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A Student’s Prayer
    Father, I have knowledge, so I pray
       you'll show me now
    How to use it wisely
       and find a way somehow
    To make the world I live in
       a little better place,
    And make life, with its problems,
       a bit easier to face...
    Grant me faith and courage
       and put purpose in my days,
    And show me how to serve Thee
       in the most effective ways
    So all my education,
       my knowledge and my skill,
    May find their true fulfillment
       as I learn to do Thy will...
    And may I ever be aware
       in everything I do
    That knowledge comes from learning -
       And wisdom comes from You.
1
Oxygen Metabolism
and Oxygen Toxicity




   NOEL MARTIN S. BAUTISTA, MD, DPPS, MBAH
   Department of Biochemistry, Molecular Biology and Nutrition
Oxygen Metabolism
         and Toxicity
       Properties of Oxygen / O2
       Properties of ROS
       Major Sources of ROS in the Cell
       Oxygen Radical Reactions with Cellular
        Components
       Cellular Defenses Against Oxygen Toxicity




3
Oxygen: The Element of Life
              one of the most abundant
               elements on this planet
              earth's crust (46.6% by
               weight), oceans (86% by
               weight), atmosphere (21% by
               volume)
              comes from the Greek stems
               oxys, "acid," and gennan, "to form
               or generate, " literally means “acid
               former”
              term introduced by Lavoisier, who
               noticed that compounds rich in
               oxygen (eg, SO2) when dissolved
               in water generate acids
4
Oxygen: Chemistry
             colorless, odorless diatomic
              molecule with the formula O2
             two oxygen atoms are
              bonded
             bond has a bond order of
              two, and is thus often
              simplified in description as a
              double bond


5
Oxygen: Chemistry




              chemical element with the
               chemical symbol O
              atomic number 8
              valency of 2
              8 neutrons, 8 protons, 8 electrons

6
Oxygen: Chemistry
             electron configuration of the
              molecule has two unpaired electrons
              occupying two molecular orbitals
             orbitals are classified as anti-
              bonding, so the diatomic oxygen
              bond is weaker than the diatomic
              nitrogen bond, where all bonding
              molecular orbitals are filled
             unpaired electrons are commonly
              associated with high reactivity in
              chemical compounds
7
Properties of Oxygen
                   biradical molecule
                   2 single electrons in
                    different orbitals with
                    parallel spins
                   high tendency to form
                    toxic reactive oxygen
                    species (ROS)



8
Oxygen: Toxicity
    Most of the damaging effects
     of oxygen can be explained
     by oxygen free radicals
               - Gershman and Gilbert, 1954




9
O2: Radical Nature
        radicals - molecules that possess a single
         unpaired electron in an orbital
        highly reactive and can initiate chain
         reactions
               Paired Electrons
                                          Unpaired Electron




10                      Stable Molecule       Free Radical
O2: Radical Nature
                Free radical
           low chemical specificity

            “steals” electrons from
            nearest stable molecule

          free radical chain reaction

                Cell damage
11
O2: Reduction Products
          O2 is capable of
           accepting 4
           electrons, reducing it to
           water
          4-electron reduction
           steps for O2
           progressively generate
           superoxide, hydrogen
           peroxide, and the
           hydroxyl radical plus
12         water
Reactive Oxygen Species (ROS)
ROS: Properties
        major oxygen metabolites produced by
         one-electron reduction of oxygen
        react indiscriminately by extracting
         electrons from other molecules
        include oxygen ions, free radicals and
         peroxides
        levels can increase dramatically with
         environmental stress resulting to
         significant damage to cell structures
         (oxidative stress)
14
Reactive Oxygen Species
          O2-        superoxide radical
         H2O2        hydrogen peroxide
          OH•        hydroxyl radical
     R•, RO•, R-S•   organic radicals
        RCOO•        organic peroxide radical
         HOCL        hypochlorous acid
          1O         singlet oxygen
            2
          NO         nitric oxide
        ONOO-        peroxynitrite
15
ROS: Superoxide Anion
                    O2-
                    can be formed from
                     free O2 by donation of
                     an electron to another
                     free radical
                    highly reactive but has
                     limited lipid solubility
                     and cannot diffuse far
                     from site of origin
                    contains one additional
                     unpaired electron
16
ROS: Superoxide Anion
                    reacts non-
                     enzymatically with
                     hydrogen peroxide
                     in the Haber Weiss
                     reaction to generate
                     other ROS (hydroxyl
                     and hydroperoxy
                     radicals)


17
ROS:
     Superoxide Anion
          Sources:
              produced by the
               ETC
              other sites




18
ROS: Hydrogen Peroxide
                    H 2O 2
                    contains two
                     additional paired
                     electrons
                    formed by two-
                     electron reduction of
                     oxygen
                    not a free
                     radical, but a weak
                     oxidizing agent
19
ROS: Hydrogen Peroxide
                      classified as ROS
                       because it can
                       generate the
                       hydroxyl free
                       radical by reaction
                       with a transition
                       metal (Fe2+) in the
                       non-enzymatic
                       Fenton Reaction

20
ROS: Hydrogen Peroxide
               lipid soluble and thus can
                diffuse into and through cell
                membranes
               dismutation Reaction
                2O2- + 2H+  H2O2 + O2
               precursor of the powerful
                oxidizing
                agent, hypochlorous acid
                (HOCl)

21
ROS:
         Hydroxyl Radical
        OH•
        most reactive species in
         attacking biological
         molecules
        produced by H2O2 in the
         presence of Fe++ or Cu+
         (Fenton Reaction) or via
         the Haber-Weiss reaction
        one of its damaging
         immediate effects is the
         initiation of lipid
         peroxidation
22
ROS: Organic Radicals
        R•, RO•, R-S•
        organic free radical produced from RH by
         superoxide or •OH attack by extracting
         electrons
        RH can be the carbon or a double bond in
         fatty acid (resulting in –C• =C-) or RSH
         (resulting in R-S•)



