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1.
Mol Nutr Food Res ; 64(1): e1900564, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31657510

RESUMEN

SCOPE: This study examines the long-term functional effects of d-fagomine on sucrose-induced factors of metabolic dysfunctions and explores possible molecular mechanisms behind its action. METHODS AND RESULTS: Wistar Kyoto rats are fed a 35% sucrose solution with d-fagomine (or not, for comparison) or mineral water (controls) for 24 weeks. The following are recorded: body weight; energy intake; glucose tolerance; plasma leptin concentration and lipid profile; populations of Bacteroidetes, Firmicutes, bacteroidales, clostridiales, enterobacteriales, and Escherichia coli in feces; blood pressure; urine uric acid and F2t isoprostanes (F2 -IsoPs); perigonadal fat deposition; and hepatic histology and diacylglycerols (DAGs) in liver and adipose tissue. d-Fagomine reduces sucrose-induced hypertension, urine uric acid and F2 -IsoPs (markers of oxidative stress), steatosis, and liver DAGs, without significantly affecting perigonadal fat deposition, and impaired glucose tolerance. It also promotes excretion of enterobacteriales generated by the dietary intervention. CONCLUSION: d-fagomine counteracts sucrose-induced steatosis and hypertension, presumably by reducing the postprandial levels of fructose in the liver.


Asunto(s)
Fagopyrum/química , Hipertensión/tratamiento farmacológico , Iminopiranosas/farmacología , Enfermedad del Hígado Graso no Alcohólico/tratamiento farmacológico , Tejido Adiposo/efectos de los fármacos , Tejido Adiposo/metabolismo , Animales , Diglicéridos/metabolismo , Ingestión de Energía/efectos de los fármacos , Microbioma Gastrointestinal/efectos de los fármacos , Hipertensión/inducido químicamente , Isoprostanos/orina , Leptina/sangre , Lípidos/sangre , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Masculino , Enfermedad del Hígado Graso no Alcohólico/inducido químicamente , Periodo Posprandial , Ratas Endogámicas WKY , Sacarosa/toxicidad , Ácido Úrico/sangre , Ácido Úrico/orina
2.
J Agric Food Chem ; 66(27): 7172-7180, 2018 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-29920087

RESUMEN

This study assesses the effects of cyclic fatty acid monomers (CFAM) from heated vegetable oils on oxidative stress and inflammation. Wistar rats were fed either of these four diets for 28 days: canola oil (CO), canola oil and 0.5% CFAM (CC), soybean oil (SO), and soybean oil and 0.5% CFAM (SC). Markers of oxidative stress and inflammation were determined by micro liquid chromatography tandem mass spectrometry (micro-LC-MS/MS) and enzyme-linked immunosorbent assay (ELISA) kits, respectively. Analysis of variance (ANOVA) for a 2 × 2 factorial design was performed to determine the CFAM and oil effects and interactions between these two factors at P ≤ 0.05. For significant interactions, a post hoc multiple comparison test was performed, i.e., Tukey HSD (honest significant difference) test. CFAM induced higher plasma levels of 15-F2t-IsoP (CC, 396 ± 43 ng/mL, SC, 465 ± 75 ng/mL vs CO, 261 ± 23 ng/mL and SO, 288 ± 35 ng/mL, P < 0.05). Rats fed the SC diet had higher plasma 2,3-dinor-15-F2t-IsoP (SC, 145 ± 9 ng/mL vs CC, 84 ± 8 ng/mL, CO, 12 ± 1 ng/mL, and SO, 12 ± 1 ng/mL, P < 0.05), urinary 2,3-dinor-15-F2t-IsoP (SC, 117 ± 12 ng/mL vs CC, 67 ± 13 ng/mL, CO, 15 ± 2 ng/mL, and SO, 18 ± 4 ng/mL, P < 0.05), and plasma IL-6 (SC, 57 ± 10 pg/mL vs CC, 48 ± 11 pg/mL, CO, 46 ± 9 pg/mL, and SO, 44 ± 4 pg/mL, P < 0.05) than the other three diet groups. These results indicate that CFAM increased the levels of markers of oxidative stress, and those effects are exacerbated by a CFAM-high-linoleic acid diet.


Asunto(s)
Ácidos Grasos/farmacología , Inflamación/metabolismo , Estrés Oxidativo/efectos de los fármacos , Aceite de Brassica napus/farmacología , Aceite de Soja/farmacología , Animales , Biomarcadores/sangre , Biomarcadores/orina , Proteína C-Reactiva/análisis , Proteína C-Reactiva/metabolismo , Ácidos Grasos/sangre , Ácidos Grasos/química , Inflamación/inducido químicamente , Interleucina-6/sangre , Isoprostanos/metabolismo , Isoprostanos/orina , Ácido Linoleico/efectos adversos , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Neuroprostanos/sangre , Neuroprostanos/orina , Aceite de Brassica napus/efectos adversos , Ratas Wistar , Aceite de Soja/efectos adversos , Espectrometría de Masas en Tándem
3.
Br J Nutr ; 116(8): 1416-1424, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27725001

RESUMEN

Higher levels of oxidative stress, as measured by F2-isoprostanes, have been associated with chronic diseases such as CVD and some cancers. Improvements in diet and physical activity may help reduce oxidative stress; however, previous studies regarding associations between lifestyle factors and F2-isoprostane concentrations have been inconsistent. The aim of this cross-sectional study was to investigate whether physical activity and intakes of fruits/vegetables, antioxidant nutrients, dietary fat subgroups and alcohol are associated with concentrations of F2-isoprostane and the major F2-isoprostane metabolite. Urinary F2-isoprostane and its metabolite were measured in urine samples collected at enrolment from 912 premenopausal women (aged 35-54 years) participating in the Sister Study. Physical activity, alcohol consumption and dietary intakes were self-reported via questionnaires. With adjustment for potential confounders, the geometric means of F2-isoprostane and its metabolite were calculated according to quartiles of dietary intakes, alcohol consumption and physical activity, and linear regression models were used to evaluate trends. Significant inverse associations were found between F2-isoprostane and/or its metabolite and physical activity, vegetables, fruits, vitamin C, α-carotene, vitamin E, ß-carotene, vitamin A, Se, lutein+zeaxanthin and long-chain n-3 fatty acids. Although trans fats were positively associated with both F2-isoprostane and its metabolite, other dietary fat subgroups including SFA, n-6 fatty acids, n-3 fatty acids, MUFA, PUFA, short-chain n-3 fatty acids, long-chain n-3 fatty acids and total fat were not associated with either F2-isoprostane or its metabolite. Our findings suggest that lower intake of antioxidant nutrients and higher intake of trans fats may be associated with greater oxidative stress among premenopausal women.


