This document discusses antioxidants and their role in protecting against free radical damage. It defines antioxidants as substances that inhibit oxidation reactions and describes how free radicals form and damage cells. The document then classifies antioxidants, describes how they work to neutralize free radicals, and lists important antioxidant vitamins and foods containing them. It discusses the role of antioxidants in protecting against various oral diseases and conditions like cancer and periodontal disease.
Antioxidants are molecules capable of reducing the causes or effects of oxidative stress. Oxidative stress can be caused by environmental factors, disease, infection, inflammation, aging (ROS production). The body produces some endogenous antioxidants, but dietary antioxidants may provide additional line of defense. Flavonoids & other polyphenolics, Vitamins C & E, and Carotenoids are the most common dietary antioxidants. Many herbs and botanicals also contain antioxidants.
Any molecule containing one or more unpaired electrons. These unpaired electrons readily form free radical molecules which are chemically reactive and highly unstable.
Antioxidants are molecules capable of reducing the causes or effects of oxidative stress. Oxidative stress can be caused by environmental factors, disease, infection, inflammation, aging (ROS production). The body produces some endogenous antioxidants, but dietary antioxidants may provide additional line of defense. Flavonoids & other polyphenolics, Vitamins C & E, and Carotenoids are the most common dietary antioxidants. Many herbs and botanicals also contain antioxidants.
Any molecule containing one or more unpaired electrons. These unpaired electrons readily form free radical molecules which are chemically reactive and highly unstable.
An antioxidant is a molecule capable of inhibiting the oxidation of other molecules.
Oxidation reactions can form free radicals and these start chain reactions that damage cells .
Antioxidants terminate these chain reactions by removing free radical intermediates and inhibit other oxidation reactions
in this presentation, the light is focused on discussing the Reactive oxygen species, oxidative stress, how it forms, how it affects the body and what are the diseases that correlate with oxidative stress.
nevertheless, how it can be balanced by the antioxidants and what is their role in oxidative stress.
An antioxidant is a molecule capable of inhibiting the oxidation of other molecules.
Oxidation reactions can form free radicals and these start chain reactions that damage cells .
Antioxidants terminate these chain reactions by removing free radical intermediates and inhibit other oxidation reactions
in this presentation, the light is focused on discussing the Reactive oxygen species, oxidative stress, how it forms, how it affects the body and what are the diseases that correlate with oxidative stress.
nevertheless, how it can be balanced by the antioxidants and what is their role in oxidative stress.
Antioxidants - protective activity of certain important antioxidantsAYESHA NAZEER
Introduction to free radicals, antioxidants, types of antioxidants, biological importance and protective role of certain important antioxidants in diseases.
Introduction
Oxidation
What are antioxidants?
Antioxidants
Source of Antioxidants
Antioxidants produced by Plants
Major Antioxidant compounds in Plants
Fruits and Vegetables with highest Antioxidant content
Conclusion
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Lecture 10 nutrients involved in antioxidant functionwajihahwafa
At the end of this lecture, the student should be able to:
Describe how antioxidants protect cells from the oxidative damage caused by free radicals.
Describe the relationship between antioxidant nutrients and the risk for cancer
Discuss how consuming nutrients with antioxidant properties can reduce the risk for cardiovascular disease,
Compare and contrast macular degeneration and cataracts, and discuss how antioxidants may affect these two disorders.
Every component of the eye is vulnerable to damage from ROI, particularly retina. There are several reasons for the vulnerability of the retina, including high concentrations of polyunsaturated fatty acid (PUFA), constant exposure to visible light, high consumption of oxygen, an abundance of photosensitisers in the neurosensory retina and the RPE, the process of phagocytosis by the RPE which is known to generate hydrogen peroxide.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. Contents
• Introduction
• Concept of free radicals
• Free radical damage
• Oxidative stress
• Antioxidant protection
• Classification of antioxidants
• Retinoids , Vitamin C, Vitamin E
• Enzymatic antioxidants
• Role of antioxidants in cancer
• Antioxidants in periodontal disease
• Antioxidants in oral lesions
• Antioxidant combinations
• Conclusion
3. Introduction
Definition:
• Chemical: A substance that opposes oxidation
or inhibits reactions promoted by oxygen or
peroxides.
• Biological: Synthetic or natural substances
that prevent or delay deterioration of a
product or are capable of counteracting the
damaging effects of oxidation in animal
tissues.
4.
5. Concept of Free Radicals
• Free radicals are chemically active atoms that have a
charge due to an excess or deficient number of
electrons.
• Reactive oxygen species are the most biologically
significant free radicals. Include superoxide and
hydroxyl.
• Free radicals and other ROS are derived either from
normal metabolic processes in the human body or
from exogenous sources.
• They are highly unstable due to presence of one or
more unpaired electrons.