23
ROS:
          Organic Peroxide Radical
        RCOO•
        organic peroxyl radicals, such as occurs
         during lipid degradation (also denoted as
         LOO•)
        important reaction because the primary
         molecules that undergo this chemistry are
         the PUFAs
        Allylic carbonyl radicals are generated;
         organic peroxyl radical participates in a
         chain reaction of lipid oxidations  cell
         membrane damage and death
24
ROS: Hypochlorous Acid
          (Hypochlorite)
        HOCl
        produced in neutrophils (respiratory burst) to
         destroy invading organisms; toxicity via
         halogenation and oxidation reactions
        generated by myeloperoxidase on Cl- ions
         in the presence of H2O2
                H2O2 + Cl-  HOCl + OH-
        can lead to formation of more toxic ROS (OH•)
               HOCl + O2-       •OH + Cl- + O2
             HOCl + Fe2+        •OH + Cl- + Fe3+
25
ROS: Singlet Oxygen
               high energy species of oxygen
                molecule with anti-parallel spins
               no unpaired electrons, but one
                orbital is completely empty 
                highly reactive
               can react with organic
                conjugated double bonds to form
                endoperoxides, dioxetanes and
                hydroperoxides
               produced at high-oxygen
                tensions from absorption of UV
                light
               Decays rapidly, not significant
26
ROS: Nitric Oxide
        NO
        free radical produced endogenously by nitric
         oxide synthase
        endothelium derived relaxing factor
        synthesized from arginine via action of nitric
         oxide synthetase
        binds to metal ions
        combines with O2 or other oxygen-containing
         radicals to produce additional RNOS
        example: peroxynitrite (strong oxidizing agent)
               O2-• + NO•               ONOO-
27
Sources of ROS in the Cell
A. Coenzyme Q
        major source of superoxide
        ETC “leaks” free radicals at
         CoQ
        The one-electron reduced
         form of CoQ (CoQH•) is
         free within the membrane
         and can accidentally
         transfer an electron to
         dissolved O2, thereby
         forming the superoxide

29
B. Respiratory Burst
                       process by which
                        phagocytic cells
                        consume large
                        amounts of oxygen
                        during phagocytosis
                        and release ROS
                       major source of
                        superoxide
                        anion, hydrogen
                        peroxide, hydroxyl
                        radical, and
                        hypochlorite
                        (HOCl), nitric oxide
30                      (NO) and other free
B. Respiratory Burst




31
B. Respiratory Burst
                1. NADPH Oxidase
                     catalyzes the transfer of
                      an electron from NADPH
                      to O2 to form superoxide
                     activation of NADPH
                      oxidase initiates the
                      respiratory burst at the
                      cell membrane 
                      superoxide


32
B. Respiratory Burst
                       2. Superoxide
                          Dismutase (SOD)
                               H2O2
                       4. Fenton Reaction
                               hydroxyl free
                                radical




33
B. Respiratory Burst
                   3. Myeloperoxidase
                        formation of
                         hypochlorous acid
                         from H2O2 is
                         catalyzed by
                         myeloperoxidase
                        hypochlorous acid is a
                         powerful toxin that
                         destroys bacteria
                         within seconds
                         through halogenation
                         and oxidation
                         reactions
34
B. Respiratory Burst
                     5. Nitric Oxide
                         Synthase
                           generates NO
                           NO reacts
                            rapidly with
                            superoxide to
                            generate
                            peroxynitrite, whi
                            ch forms
                            additional RNOS

35
C. Oxidases, Oxygenases
          and Peroxidases
        oxidases, peroxidases and oxygenases in
         the cell bind O2 and transfer single
         electrons to it via a metal
        free radical intermediates of these
         reactions may be accidentally released
        hydrogen peroxide and lipid peroxides are
         generated enzymatically as major reaction
         products by a number of oxidases present
         in peroxisomes, mitochondria and the
         endoplasmic reticulum
36
C. Oxidases, Oxygenases
             and Peroxidases
        Examples:
            Cytochrome P450 enzymes – major source of free
             radicals “leaked” from reactions
            Monoamine oxidase oxidatively degrades the
             neurotransmitter dopamine and generates H2O2
            Peroxisomal fatty acid oxidase generates H2O2
             rather than FAD (2H) during the oxidation of very long
             chain fatty acids
            Xanthine oxidase, an enzyme of purine degradation
             that can reduce O2 to O2- or H2O2 in the cytosol;
             major contributor to ischemia-reperfusion injury
            Lipid peroxides are formed enzymatically as
             intermediates in the synthesis of many eicosanoids

37
D. Exogenous Sources
        ionizing radiation
        drugs
        tobacco smoking
        alcohol consumption
        inorganic substances
        gases (ozone)



38
Exogenous Sources:
     Ionizing Radiation
                  electromagnetic radiation
                   generate primary radicals by
                   transferring their energy to
                   cellular components such as
                   water
                  its high energy level can split
                   water into hydroxyl and hydrogen
                   radicals  radiation damage to
                   skin, mutations, cancer and cell
                   death
                  may generate organic radicals
                   through direct collision with
                   organic cellular components
39
Exogenous Sources: Drugs
        appear to increase free radical production
         in the presence of increased oxygen
         tensions (hyperoxia)
        antibiotics (quinoid groups or bound
         metals)
        antineoplastics
         (bleomycin, anthracyclines, methotrexate)



40
Exogenous Sources:
          Tobacco Smoking
        tobacco smoke contains enormous amount of
         oxidant material (aldehydes, epoxides, peroxides,
         NO and semiquinones) that may cause damage to
         the alveoli
        micro-hemorrhages causes iron deposition in the
         smokers’ lung tissue  formation of the lethal
         hydroxyl radical from H2O2 (Fenton reaction)
        elevated amounts of neutrophils found in the lower
         respiratory tract of smokers  increased formation
         of free radicals
        smoke oxidants deplete intracellular antioxidants