Asunto(s)
Antioxidantes/uso terapéutico , Neoplasias de la Mama/prevención & control , Dieta Saludable , Ejercicio Físico , Ácidos Grasos Omega-3/uso terapéutico , Estrés Oxidativo , Adulto , Antioxidantes/administración & dosificación , Biomarcadores/orina , Neoplasias de la Mama/epidemiología , Neoplasias de la Mama/etiología , Neoplasias de la Mama/orina , Estudios de Casos y Controles , Estudios de Cohortes , Estudios Transversales , Dieta/efectos adversos , Dinoprost/análogos & derivados , F2-Isoprostanos/orina , Salud de la Familia , Ácidos Grasos Omega-3/administración & dosificación , Femenino , Humanos , Isoprostanos/orina , Persona de Mediana Edad , Estudios Prospectivos , Puerto Rico/epidemiología , Factores de Riesgo , Conducta Sedentaria , Autoinforme , Ácidos Grasos trans/administración & dosificación , Ácidos Grasos trans/efectos adversos , Estados Unidos/epidemiología
4.
Hepatobiliary Pancreat Dis Int ; 15(2): 165-72, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27020633

RESUMEN

BACKGROUND: A large amount of endotoxin can be detected in the peripheral venous blood of patients with liver cirrhosis, contributing to the pathogenesis of hepatotoxicity because of its role in oxidative stress. The present study aimed to test the effect of the supplementation with red palm oil (RPO), which is a natural oil obtained from oil palm fruit (Elaeis guineensis) rich in natural fat-soluble tocopherols, tocotrienols and carotenoids, on lipid peroxidation and endotoxemia with plasma endotoxin-inactivating capacity, proinflammatory cytokines profile, and monocyte tissue factor in patients with chronic liver disease. METHODS: The study group consisted of sixty patients (34 males and 26 females; mean age 62 years, range 54-75) with Child A/B, genotype 1 HCV-related cirrhosis without a history of ethanol consumption, randomly enrolled into an 8-week oral daily treatment with either vitamin E or RPO. All patients had undergone an upper gastrointestinal endoscopy 8 months before, and 13 out of them showed esophageal varices. RESULTS: Both treatments significantly decreased erythrocyte malondialdehyde and urinary isoprostane output, only RPO significantly affected macrophage-colony stimulating factor and monocyte tissue factor. Liver ultrasound imaging did not show any change. CONCLUSIONS: RPO beneficially modulates oxidative stress and, not least, downregulates macrophage/monocyte inflammatory parameters. RPO can be safely advised as a valuable nutritional implementation tool in the management of chronic liver diseases.


Asunto(s)
Suplementos Dietéticos , Hepatitis C/complicaciones , Mediadores de Inflamación/metabolismo , Peroxidación de Lípido/efectos de los fármacos , Cirrosis Hepática/tratamiento farmacológico , Hígado/efectos de los fármacos , Monocitos/efectos de los fármacos , Aceites de Plantas/uso terapéutico , Tromboplastina/metabolismo , Anciano , Células Cultivadas , Suplementos Dietéticos/efectos adversos , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Femenino , Hepatitis C/diagnóstico , Hepatitis C/metabolismo , Humanos , Isoprostanos/orina , Italia , Hígado/metabolismo , Cirrosis Hepática/diagnóstico , Cirrosis Hepática/metabolismo , Cirrosis Hepática/virología , Factor Estimulante de Colonias de Macrófagos/metabolismo , Masculino , Malondialdehído/metabolismo , Persona de Mediana Edad , Monocitos/metabolismo , Estrés Oxidativo/efectos de los fármacos , Aceite de Palma , Aceites de Plantas/efectos adversos , Factores de Tiempo , Resultado del Tratamiento
5.
Eur J Nutr ; 55(6): 2105-16, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26298312

RESUMEN

PURPOSE: The purpose of the study was to test whether daily consumption of a beverage with high antioxidant power, combining extracts of green tea and apple over a period of 8 months, would affect blood and urinary concentrations of biomarkers of oxidative stress in Alzheimer's patients. METHODS: The study included 100 subjects, 48 of them were Alzheimer's patients, aged 76.5 ± 3.5 years, and 52 were control subjects, aged 79 ± 4 years, without dementia. Three blood and urine samples were taken from each participant, the first (T i) before starting the antioxidant or placebo beverage intake, the second (T m) 4 months after the antioxidant or placebo beverage intake and the third (T f) 8 months after the antioxidant or placebo beverage intake, and concentrations of biomarkers of oxidative stress were measured on serum, lysed erythrocytes or urine by UV-Vis spectrophotometry or by competitive in vitro enzyme-linked immunosorbent assay, according to the parameter analyzed. RESULTS: The administration of the antioxidant beverage to the Alzheimer's patients prevented the decrease in total antioxidant status in the moderate phase of the disease (T i = 1.40 ± 0.10 mmol/L vs T f = 1.20 ± 0.08 mmol/L), increased values of glutathione peroxidase and superoxide dismutase in initial (165 and 24 % respectively) and moderate phase (75 and 85 % respectively), and prevented the increase in protein carbonyls in moderate phase (T i = 0.17 ± 0.07 nmol/mg protein vs T f = 0.21 ± 0.06 nmol/mg protein), with a significant decrease in protein carbonyls since the fourth month of the intake in initial phase (T m = 0.21 ± 0.06 nmol/mg protein vs T f = 0.11 ± 0.05 nmol/mg protein). CONCLUSION: Our results suggest that antioxidant beverage could be used as a natural complementary therapy for alleviate or decrease the oxidative stress effects in the stages of Alzheimer's disease.


