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Free Radicals in Biology and Medicine
Abstract
The new edition of this well-established book is thoroughly revised and gives a comprehensive account of the role of free radicals, other reactive species (RS), and antioxidants in life, health, and disease. Chapter 1 reviews how oxygen (O2) is used by living organisms, why it can be toxic, and introduces the concept of oxygen radicals and other RS; their chemistry is detailed in Chapter 2, especially for superoxide, hydroxyl radical (including Fenton chemistry), peroxynitrite, nitric oxide, ozone, and singlet O2, with emphasis on their redox properties. Subsequent chapters detail what antioxidants can be made in vivo (e.g. superoxide dismutases, peroxiredoxins) and which can come from diet (e.g. vitamins E and C, carotenoids, and polyphenols such as the flavonoids) and how they work in vivo. The role of RS in cell proliferation, senescence, and death (e.g. by apoptosis, necrosis, or intermediate forms) is presented. Methods for measuring RS are described in detail, including electron paramagnetic resonance and biomarker determination. Useful roles for RS (e.g. cell signalling, phagocyte action), as well as systems in which they cause particular problems (e.g. premature babies, the eye, the ear) are presented. Acute and chronic inflammation are used to illustrate both roles There is a comprehensive description of the role of RS in human diseases, from cancer to heart disease to dementia, in the ageing process, and in the toxicity of many agents, from ethanol to carbon tetrachloride to paraquat. Therapeutic agents active against RS are reviewed in detail, including NADPH oxidase inhibitors, N-acetylcysteine, and Ebselen.
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Diabetes causes oxidative stress, which may contribute to the increased tendency for Alzheimer disease in diabetes.
“Diabetes also leads to oxidative stress (ref8, also see later discussion), which may make a contribution to its propensity to favour AD development9.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
In preclinical Alzheimer disease and Alzheimer disease brains, oxidative damage to many molecules is elevated.
“In the brains of subjects with PCAD and AD, levels of oxidative damage to a wide range of molecules are increased8–19.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Oxidative damage is a central component of Alzheimer disease pathogenesis.
“but oxidative damage is a key component.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Oxidative stress contributes substantially to the development and progression of Alzheimer disease.
“has been shown in a wide range of studies to contribute significantly to the pathogenesis and progression of AD2,8–19.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Loss of ion gradients allows extracellular calcium to enter, raising intracellular free calcium and stimulating calcium-dependent endonuclease, phospholipase, and proteinase activities, contributing to synaptic dysfunction and neuronal death.
“Moreover, loss of ion gradients can allow extracellular Ca2+ to enter, which can further raise intracellular free Ca2+ levels, stimulating Ca2+-dependent endonuclease, phospholipase, and proteinase activities8, contributing to synaptic dysfunction and eventual neuronal death.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Inefficient glucose use and impaired ATP production are closely related to oxidative damage.
“Research from our laboratories11,12,34 and many others2,4,8,10 has shown that inefficient glucose utilization (and thus impaired ATP production) and oxidative damage are intimately related.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Oxidative stress raises intracellular free calcium levels, which can lead to several harmful effects.
“because oxidative stress is well known to raise intracellular free Ca2+ levels, from which several deleterious consequences can follow8.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Lipid peroxidation is increased in Alzheimer disease and amnestic mild cognitive impairment brain or cerebrospinal fluid and in preclinical Alzheimer disease hippocampus, as shown by elevated protein-conjugated HNE, F2-isoprostanes, and F4-isoprostanes.
“Increased lipid peroxidation (a term explained in Table 1) in AD and aMCI brains or CSF and in PCAD hippocampus is further evidenced by rises in the levels of protein-conjugated HNE, F2-isoprostanes, and F4-isoprostanes8,11,12,13,15,16,19–23.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Protein carbonyls are significantly elevated in brain or cerebrospinal fluid from patients with amnestic mild cognitive impairment.
“Even in aMCI patients, oxidative damage is already significantly increased: PC are significantly elevated in aMCI brain or cerebrospinal fluid (CSF)8,14,20.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Proteostasis dysfunction contributes to neuronal damage and death through mechanisms including ER stress and accumulation of oxidatively damaged proteins.