41
42
Exogenous Sources:
          Alcohol Consumption
        excessive alcohol ingestion
        induce oxidative reactions in the liver




43
Exogenous Sources:
          Inorganic Particles
        asbestos, quartz, silica (mineral dust)
        Leads to cell rupture  lung injury
        ↑ production of ROS




44
Exogenous Sources:
     Inorganic Particles

             Phagocytosis by
          pulmonary macrophages


          Release proteolytic enzymes
     and chemotactic factors  inflammation

          Increased free radical and
               ROS production
45
Exogenous Sources:
         Gases (Ozone)
        not a free radical; highly potent
         oxidizing agent
        contains two unpaired electrons and
         degrades under physiological conditions
         to hydroxyl radicals
        photo-dissociation of chlorofluorocarbons
         (aerosol sprays) can lead to chlorine
         radicals Cl•


46
Oxygen Radical Reactions
with Cellular Components
Free Radical Mediated
     Cellular Injury




48
Diseases Associated
          with Free Radical Injury
     Atherogenesis                   Cerebrovascular disorders
     Emphysema bronchitis            Ischemia/reperfusion injury
     Duchenne-type muscular          Neurodegenerative disorders
     dystrophy
     Pregnancy/pre-eclampsia           Amyotrophic lateral sclerosis
     Cervical cancer                   Alzheimer’s disease
     Alcohol-induced liver disease     Down’s syndrome
     Hemodialysis                    Ischemia/reperfusion injury
                                          following stroke
     Diabetes                        Mitochondrial DNA disorders
     Acute renal failure             Multiple sclerosis
     Aging                           Parkinson’s disease
     Retrolental fibroplasia
49
A. Membrane Attack
        formation of lipid and lipid
         peroxy radicals
        free radical auto-oxidation
        requires an initiator
         (e.g., hydroxyl radical from
         Fenton reaction) to begin
         the chain reaction



50
Lipid Peroxidation: 1. Initiation




        initiated by a hydroxyl or other radical that
         extracts a hydrogen atom from
         polyunsaturated lipid (LH), thereby forming
         a lipid radical (L•)

51
Lipid Peroxidation:
         2. Propagation

         free radical chain
          reaction is
          propagated by
          reaction with O2,
         forming the lipid
          peroxy radical (LOO•)
          and lipid peroxide
          (LOOH)
52
Lipid Peroxidation:
          3. Degradation




        rearrangements of the single electron result in
         degradation of the lipid
        malondialdehyde, one of the compounds formed,
         is soluble and appears in blood and urine
         (marker of free radical damage)
53
Lipid Peroxidation:
          4. Termination




        chain reaction can be terminated by Vitamin E
         and other lipid-soluble antioxidants that donate
         single electrons.
        two subsequent reduction steps form a
         stable, oxidized antioxidant
54
Lipid Peroxidation: Effects
        invariably changes or damages lipid
         molecular structure
        the aldehydes that are formed can cross-
         link with proteins
        disrupts the cohesive lipid bilayer
         arrangement and stable structural
         organization
        disruption of mitochondrial membrane
         integrity may result in further free radical
         production
55
B. Proteins and Peptides
      proline, histidine, arginine, cysteine and
       methionine: most susceptible to OH• attack and
       oxidative damage
      protein may fragment or residues may cross-link
      damaged cysteine residues cross-link and form
       aggregates that prevent their degradation
      oxidative damage increases the susceptibility of
       other proteins to proteolytic digestion
      free radical attack and oxidation of the cysteine
       sulfhydryl residues of glutathione increases
       oxidative damage throughout the cell
56
C. DNA Damage
                    oxygen-derived free
                     radicals are a major
                     source of DNA damage
                    non-specific binding of
                     Fe2+ to DNA facilitates
                     localized production of
                     the hydroxyl radical
                     (Fenton reaction)
                    causes strand breaks
                     and base alterations in
                     the DNA
57
Cellular Defenses Against
Oxygen Toxicity
Oxidative Stress
                           occurs when
                            the rate of
                            ROS
                            production
                            over-balances
                            the rate of
                            their removal
                            by cellular
                            defense
                            mechanisms
59
Cellular Defense Systems:
             Components
        antioxidant scavenging enzymes
        non-enzymatic antioxidants
         (free radical scavengers)
        endogenous antioxidants
        metal chelators
        other cellular defenses
            compartmentation
            repair mechanisms


60
Cellular Defense Systems:
     Overview




61
A. Anti-Oxidant Scavenging
     Enzymes


     2O2-
            Superoxide
             dismutase
                         H2O2           OH
                                           .
            2H+   O2                           NADP+
                                 2GSH
                                    GSH           GSH
                         H2O2    peroxidase    reductase
                                 GSSG          NADPH
                     Catalase
                                               + H+


        2H2O + O2               2H2O
62
A. Anti-Oxidant Scavenging
     Enzymes
             Superoxide Dismutase
                 primary defense against oxidative stress
                 speeds up dismutation of O2-  H2O2
                  and O2
                 Exists as three isoenzyme forms
                       Cu+-Zn2+ – cytosol
                       Mn2+ – mitochondria
                       Cu+-Zn2+ – extracellular
                 activity of Cu+-Zn2+ SOD is  by
                  chemicals or conditions (such as
                  hyperbaric oxygen) that increase the
                  production of superoxide

63
A. Anti-Oxidant Scavenging
     Enzymes
             Catalase
                 heme-containing enzyme catalyzing
                  dismutation of hydrogen peroxide into
                  water and oxygen
                 found principally in the peroxisomes and
                  cytosol and microsomal fraction of the
                  cell
                 highest activities are found in tissues
                  with a high peroxisomal content (kidney
                  and liver)
                 in the immune system, catalase serves
                  to protect the cell against its own
                  respiratory burst