Asunto(s)
Enfermedad de Alzheimer/sangre , Antioxidantes/farmacología , Bebidas/análisis , Biomarcadores/sangre , Estrés Oxidativo/efectos de los fármacos , 8-Hidroxi-2'-Desoxicoguanosina , Anciano , Anciano de 80 o más Años , Alanina Transaminasa/sangre , Aspartato Aminotransferasas/sangre , Índice de Masa Corporal , Proteína C-Reactiva/metabolismo , Estudios de Casos y Controles , Desoxiguanosina/análogos & derivados , Desoxiguanosina/orina , Femenino , Ferritinas/sangre , Ácido Fólico/sangre , Glutatión Peroxidasa/sangre , Homocisteína/sangre , Humanos , Isoprostanos/orina , Lípidos/sangre , Masculino , Malus/química , Extractos Vegetales/farmacología , Carbonilación Proteica , Superóxido Dismutasa/sangre , Té/química , Vitamina B 12/sangre
6.
Am J Hypertens ; 28(12): 1464-72, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25907224

RESUMEN

BACKGROUND: This study analyzed the effects of chronic administration of N[omega]-hydroxy-nor-l-arginine (nor-NOHA), an inhibitor of arginase, on the hemodynamic, oxidative stress, morphologic, metabolic, and renal manifestations of hyperthyroidism in rats. METHODS: Four groups of male Wistar rats were used: control, nor-NOHA-treated (10 mg/kg/day), thyroxine (T4)-treated (75 µg/rat/day), and thyroxine- plus nor-NOHA-treated rats. All treatments were maintained for 4 weeks. Body weight, tail systolic blood pressure (SBP), and heart rate (HR) were recorded weekly. Finally, morphologic, metabolic, plasma, and renal variables were measured. Arginase I and II protein abundance and arginase activity were measured in aorta, heart, and kidney. RESULTS: The T4 group showed increased arginase I and II protein abundance, arginase activity, SBP, HR, plasma nitrates/nitrites (NOx), brainstem and urinary isoprostanes, proteinuria and cardiac and renal hypertrophy in comparison to control rats. In hyperthyroid rats, chronic nor-NOHA prevented the increase in SBP and HR and decreased proteinuria in association with an increase in plasma NOx and a decrease in brainstem and urinary isoprostanes. In normal rats, nor-NOHA treatment did not significantly change any hemodynamic, morphologic, or renal variables. Acute nor-NOHA administration did not affect renal or systemic hemodynamic variables in normal or T4-treated rats. CONCLUSION: Hyperthyroidism in rats is associated with the increased expression and activity of arginase in aorta, heart, and kidney. Chronic arginase inhibition with nor-NOHA suppresses the characteristic hemodynamic manifestations of hyperthyroidism in association with a reduced oxidative stress. These results indicate an important role for arginase pathway alterations in the cardiovascular and renal abnormalities of hyperthyroidism.


Asunto(s)
Arginasa/antagonistas & inhibidores , Arginina/análogos & derivados , Hipertensión/tratamiento farmacológico , Hipertiroidismo/tratamiento farmacológico , Animales , Arginasa/metabolismo , Arginina/farmacología , Arginina/uso terapéutico , Presión Sanguínea , Tronco Encefálico/metabolismo , Evaluación Preclínica de Medicamentos , Frecuencia Cardíaca , Hipertensión/etiología , Hipertensión/metabolismo , Hipertiroidismo/complicaciones , Hipertiroidismo/metabolismo , Isoprostanos/orina , Masculino , Óxido Nítrico/sangre , Distribución Aleatoria , Ratas Wistar , Circulación Renal/efectos de los fármacos , Hormonas Tiroideas/sangre
7.
Free Radic Res ; 49(5): 583-98, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25734631

RESUMEN

Isoprostanoids are a group of non-enzymatic oxidized lipids from polyunsaturated fatty acids. They are commonly used as biomarkers for oxidative damage, to assess in vivo lipid peroxidation in diseases related to the vascular system and neurodegeneration. Currently, there is a mismatch with the outcome in the use of these biomarkers in intervention studies, particularly when testing the effect of antioxidants such as vitamins C and E, or zinc, or a cocktail of these, with other food components. Much of this is because the biomarkers, the method of measurement, and the duration of supplementation are unsuitable. In this review, we will highlight the formation of isoprostanoids from their respective fatty acids, and their application as biomarkers for oxidative damage in vivo, considering human dietary intervention studies evaluating plasma and urine, using mass spectrometry techniques.


Asunto(s)
Antioxidantes/uso terapéutico , Dieta , Suplementos Dietéticos , Isoprostanos/metabolismo , Espectrometría de Masas , Estrés Oxidativo/efectos de los fármacos , Animales , Biomarcadores/metabolismo , Cromatografía Liquida , Dieta/efectos adversos , Cromatografía de Gases y Espectrometría de Masas , Humanos , Isoprostanos/sangre , Isoprostanos/orina , Peroxidación de Lípido/efectos de los fármacos , Espectrometría de Masas/métodos , Evaluación Nutricional , Estado Nutricional , Oxidación-Reducción , Valor Predictivo de las Pruebas , Espectrometría de Masas en Tándem , Resultado del Tratamiento
8.
Int J Dev Neurosci ; 42: 10-4, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25680940

RESUMEN

Maple syrup urine disease (MSUD) is a disorder of branched-chain amino acids (BCAA). The defect in the branched-chain α-keto acid dehydrogenase complex activity leads to an accumulation of these compounds and their corresponding α-keto-acids and α-hydroxy-acids. Studies have shown that oxidative stress may be involved in neuropathology of MSUD. L-carnitine (L-car), which has demonstrated an important role as antioxidant by reducing and scavenging free radicals formation and by enhancing the activity of antioxidant enzymes, have been used in the treatment of some metabolic rare disorders. This study evaluated the oxidative stress parameters, di-tyrosine, isoprostanes and antioxidant capacity, in urine of MSUD patients under protein-restricted diet supplemented or not with L-car capsules at a dose of 50 mg kg(-1) day(-1). It was also determined urinary α-keto isocaproic acid levels as well as blood free L-car concentrations in blood. It was found a deficiency of carnitine in patients before the L-car supplementation. Significant increases of di-tyrosine and isoprostanes, as well as reduced antioxidant capacity, were observed before the treatment with L-car. The L-car supplementation induced beneficial effects on these parameters reducing the di-tyrosine and isoprostanes levels and increasing the antioxidant capacity. It was also showed a significant increase in urinary of α-ketoisocaproic acid after 2 months of L-car treatment, compared to control group. In conclusion, our results suggest that L-car may have beneficial effects in the treatment of MSUD by preventing oxidative damage to the cells and that urine can be used to monitorize oxidative damage in patients affected by this disease.


