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1

Antioxidant Defence

Ageing

Dietary Antioxidants

Jan Plaacuteteniacutek MD PhD

Uacutestav leacutekařskeacute biochemie a laboratorniacute diagnostiky 1LF UK

Ionising radiationHydroxyl radical originates from ionisation of water

H2O + hν rarr H + OHmiddot

Reactive oxygen species in the body

One-electron reduction of oxygen (mitochondria NADPH oxidase) forms superoxide O2

middotndash

Dismutation of superoxide produces hydrogen peroxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

Fenton reaction with Fe or Cu converts peroxide tohydroxyl radicalH2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

2

Oxidative stress

bull Levels of reactive oxygen species are kept within certain limits by mechanisms of antioxidant defence

bull Oxidative stress occurs if the oxidantantioxidant balance shifts to oxidation

Antioxidant defence

bull prevention of ROSRNS formation (regulation of producing enzymes sequestration of metals)

bull scavenging trapping and quenching of radicals

bull reparation systems (phospholipases proteasome DNA repair)

3

Antioxidant in food chemistry

bull Reducing agent capableof terminating chainreaction of lipid peroxidation hellipldquochain-breakingrdquo

bull Egndash Butylated

hydroxytoluene (BHT)

ndash Butylated hydroxyanisol(BHA)

ndash Tocopherol (Vitamin E)

Antioxidant defence of human body

bull Anatomy of the body limiting tissue oxygen

bull Antioxidant enzymes

bull Sequestration of redox active metals

bull Antioxidant substrates (scavengers)

bull Stress response

bull (Repair systems)

4

O2

First organism

(anaerobic)

Developantioxidantdefence

Die out

Resort to anaerobic

condition

O2Clump together

O2

5

Antioxidant defence I

Regulation of tissue O2

Inhaled air 160 160 mmHgmmHg OO22

Lung capillaries 100 mmHg O2

Arterial blood 85 mmHg O2

Arterioles 70 mmHg O2

Capillaries 50 mmHg O2

Cells 1-10 mmHg O2

Mitochondria lt 05 mmHg Olt 05 mmHg O22

Fig Wikipedia

Mitochondria originated from

phagocytedparasitic bacteria

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

2

Oxidative stress

bull Levels of reactive oxygen species are kept within certain limits by mechanisms of antioxidant defence

bull Oxidative stress occurs if the oxidantantioxidant balance shifts to oxidation

Antioxidant defence

bull prevention of ROSRNS formation (regulation of producing enzymes sequestration of metals)

bull scavenging trapping and quenching of radicals

bull reparation systems (phospholipases proteasome DNA repair)

3

Antioxidant in food chemistry

bull Reducing agent capableof terminating chainreaction of lipid peroxidation hellipldquochain-breakingrdquo

bull Egndash Butylated

hydroxytoluene (BHT)

ndash Butylated hydroxyanisol(BHA)

ndash Tocopherol (Vitamin E)

Antioxidant defence of human body

bull Anatomy of the body limiting tissue oxygen

bull Antioxidant enzymes

bull Sequestration of redox active metals

bull Antioxidant substrates (scavengers)

bull Stress response

bull (Repair systems)

4

O2

First organism

(anaerobic)

Developantioxidantdefence

Die out

Resort to anaerobic

condition

O2Clump together

O2

5

Antioxidant defence I

Regulation of tissue O2

Inhaled air 160 160 mmHgmmHg OO22

Lung capillaries 100 mmHg O2

Arterial blood 85 mmHg O2

Arterioles 70 mmHg O2

Capillaries 50 mmHg O2

Cells 1-10 mmHg O2

Mitochondria lt 05 mmHg Olt 05 mmHg O22

Fig Wikipedia

Mitochondria originated from

phagocytedparasitic bacteria

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

3

Antioxidant in food chemistry

bull Reducing agent capableof terminating chainreaction of lipid peroxidation hellipldquochain-breakingrdquo

bull Egndash Butylated

hydroxytoluene (BHT)

ndash Butylated hydroxyanisol(BHA)

ndash Tocopherol (Vitamin E)

Antioxidant defence of human body

bull Anatomy of the body limiting tissue oxygen

bull Antioxidant enzymes

bull Sequestration of redox active metals

bull Antioxidant substrates (scavengers)

bull Stress response

bull (Repair systems)

4

O2

First organism

(anaerobic)

