Role of free radicals in viral pathogenesis and mutation
Open accessAbstract
Oxygen radicals and nitric oxide (NO) are generated in excess in a diverse array of microbial infections. Emerging concepts in free radical biology are now shedding light on the pathogenesis of various diseases. Free-radical induced pathogenicity in virus infections is of great importance, because evidence suggests that NO and oxygen radicals such as superoxide are key molecules in the pathogenesis of various infectious diseases. Although oxygen radicals and NO have an antimicrobial effect on bacteria and protozoa, they have opposing effects in virus infections such as influenza virus pneumonia and several other neurotropic virus infections. A high output of NO from inducible NO synthase, occurring in a variety of virus infections, produces highly reactive nitrogen oxide species, such as peroxynitrite, via interaction with oxygen radicals and reactive oxygen intermediates. The production of these various reactive species confers the diverse biological functions of NO. The reactive nitrogen species cause oxidative tissue injury and mutagenesis through oxidation and nitration of various biomolecules. The unique biological properties of free radicals are further illustrated by recent evidence showing accelerated viral mutation by NO-induced oxidative stress. NO appears to affect a host's immune response, with immunopathological consequences. For example, NO is reported to suppress type 1 helper T cell-dependent immune responses during infections, leading to type 2 helper T cell-biased immunological host responses. NO-induced immunosuppression may thus contribute to the pathogenesis of virus infections and help expansion of quasispecies population of viral pathogens. This review describes the pathophysiological roles of free radicals in the pathogenesis of viral disease and in viral mutation as related to both nonspecific inflammatory responses and immunological host reactions modulated by NO.
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Vitamin C is an efficient water-soluble antioxidant and its effects on the immune system can be explained by protection against oxidative stress generated during infections.
“Vitamin C is an efficient water‐soluble antioxidant and the effects on the immune system can be explained by the protection against oxidative stress generated during infections (Akaike 2001; Castro 2006; Hemilä 1992).”
From Vitamin C for preventing and treating the common cold (2013) · cites this paper as Akaike 2001
The sections on virus-induced oxidative stress and suppressive effects of NO on immunological responses say that viral infections generate oxidative stress and that it may suppress immune cells. They do not identify vitamin C as a water-soluble antioxidant or show that protection by vitamin C explains its effects on the immune system (searched: vitamin C, ascorbic acid). (LLM, conf=0.84)
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- Authors
- Akaike, T.
- Affiliations
- Kumamoto University (JP)
- Corresponding author
- Akaike, Takaaki
- ORCID
- Akaike, Takaaki
- Venue
- Reviews in Medical Virology
- Publisher
- Wiley
- Published
- 2001-03
- Volume
- 11
- Issue
- 2
- Pages
- 87-101
- ISSN
- 1052-9276 (ISSN-L)
- 1099-1654
- PMC
- PMC7169086
- OpenAlex
- W2144466179
- Cited by
- 207
- References
- 142
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 8 · 2022: 17 · 2021: 16 · 2020: 17 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 8 · 2013: 7 · 2012: 3
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Reviews in Medical Virology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Keywords
- free radicals, nitric oxide, superoxide, viral pathogenesis, viral mutations, oxidative stress, peroxynitrite, inducible nitric oxide synthase, reactive oxygen species, nitration, immunosuppression, Th1 cells, Th2 cells, quasispecies, influenza virus pneumonia, neurotropic viruses, oxidative tissue injury
- MeSH terms
- Animals, Humans, Mutation, Nitric Oxide, Superoxides, Virus Diseases, Viruses, Mice
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