64
A. Anti-Oxidant Scavenging
          Enzymes
        Glutathione Peroxidase and Glutathione
         Reductase




65
Glutathione
                       -glutamylcysteinyl-
                       glycine
                      one of body’s
                       principal substances
                       against oxidative
                       damage
                      sulfhydryl group
                       oxidized to a
                       disulfide, transferring
                       electrons to H2O2 to
                       produce water
66
A. Anti-Oxidant Scavenging
     Enzymes
                Glutathione Peroxidase
                    one of principal means of
                     protection against oxidative
                     damage
                    catalyzes the reduction of H2O2
                     and lipid peroxides (LOOH) by
                     glutathione
                    reactive sulfhydryl groups
                     reduce H2O2 to water and lipid
                     peroxides to non-toxic alcohols
                    two glutathione molecules are
                     oxidized to form a single
                     molecule, glutathione disulfide
                     (GSSG)
67
A. Anti-Oxidant Scavenging
     Enzymes
                Glutathione Peroxidase
                    sulfhydryl reactions are also
                     oxidized in non-enzymatic chain
                     terminating reactions with
                     organic radicals
                    within cells, found principally in
                     the cytosol and
                     mitochondria, and are a major
                     means for removing H2O2
                     produced outside of
                     peroxisomes
                    contribute to our dietary
                     requirement for selenium and
                     account for the protective effect
                     of selenium in the prevention of
                     free radical injury
68
A. Anti-Oxidant Scavenging
             Enzymes




        Glutathione Reductase
             reduces oxidized glutathione (GSSG) back to the
              reduced form
             contains an FAD and catalyzes transfer of electrons
              from NADPH to the disulfide bond of GSSG
             NADPH is essential for protection against free
              radical injury; major source is the pentose
              phosphate pathway (HMP)
69
B. Nonenzymatic Antioxidants
          (Free Radical Scavengers)
        convert free radicals to a nonradical
         nontoxic form in nonenzymatic reactions
        mostly are antioxidants
        compounds that neutralize free radicals by
         donating a hydrogen atom (with its one
         electron) to the radical
        reduce free radicals but themselves are
         oxidized


70
B. Nonenzymatic Antioxidants
             (Free Radical Scavengers)
        common structural feature: conjugated double
         bond system
            a system of atoms covalently bonded with alternating
             single and multiple bonds (e.g., C=C-C=C-C)
            enables the electrons to be delocalized over the
             whole system and so be shared by many atoms
            delocalized electrons may move around the whole
             system




71
B. Nonenzymatic Antioxidants
             (Free Radical Scavengers)
        common structural feature: conjugated
         double bond system
            may also be an aromatic ring
            example: phenol
             (C6H5OH, benzene
             with hydroxyl group)




72
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                    Vitamin E
                           -tocopherol
                        lipid soluble
                        efficient antioxidant and
                         terminator of free
                         radical chain reactions;
                         radical trap
                        little pro-oxidant activity;
                         most widely distributed;
                         most potent anitoxidant

73
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                        Vitamin E
                          primarily to
                           protect against
                           lipid peroxidation
                          donates single
                           electrons to lipid
                           peroxyl radicals
                           (LOO•) to form
                           stable lipid
                           peroxide (LOOH)

74
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                    Vitamin C
                        oxidation-reduction
                         coenzyme (collagen
                         synthesis, etc)
                        water soluble
                        circulates unbound in
                         blood, extracellular
                         fluid
                        important role in free
                         radical defense –
                         regenerate reduced
                         Vitamin E
75
B. Nonenzymatic Antioxidants
          (Free Radical Scavengers)




        L-ascorbate donates single electrons to
         free radicals / disulfides in 2 steps
        reacts also with superoxide, H2O2,
         hypochlorite, hydroxyl and peroxyl radicals
         and NO2
76
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                   Carotenoids
                        -carotene
                       compounds with
                        functional oxygen-
                        containing substituents
                        on the rings
                       “chain-breaking”
                        antioxidants
                       “quench” singlet O2
                       “health benefits” of diets
                        high in fruits /
                        vegetables
77
B. Nonenzymatic Antioxidants
          (Free Radical Scavengers)
        Carotenoids




78
   Carotenoids
       Lycopene
80
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                   Flavonoids
                       found in red
                        wine, green
                        tea, chocolates, other
                        plant-derived foods
                       group of structurally
                        similar compounds with
                        2 spatially separate
                        aromatic rings


81
B. Nonenzymatic Antioxidants
     (Free Radical Scavengers)
                     Flavonoids
                         exhibit the same
                          ring structure
                         differ in ring
                          substituents (=O, -
                          OH and OCH3)
                         eg. Quercetin
                             fruit skins
                             antioxidant activity



82
B. Nonenzymatic Antioxidants
             (Free Radical Scavengers)
        Flavonoids
            contribute to free radical defenses in various
             ways:
                free radical scavengers by donating electrons to
                 superoxide or lipid peroxy radicals
                stabilize free radicals by complex-formation
                inhibit enzymes responsible for superoxide anion
                 production
                regeneration of reduced Vitamin E
                efficient chelators of Fe and Cu (Fenton reaction)
                 e.g. Quercetin – effective in Fe chelation

83
84
Time to Take Five




     NATIONAL INSTITUTES OF HEALTH
          National Cancer Institute
       Department of Health and Human
                  Services
            Public Health Service


85
Count 'Em Up!


        What's a serving of fruits and vegetables?
         A serving is:
            1 medium fruit or 1/2 cup of small or cut-up fruit
            3/4 cup of 100% fruit juice
            1/4 cup dried fruit
            1/4 cup raw or cooked vegetables
            1 cup raw leafy vegetables (such as lettuce, spinach)
            1/2 cup cooked beans or peas (such as lentils, pinto
             beans, kidney beans)
86
C. Endogenous Antioxidants
              Uric Acid
                  formed from degradation of purines
                   and is released into the extracellular
                   fluids, including blood, saliva and
                   lung-lining fluid
                  with protein thiols, accounts for the
                   major free radical trapping capacity
                   of plasma
                  directly scavenge hydroxyl
                   radicals, oxyheme oxidants formed
                   between the reaction of hemoglobin
                   and peroxy radicals and peroxy
                   radicals themselves
87
C. Endogenous Antioxidants




