Free radicals and Antioxident (2024-11-19) d

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  • Oral Biology Department Nutrition course for first-year dental students.

  • Instructor: Prof. Samia Omar.

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  • Biological organization components in human bodies:

    • Organs

    • Tissues

    • Cells

    • Subcellular structures

    • Macromolecules

    • Micromolecules

    • Atoms

      • Nucleus and shell (multiple orbits)

      • Protons and neutrons in the nucleus

      • Electrons in orbits/shells

  • Each shell needs to be filled by a certain number of electrons for stability.

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  • Introduction to Free Radicals.

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  • Definition of Free Radicals:

    • Molecular atoms with unpaired electrons in their outer shells.

    • This unpaired state makes them highly reactive and unstable.

    • Free radicals can damage nucleic acids and membranes in cells.

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  • Production of Free Radicals:

    • Result from incompletely oxidized compounds during cellular metabolism.

    • Also known as reactive oxygen species (ROS).

    • Act as oxidants or reductants by donating or accepting electrons.

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  • Characterization of Free Radicals:

    • Compared to robbers, energy deficient seeking electrons from cells.

    • Damage to cellular membranes results from electron theft.

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  • Free radicals as central factors in cell injury:

    • Can cause damage through unwanted side reactions.

    • Excess leads to cell injury and possibly death, contributing to diseases.

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  • Types of Free Radicals:

    • Two main categories: Reactive Oxygen Species (ROS) and Reactive Nitrogen Species (RNS).

    • Important radical examples:

      • Superoxide anion (O2-)

      • Hydroxyl radicals (OH)

      • Peroxyl free radical (ROO)

      • Ozone (O3)

      • Singlet oxygen (1O2)

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  • Reactive Oxygen Species (ROS) act as oxidants by adding oxygen atoms to other substances.

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  • Generation of Free Radicals:

    • Mainly from cellular redox (oxidation-reduction) processes.

    • Reduction: Addition of hydrogen or removal of oxygen.

    • Oxidation: Addition of oxygen or removal of hydrogen.

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  • Formation of Free Radicals:

    • Occurs via:

      • Enzymatic reactions: Involves respiratory chain, phagocytosis, prostaglandin synthesis.

      • Non-enzymatic processes also contribute.

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  • Emphasis on enzymatic reactions and their endogenous role in Free Radical production.

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  • Energy extraction from food through gradual oxidation (respiration):

    • Combines carbon and hydrogen with oxygen to produce CO2 and H2O.

    • Incomplete reduction of O2 leads to the creation of reactive oxygen species (ROS).

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  • Mitochondrial structure:

    • Components include:

      • Respiratory chain, matrix, ribosomes, intermembrane space.

      • Role in oxidative phosphorylation and ATP production.

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  • Free radicals as byproducts of incompletely oxidized compounds during cellular respiration.

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  • Phagocytic cells (macrophages and neutrophils):

    • Detect and eliminate foreign organisms, releasing oxygen-derived free radicals during the process.

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  • Breakdown of cell membranes may expose arachidonic acid leading to:

    • Prostaglandin synthesis via cyclooxygenase and lipoxygenase actions.

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  • Causes of free radical formation include:

    • External factors: Oxygen reactions with organic compounds, radiation.

    • Internal factors: Mitochondrial oxidative phosphorylation (endogenous).

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  • Targets of Free Radicals:

    • Capable of damaging all types of biological molecules:

      • DNA, proteins, carbohydrates, lipids, leading to cell damage.

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  • Effects of Free Radicals:

    • 1. Oxidative damage to proteins:

      • Can cause modifications, fragmentation, and inactivation.

      • Linked to aging processes.

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  • 2. Lipid Peroxidation:

    • Occurs on fatty acids in membranes.

    • Associated with various diseases including neurodegenerative diseases, ischemic diseases, and type 2 diabetes.

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  • Free Radical Formation:

    • Electron loss leads to cell membrane free radical problems resulting in membrane erosion and damage to the cell interior.