Asunto(s)
Biomarcadores/orina , Suplementos Dietéticos , Enfermedad de la Orina de Jarabe de Arce/orina , Aminoácidos/orina , Análisis de Varianza , Antioxidantes/metabolismo , Niño , Preescolar , Dinoprost/análogos & derivados , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Isoprostanos/orina , Cetoácidos/orina , Masculino , Enfermedad de la Orina de Jarabe de Arce/dietoterapia , Espectrometría de Masas en Tándem , Tirosina/orina
9.
Biochim Biophys Acta ; 1852(5): 1012-9, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25701642

RESUMEN

Mucopolysaccharidosis type IVA (MPS IVA) is an inborn error of glycosaminoglycan (GAG) catabolism due to the deficient activity of N-acetylgalactosamine-6-sulfate sulfatase that leads to accumulation of the keratan sulfate and chondroitin 6-sulfate in body fluids and in lysosomes. The pathophysiology of this lysosomal storage disorder is not completely understood. The aim of this study was to investigate oxidative stress parameters, pro-inflammatory cytokine and GAG levels in MPS IVA patients. We analyzed urine and blood samples from patients under ERT (n=17) and healthy age-matched controls (n=10-15). Patients presented a reduction of antioxidant defense levels, assessed by a decrease in glutathione content and by an increase in superoxide dismutase activity in erythrocytes. Concerning lipid and protein damage, it was verified increased urine isoprostanes and di-tyrosine levels and decreased plasma sulfhydryl groups in MPS IVA patients compared to controls. MPS IVA patients showed higher DNA damage than control group and this damage had an oxidative origin in both pyrimidine and purine bases. Interleukin 6 was increased in patients and presented an inverse correlation with GSH levels, showing a possible link between inflammation and oxidative stress in MPS IVA disease. The data presented suggest that pro-inflammatory and pro-oxidant states occur in MPS IVA patients even under ERT. Taking these results into account, supplementation of antioxidants in combination with ERT can be a tentative therapeutic approach with the purpose of improving the patient's quality of life. To the best of our knowledge, this is the first study relating MPS IVA patients with oxidative stress.


Asunto(s)
Condroitinsulfatasas/uso terapéutico , Terapia de Reemplazo Enzimático/métodos , Inflamación/tratamiento farmacológico , Mucopolisacaridosis IV/tratamiento farmacológico , Estrés Oxidativo/efectos de los fármacos , 8-Hidroxi-2'-Desoxicoguanosina , Adolescente , Adulto , Proteínas Sanguíneas/análisis , Niño , Creatinina/orina , Citocinas/sangre , Desoxiguanosina/análogos & derivados , Desoxiguanosina/orina , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Femenino , Glutatión/sangre , Glicosaminoglicanos/orina , Humanos , Inflamación/sangre , Inflamación/orina , Isoprostanos/orina , Masculino , Mucopolisacaridosis IV/sangre , Mucopolisacaridosis IV/orina , Peroxidasa/sangre , Superóxido Dismutasa/sangre , Resultado del Tratamiento , Tirosina/análogos & derivados , Tirosina/orina , Adulto Joven
10.
Food Chem ; 173: 1187-94, 2015 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-25466142

RESUMEN

Current evidence supports the positive association between the consumption of plant foods and health. In this work, we assessed the effect of consuming a half-serving (30 g) or one serving (60 g) of broccoli sprouts on the urinary concentrations of biomarkers of oxidative stress (isoprostanes) and inflammation (prostaglandins and thromboxanes). Twenty-four volunteers participated in the project. A quantitative determination of sulforaphane and its mercapturic derivatives, eicosanoids, and total vitamin C in urine was performed. The intake of broccoli sprouts produced an increase in the urinary concentrations of sulforaphane metabolites and vitamin C. Among the 13 eicosanoids analyzed, tetranor-PGEM and 11ß-PGF2α as well as 11-dehydro-TXB2 showed a significant decrease in their urinary concentrations after the ingestion of broccoli sprouts. Therefore, the consumption of broccoli sprouts modulated the excretion of biomarkers linked to inflammation and vascular reactions without exerting a significant influence on the oxidation of phospholipids in vivo.


Asunto(s)
Brassica/química , Isoprostanos/orina , Estrés Oxidativo/efectos de los fármacos , Prostaglandinas/orina , Adulto , Ácido Ascórbico/farmacocinética , Ácido Ascórbico/orina , Biomarcadores/orina , Cromatografía Líquida de Alta Presión , Estudios Cruzados , Femenino , Glucosinolatos/farmacocinética , Glucosinolatos/orina , Voluntarios Sanos , Humanos , Imidoésteres/farmacocinética , Inflamación/prevención & control , Isoprostanos/farmacocinética , Isotiocianatos/farmacocinética , Isotiocianatos/orina , Masculino , Persona de Mediana Edad , Oximas , Extractos Vegetales/administración & dosificación , Extractos Vegetales/farmacocinética , Prostaglandinas/farmacocinética , Sulfóxidos , Espectrometría de Masas en Tándem , Tromboxano B2/análogos & derivados , Tromboxano B2/farmacocinética , Tromboxano B2/orina , Enfermedades Vasculares/prevención & control , Población Blanca , Adulto Joven
11.
Mol Nutr Food Res ; 58(3): 601-13, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24190860