        Melatonin
             nonenzymatic free radical scavenger that donates an
              electron to “neutralize” free radicals
             reacts with ROS and RNOS to form addition products
              (“suicidal transformations”)
             hydrophilic/hydrophobic; can pass through
              membranes and the blood brain barrier
88
D. Metal Chelators
        bind Fe and Cu
        disable them from participating in Fenton
         reaction  ↓ OH• production
            ferritin – multi-subunit protein shell
             surrounding a Fe+3 core
            transferrin – binds Fe+3
            ceruloplasmin – converts Fe+2 to Fe+3
            albumin – binds Cu+2 tightly and Fe+2 weakly


89
E. Compartmentation
        various defenses against ROS are found in
         different subcellular compartments
        location of free radical defense enzymes
         matches the type and amount of ROS generated
         in each subcellular compartment
        Separation of species and sites involved in ROS
         generation from the rest of the cell
            Fe being tightly bound to the storage
             protein, ferritin, cannot react with ROS.
            enzymes that produce H2O2 are sequestered in
             peroxisomes

90
E. Compartmentation




91
F. Repair Mechanisms
                 Repair mechanisms for:
                     DNA
                     removal of oxidized fatty
                      acids from membrane
                      lipids
                     oxidized amino acids
                      through protein
                      degradation and re-
                      synthesis of new proteins


92
Thank you very much!




   NOEL MARTIN S. BAUTISTA, MD, DPPS, MBAH
   Department of Biochemistry, Molecular Biology and Nutrition