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  • 3. Oxidative damage to DNA:

    • DNA (and RNA) are susceptible to oxidative damage, linked to aging and cancer.

    • Mitochondrial DNA is particularly susceptible.

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  • Free Radicals in Biology:

    • Reactions produce cumulative adverse changes with age.

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  • Sources of Free Radicals:

    • Endogenous: Mitochondria, immune activation, stress, etc.

    • Exogenous: Pollution, smoke, radiation, etc.

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  • Exogenous Free Radical Production:

    • Influences from UV light, inflammation, and air pollution on DNA and metabolism.

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  • The Oral Cavity:

    • Subjected to various factors generating free radicals:

      • Food, air, microorganisms, cigarette smoke, dental materials, medications.

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  • Activities of Free Radicals and Oxidants:

    • Distinct beneficial and deleterious effects.

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  • Beneficial Activities:

    • Low/moderate ROS/RNS are crucial for:

      • Cell responses, maturation, and as defense mechanisms against pathogens.

      • Physiological roles in multiple cell signaling pathways.

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  • Deleterious Activities:

    • Excess leads to oxidative stress, potentially harming cell structures (proteins, lipids, DNA).

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  • Normal cell interactions vs. oxidative stress impact over time.

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  • Oxidative stress implications:

    • Contributes to systemic diseases affecting oral health, including obesity and diabetes.

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  • Significance of Oxidative Stress:

    • Linked to multiple chronic diseases, including cancer and cardiovascular issues.

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  • Oral health implications of oxidative stress:

    • Impacts salivary function, periodontitis, and oral cancers.

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  • Harmful Effects of Oxidative Stress:

    • Affects multiple systems and can lead to various health complications.

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  • Body’s Defensive Systems:

      1. Free radical detoxifying enzymes.

      1. Antioxidant production.

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  • Mechanisms to overcome the adverse effects of free radicals through antioxidants.

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  • Antioxidant Definition:

    • Low molecular weight molecules capable of neutralizing free radicals.

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  • Antioxidant Functions:

    • Donates electrons to free radicals preventing damage to vital molecules.

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  • Levels of Antioxidant Action:

    • Preventative, scavenging, repair mechanisms.

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  • Third and fourth lines of antioxidant defense include:

    • Repair systems and adaptive signaling for specific free radical responses.

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  • Antioxidants functionality:

    • Neutralize free radicals in different cellular environments.

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  • Summary of Antioxidant Features:

    • Levels of action, location, structural dependencies, and solubility classifications.

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  • Mechanisms of Antioxidant Production:

    • Endogenous (naturally produced) vs. Exogenous (dietary) sources.

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  • Endogenous Antioxidants:

      1. Enzymatic.

      1. Non-enzymatic.

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  • Major enzymatic antioxidants include:

    • Glutathione peroxidase and Superoxide dismutase.

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  • Non-Enzymatic Antioxidants:

    • Divided into:

      • A. Metabolic antioxidants (body-produced).

      • B. Nutritional antioxidants (diet obtained).

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  • Dietary and Plant-Derived Antioxidants:

    • Includes vitamins and minerals crucial for combating oxidative stress.

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  • Examples of Dietary Antioxidants:

    • Vitamin A, beta-carotene, Vitamin C, Vitamin E, selenium, lutein, lycopene, catechins.

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  • Ascorbic Acid (Vitamin C):

    • Important dietary antioxidant, cannot be synthesized by the body.

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  • Glutathione:

    • Synthesized in the body, antioxidant properties aid in neutralizing oxidative stress.

  • Melatonin:

    • A powerful antioxidant across membranes, supporting cellular protection.

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  • Antioxidant Supplementation Challenges:

    • Varied efficacy compared to natural sources and potential health risks associated with high dosages.

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  • Barriers to Antioxidant Supplement Use:

    • Research gaps, long-term effects, and dosing concerns affecting safety and efficacy.

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  • Usefulness of Supplements:

    • Can be essential for individuals with limited access to diverse diets or specific health needs.

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  • Acknowledgment: Thank you.