RESUMEN

SCOPE: Fish oil-derived n-3 PUFA may improve cardiometabolic health through modulation of innate immunity. However, findings in clinical studies are conflicting. We hypothesized that n-3 PUFA supplementation would dose-dependently reduce the systemic inflammatory response to experimental endotoxemia in healthy humans. METHODS AND RESULTS: The Fenofibrate and omega-3 Fatty Acid Modulation of Endotoxemia (FFAME) study was an 8-wk randomized double-blind trial of placebo or n-3 PUFA supplementation (Lovaza 465 mg eicosapentaenoic acid (EPA) + 375 mg docosahexaenoic acid (DHA)) at "low" (1/day, 900 mg) or "high" (4/day, 3600 mg) dose in healthy individuals (N = 60; age 18-45; BMI 18-30; 43% female; 65% European-, 20% African-, 15% Asian-ancestry) before a low-dose endotoxin challenge (LPS 0.6 ng/kg intravenous bolus). The endotoxemia-induced temperature increase was significantly reduced with high-dose (p = 0.03) but not low-dose EPA + DHA compared to placebo. Although there was no statistically significant impact of EPA + DHA on individual inflammatory responses (tumor necrosis factor-α (TNF-α), IL-6, monocyte chemotactic protein (MCP-1), IL-1 receptor agonist (IL-1RA), IL-10, C-reactive protein (CRP), serum amyloid A (SAA)), there was a pattern of lower responses across all biomarkers with high-dose (nine of nine observed), but not low-dose EPA + DHA. CONCLUSION: EPA + DHA at 3600 mg/day, but not 900 mg/day, reduced fever and had a pattern of attenuated LPS induction of plasma inflammatory markers during endotoxemia. Clinically and nutritionally relevant long-chain n-3 PUFA regimens may have specific, dose-dependent, anti-inflammatory actions.


Asunto(s)
Endotoxemia/dietoterapia , Ácidos Grasos Omega-3/farmacología , Adolescente , Adulto , Suplementos Dietéticos , Ácidos Docosahexaenoicos/farmacología , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Ácido Eicosapentaenoico/farmacología , Ácidos Grasos Omega-3/administración & dosificación , Ácidos Grasos Omega-3/sangre , Ácidos Grasos Omega-3/orina , Femenino , Aceites de Pescado/farmacología , Voluntarios Sanos , Humanos , Inflamación/dietoterapia , Inflamación/metabolismo , Isoprostanos/orina , Lipopolisacáridos/toxicidad , Lipoproteínas/sangre , Masculino , Persona de Mediana Edad , Adulto Joven
12.
J Nutr ; 144(2): 193-201, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24353344

RESUMEN

Oxidative stress and low-grade systemic inflammation may contribute to the pathogenesis of obesity-induced comorbidities, including nonalcoholic fatty liver disease. Increasing intake of dietary antioxidants might be beneficial, but there are few data in obese children. To examine the effect of antioxidant supplementation on biomarkers of oxidative stress, inflammation, and liver function, we randomly assigned overweight or obese children and adolescents (n = 44; mean ± SD age: 12.7 ± 1.5 y) participating in a lifestyle modification program to a 4-mo intervention with daily antioxidants (vitamin E, 400 IU; vitamin C, 500 mg; selenium, 50 µg) or placebo. We measured anthropometrics, antioxidant status, oxidative stress (F(2)-isoprostanes, F(2)-isoprostane metabolites), inflammation, liver enzymes, fasting insulin and glucose, and lipid profile at baseline and endpoint. There was a significant treatment effect of antioxidant supplementation on antioxidant status [α-tocopherol, ß = 23.2 (95% CI: 18.0, 28.4); ascorbic acid, ß = 70.6 (95% CI: 51.7, 89.4); selenium, ß = 0.07 (95% CI: 0.01, 0.12)] and oxidative stress [8-iso-prostaglandin F2α, ß = -0.11 (95% CI: -0.19, -0.02)] but not on any of the inflammatory markers measured. There was a significant treatment effect on alanine aminotransferase [ß = -0.13 (95% CI: -0.23, -0.03)], a trend toward a significant effect on aspartate aminotransferase [ß = -0.04 (95% CI: -0.09, 0.01)], and no significant effect on γ-glutamyltransferase [ß = -0.03 (95% CI: -0.11, 0.06)]. In summary, antioxidant supplementation for 4 mo improved antioxidant-oxidant balance and modestly improved liver function tests; however, it did not reduce markers of systemic inflammation despite significant baseline correlations between oxidative stress and inflammation. The study was registered at clinicaltrials.gov as NCT01316081.


Asunto(s)
Antioxidantes/farmacología , Suplementos Dietéticos , Mediadores de Inflamación/sangre , Inflamación/etiología , Hígado/efectos de los fármacos , Obesidad/complicaciones , Estrés Oxidativo/efectos de los fármacos , Adolescente , Alanina Transaminasa/sangre , Antioxidantes/metabolismo , Antioxidantes/uso terapéutico , Ácido Ascórbico/sangre , Ácido Ascórbico/farmacología , Ácido Ascórbico/uso terapéutico , Aspartato Aminotransferasas/sangre , Biomarcadores/sangre , Niño , Femenino , Humanos , Inflamación/sangre , Inflamación/tratamiento farmacológico , Isoprostanos/orina , Hígado/enzimología , Pruebas de Función Hepática , Masculino , Micronutrientes/farmacología , Micronutrientes/uso terapéutico , Obesidad/tratamiento farmacológico , Obesidad/metabolismo , Selenio/sangre , Selenio/farmacología , Selenio/uso terapéutico , Programas de Reducción de Peso , alfa-Tocoferol/sangre , alfa-Tocoferol/farmacología , alfa-Tocoferol/uso terapéutico , gamma-Glutamiltransferasa/sangre
13.
J Vet Intern Med ; 27(2): 250-8, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23458734