Developantioxidantdefence

Die out

Resort to anaerobic

condition

O2Clump together

O2

5

Antioxidant defence I

Regulation of tissue O2

Inhaled air 160 160 mmHgmmHg OO22

Lung capillaries 100 mmHg O2

Arterial blood 85 mmHg O2

Arterioles 70 mmHg O2

Capillaries 50 mmHg O2

Cells 1-10 mmHg O2

Mitochondria lt 05 mmHg Olt 05 mmHg O22

Fig Wikipedia

Mitochondria originated from

phagocytedparasitic bacteria

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

4

O2

First organism

(anaerobic)

Developantioxidantdefence

Die out

Resort to anaerobic

condition

O2Clump together

O2

5

Antioxidant defence I

Regulation of tissue O2

Inhaled air 160 160 mmHgmmHg OO22

Lung capillaries 100 mmHg O2

Arterial blood 85 mmHg O2

Arterioles 70 mmHg O2

Capillaries 50 mmHg O2

Cells 1-10 mmHg O2

Mitochondria lt 05 mmHg Olt 05 mmHg O22

Fig Wikipedia

Mitochondria originated from

phagocytedparasitic bacteria

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

5

Antioxidant defence I

Regulation of tissue O2

Inhaled air 160 160 mmHgmmHg OO22

Lung capillaries 100 mmHg O2

Arterial blood 85 mmHg O2

Arterioles 70 mmHg O2

Capillaries 50 mmHg O2

Cells 1-10 mmHg O2

Mitochondria lt 05 mmHg Olt 05 mmHg O22

Fig Wikipedia

Mitochondria originated from

phagocytedparasitic bacteria

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

6

Antioxidant defence II

Antioxidant enzymes

bull Superoxide dismutase

O2middotndash + O2

middotndash + 2 H+ rarr O2 + H2O2

bull Catalase

2 H2O2 rarr 2 H2O + O2

bull Glutathione peroxidase peroxiredoxin H2O2 + 2 R-SHrarr 2 H2O + RS-SR

Superoxide dismutase (SOD)

bull Catalyses dismutation of superoxideO2

middotndash + O2middotndash + 2 H+ rarr O2 + H2O2

bull Absolutely required for life in oxygen

bull SOD1 Cu+Zn (cytosol of eukaryotic cells)

bull SOD2ndash Mn (mitochondrial matrix)

ndash Fe (bacteria)

bull EC-SOD (SOD3) extracelullar Cu+Zn ndash MW 135000 binds to heparane sulfate on the

inner surface of blood vessels

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

7

Glutathione peroxidases (GPX)

bull Reduction of peroxides coupled to oxidation of glutathione

2 GSH + H2O2 rarr GS-SG + 2 H2O(glutathione is subsequently regenerated by glutathione reductases)

bull Active site contains selenium as selenocysteine

bull Cytosolic glutathione peroxidase (GPX1)ndash reduces H2O2 and LOOH after release from

phospholipids

bull Phospholipide hydroperoxide-GSH-peroxidase(GPX4)ndash reduces LOOH even in membranes

Glutathione (GSHGSSG)

bull tripeptide in every cell 1-10 mM

bull keeps ICT reduced

bull substrate for GPX etc

bull also non-enzymatic reactions with ROS and mixed disulfides with proteins products of GSH oxidation are toxic for cell

bull in oxidative stress the cell exports GSSG out

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

8

Catalase

bull Tetramer every subunit contains heme with Fe

bull Dismutation of hydrogen peroxide

2 H2O2 rarr 2 H2O + O2

bull Red blood cells peroxisomes

bull Also peroxidase activity

H2O2 + ROOH rarr H2O + ROH + O2

(in comparison to GPX less significant)

OxidaOxidationtion of very longof very long chain fattychain fatty acids in peracids in peroxisomeoxisomess

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

9

Glutathioneperoxidase

H2O2

H2O

Glutathionereductase

GS-SG

GSHTranshydrogenase

NADPH+H+

NADP+

NADH+H+

NAD+

Pentose cycle

O2middotndash

Superoxide dismutase

Reduced glutathione(GSH)

Oxidised glutathione(GS-SG)

ATPATP

PeroxiredoxinThioredoxin

bull Recently discovered antioxidant system more important for removal of hydrogen peroxide than GPX

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

10

H2O2

GSH

O2middotndash

Superoxide dismutase

H2O

Thioredoxin

reductase RED

Thioredoxin

reductase OX

NADPH+H+

NADP+

SH HS

S S

Peroxiredoxin

RED

Peroxiredoxin

OX

SH HS

S S

Thioredoxin

RED

Thioredoxin

OX

FADH2 (Se)

FAD (Se)

