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Rheumatoid arthritis and oxidative stress
Rheumatoid arthritis is an autoimmune disease characterized
by chronic inflammation of the joints and tissue
around the joints with infiltration of macrophages and activated
T cells (4, 25, 26). The pathogenesis of this disease
is due to the generation of ROS and RNS at the site of inflammation.
Oxidative damage and inflammation in various
rheumatic diseases were proved by increased levels
of isoprostanes and prostaglandins in serum and synovial
fluid compared to controls (26).
Nephropathy and oxidative stress
Oxidative stress plays a role in a variety of renal diseases
such as glomerulonephritis and tubulointerstitial nephritis,
chronic renal failure, proteinuria, uremia (5, 27).
The nephrotoxicity of certain drugs such as cyclosporine,
tacrolimus (FK506), gentamycin, bleomycin, vinblastine,
is mainly due to oxidative stress via lipid peroxidation (27-
30). Heavy metals (Cd, Hg, Pb, As) and transition metals
(Fe, Cu, Co, Cr)-induced different forms of nephropathy
and carcinogenicity are strong free radical inducers in the
body (11, 12).
Ocular disease and oxidative stress
Oxidative stress is implicated in age-related macular
degeneration and cataracts by altering various cell types in
the eye either photochemically or nonphotochemically (31).
Under the action of free radicals, the crystalline proteins
in the lens can cross-link and aggregate, leading to the formation
of cataracts (32). In the retina, long-term exposure
to radiation can inhibit mitosis in the retinal pigment epithelium
and choroids, damage the photoreceptor outer segments,
and has been associated with lipid peroxidation (33).
Fetus and oxidative stress
Oxidative stress is involved in many mechanisms in the
development of fetal growth restriction and pre-eclampsia
in prenatal medicine (34-37). Some reports indicate that
blood levels of lipid peroxidation products (F2-isoprostanes,
MDA) are elevated in pre-eclamptic pregnancy and
intra-uterine growth retardation and it has been suggested
that ROS/RNS play a role in the etiology of these diseases
(35-37). In pregnancies complicated by pre-eclampsia, increased
expression of NADPH oxidase 1 and 5 isoforms
which are the major enzymatic sources of superoxide in
the placenta is seen (37).
Finally, Figure 1 summarizes oxidative stress-induced
diseases in humans.
ANTIOXIDANTS AND HEALTH MAINTENANCE
The body has several mechanisms to counteract oxidative
stress by producing antioxidants, either naturally generated
in situ (endogenous antioxidants), or externally supplied
through foods (exogenous antioxidants). The roles of
antioxidants are to neutralize the excess of free radicals, to
protect the cells against their toxic effects and to contribute
to disease prevention.
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