RESUMEN

BACKGROUND: Antioxidant depletion and lipid peroxidation have been correlated with disease severity and associated with poor outcomes. HYPOTHESIS/OBJECTIVES: Supplementing dogs with N-acetylcysteine (NAC) during the first 48 hours of hospitalization will increase cysteine, normalize glutathione concentrations, and decrease the degree of lipid peroxidation associated with illness. ANIMALS: Sixty systemically ill hospitalized client-owned dogs and 14 healthy control dogs. METHODS: Randomized investigator-blinded, placebo-controlled prospective study. Dogs were randomized to treatment with NAC (n = 30) versus placebo (n = 30). Antioxidants, urine 8-isoprostane/creatinine (IP/Cr), and clinical score were determined before and after treatment with NAC. Glutathione, cysteine, and vitamin E concentrations were quantified using high-performance liquid chromatography. Atomic absorption spectroscopy and enzyme-linked immunosorbent assays were used to quantify selenium and isoprostane concentrations, respectively. RESULTS: Ill dogs had significantly lower vitamin E concentrations (27 versus 55 µg/mL; P = .0005) as well as elevated IP/Cr ratios (872 versus 399 pg/mg; P = .0007) versus healthy dogs. NAC supplementation significantly increased plasma cysteine (8.67 versus 15.1 µM; P < .0001) while maintaining glutathione concentrations. Dogs in the placebo group experienced a statistically significant decrease in glutathione concentrations (1.49 versus 1.44 mM; P = .0463). Illness severity and survival were unchanged after short duration NAC supplementation. CONCLUSIONS: Ill dogs experience systemic oxidative stress. Supplementation with NAC during the first 48 hours of hospitalization stabilized erythrocyte glutathione concentrations. The clinical impact of this supplementation and glutathione concentration stabilization was undetermined.


Asunto(s)
Acetilcisteína/administración & dosificación , Enfermedades de los Perros/tratamiento farmacológico , Glutatión/metabolismo , Isoprostanos/metabolismo , Estrés Oxidativo/efectos de los fármacos , Animales , Estudios de Casos y Controles , Suplementos Dietéticos , Enfermedades de los Perros/sangre , Enfermedades de los Perros/metabolismo , Enfermedades de los Perros/orina , Perros , Femenino , Glutatión/sangre , Hospitales Veterinarios , Isoprostanos/orina , Masculino , Estudios Prospectivos , Selenio/sangre , Estadísticas no Paramétricas , Análisis de Supervivencia , Vitamina E/sangre
14.
Am J Clin Nutr ; 96(2): 405-14, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22760572

RESUMEN

BACKGROUND: There is limited literature on the contributors to isoprostane metabolite 2,3-dinor-5,6-dihydro-15-F(2t)-isoprostane (15-F(2t)-IsoP-M) compared with F(2)-isoprostanes (F(2)-IsoPs) as an oxidative stress biomarker. OBJECTIVE: The objective of this study was to investigate whether plasma concentrations of antioxidants, urinary excretion rates of polyphenols, and antioxidants in food and dietary supplements are attributable to both urinary F(2)-IsoP and 15-F(2t)-IsoP-M concentrations. DESIGN: Dietary intake information and blood and urine samples were obtained from 845 healthy middle-aged and elderly female participants of the Shanghai Women's Health Study. Urinary isoprostanes (F(2)-IsoPs and 15-F(2t)-IsoP-M) were measured and adjusted for creatinine concentrations. RESULTS: Urinary 15-F(2t)-IsoP-M and F(2)-IsoP concentrations were lower in subjects who used a multivitamin. Lower F(2)-IsoP concentrations were observed in ginseng users, whereas lower concentrations of 15-F(2t)-IsoP-M were shown in subjects who used a vitamin E supplement. Plasma concentrations of several antioxidants (ie, ß-carotenes, both trans and cis ß-carotenes, lycopene other than trans, 5-cis and 7-cis isomers, cis anhydrolutein, and cis ß-cryptoxanthin) were inversely associated with 15-F(2t)-IsoP-M but not with F(2)-IsoPs, whereas ß-, γ-, and δ-tocopherols were positively associated with 15-F(2t)-IsoP-M but not with F(2)-IsoPs. Urinary polyphenol quercetin was positively associated with both F(2)-IsoPs and 15-F(2t)-IsoP-M. CONCLUSION: The results suggest that the F(2)-IsoP major metabolite 15-F(2t)-IsoP-M may be a more sensitive marker of endogenous oxidative stress status than are F(2)-IsoPs in the assessment of effects of antioxidants on age-related diseases.


Asunto(s)
Biomarcadores/orina , Suplementos Dietéticos , F2-Isoprostanos/orina , Isoprostanos/orina , Estrés Oxidativo/efectos de los fármacos , Adulto , Anciano , Antioxidantes/administración & dosificación , Estudios Transversales , Femenino , Flavonoides/orina , Frutas , Humanos , Modelos Lineales , Persona de Mediana Edad , Polifenoles/orina , Té/química , Tocoferoles/sangre , Verduras , Vitamina A/sangre , Vitaminas/administración & dosificación
15.
Support Care Cancer ; 20(12): 3129-35, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22453793

RESUMEN

PURPOSE: Inflammatory, angiogenic and oxidative stress markers have been explored in head and neck squamous cell carcinoma (HNSCC) patients before and during radiochemotherapy. Furthermore, the effects of an oral supplementation containing amino acids, ω-3 fatty acids, ribonucleic acids, vitamins, and antioxidants on biological markers and acute toxicities were investigated. METHODS: Thirty-one patients with non-metastatic stage III or IV HNSCC treated with concomitant radiochemotherapy were recruited. A nutritional support (Oral Impact) was given during 5 days before each cycle of chemotherapy. Biological samples were collected at baseline, after 5 days of oral supplementation and before the last cycle of chemotherapy. Acute phase proteins levels, proteomic cytokines determination and urinary isoprostanes levels were used as inflammatory and oxidative stress biomarkers. Toxicities were followed up during radiochemotherapy. RESULTS: At baseline, median levels of inflammatory (CRP 9.8 mg/l [0.8-130.1], IL-6 4.2 pg/ml [0.7-126.5]), pro-angiogenic (VEGF 229.5 pg/ml [13.1-595.9]) and pro-oxidative stress (urinary isoprostanes 118 pmol/mmol creatinine [51-299]) markers were increased. Decrease in CRP (p = 0.002) and α-1 acid glycoprotein (p = 0.020) levels were observed after 5 days of oral supplementation. During radiochemotherapy, no significant variation of inflammatory markers was reported, and a low incidence of severe acute mucositis was noted. CONCLUSIONS: Stage III or IV HNSCC patients are characterised by a pro-inflammatory, pro-angiogenic and pro-oxidative status. Nutritional support could improve this inflammatory state and could prevent severe acute mucositis.