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A Student's Prayer

  • 1. A Student’s Prayer Father, I have knowledge, so I pray you'll show me now How to use it wisely and find a way somehow To make the world I live in a little better place, And make life, with its problems, a bit easier to face... Grant me faith and courage and put purpose in my days, And show me how to serve Thee in the most effective ways So all my education, my knowledge and my skill, May find their true fulfillment as I learn to do Thy will... And may I ever be aware in everything I do That knowledge comes from learning - And wisdom comes from You. 1
  • 2. Oxygen Metabolism and Oxygen Toxicity NOEL MARTIN S. BAUTISTA, MD, DPPS, MBAH Department of Biochemistry, Molecular Biology and Nutrition
  • 3. Oxygen Metabolism and Toxicity  Properties of Oxygen / O2  Properties of ROS  Major Sources of ROS in the Cell  Oxygen Radical Reactions with Cellular Components  Cellular Defenses Against Oxygen Toxicity 3
  • 4. Oxygen: The Element of Life  one of the most abundant elements on this planet  earth's crust (46.6% by weight), oceans (86% by weight), atmosphere (21% by volume)  comes from the Greek stems oxys, "acid," and gennan, "to form or generate, " literally means “acid former”  term introduced by Lavoisier, who noticed that compounds rich in oxygen (eg, SO2) when dissolved in water generate acids 4
  • 5. Oxygen: Chemistry  colorless, odorless diatomic molecule with the formula O2  two oxygen atoms are bonded  bond has a bond order of two, and is thus often simplified in description as a double bond 5
  • 6. Oxygen: Chemistry  chemical element with the chemical symbol O  atomic number 8  valency of 2  8 neutrons, 8 protons, 8 electrons 6
  • 7. Oxygen: Chemistry  electron configuration of the molecule has two unpaired electrons occupying two molecular orbitals  orbitals are classified as anti- bonding, so the diatomic oxygen bond is weaker than the diatomic nitrogen bond, where all bonding molecular orbitals are filled  unpaired electrons are commonly associated with high reactivity in chemical compounds 7
  • 8. Properties of Oxygen  biradical molecule  2 single electrons in different orbitals with parallel spins  high tendency to form toxic reactive oxygen species (ROS) 8
  • 9. Oxygen: Toxicity Most of the damaging effects of oxygen can be explained by oxygen free radicals - Gershman and Gilbert, 1954 9
  • 10. O2: Radical Nature  radicals - molecules that possess a single unpaired electron in an orbital  highly reactive and can initiate chain reactions Paired Electrons Unpaired Electron 10 Stable Molecule Free Radical
  • 11. O2: Radical Nature Free radical low chemical specificity “steals” electrons from nearest stable molecule free radical chain reaction Cell damage 11
  • 12. O2: Reduction Products  O2 is capable of accepting 4 electrons, reducing it to water  4-electron reduction steps for O2 progressively generate superoxide, hydrogen peroxide, and the hydroxyl radical plus 12 water
  • 14. ROS: Properties  major oxygen metabolites produced by one-electron reduction of oxygen  react indiscriminately by extracting electrons from other molecules  include oxygen ions, free radicals and peroxides  levels can increase dramatically with environmental stress resulting to significant damage to cell structures (oxidative stress) 14
  • 15. Reactive Oxygen Species O2- superoxide radical H2O2 hydrogen peroxide OH• hydroxyl radical R•, RO•, R-S• organic radicals RCOO• organic peroxide radical HOCL hypochlorous acid 1O singlet oxygen 2 NO nitric oxide ONOO- peroxynitrite 15
  • 16. ROS: Superoxide Anion  O2-  can be formed from free O2 by donation of an electron to another free radical  highly reactive but has limited lipid solubility and cannot diffuse far from site of origin  contains one additional unpaired electron 16
  • 17. ROS: Superoxide Anion  reacts non- enzymatically with hydrogen peroxide in the Haber Weiss reaction to generate other ROS (hydroxyl and hydroperoxy radicals) 17
  • 18. ROS: Superoxide Anion  Sources:  produced by the ETC  other sites 18
  • 19. ROS: Hydrogen Peroxide  H 2O 2  contains two additional paired electrons  formed by two- electron reduction of oxygen  not a free radical, but a weak oxidizing agent 19
  • 20. ROS: Hydrogen Peroxide  classified as ROS because it can generate the hydroxyl free radical by reaction with a transition metal (Fe2+) in the non-enzymatic Fenton Reaction 20
  • 21. ROS: Hydrogen Peroxide  lipid soluble and thus can diffuse into and through cell membranes  dismutation Reaction 2O2- + 2H+  H2O2 + O2  precursor of the powerful oxidizing agent, hypochlorous acid (HOCl) 21
  • 22. ROS: Hydroxyl Radical  OH•  most reactive species in attacking biological molecules  produced by H2O2 in the presence of Fe++ or Cu+ (Fenton Reaction) or via the Haber-Weiss reaction  one of its damaging immediate effects is the initiation of lipid peroxidation 22
  • 23. ROS: Organic Radicals  R•, RO•, R-S•  organic free radical produced from RH by superoxide or •OH attack by extracting electrons  RH can be the carbon or a double bond in fatty acid (resulting in –C• =C-) or RSH (resulting in R-S•) 23
  • 24. ROS: Organic Peroxide Radical  RCOO•  organic peroxyl radicals, such as occurs during lipid degradation (also denoted as LOO•)  important reaction because the primary molecules that undergo this chemistry are the PUFAs  Allylic carbonyl radicals are generated; organic peroxyl radical participates in a chain reaction of lipid oxidations  cell membrane damage and death 24
  • 25. ROS: Hypochlorous Acid (Hypochlorite)  HOCl  produced in neutrophils (respiratory burst) to destroy invading organisms; toxicity via halogenation and oxidation reactions  generated by myeloperoxidase on Cl- ions in the presence of H2O2 H2O2 + Cl-  HOCl + OH-  can lead to formation of more toxic ROS (OH•) HOCl + O2- •OH + Cl- + O2 HOCl + Fe2+ •OH + Cl- + Fe3+ 25
  • 26. ROS: Singlet Oxygen  high energy species of oxygen molecule with anti-parallel spins  no unpaired electrons, but one orbital is completely empty  highly reactive  can react with organic conjugated double bonds to form endoperoxides, dioxetanes and hydroperoxides  produced at high-oxygen tensions from absorption of UV light  Decays rapidly, not significant 26
  • 27. ROS: Nitric Oxide  NO  free radical produced endogenously by nitric oxide synthase  endothelium derived relaxing factor  synthesized from arginine via action of nitric oxide synthetase  binds to metal ions  combines with O2 or other oxygen-containing radicals to produce additional RNOS  example: peroxynitrite (strong oxidizing agent) O2-• + NO•  ONOO- 27
  • 28. Sources of ROS in the Cell
  • 29. A. Coenzyme Q  major source of superoxide  ETC “leaks” free radicals at CoQ  The one-electron reduced form of CoQ (CoQH•) is free within the membrane and can accidentally transfer an electron to dissolved O2, thereby forming the superoxide 29
  • 30. B. Respiratory Burst  process by which phagocytic cells consume large amounts of oxygen during phagocytosis and release ROS  major source of superoxide anion, hydrogen peroxide, hydroxyl radical, and hypochlorite (HOCl), nitric oxide 30 (NO) and other free
  • 32. B. Respiratory Burst 1. NADPH Oxidase  catalyzes the transfer of an electron from NADPH to O2 to form superoxide  activation of NADPH oxidase initiates the respiratory burst at the cell membrane  superoxide 32
