Yutani Ray, Venketaraman Vishwanath, Sheren Nisar
Department of Family Medicine, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766, USA.
Department of Basic Medical Sciences, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766, USA.
Antioxidants (Basel). 2024 Sep 12;13(9):1106. doi: 10.3390/antiox13091106.
Oxidative stress (OS) occurs from excessive reactive oxygen species or a deficiency of antioxidants-primarily endogenous glutathione (GSH). There are many illnesses, from acute and post-COVID-19, diabetes, myocardial infarction to Alzheimer's disease, that are associated with OS. These dissimilar illnesses are, in order, viral infections, metabolic disorders, ischemic events, and neurodegenerative disorders. Evidence is presented that in many illnesses, (1) OS is an early initiator and significant promotor of their progressive pathophysiologic processes, (2) early reduction of OS may prevent later serious and irreversible complications, (3) GSH deficiency is associated with OS, (4) GSH can likely reduce OS and restore adaptive physiology, (5) effective administration of GSH can be accomplished with a novel nano-product, the GSH/cyclodextrin (GC) complex. OS is an overlooked pathological process of many illnesses. Significantly, with the GSH/cyclodextrin (GC) complex, therapeutic administration of GSH is now available to reduce OS. Finally, rigorous prospective studies are needed to confirm the efficacy of this therapeutic approach.
氧化应激(OS)源于活性氧过量或抗氧化剂(主要是内源性谷胱甘肽(GSH))缺乏。有许多疾病,从急性病和新冠后疾病、糖尿病、心肌梗死到阿尔茨海默病,都与氧化应激有关。这些不同的疾病依次为病毒感染、代谢紊乱、缺血性事件和神经退行性疾病。有证据表明,在许多疾病中,(1)氧化应激是其进行性病理生理过程的早期启动因素和重要促进因素,(2)早期降低氧化应激可能预防后期严重且不可逆的并发症,(3)谷胱甘肽缺乏与氧化应激有关,(4)谷胱甘肽可能降低氧化应激并恢复适应性生理功能,(5)使用新型纳米产品谷胱甘肽/环糊精(GC)复合物可有效给予谷胱甘肽。氧化应激是许多疾病中被忽视的病理过程。重要的是,有了谷胱甘肽/环糊精(GC)复合物,现在可以通过治疗性给予谷胱甘肽来降低氧化应激。最后,需要进行严格的前瞻性研究来证实这种治疗方法的疗效。