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Table 7 Courtesy [9] Antioxidants: catalytic/enzymatic inactivation of free radicals

From: Intimal redox stress: Accelerated atherosclerosis in metabolic syndrome and type 2 diabetes mellitus. Atheroscleropathy

Enzymatic antioxidants

SUPER OXIDE DISMUTASE (SOD) – Location: mitochondrion

[O2- + SOD → H2O2 + O2]

ecSOD (extracellular)

MnSOD (mitochondrial)

CuZnSOD (intracellular)

CATALASE – Location: peroxisome

[2H2O2 + catalase → 2 H2O + O2]

GLUTATHIONE PEROXIDASE – Location: mitochondrion/cytosol

(Glutamyl-cysteinyl-glycine tripeptide) glutathione reduced -SH to the oxidized disulfide GSSG.

(Glutathione peroxidase) [GSH + 2H2O2 → GSSG + H2O + O2]

(Glutathione reductase) [GSSG → GSH] at the expense of [NADH → NAD+] and/or [NAD(P)H → NAD(P)+]

* NOS (nitric oxide synthase). – Location: membrane

Isoforms:

(e) NOS (endothelial): good (importance of eNOS uncoupling) LDL native and oxidized.

(n)NOS (neuronal): good

(i)NOS (inducible-inflammatory): good in host defense. BAD in chronic inflammation.

O2- and nitric oxide (NO) are consumed in this process with the creation of reactive nitrogen species (RNS).

O2- + NO → ONOO- (peroxynitrite) + tyrosine → nitrotyrosine. (also causes eNOS uncoupling)

Nitrotyrosine reflects redox stress and leaves a measurable footprint.

NO: the good; O2-: the bad; ONOO-: the ugly [122]

eNOS uncoupling causes the generation of O2' instead of NO induced by LDL-C, Glucose, O2', and ONOO'.

Nonenzymatic antioxidants

URIC ACID

VITAMIN A

VITAMIN C

VITAMIN E

THIOLS

APOPROTEINS: Ceruloplasmin and transferrin. Bind copper and iron in forms which cannot participate in the Fenton reaction. [9]