  • 33. B. Respiratory Burst 2. Superoxide Dismutase (SOD)  H2O2 4. Fenton Reaction  hydroxyl free radical 33
  • 34. B. Respiratory Burst 3. Myeloperoxidase  formation of hypochlorous acid from H2O2 is catalyzed by myeloperoxidase  hypochlorous acid is a powerful toxin that destroys bacteria within seconds through halogenation and oxidation reactions 34
  • 35. B. Respiratory Burst 5. Nitric Oxide Synthase  generates NO  NO reacts rapidly with superoxide to generate peroxynitrite, whi ch forms additional RNOS 35
  • 36. C. Oxidases, Oxygenases and Peroxidases  oxidases, peroxidases and oxygenases in the cell bind O2 and transfer single electrons to it via a metal  free radical intermediates of these reactions may be accidentally released  hydrogen peroxide and lipid peroxides are generated enzymatically as major reaction products by a number of oxidases present in peroxisomes, mitochondria and the endoplasmic reticulum 36
  • 37. C. Oxidases, Oxygenases and Peroxidases  Examples:  Cytochrome P450 enzymes – major source of free radicals “leaked” from reactions  Monoamine oxidase oxidatively degrades the neurotransmitter dopamine and generates H2O2  Peroxisomal fatty acid oxidase generates H2O2 rather than FAD (2H) during the oxidation of very long chain fatty acids  Xanthine oxidase, an enzyme of purine degradation that can reduce O2 to O2- or H2O2 in the cytosol; major contributor to ischemia-reperfusion injury  Lipid peroxides are formed enzymatically as intermediates in the synthesis of many eicosanoids 37
  • 38. D. Exogenous Sources  ionizing radiation  drugs  tobacco smoking  alcohol consumption  inorganic substances  gases (ozone) 38
  • 39. Exogenous Sources: Ionizing Radiation  electromagnetic radiation generate primary radicals by transferring their energy to cellular components such as water  its high energy level can split water into hydroxyl and hydrogen radicals  radiation damage to skin, mutations, cancer and cell death  may generate organic radicals through direct collision with organic cellular components 39
  • 40. Exogenous Sources: Drugs  appear to increase free radical production in the presence of increased oxygen tensions (hyperoxia)  antibiotics (quinoid groups or bound metals)  antineoplastics (bleomycin, anthracyclines, methotrexate) 40
  • 41. Exogenous Sources: Tobacco Smoking  tobacco smoke contains enormous amount of oxidant material (aldehydes, epoxides, peroxides, NO and semiquinones) that may cause damage to the alveoli  micro-hemorrhages causes iron deposition in the smokers’ lung tissue  formation of the lethal hydroxyl radical from H2O2 (Fenton reaction)  elevated amounts of neutrophils found in the lower respiratory tract of smokers  increased formation of free radicals  smoke oxidants deplete intracellular antioxidants 41
  • 42. 42
  • 43. Exogenous Sources: Alcohol Consumption  excessive alcohol ingestion  induce oxidative reactions in the liver 43
  • 44. Exogenous Sources: Inorganic Particles  asbestos, quartz, silica (mineral dust)  Leads to cell rupture  lung injury  ↑ production of ROS 44
  • 45. Exogenous Sources: Inorganic Particles Phagocytosis by pulmonary macrophages Release proteolytic enzymes and chemotactic factors  inflammation Increased free radical and ROS production 45
  • 46. Exogenous Sources: Gases (Ozone)  not a free radical; highly potent oxidizing agent  contains two unpaired electrons and degrades under physiological conditions to hydroxyl radicals  photo-dissociation of chlorofluorocarbons (aerosol sprays) can lead to chlorine radicals Cl• 46
  • 47. Oxygen Radical Reactions with Cellular Components
  • 48. Free Radical Mediated Cellular Injury 48
  • 49. Diseases Associated with Free Radical Injury Atherogenesis Cerebrovascular disorders Emphysema bronchitis Ischemia/reperfusion injury Duchenne-type muscular Neurodegenerative disorders dystrophy Pregnancy/pre-eclampsia Amyotrophic lateral sclerosis Cervical cancer Alzheimer’s disease Alcohol-induced liver disease Down’s syndrome Hemodialysis Ischemia/reperfusion injury following stroke Diabetes Mitochondrial DNA disorders Acute renal failure Multiple sclerosis Aging Parkinson’s disease Retrolental fibroplasia 49
  • 50. A. Membrane Attack  formation of lipid and lipid peroxy radicals  free radical auto-oxidation  requires an initiator (e.g., hydroxyl radical from Fenton reaction) to begin the chain reaction 50
  • 51. Lipid Peroxidation: 1. Initiation  initiated by a hydroxyl or other radical that extracts a hydrogen atom from polyunsaturated lipid (LH), thereby forming a lipid radical (L•) 51
  • 52. Lipid Peroxidation: 2. Propagation  free radical chain reaction is propagated by reaction with O2,  forming the lipid peroxy radical (LOO•) and lipid peroxide (LOOH) 52
  • 53. Lipid Peroxidation: 3. Degradation  rearrangements of the single electron result in degradation of the lipid  malondialdehyde, one of the compounds formed, is soluble and appears in blood and urine (marker of free radical damage) 53
  • 54. Lipid Peroxidation: 4. Termination  chain reaction can be terminated by Vitamin E and other lipid-soluble antioxidants that donate single electrons.  two subsequent reduction steps form a stable, oxidized antioxidant 54
  • 55. Lipid Peroxidation: Effects  invariably changes or damages lipid molecular structure  the aldehydes that are formed can cross- link with proteins  disrupts the cohesive lipid bilayer arrangement and stable structural organization  disruption of mitochondrial membrane integrity may result in further free radical production 55
  • 56. B. Proteins and Peptides  proline, histidine, arginine, cysteine and methionine: most susceptible to OH• attack and oxidative damage  protein may fragment or residues may cross-link  damaged cysteine residues cross-link and form aggregates that prevent their degradation  oxidative damage increases the susceptibility of other proteins to proteolytic digestion  free radical attack and oxidation of the cysteine sulfhydryl residues of glutathione increases oxidative damage throughout the cell 56
  • 57. C. DNA Damage  oxygen-derived free radicals are a major source of DNA damage  non-specific binding of Fe2+ to DNA facilitates localized production of the hydroxyl radical (Fenton reaction)  causes strand breaks and base alterations in the DNA 57
  • 59. Oxidative Stress  occurs when the rate of ROS production over-balances the rate of their removal by cellular defense mechanisms 59
  • 60. Cellular Defense Systems: Components  antioxidant scavenging enzymes  non-enzymatic antioxidants (free radical scavengers)  endogenous antioxidants  metal chelators  other cellular defenses  compartmentation  repair mechanisms 60
  • 62. A. Anti-Oxidant Scavenging Enzymes 2O2- Superoxide dismutase H2O2 OH . 2H+ O2 NADP+ 2GSH GSH GSH H2O2 peroxidase reductase GSSG NADPH Catalase + H+ 2H2O + O2 2H2O 62
  • 63. A. Anti-Oxidant Scavenging Enzymes  Superoxide Dismutase  primary defense against oxidative stress  speeds up dismutation of O2-  H2O2 and O2  Exists as three isoenzyme forms  Cu+-Zn2+ – cytosol  Mn2+ – mitochondria  Cu+-Zn2+ – extracellular  activity of Cu+-Zn2+ SOD is  by chemicals or conditions (such as hyperbaric oxygen) that increase the production of superoxide 63
