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2 - Free radicals in the pathogenesis of tissue damage

Published online by Cambridge University Press:  18 January 2010

C. J. Duncan
Affiliation:
University of Liverpool
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Summary

Free radicals are by definition atoms or groups of atoms containing an unpaired electron. For many years it was felt that such reactive molecules were in the realm of inorganic chemists and had no real relevance to biology and medicine, but in recent years substantial numbers of papers have been published providing evidence of the involvement of free-radical-mediated reactions in various pathological (and some physiological) situations. Perhaps the most completely studied of these processes in the hepatotoxicity which results from carbon tetrachloride exposure (Slater, Cheeseman & Ingold, 1985), while the area which has attracted most attention is the possibility that free radical species mediate the damage to tissues which occurs during ischaemia and reperfusion of tissues, such as the heart following myocardial infarction (McCord, 1985; Ytrehus et al., 1987; Badylak et al., 1987). This chapter will briefly review potential sources of free radicals in vivo, the body's protective mechanisms against radicals and the inherent problems in studying these processes during tissue damage.

Cellular sources of free radicals

The presence of an unpaired electron can convey considerable (potentially uncontrolled) reactivity to the free radical and the body therefore generally relies on enzymatic catalysis of reactions which do not involve free radicals. There are however a number of exceptions to this rule in which endogenous production of free radicals occurs during aspects of normal aerobic metabolism. The superoxide anion [O2] is produced by several cell redox systems including xanthine oxidase and membraneassociated NADPH oxidase.

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Publisher: Cambridge University Press
Print publication year: 1991

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