Oxidative Stress and Antioxidants Flashcards

1
Q

What are free radicals

A

Any atom, molecule or ion that contains one or more unpaired electrons and is capable of independent existance

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2
Q

What are the species in the Reactive Oxygen Species group

A

Superoxide

Hydrogen peroxide

Hydroxyl radicals

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3
Q

Name some endogenous sources of biological radicals

A

Electron transport chain

Peroxidases

Nitric oxide synthases

NADPH oxidases

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4
Q

Name some exogenous sources of biological oxidants

A

Radiation

Pollutants

Drugs

Toxins

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5
Q

How are free radicals produced

A

Produced by ionising radiation

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6
Q

What are the types of damage caused by ROS

A

DNA - can react with either base (mispairing and mutation) or sugar (strand break and possible mutation on repair)

Proteins - reacts with side chains (change in protein structrue) or with protein backbone (cause fragmentation and degradation)

Lipids - lipid peroxidation (process significant in aetiology of atherosclerosis)

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7
Q

What specific residue can a ROS react with and why is this important

A

Can react with cysteine residue by taking away an electron

Leads to inappropriate disulphide bond formation causing misfolding, crosslinking and protein dysfunction

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8
Q

What type of RBC can form as a result of oxidative stress

A

Heinz bodies due to precipiated cross-linked Hb

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9
Q

How does an ROS react with a lipid in the lipid membrane

A

ROS reacts with polyunsaturated fatty acid forming lipid radical

This reacts with oxygen to form lipid peroxyl radical which reacts with nearby fatty acids to cause a chain reaction

Hydrophobic environment of bilayer disrupted and membrane integrity eventually fails

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10
Q

What defence mechanisms are in place to defend against ROS

A

Superoxide dismutase/catalase

Glutathione

Free radical scavengers

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11
Q

How does superoxide dismutase/catalase defend against ROS

A

Superoxide dismutase catalyses conversion of superoxide to hydrogen peroxide and oxygen

Catalase breaks down hydrogen peroxide to molecular oxygen and water

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12
Q

How does glutathione defend against ROS damage

A

GSH is a tripeptide, synthesised as an antioxidant

Thiol group of Cys residue in GSH donates an electron to the ROS and reacts with another GSH to form a disulphide bond (GSSG) - reaction catalysed by glutathione peroxidase (requires selenium)

Oxidised glutathione (GSSG) reduced back by glutathione reductase which catalyses transfer of electrons from NADPH to the disulphide bond of GSSG

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13
Q

How do free radical scavangers defend against ROS damage and what are they

A

They are Vitamins C and E, along with carotenoid, flavenoid, melatonin

They reduce ROS damage by donating a hydrogen atom and electron to free radicals in nonenzymatic reaction

Vit E is lipid solube, protects against lipid peroxidation

Vit C regenerates reduced form of Vit E

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14
Q

What is oxidative stress

A

Where the production of ROS is excessive or the levels of antioxidants are low so cells cannot cope with the ROS

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15
Q

What is the respiratory burst

A

Where there is a rapid production and release of ROS to destory bacteria or fungal cells

Done by cells of immune system like neutrophils and monocytes

Is produced by NADPH oxidase (membrane-bound complex) which is present in membrane of phagosomes and it transfers electrons from NADPH across membrane to molecular oxygen to generate superoxide

Superoxide combines with Cl- forming hypochlorite, and combines with nitric oxide to form peroxynitrite. Both then destory the pathogen

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16
Q

What two metabolic diseases cause increased risk of oxidative damage and why

A

Galactosaemia - increased activity of aldose reductase consumes excess NADPH

G6PDH deficiency - limited NADPH production

Insufficient levels of NADPH to recyle GSSG back to GSH

17
Q

What drug can cause a reduction of GSH if a toxic dose is ingested

A

Paracetamol

18
Q

How does paracetamol cause its toxicity at a high dose

A

Its normal metabolism pathways become saturated and NAPQI is produced which is extremely toxic to hepatocytes

NAPQI is a strong oxidixing agent, undergoing conjugation with GSH to deplete its levels

NAPQI causes covalent binding in hepatic proteins and low GSH causes oxidative stress

This causes destruction of hepatocytes and liver failure if left untreated

19
Q

What should be given if patient undergoes paracetamol overdose

A

N-acetylcysteine

This replenishes GSH allowing liver to safely metabolise NAPQI