lines by widely diverging stimuli". Cell Prolif. 24 (2): 203–14. doi:10.1111/j.1365-2184.1991.tb01150.x. PMID 2009322. 
6. ^ Valko M, Morris H, Cronin MT (May 2005). "Metals, toxicity and oxidative stress". Curr. Med. Chem. 12 (10): 1161–208. doi:10.2174/0929867053764635. PMID 15892631. 
7. ^ Evans MD, Cooke MS. Factors contributing to the outcome of oxidative damage to nucleic acids. Bioessays. 2004 May;26(5):533–42. Review. PMID: 15112233
8. ^ Lelli JL, Becks LL, Dabrowska MI, Hinshaw DB (1998). "ATP converts necrosis to apoptosis in oxidant-injured endothelial cells". Free Radic. Biol. Med. 25 (6): 694–702. doi:10.1016/S0891-5849(98)00107-5. PMID 9801070. 
9. ^ Lee YJ, Shacter E (1999). "Oxidative stress inhibits apoptosis in human lymphoma cells". J. Biol. Chem. 274 (28): 19792–8. doi:10.1074/jbc.274.28.19792. PMID 10391922. 
10. ^ Sies, H. (1985). "Oxidative stress: introductory remarks". In H. Sies, (Ed.). Oxidative Stress. London: Academic Press. pp. 1–7. 
11. ^ Docampo, R. (1995). "Antioxidant mechanisms". In J. Marr and M. Müller, (Eds.). Biochemistry and Molecular Biology of Parasites. London: Academic Press. pp. 147–160. 
12. ^ ^{a b} Rice-Evans CA, Gopinathan V (1995). "Oxygen toxicity, free radicals and antioxidants in human disease: biochemical implications in atherosclerosis and the problems of premature neonates". Essays Biochem. 29: 39–63. PMID 9189713. 
13. ^ Seaver LC, Imlay JA (November 2004). "Are respiratory enzymes the primary sources of intracellular hydrogen peroxide?". J. Biol. Chem. 279 (47): 48742–50. doi:10.1074/jbc.M408754200. PMID 15361522. http://www.jbc.org/cgi/pmidlookup?view=long&pmid=15361522. 
14. ^ Messner KR, Imlay JA (November 2002). "Mechanism of superoxide and hydrogen peroxide formation by fumarate reductase, succinate dehydrogenase, and aspartate oxidase". J. Biol. Chem. 277 (45): 42563–71. doi:10.1074/jbc.M204958200. PMID 12200425. http://www.jbc.org/cgi/pmidlookup?view=long&pmid=12200425. 
15. ^ Imlay JA (2003). "Pathways of oxidative damage". Annu. Rev. Microbiol. 57: 395–418. doi:10.1146/annurev.micro.57.030502.090938. PMID 14527285. 
16. ^ Nijs J, Meeus M, De Meirleir K (2006). "Chronic musculoskeletal pain in chronic fatigue syndrome: recent developments and therapeutic implications.". Man Ther 11 (3): 187–91. doi:10.1016/j.math.2006.03.008. PMID 16781183. 
17. ^ Meyers DG, Maloley PA, Weeks D (1996). "Safety of antioxidant vitamins". Arch. Intern. Med. 156 (9): 925–35. doi:10.1001/archinte.156.9.925. PMID 8624173. 
18. ^ Ruano-Ravina A, Figueiras A, Freire-Garabal M, Barros-Dios JM (2006). "Antioxidant vitamins and risk of lung cancer". Curr. Pharm. Des. 12 (5): 599–613. doi:10.2174/138161206775474396. PMID 16472151. 
19. ^ Pryor WA (2000). "Vitamin E and heart disease: basic science to clinical intervention trials". Free Radic. Biol. Med. 28 (1): 141–64. doi:10.1016/S0891-5849(99)00224-5. PMID 10656300. 
20. ^ Boothby LA, Doering PL (2005). "Vitamin C and vitamin E for Alzheimer's disease". Ann Pharmacother 39 (12): 2073–80. doi:10.1345/aph.1E495. PMID 16227450. 
21. ^ Kontush K, Schekatolina S (2004). "Vitamin E in neurodegenerative disorders: Alzheimer's disease". Ann. N. Y. Acad. Sci. 1031: 249–62. doi:10.1196/annals.1331.025. PMID 15753151. 
22. ^ Fong JJ, Rhoney DH (2006). "NXY-059: review of neuroprotective potential for acute stroke". Ann Pharmacother 40 (3): 461–71. doi:10.1345/aph.1E636. PMID 16507608. 
23. ^ Larsen PL (1993). "Aging and resistance to oxidative damage in Caenorhabditis elegans". Proc. Natl. Acad. Sci. U.S.A. 90 (19): 8905–9. doi:10.1073/pnas.90.19.8905. PMC 47469. PMID 8415630. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=47469. 
24. ^ Helfand SL, Rogina B (2003). "Genetics of aging in the fruit fly, Drosophila melanogaster". Annu. Rev. Genet. 37: 329–48. doi:10.1146/annurev.genet.37.040103.095211. PMID 14616064. 
25. ^ Publication demonstrating that oxidative stress is promoting life span
26. ^ Tapia PC (2006). "Sublethal mitochondrial stress with an attendant stoichiometric augmentation of reactive oxygen species may precipitate many of the beneficial alterations in cellular physiology produced by caloric restriction, intermittent fasting, exercise and dietary phytonutrients: "Mitohormesis" for health and vitality". Med. Hypotheses 66 (4): 832–43. doi:10.1016/j.mehy.2005.09.009. PMID 16242247. 
27. ^ Sohal RS, Mockett RJ, Orr WC (2002). "Mechanisms of aging: an appraisal of the oxidative stress hypothesis". Free Radic. Biol. Med. 33 (5): 575–86. doi:10.1016/S0891-5849(02)00886-9. PMID 12208343. 
28. ^ Sohal RS (2002). "Role of oxidative stress and protein oxidation in the aging process". Free Radic. Biol. Med. 33 (1): 37–44. doi:10.1016/S0891-5849(02)00856-0. PMID 12086680. 
29. ^ Rattan SI (2006). "Theories of biological aging: genes, proteins, and free radicals". Free Radic. Res. 40 (12): 1230–8. doi:10.1080/10715760600911303. PMID 17090411. 
30. ^ Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C (2007). "Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: systematic review and meta-analysis". JAMA 297 (8): 842–57. doi:10.1001/jama.297.8.842. PMID 17327526. http://jama.ama-assn.org/cgi/content/full/297/8/842. . See also the letter to JAMA by Philip Taylor and Sanford Dawsey and the reply by the authors of the original paper.
31. ^ Devasagayam, TPA; Tilac JC, Boloor KK, Sane Ketaki S, Ghaskadbi Saroj S, Lele RD (October 2004). "Free Radicals and Antioxidants in Human Health: Current Status and Future Prospects". Journal of Association of Physicians of India 52: 796. 
32. ^ Nathan C, Shiloh MU (2000). "Reactive oxygen and nitrogen intermediates in the relationship between mammalian hosts and microbial pathogens". Proc. Natl. Acad. Sci. U.S.A. 97 (16): 8841–8. doi:10.1073/pnas.97.16.8841. PMC 34021. PMID 10922044. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=34021. 

External links

• Oxidative Stress - Relationship with Exercise and Training