  • 64. A. Anti-Oxidant Scavenging Enzymes  Catalase  heme-containing enzyme catalyzing dismutation of hydrogen peroxide into water and oxygen  found principally in the peroxisomes and cytosol and microsomal fraction of the cell  highest activities are found in tissues with a high peroxisomal content (kidney and liver)  in the immune system, catalase serves to protect the cell against its own respiratory burst 64
  • 65. A. Anti-Oxidant Scavenging Enzymes  Glutathione Peroxidase and Glutathione Reductase 65
  • 66. Glutathione  -glutamylcysteinyl- glycine  one of body’s principal substances against oxidative damage  sulfhydryl group oxidized to a disulfide, transferring electrons to H2O2 to produce water 66
  • 67. A. Anti-Oxidant Scavenging Enzymes  Glutathione Peroxidase  one of principal means of protection against oxidative damage  catalyzes the reduction of H2O2 and lipid peroxides (LOOH) by glutathione  reactive sulfhydryl groups reduce H2O2 to water and lipid peroxides to non-toxic alcohols  two glutathione molecules are oxidized to form a single molecule, glutathione disulfide (GSSG) 67
  • 68. A. Anti-Oxidant Scavenging Enzymes  Glutathione Peroxidase  sulfhydryl reactions are also oxidized in non-enzymatic chain terminating reactions with organic radicals  within cells, found principally in the cytosol and mitochondria, and are a major means for removing H2O2 produced outside of peroxisomes  contribute to our dietary requirement for selenium and account for the protective effect of selenium in the prevention of free radical injury 68
  • 69. A. Anti-Oxidant Scavenging Enzymes  Glutathione Reductase  reduces oxidized glutathione (GSSG) back to the reduced form  contains an FAD and catalyzes transfer of electrons from NADPH to the disulfide bond of GSSG  NADPH is essential for protection against free radical injury; major source is the pentose phosphate pathway (HMP) 69
  • 70. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  convert free radicals to a nonradical nontoxic form in nonenzymatic reactions  mostly are antioxidants  compounds that neutralize free radicals by donating a hydrogen atom (with its one electron) to the radical  reduce free radicals but themselves are oxidized 70
  • 71. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  common structural feature: conjugated double bond system  a system of atoms covalently bonded with alternating single and multiple bonds (e.g., C=C-C=C-C)  enables the electrons to be delocalized over the whole system and so be shared by many atoms  delocalized electrons may move around the whole system 71
  • 72. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  common structural feature: conjugated double bond system  may also be an aromatic ring  example: phenol (C6H5OH, benzene with hydroxyl group) 72
  • 73. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Vitamin E  -tocopherol  lipid soluble  efficient antioxidant and terminator of free radical chain reactions; radical trap  little pro-oxidant activity; most widely distributed; most potent anitoxidant 73
  • 74. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Vitamin E  primarily to protect against lipid peroxidation  donates single electrons to lipid peroxyl radicals (LOO•) to form stable lipid peroxide (LOOH) 74
  • 75. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Vitamin C  oxidation-reduction coenzyme (collagen synthesis, etc)  water soluble  circulates unbound in blood, extracellular fluid  important role in free radical defense – regenerate reduced Vitamin E 75
  • 76. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  L-ascorbate donates single electrons to free radicals / disulfides in 2 steps  reacts also with superoxide, H2O2, hypochlorite, hydroxyl and peroxyl radicals and NO2 76
  • 77. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Carotenoids  -carotene  compounds with functional oxygen- containing substituents on the rings  “chain-breaking” antioxidants  “quench” singlet O2  “health benefits” of diets high in fruits / vegetables 77
  • 78. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Carotenoids 78
  • 79. Carotenoids  Lycopene
  • 80. 80
  • 81. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Flavonoids  found in red wine, green tea, chocolates, other plant-derived foods  group of structurally similar compounds with 2 spatially separate aromatic rings 81
  • 82. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Flavonoids  exhibit the same ring structure  differ in ring substituents (=O, - OH and OCH3)  eg. Quercetin  fruit skins  antioxidant activity 82
  • 83. B. Nonenzymatic Antioxidants (Free Radical Scavengers)  Flavonoids  contribute to free radical defenses in various ways:  free radical scavengers by donating electrons to superoxide or lipid peroxy radicals  stabilize free radicals by complex-formation  inhibit enzymes responsible for superoxide anion production  regeneration of reduced Vitamin E  efficient chelators of Fe and Cu (Fenton reaction) e.g. Quercetin – effective in Fe chelation 83
  • 84. 84
  • 85. Time to Take Five NATIONAL INSTITUTES OF HEALTH National Cancer Institute Department of Health and Human Services Public Health Service 85
  • 86. Count 'Em Up!  What's a serving of fruits and vegetables? A serving is:  1 medium fruit or 1/2 cup of small or cut-up fruit  3/4 cup of 100% fruit juice  1/4 cup dried fruit  1/4 cup raw or cooked vegetables  1 cup raw leafy vegetables (such as lettuce, spinach)  1/2 cup cooked beans or peas (such as lentils, pinto beans, kidney beans) 86
  • 87. C. Endogenous Antioxidants  Uric Acid  formed from degradation of purines and is released into the extracellular fluids, including blood, saliva and lung-lining fluid  with protein thiols, accounts for the major free radical trapping capacity of plasma  directly scavenge hydroxyl radicals, oxyheme oxidants formed between the reaction of hemoglobin and peroxy radicals and peroxy radicals themselves 87
  • 88. C. Endogenous Antioxidants  Melatonin  nonenzymatic free radical scavenger that donates an electron to “neutralize” free radicals  reacts with ROS and RNOS to form addition products (“suicidal transformations”)  hydrophilic/hydrophobic; can pass through membranes and the blood brain barrier 88
  • 89. D. Metal Chelators  bind Fe and Cu  disable them from participating in Fenton reaction  ↓ OH• production  ferritin – multi-subunit protein shell surrounding a Fe+3 core  transferrin – binds Fe+3  ceruloplasmin – converts Fe+2 to Fe+3  albumin – binds Cu+2 tightly and Fe+2 weakly 89
  • 90. E. Compartmentation  various defenses against ROS are found in different subcellular compartments  location of free radical defense enzymes matches the type and amount of ROS generated in each subcellular compartment  Separation of species and sites involved in ROS generation from the rest of the cell  Fe being tightly bound to the storage protein, ferritin, cannot react with ROS.  enzymes that produce H2O2 are sequestered in peroxisomes 90
  • 92. F. Repair Mechanisms  Repair mechanisms for:  DNA  removal of oxidized fatty acids from membrane lipids  oxidized amino acids through protein degradation and re- synthesis of new proteins 92
  • 93. Thank you very much! NOEL MARTIN S. BAUTISTA, MD, DPPS, MBAH Department of Biochemistry, Molecular Biology and Nutrition