Antioxidant defence III

Sequestration of metalsbull Redox-active transition metals (Fe Cu)

acceptdonate one electron easilyndash alleviation of spin restriction of dioxygenndash metals are in active centers of all oxygen handling-

enzymes

bull But the same properties of Fe Cu are deleterious if uncontrolledndash the Fenton oxidant

H2O2 + Fe2+ rarr OHndash + OHmiddot + Fe3+

oxidative damage to biomolecules

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

11

Antioxidant defence III

Sequestration of metals

bull Ironcopper handling proteins ndash transferrin binds 2 atoms Fe3+ (transport)ndash lactoferrin analogous to transferrin but no Fe

release ( only sequestration) leukocytesndash ferritin H and L subunits H is ferroxidase Fe

storage (up to 4500 atoms Fe3+) ndash haptoglobin binds hemoglobin in circulationndash hemopexin binds heme in circulationndash ceruloplasmin contains Cu function

ferroxidase (export Fe from the cells)ndash albumin transport of Cu

ICT ECT

Superoxide

Peroxide FeCu

Superoxide

Peroxide FeCu

Superoxide dismutaseGlutathione peroxidaseCatalase

GlutathioneTocopherolAscorbate

Antioxidant enzymes amp

glutathione levels very low

TocopherolAscorbateCarotenoids uric acid albumin

glucose bilirubin

Labile iron pool (LIP) present Sequestration of iron and copper- transferrin lactoferrin- hemopexin- haptoglobin- ceruloplasmin (ferroxidase)- Cu bound to albumin

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

12

bull THIOLS ndash Glutathionendash Thioredoxin

bull OTHER ENDOGENOUS METABOLITESndash Bilirubin ndash Uric acidndash Lipoic acid

bull DIETARYndash Ascorbate (Vitamin C)ndash α-Tocopherol (Vitamin E)ndash Carotenoidsndash Plant phenols

Antioxidant defence IVLow-molecular-weight antioxidant substrates

Tocopherols (Vitamin E)

bull group of 8 isomers α-tocopherol most effective

bull antioxidant ofmembranes(lipophilic)

bull ldquochain-breakingrdquo terminates thechain reaction of lipid peroxidation

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

13

Ascorbate (Vitamin C)

bull Redox-active saccharide

bull In most animals synthesized from glucuronic acid

bull Vitamin for humans other primates bats and guinea pigs

bull Deficit causes scurvy (scorbut)

Ascorbate in the body

bull Main function is pro-oxidant cofactor of hydroxylasesndash Hydroxylation of Pro and Lys in collagen synthesisndash Synthesis of noradrenaline from dopaminendash Synthesis of carnitine (hellip role in oxidation of fat)ndash Activation of hypothalamic peptidic hormones by

amidation (CRH GRH oxytocin vasopressin substance P)

bull Reductant for iron promotes its intestinal absorptionbull Potentially dangerous pro-oxidant if iron sequestration

impaired (hemochromatosis) ()bull Daily need 70-100 mg high doses po excreted by

urine (renal threshold cca 200 mg24 hours)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

14

membrane compartment hydrophilic compartment

LH

L

Tocopherol

Tocopheryl

radical

LOOH

LOO

chain reaction of

lipid peroxidation

Ascorbate

Semidehydro-

ascorbate

Dehydroascorbate

+e-

-e-

dehydroascorbatereductase

2GSH

GSSG

Activated neutrophiles

accumulate

dehydroascorbate (DHA)GLUT1

DHA

Ascorbate

Protects membrane of the neutrophilefrom its own ROS

GSH

GSSG

Glutaredoxin

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

15

bull Selenium

ndash Trace element (daily need 55 microg) possibility of deficiency as well as intoxication

ndash Component of several antioxidant enzymes(glutathione peroxidase thioredoxin reductase) and also eg 5lsquo-dejodase (T4rarrT3)

bull Carotenoids

ndash ββββ-carotene (provitamin A) is precursor forsynthesis of

bull Retinal hellip vision

bull Retinoic acid hellipregulator of gene expression cellular growth and differentiation

ndash Antioxidants in the skin and in the eye

Plant (poly)phenolsbull Thousands of substances

(quercetin resveratrol curcumin catechinshellip)

bull Fruits vegetables tea redwine soy sauce coffee chocolate herbs spiceshellip

bull Excellent antioxidants(reductants) in vitro

bull In vivo more complexndash Absorption in digestive tract

ndash Conversion to otherderivatives

ndash Other specific biologicaleffects

Fighttpwwwjustaboutskincom

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

16

Antioxidant defence V

Stress response

Oxidation or nitrosylation of sensor -SH

Transcription factors (NFκB Nrf-2hellip)activation nuclear translocation

Induction of gene expressionbull chaperones (heat shock proteins)bull antioxidant enzymes