• They scavenge the body to grab or donate electrons,
thereby damaging cells, proteins, and DNA.
6.
7.
8.
9. Classification of antioxidants
According to mode of action:
1) Scavenging antioxidants
• Vitamin E, C, carotenoids and curcumin
2) Preventive antioxidants
• Transferrin, lactoferrin, cerruloplasmin &
desferrioxamine
3) Enzyme antioxidants
• Superoxide dismutase, glutathione
peroxidase & catalase
10. According to type
Enzymatic
• Superoxide dismutase, glutathione
peroxidase, catalase
Non-enzymatic
• Nutrient: Alpha tocopherol, β- carotene,
ascorbate , selenium
• Non-nutrient: Uric acid, peptides.
11. Antioxidant Process
• Antioxidants block the process of oxidation by
neutralizing free radicals.
• In doing so, the antioxidants themselves
become oxidized.
• Because of this, there is a constant need to
replenish our antioxidant resources.
12. Mechanism of action
• Antioxidants neutralise free radicals by
donating one of their electrons, which ends
the electron stealing reaction.
1. Chain breaking or scavenging, such as Vit. E
Vit. C or Vit. A
2. Preventative antioxidants
• Mainly protein in nature
• Function mainly by sequestering transition
metal ions and preventing Fenton reactions
(e.g., albumin, lactoferrin)
13. Mechanism Of action
1. Act as hydrogen donors to chelate metal ions
such as iron and copper, by inhibiting the
oxidation of low-density lipoproteins (LDL).
They reduce or inhibit free radicals by transfer
of a hydrogen atom, from its hydroxyl group
with a peroxyl radical (ROO•)
2. Based on the hydrongen atom transfer (HAT)
to peroxyl radicals, the inactivation of singlet
oxygen (SET), and the elimination of molecular
oxygen.
14.
15. Food sources of antioxidant vitamins
• Vitamin C – citrus fruits
• Vitamin E
• Carotenoids
• α carotene: Yellow-orange vegetables and
fruits, dark green vegetables.
• βcarotene: carrots
• Lycopene: tomato
• Lutein and zeaxanthine: Dark green leafy
vegetables.
16. Therapeutic Use of Antioxidants for
Oral Lesions
• Prevention of lesions in high-risk individuals
• Treatment of premalignant oral lesions
• In patients with previous history of malignancy to
prevent recurrence.
• Tobacco pouch keratosis
• Oral Leukoplakia
• Oral Lichen Planus
• Oral Submucous Fibrosis
• Oral Cancer
17. Periodontal Diseases
• Inflammatory disease
• Free radicals and reactive oxygen species
(ROS) are responsible for the inflammatory
response.
• Periodontal pathogens induce ROS
overproduction and thus causing collagen and
periodontal tissue breakdown.
• ROS are scavenged by antioxidants,
minimizing the collagen breakdown.
• Therefore, low levels of antioxidants are a risk
factor for periodontal diseases.
18. • Free radicals are released as a result of
bacterial clearance and killing.
• Systemic glutathione (GSH) is decreased with
inflammation.
• Periodontal tissue depends on natural
antioxidants to overcome this oxidative stress
and maintain balance.
• When antioxidants are depleted, the ability of
gingival tissue to overcome oxidative stress
and control the bacterial damage gets
compromised.
19. Dental Caries
• Recently, it has been claimed that the imbalances
in levels of free radicals, ROS and antioxidants in
saliva play an important role in the onset and
development of dental caries.
• Salivary peroxidase is the major constitutes of the
salivary antioxidant system.
• It brings the control on oral bacteria which lead
to dental caries.
• Salivary peroxidase catalyzes the per-oxidation of
thiocyanate ion (SCN-) to generate OSCN (more
stable)
• This inhibits the growth and metabolism of many
micro-organisms, thereby inhibiting caries.
20. Oral Cancer and Premalignant
• Preventive and therapeutic potential
• Flavinoid antioxidants have ability to
• Cell growth and proliferation of oralcarcinoma
• They protect the lipids and other membrane
molecules against oxidative damage by
intercepting oxidants before they try to destroy
the tisuues.
• Vitamin such as A, Beta carotene, C, E, B12 -
Cancer prevention and control.
21. • Leukoplakia
• Nitric oxide (NO) radicals in tobacco smoke
and products are carcinogenic and implicated
in pathogenesis of leukoplakia.
• Lycopene has been found to be 3 fold more
effective than beta-carotene in preventing cell
death by quenching of nitric oxide radicals.
22. Oral lichen planus
• Retinoids are used both topically and
systemically to control OLP because of their
anti keratinizing and immunomodulatory
effects.
23. Oral submucous fibrosis
• Oral submucous fibrosis is a chronic insidious
and progressive disease involving oral mucosa.