“This dysfunction contributes to neuronal damage and death by several mechanisms, including ER stress and the accumulation of oxidatively damaged proteins, which in the normal brain are usually degraded by the UPS and autophagy to keep their levels low8,50,53,55.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
This hormetic response often raises levels of antioxidants such as GSH and HO-1, mediated by activation of Nrf-2.
“This often leads to rises in the levels of antioxidants such as GSH and HO-1, mediated by activation of the transcription factor Nrf-2, (nuclear factor erythroid 2-related factor 2)8,89.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Because oxidative damage is central to aMCI, PCAD, and AD pathology, blocking it ought to help therapeutically.
“The key role of oxidative damage in the pathology of aMCI, PCAD and AD suggests that inhibiting it should have therapeutic benefit8,11.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Trials of antioxidants like vitamin E in aMCI and AD have mostly been disappointing.
“It is therefore surprising that the results of clinical trials in aMCI and AD involving antioxidant therapies (such as vitamin E) have been largely disappointing2,8,70,78,80.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Nrf2 is widely expressed in animal tissues but is mostly kept inactive in the cytosol by binding to Keap1, which also promotes its rapid proteasomal degradation.
“Nrf2 is widely expressed in animal tissues but most of it is kept in an inactive form, largely in the cytosol, by binding to the Keap1 (Kelch-like erythroid cell-derived protein with CNC-homology associated protein 1) protein, which also promotes its rapid degradation by the proteasome8,89.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Many preclinical models of aMCI and AD, such as neuronal cell cultures or transgenic mice, have shown significant protective effects of antioxidant treatment.
“Consistent with this view, many preclinical models of aMCI and AD, such as neuronal cell cultures or transgenic mice, have shown significant protective effects of antioxidant treatment (e.g. refs 2, 8, 77–79).”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Curcumin is a weak antioxidant in vitro and degrades readily, including in cell culture, into various active products.
“But, curcumin is actually a poor antioxidant in vitro8 and readily breaks down, for example in cell culture91, to a range of biologically active products.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Extra vitamin E has not been shown to work well as an antioxidant in living humans.
“administering extra vitamin E has not proved particularly effective as an antioxidant in humans in vivo8.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Clinical trials in aMCI and AD using antioxidants have been disappointing.
“Clinical trials in both conditions using antioxidants have been disappointing”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
HO-1 oxidizes heme to produce biliverdin, which is reduced by BVR-A to bilirubin, a scavenger of ROS/RNS.
“The enzyme heme oxygenase 1 (HO-1) oxidizes heme (a pro-oxidant)8 to produce biliverdin, which is reduced by a biliverdin reductase-A (BVR-A) enzyme to bilirubin (a scavenger of ROS/RNS8,101).”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Evidence that oxidative damage is a critical part of AD pathology and progression is compelling.
“The evidence for oxidative damage being a critical component of the pathology and progression of AD is compelling8,11,115.”
From Oxidative stress, dysfunctional glucose metabolism and Alzheimer disease (2019) · cites this paper as [8]
Tyrosine nitration inhibits tyrosine phosphorylation by tyrosine kinases due to steric interference of the NO2 group with the active site of the enzyme.
“With the NO2 functionality on Tyr, tyrosine phosphorylation by tyrosine kinases, including receptor tyrosine kinases, is inhibited due to steric interference of the NO2 group with the active site of the enzyme.”
From Mitochondrial Oxidative and Nitrosative Stress and Alzheimer Disease (2020) · cites this paper as [13]
H2O2 can be decomposed to hydroxyl anion and the highly reactive hydroxyl free radical by Fe2+ or Cu+ in Fenton chemistry.
“In that case, H2O2, which has zero dipole moments and is therefore neutral and can diffuse into or through bilayers, can be decomposed to hydroxyl anion and the highly reactive hydroxyl free radical by Fe2+ or Cu+ in a process known as Fenton chemistry [8,13].”
From Mitochondrial Oxidative and Nitrosative Stress and Alzheimer Disease (2020) · cites this paper as [13]
OH-mediated allylic hydrogen atom abstraction from unsaturated lipid acyl chains initiates lipid peroxidation, leading to highly reactive nucleophilic unsaturated aldehydes such as 4-hydroxynonenal.