bull metallothioneinbull hemoxygenase 1

helliprarr more resistant to further

oxidative stress

Apoptosis as theultimate antioxidant defence

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

17

Free radicals in pathogenesis of human diseases

bull Cause of disease egbull cancerogenesis due to exposition to ionising radiationbull retinopathy of the newborn (fibroplasia retrolentalis)

bull Contribute to pathogenesis egbull atherosclerosisbull diabetes mellitusbull hypertensionbull some kinds of cancerbull brain traumahemorrhagebull ischemiareperfusion injury of heart and other organsbull Parkinson diseasebull Alzheimer diseasebull ageing

bull Merely an epiphenomenon (general consequence of tissue damage)

What is ageing

bull Looks similar in various animals butproceeds with variable speed hellip must beuniversal process

bull Stochastic process unlike eg embryogenesis is not directly programmedby genome (but genes do play a role )

bull On molecular level inability to keep fidelity of biomolecules

indefinitely

bdquosystemic molecular disorderldquo (Hayflick)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

18

Mitochondrial

genome

Mitochondrial DNA

mutates 10 times faster

than nuclear DNA

Exposed to oxygen radicals Not covered by histonesRepair insufficient

Vicious circle of mitochondrial oxidativedamage

Production of oxygen radicals in mitochondria

Accumulation of mtDNA mutations with age

Respiratory chain deficiency

Heart failure muscle weakness diabetes mellitus dementia neurodegeneration hellip

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

19

Free-radicalmitochondrial theory of ageing

bull Accumulation of oxidative damage with age (DenhamHarman 1956)

bull Later refined to mitochondrial theory

ndash hellipmitochondria are the main source of ROS in the body

bull But Difficult to prove that human mitoDNA is more damagedby ROS or that significantly accumulates mutations with age

bull Model of Kirkwood and Kovald

ndash Certain amount of ROS always escapes mitochondria anddamages other cellular structures

ndash Prevention of ROS formation and repair systems are never100 effective

ndash Slightly damaged mitochondria produce less energy thanthe cell would need

How the cells get rid of worn-out proteins and organelles

bull Calpains proteasome (short-lived proteins)bull Autophagy (long-lived proteins organelles)

ndash Macroautophagy (whole organelles)ndash Microautophagy (macromolecules small organelles)ndash Chaperone-mediated autophagy (KFERQ proteins)

Fig httpcpmcnetcolumbiaedudeptgsasanatomyFacultyKessinautophagyhtml

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

20

Ageing as a catabolic insufficiencyIncomplete digestion in lysosomes release of Fe from mito

ROS lipid peroxidation cross-linking aggregation andpolymeration of oxidised proteins and lipids

uarr LIPOFUSCIN (in lysosomes)In cytosol defective mito and

indigestible protein aggregates

Loss of hydrolases delivered to lipofuscin-loaded lysosomesDamaged and hypertrophic (giant) mito not degradable

Less ATP more ROS damaged mito amp lysosomes caninitiate apoptosishellip

+

Fig httpwwwuni-mainzdeFBMedizinAnatomieworkshopEMEMtLysohtml

Stress response becomes permanent in ageing

Nick Lane Oxygen The Molecule that made the World Oxford University Press 2002

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

21

Antioxidants as elixirs of youth

bull Vitamin E (tocopherol)

bull Vitamin C (ascorbate)

bull β-carotene

bull Selenium

Fig httpwwwoselcz

Antioxidant dietary supplements caneven be harmful

bull Recent meta-analysis of total mortality in 68 studies on administration of antioxidant supplements (232 606 participants 385 publications)

ndash β-carotene vitamin A and vitamin E significantly increase mortality

ndash Vitamin C and selenium have no effect

(Bjelakovic G et al JAMA 2007 297 842-857)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

22

Why the antioxidants do not help or even harm

bull High doses are ineffectivebull Suppress the beneficial oxidations

ndash Inhibition of the stress responsendash Impair defence against infection cancer

physiologic apoptosis

bull Have other effects in addition to antioxidant ndash tocopherols anti-inflammatoryndash β-carotene co-carcinogen (together with

smoking or environmental toxins)

httpwwwcalpolyedu~lcimarelknowhtm

Diet rich in fruit and vegetables (optim 5x 80 g daily) is associated with lower risk of

cardiovascular diseases diabetes and certainkinds of cancer (lung oropharynx pancreas

stomach prostate)

(but we do not know whyhellip)

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