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     INNOSC Theranostics and
            Pharmacological Sciences                                                         Mitochondria and aging
            5. Mitochondrial oxidative stress in aging         oxidative modulation of substantial macromolecules
                                                               (lipids, proteins, carbohydrates, and DNA) 2,144  and can be
            Mitochondria are  known  to generate  various types   considered as oxidative stress markers. 2,148  When there is an
            of “reactive species” as side products of oxidative   imbalance between the formation and clearance of RONS,
            phosphorylation, including the reactive oxygen/nitrogen   oxidative stress occurs.  In this regard, antioxidants
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            species (RONS). The increase in RONS production is   safeguard biological entities from deleterious free radicals
            linked to oxidative stress, which can cause oxidative   comprising endogenous as well as exogenous molecules.
            damage to cells via apoptosis, autophagy, and inflammation   Endogenous antioxidants consist of enzymatic and non-
            if not eliminated efficiently by the cellular antioxidant   enzymatic forms.
            defense system. 130,131  Moderate or low amounts of RONS,
            on the other hand, can operate as signaling molecules   The major enzymatic antioxidants are catalase (CAT),
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            in  the  cell. 132-134   Even  though mitochondrial  RONS  take   SOD, and glutathione peroxidase (GSH-Px).  As discussed
            part in numerous physiological processes, including   before, SOD transforms O •  into  H O , which further
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            epigenetic modifications  and disease progression, such   breaks down to oxygen and water by CAT, inhibiting the
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            as cancer, 136-141  the mechanisms of mitochondrial  RONS   production  of  hydroxyl  radicals.   Furthermore,  GSH-Px
            have not been fully understood. Moreover, age-associated   transforms hydroxyl radicals and peroxides into non-toxic
            functional  disorders  can  arise  from  RONS,  which  are   compounds through the oxidation of reduced glutathione
            by-products of oxygen and nitrogen originating from   (GSH) into glutathione disulfide (GSSG), and then
            various sources, and their negative effects are compensated   glutathione disulfide is reduced to the sulfhydryl form
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            by antioxidant mechanisms. 2,142  Hence, RONS play a   glutathione  (GSH)  by  glutathione  reductase.   Further
            significant role  in the  development of  age-associated   antioxidant enzymes to be mentioned are glutathione-S-
            diseases. 2,143  RONS can be derived from endogenous as   transferase and glucose-6-phosphate dehydrogenase. 2,149
            well  as exogenous sources.  Endogenous sources  consist   Non-enzymatic antioxidants are compounds that
            of myeloperoxidase (MPO), nicotinamide adenine     react  with  RONS  and  abate  the free radical  chain
            dinucleotide phosphate (NADPH) oxidase, angiotensin   reactions:  α-tocopherol (vitamin E),  β-carotene, and
            II, and lipoxygenase. 143,144  O •  is  another  form  of  RONS   bilirubin are present in the blood, whereas uric acid and
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            that is produced by the reduction of molecular oxygen   albumin comprise 85% of antioxidants in plasma. 2,150
            with supplied electrons carried by NADPH during cellular   Exogenous antioxidants consist of ascorbic acid
            respiration. O •  can  dismutate  into  hydrogen  peroxide   (vitamin C), which breakdown hydroxyl and superoxide
                       2
            (H O ) by superoxide dismutase (SOD). 2,145  H O  is not   radical anion,  α-tocopherol (vitamin E), which plays a
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            considered a free radical since it does not contain unpaired   role  in  lipid  peroxidation  of  cell  membranes,  phenolic
            electrons. However, it can produce highly reactive hydroxyl   antioxidants, selenium, oil lecitinas, zinc, and drugs such
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            ions (OH•) through the Fenton or Haber-Weiss reactions.    as acetylcysteine. 2,151  These molecules usually function
            Hydroxyl radicals are extremely reactive, particularly with   as scavengers of free radicals or can even modulate the
            phospholipids found in cell membranes and proteins.    activity of enzymatic systems.  As already mentioned, the
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            On the other hand, H O , MPO, and chloride can be   contribution of ROS to aging is controversial. Numerous
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            transformed into hypochlorous acid, a ROS-specific   studies have demonstrated that inhibition of oxidative stress
            cellular damaging protein. 2,145  Nitric oxide (NO) originates   corresponds to an increase in lifespan. On the other hand,
            from L-arginine via NO synthase (NOS), which forms three   some studies have questioned the possibility of ROS as a
            main isoforms: (i) Epithelial NOS involved in vascular   cause of an aged phenotype. Nevertheless, aged rats were
            regulation and vasodilation, (ii) neuronal NOS involved   shown to hold higher free radical levels. 153,154  On the other
            in intracellular signaling, and (iii) inducible NOS, which   hand,  reduced  levels  of  antioxidants  such  as  glutathione
            is released following numerous endotoxin or cytokine   peroxidase (GPx), CAT, and SOD have been reported in
            signaling. 2,146  Eventually, the interaction of O  with NO can   aged rats as well as in humans. 155-161  The action of ROS is
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            lead to the formation of a rather reactive molecule called   counteracted by antioxidant molecules. Studies suggest that
            peroxynitrite (ONOO ).                             fumarate, a metabolite of the mitochondrial TCA cycle,
                             - 2,144,145
              The  exogenous  sources  of  RONS  include  alcohol,   and its  derivatives, specifically dimethyl fumarate,  have
            tobacco, water and air pollutants, drugs (e.g., cyclosporine,   antioxidant  and anti-inflammatory properties, 163-165  which
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            tacrolimus, gentamycin, and bleomycin), heavy or   can fight against age-related neurological disorders. 164,166-168
            transition metals, cooking (e.g., smoked meat, waste oil,   However, their exact molecular mechanism of action
            and fat), industrial solvents, and radiation, which are turned   remains elusive despite their promising beneficial  effects
            into free radicals after metabolization inside the body. 2,147    against  neurological disorders.  The administration of
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            Both exogenous and endogenous forms of RONS conduct   antioxidants such as Vitamin E compounds, including
            Volume 7 Issue 2 (2024)                         6                                doi: 10.36922/itps.1726