• Studies have shown that the process of
malignant transformation in OSMF by
generation of reactive oxygen species which
act by initiating lipid per-oxidation.
• Non-enzymatic antioxidants like β carotene
and vitamin E have shown to be preventive.
24. Lycopene
• Lycopene is one of the most potent antioxidants
primarily present in tomatoes.
• Lycopene prevents carcinogenesis by protecting
critical cellular biomolecules, including lipids,
lipoproteins, proteins, and DNA.
• According to various studies, lycopene, when
given in the dosage of 4-8 mg/day orally for 3
months,leads to the reversal of dysplastic
changes in leukoplakia and
• When given in the dosage of 16 mg/day leads to
substantials increase in the mouth opening in oral
submucous fibrosis.
• Recommended the daily intake - 3.7 mg.
25. Beta Carotene
• Family of antioxidant phytonutrients
• Include b-carotene (carrots), lycopene
(tomatoes), and lutein (spinach).
• Serum beta carotene levels have been found to
decrease in various oral premalignant conditions.
Actions:
• Enhance the immune response.
• Inhibit mutagenesis.
• Antioxidant properties- Free radical trapping,
especially peroxyl and hydroxl.
• Dosage: 30 mg/day
26. Retinoids
• Retinoids comprise a family of isoprenoid
lipids which include vitamin A (retinol)
Actions:
• Regulates cell proliferation & differentiation &
activation of tumor suppressor genes.
• RETINO-A [cream] (tretinoin)
• BETA-SCLEROBION [cap] (beta carotene 0.5
mg, carotenoids 0.5 mg, selenium, vitamin C
100 mg)
27. Ascorbic acid
• Vitamin C is required for synthesis of collagen and
neurotransmitters.
• Ascorbate is as an antioxidant.
Mechanism of action
1) It is a water soluble chain breaking antioxidant.
2) It prevents formation of carcinogens from
precursor compounds.
• Antioxidant properties
• Immune related functions
• Daily Requirement: 40 – 60 mg
• VITAMIN C [chewable tablet]
28. Alpha tocopherol (Vit. E)
• There are 4 tocopherols & tocotretiniol isomers
(α,β,γ,δ).
• α tocopherol has the highest antioxidant activity.
• More of an antioxidant than a vitamin.
Mechanism of action:
• It is a chain breaking antioxidant.
• Inhibits P53tumour suppressor gene
• Inhibits conversion of nitrites to nitrosamines.
• Daily requirement – 25-30 mg
• TOCOFER [soft-gelatin caps] (Vitamin E acetate)
29. Naturally available antioxidants
Curcumin
• Potent antioxidant found in turmeric.
• Free radical scavenging activity.
• Inhibits lipid per-oxidation.
Spirulina
• Blue green algae with high selenium,
• vitamin A and E content.
30. The antioxidant enzymes
Catalase
• Located in peroxisomes, which contain enzymes
capable of generating hydrogen peroxide.
• Greatest activity in liver and erythrocytes.
Glutathione peroxidase
• Catalyzes the oxidation of glutathione
• Glutathione peroxidases require selenium at the
active site.
31. Antioxidant combinations
• Individual antioxidant vitamins produce tumor
regression only at very high doses, which causes
toxicity, especially seen with retinoid derivatives.
• At lower doses, they may be ineffective or stimulate
the growth of cancer cells.
• ANTOXID [caps] – (Beta carotene 10 mg, copper 1 mg,
manganese 2 mg)
• ELDERVIT-ZC [caps] – (Mixed carotene 10.33 mg,
chromium 65 mcg, copper 1 mg)
• LYCOSTAR[soft-gelatin caps] – (lycopene 5000 mcg,
selenium dioxide 75 mcg, vitamin A 2500 IU)
• MMO3 [cap] – (chromium 100 mcg, copper 1 mg,
docosahexaenoic acid 100 mg, eicosapentaenoic acid
150 mg, fat 250 mg, Poly unsaturated fatty acid 250
mg, folic acid 300 mcg)
32. Limitations
• High doses of vitamin A showed to have embryotoxic
and teratogenic effects.
• Large doses of vitamin C (ascorbic acid) may be
associated with the inhibition of ovarian
steroidogenesis and increased probability of abortion.
• Studies have proved:
• Embrotoxicity of Vit. A after daily dose of 0.10 mg/kg
• Teratogenicity of vitamin A after daily doses 0.13
mg/kg
• Maximum intake has been recommended to 0.05
mg/kg of maternal weight.
33. Conclusion
• Protection against free radicals can be
enhanced by ample intakes of dietary
antioxidants.
• Efforts should be made to ensure an optimum
intake of foods containing these important
molecules.
"Reach for a carrot before cancer reaches you"
“Let food be your medicine”