Asunto(s)
Carcinoma de Células Escamosas/terapia , Quimioradioterapia/efectos adversos , Neoplasias de Cabeza y Cuello/terapia , Inflamación/prevención & control , Apoyo Nutricional/métodos , Proteínas de Fase Aguda/análisis , Adulto , Anciano , Antioxidantes/uso terapéutico , Biomarcadores , Citocinas/sangre , Suplementos Dietéticos , Ácidos Grasos Omega-3/uso terapéutico , Femenino , Humanos , Inflamación/etiología , Inflamación/terapia , Isoprostanos/orina , Masculino , Persona de Mediana Edad , Mucositis/etiología , Mucositis/prevención & control , Mucositis/terapia , Estrés Oxidativo , Proyectos Piloto , Estudios Prospectivos , ARN/uso terapéutico , Carcinoma de Células Escamosas de Cabeza y Cuello , Vitaminas/uso terapéutico
16.
Eur J Appl Physiol ; 112(8): 3119-28, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22212862

RESUMEN

Strenuous exercise induces muscle damage due to a highly increased generation of free radicals and inflammatory response and therefore, in this type of exercise, it is important to reduce both oxidative stress and inflammation, at least their negative aspects. The purpose of this study was investigate, for the first time, whether a purified, standard water-soluble fraction obtained from Phlebodium decamanum could reduce the over-expression of inflammation and oxidative stress induced by strenuous exercise. The physical test consisted of a constant run that combined several degrees of high effort (mountain run and ultra-endurance), in permanent climbing. Biochemical parameters, oxidative stress and inflammatory mediators were assessed. The results showed that oral supplementation of P. decumanum during high-intensity exercise effectively reduces the degree of oxidative stress (decreased 8-hydroxy-2'-deoxyguanosine and isoprostanes generation, increased antioxidant enzyme activities in erythrocyte and total antioxidant status in plasma). The data obtained also indicate that this supplementation is efficient in reducing the inflammatory response through the decrease of TNF-α and increase of sTNF-RII, but kept the levels of IL-6 and IL-1ra. In conclusion, oral supplementation of P. decamanum extract during high-intensity exercise effectively reduces the degree of oxidative stress and has anti-inflammatory protective effects, preventing the over-expression of TNF-α but keeping the levels and effects of IL-6. These findings provide a basis for similar Phlebodium supplementation for both professional and amateur athletes performing strenuous exercise in order to reduce the undesirable effects of the oxidative stress and inflammation signalling elicited during high-intensity exercise.


Asunto(s)
Antiinflamatorios/farmacología , Antioxidantes/farmacología , Suplementos Dietéticos , Ejercicio Físico , Mediadores de Inflamación/sangre , Músculo Esquelético/efectos de los fármacos , Estrés Oxidativo/efectos de los fármacos , Extractos Vegetales/farmacología , Polypodiaceae , Transducción de Señal/efectos de los fármacos , 8-Hidroxi-2'-Desoxicoguanosina , Adulto , Antiinflamatorios/aislamiento & purificación , Antioxidantes/aislamiento & purificación , Biomarcadores/sangre , Biomarcadores/orina , Catalasa/sangre , Desoxiguanosina/análogos & derivados , Desoxiguanosina/orina , Prueba de Esfuerzo , Glutatión Peroxidasa/sangre , Humanos , Proteína Antagonista del Receptor de Interleucina 1/sangre , Interleucina-6/sangre , Isoprostanos/orina , Músculo Esquelético/inmunología , Músculo Esquelético/metabolismo , Resistencia Física , Extractos Vegetales/aislamiento & purificación , Hojas de la Planta , Polypodiaceae/química , Receptores Tipo II del Factor de Necrosis Tumoral/sangre , Rizoma , Carrera , España , Factor de Necrosis Tumoral alfa/sangre
17.
J Pineal Res ; 51(4): 373-80, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21615492

RESUMEN

Strenuous exercise induces inflammatory reactions together with high production of free radicals and subsequent muscle damage. This study was designed to investigate for the first time and simultaneously whether over-expression of inflammatory mediators, oxidative stress, and alterations in biochemical parameters induced by acute exercise could be prevented by melatonin. This indoleamine is a potent, endogenously produced free radical scavenger and a broad-spectrum antioxidant; consequently, it might have positive effects on the recovery following an exercise session. The participants were classified into two groups: melatonin-treated men (MG) and placebo-treated individuals (controls group, CG). The physical test consisted in a constant run that combined several degrees of high effort (mountain run and ultra-endurance). The total distance of the run was 50 km with almost 2800 m of ramp in permanent climbing and very changeable climatic conditions. Exercise was associated with a significant increase in TNF-α, IL-6, IL-1ra (in blood), and also an increase in 8-hydroxy-2'-deoxyguanosine (8-OHdG) and isoprostane levels (in urine), and indicated the degree of oxidative stress and inflammation induced. Oral supplementation of melatonin during high-intensity exercise proved efficient in reducing the degree of oxidative stress (lower levels of lipid peroxidation, with a significant increase in antioxidative enzyme activities); this would lead to the maintenance of the cellular integrity and reduce secondary tissue damage. Data obtained also indicate that melatonin has potent protective effects, by preventing over-expression of pro-inflammatory mediators and inhibiting the effects of several pro-inflammatory cytokines. In summary, melatonin supplementation before strenuous exercise reduced muscle damage through modulation of oxidative stress and inflammation signaling associated with this physical challenge.