“while OH-mediated allylic hydrogen atom abstraction from unsaturated lipid acyl chains initiates the processes of lipid peroxidation, leading to highly reactive nucleophilic unsaturated aldehydes such as 4-hydroxynonenal (HNE) (Figure 2A) [8,13,25,26,27].”
From Mitochondrial Oxidative and Nitrosative Stress and Alzheimer Disease (2020) · cites this paper as [13]
ROS are extremely reactive with half-life times in the nano-second range.
“In addition, criticism arises due to the fact that ROS are extremely reactive with half-life times in the nano-second range [63]”
From The Sixth Edition of the WHO Manual for Human Semen Analysis: A Critical Review and SWOT Analysis (2021) · cites this paper as [63]
Antioxidants reduce oxidative stress, play a key role in immunity, and may improve recovery following exercise.
“Antioxidants reduce OS, play a key role in immunity and may improve recovery following exercise [58,59].”
From Sleep and Nutrition Interactions: Implications for Athletes (2019) · cites this paper as [58]
The most frequently occurring free radicals and reactive molecules in biological systems are derived from oxygen (ROS) and nitrogen (RNS).
“The most frequently occurring free radicals and reactive molecules in biological systems are derived from oxygen (reactive oxygen species, ROS) and nitrogen (Reactive Nitrogen Species, RNS).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
Free radicals contain at least one unpaired electron in the outer shell, which usually gives them high reactivity.
“Free radicals are chemical entities containing at least one unpaired electron in the outer shell which usually gives them high reactivity.”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
ROS/RNS are formed during electron transfer reactions by losing or accepting electrons.
“ROS or RNS are formed during electron transfer reactions, by losing or accepting electron(s) (Halliwell and Gutteridge 2015).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
The interaction (oxidation) of biomolecules with molecular dioxygen is spin restricted and therefore rather slow.
“Since chemical bonds of biomolecules are formed by two antiparallel electrons (↑↓), their interaction (oxidation) with molecular dioxygen (containing two parallel electrons) is spin restricted and therefore rather slow.”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
Molecular oxygen in a triplet state contains two unpaired electrons with parallel spin states in antibonding π* orbitals and is a biradical.
“Molecular oxygen in a triplet state contains two unpaired electrons with parallel spin states (↑↑) in antibonding π* orbitals and therefore is a biradical.”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
Oxidative stress has been related to many pathological states of an organism.
“Oxidative stress has been related to many pathological states of an organism (Halliwell and Gutteridge 2015).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Halliwell and Gutteridge 2015
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“As stated by Halliwell and Gutteridge [33], interfering with transition metals induced oxidative stress helps to address the redox state of metals, reduces the concentration of accessible metals, and/or quenches generated ROS.”
BackgroundReflections of an aging free radical
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Metadata
- Authors
- Halliwell, B., & Gutteridge, J. M. C.
- ORCID
- Halliwell, Barry
- Venue
- Oxford University Press eBooks
- Publisher
- Oxford University Press
- Published
- 2015-08-01
- OpenAlex
- W4300198507
- Cited by
- 8,990
- References
- 0
- Citations by year
- 2026: 311 · 2025: 396 · 2024: 508 · 2023: 497 · 2022: 549 · 2021: 578 · 2020: 544 · 2019: 476 · 2018: 444 · 2017: 462 · 2016: 386 · 2015: 357
- FWCI
- 41.27
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Physical Sciences › Chemistry › Organic Chemistry › Free Radicals and Antioxidants
- Keywords
- free radicals, reactive species, antioxidants, oxygen toxicity, superoxide, hydroxyl radicals, Fenton reaction, peroxynitrite, nitric oxide, singlet oxygen, superoxide dismutase, peroxiredoxin, carotenoids, polyphenols, flavonoids, apoptosis, cellular senescence, cell death, electron spin resonance, biomarkers, signal transduction, phagocytes, preterm birth, inflammation, cancer, heart disease, dementia, aging, chemical toxicity, NADPH oxidase inhibitors, N-acetylcysteine, ebselen
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