Asunto(s)
Ejercicio Físico/fisiología , Inflamación/tratamiento farmacológico , Melatonina/uso terapéutico , Estrés Oxidativo/efectos de los fármacos , 8-Hidroxi-2'-Desoxicoguanosina , Desoxiguanosina/análogos & derivados , Desoxiguanosina/orina , Suplementos Dietéticos , Humanos , Inflamación/sangre , Inflamación/etiología , Proteína Antagonista del Receptor de Interleucina 1/sangre , Interleucina-6/sangre , Isoprostanos/orina , Masculino , Factor de Necrosis Tumoral alfa/sangre
18.
J Sci Food Agric ; 91(8): 1432-9, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21384375

RESUMEN

BACKGROUND: Farm animals in intensive farming systems are frequently exposed to oxidative stress, which demands adequate antioxidant protection. The aim of this study was to evaluate the antioxidant potential of different concentrations of Sweet chestnut wood extract (SCW; 0.75, 1.5 and 3 g kg⁻¹) in case of n-3 PUFA-induced oxidative stress in young pigs. RESULTS: The highest concentration (3 g kg⁻¹) of SCW decreased malondialdehyde excretion in urine by 31.7%, but had no effect on plasma malondialdehyde. A linear trend towards decrease of urine isoprostanes iPF(2α)-VI was observed with the addition of SCW. All three concentrations of SCW efficiently protected blood lymphocytes from DNA damage and lowered plasma alanine aminotransferase levels. The antioxidative and antigenotoxic effect of 3 g SCW kg⁻¹ feed was comparable to the effect of 90.4 mg kg⁻¹ of added vitamin E. CONCLUSION: The results from this study show that, besides being known as antihelmintic, antimicrobial and antiviral agent, Sweet chestnut wood extract could also be considered as a promising natural antioxidant in animal nutrition.


Asunto(s)
Antioxidantes/farmacología , Grasas de la Dieta/efectos adversos , Fagaceae , Ácidos Grasos Omega-3/efectos adversos , Malondialdehído/orina , Estrés Oxidativo/efectos de los fármacos , Extractos Vegetales/farmacología , Alanina Transaminasa/sangre , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Daño del ADN , Isoprostanos/orina , Recuento de Linfocitos , Linfocitos/metabolismo , Masculino , Estrés Oxidativo/fisiología , Porcinos , Madera
19.
Br J Nutr ; 106(1): 87-95, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21324214

RESUMEN

The objective of the present study was to determine whether a mitochondria-targeted vitamin E derivative (MitoVit E) would affect certain mitochondrial parameters, as well as systemic oxidative stress. A total of sixty-four mice were fed a high-fat (HF) diet for 5 weeks. They were then switched to either a low-fat (LF) or a medium-fat (MF) diet, and administered orally with MitoVit E (40 mg MitoVit E/kg body weight) or drug vehicle (10 % (v/v) ethanol in 0·9 % (w/v) NaCl solution), every other day for 5 weeks. Mitochondrial ATP and H(2)O(2) production rates in both the liver and the gastrocnemius were not affected by MitoVit E administration in either LF or MF diet-fed mice. However, the number and average size of the subsarcolemmal mitochondria, but not the intermyofibrillar mitochondria, from the soleus muscle were significantly higher in the MF group receiving MitoVit E (MF-E) than in the MF group receiving vehicle only (MF-C). After the mice were switched from the HF diet to the four dietary treatments (LF-C, LF-E, MF-C and MF-E), the decrease in urinary isoprostane concentration was significantly greater in the LF-E group than in the other three groups during the whole study (weeks 6-10). In addition, MitoVit E significantly increased plasma superoxide dismutase (SOD) activity in the MF diet-fed group without affecting plasma glutathione peroxidase activity or H(2)O(2) levels. Overall, these data suggest that MitoVit E affects subsarcolemmal mitochondrial density and systemic oxidative stress parameters such as plasma SOD activity and urinary isoprostane concentration.


Asunto(s)
Sistemas de Liberación de Medicamentos , Mitocondrias Hepáticas/efectos de los fármacos , Mitocondrias Musculares/efectos de los fármacos , Compuestos Organofosforados/farmacología , Estrés Oxidativo/efectos de los fármacos , Adenosina Trifosfato/metabolismo , Animales , Peso Corporal/efectos de los fármacos , Suplementos Dietéticos , Peróxido de Hidrógeno/metabolismo , Isoprostanos/orina , Hígado/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Mitocondrias Hepáticas/metabolismo , Mitocondrias Musculares/metabolismo , Oxidación-Reducción , Ubiquinona/farmacología
20.
FASEB J ; 23(9): 2909-16, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19443612

RESUMEN

Docosahexaenoic acid (DHA) can prevent cardiovascular events. However, few studies have addressed the effects of DHA on both platelet reactivity and redox status in healthy subjects, and dose-related studies are scarce. The main objectives of the present study were to determine the effects of increasing doses of DHA on platelets and redox status in humans. Twelve healthy male volunteers (aged 53-65 yr) were assigned to consume an intake of successively 200, 400, 800, and 1600 mg/d DHA, as the only omega-3 fatty acid, for 2 wk each dose. Blood and urine samples were collected before and after each dose of DHA and at 8 wk after arrest of supplementation. DHA was incorporated in a dose-response fashion in platelet phospholipids. After supplementation with 400 and 800 mg/d DHA, platelet reactivity was significantly decreased. Platelet vitamin E concentration increased only after 200 mg/d DHA, while p38 MAP kinase phosphorylation decreased. Urinary isoprostane was also significantly lowered after 200 mg/d DHA but was increased after 1600 mg/d. Therefore, supplementation with only 200 mg/d DHA for 2 wk induced an antioxidant effect. It is concluded that low consumption of DHA could be an effective and nonpharmacological way to protect healthy men from platelet-related cardiovascular events.


Asunto(s)
Ácidos Docosahexaenoicos/farmacología , Activación Plaquetaria/efectos de los fármacos , Anciano , Antioxidantes/farmacología , Plaquetas/química , Plaquetas/efectos de los fármacos , Plaquetas/metabolismo , Suplementos Dietéticos , Ácidos Docosahexaenoicos/administración & dosificación , Relación Dosis-Respuesta a Droga , Ácidos Grasos Omega-3/farmacología , Humanos , Isoprostanos/orina , Masculino , Persona de Mediana Edad , Oxidación-Reducción/efectos de los fármacos , Fosfolípidos/metabolismo , Vitamina E/análisis , Proteínas Quinasas p38 Activadas por Mitógenos/metabolismo
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