Professional Documents
Culture Documents
net/publication/228854477
CITATIONS READS
45 206
3 authors, including:
Some of the authors of this publication are also working on these related projects:
All content following this page was uploaded by Kanwaljit Chopra on 20 February 2015.
Abstract
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 51
1. Introduction inhaled endotoxin and thereby providing
significant protection against lung injury [25].
Lipopolysaccharide (LPS) or endotoxin, Since liver is implicated in almost all
among the principal components of all Gram- biological processes, its damage induces severe
negative bacteria, has been extensively studied as consequences of metabolism, immune response,
a major factor contributing to the pathogenesis of detoxification and antimicrobial defense.
Gram-negative bacterial infections [1]. Endotoxin However, not much information is available with
is a highly conserved cell wall component that is respect to the effect of vitamin E on LPS-induced
recognized by the immune system of higher liver damage. The present study was therefore,
vertebrates as a pathogen-associated molecular carried out to evaluate the effect of vitamin E
pattern (PAMP) and can elicit a systemic against oxidative liver injury in experimentally-
inflammatory response [2, 3]. induced endotoxemic rats.
LPS binding to immune cells initiates a
cascade of events that up-regulate expression of 2. Materials and methods
the inflammatory cytokines including TNF- [2,
4, 5]. TNF- stimulates the production of reactive 2.1 Agents
oxygen species (ROS) and reactive nitrogen Lipopolysaccharide (LPS from E. coli
intermediates (RNIs) by activated macrophages serotype 0111:B4) and α- Tocopherol were
causing liver damage due to the oxidative stress obtained from Sigma Aldrich Chemicals, St.
[6-9]. Additionally, LPS induces migration of Louis, MO, USA. The preparations were made
activated polymorphonuclear leukocytes (PMNs) fresh every time before the commencement of the
into the liver which constitutes another source of experiment.
free radicals [10]. The oxidative stress thus
generated, induces a rapid alteration in the 2.2 Animals
antioxidant systems by depleting the cellular Female Wistar rats (150-200g) were procured
stores of endogenous antioxidants such as from Central Animal House, Panjab University,
superoxide dismutase, catalase, glutathione and Chandigarh (India). The animals were allowed
vitamin E [1, 11, 12]. One approach to combat the free access to food (Ashirwad Industries Pvt Ltd,
bacterial product-induced oxidative stress is the Punjab, India) and water ad-libitum. All
use of antioxidant treatments through experimental protocols were approved by the
intraperitoneal, intravenous, or dietary Institutional Animals Ethics Committee, Panjab
administration [2, 13]. University, Chandigarh (India).
Vitamins are ideal antioxidants to increase
tissue protection from oxidative stress due to their 2.3 Experimental design
easy, effective and safe dietary administration in a Rats were divided into following groups each
large range of concentrations [3, 14]. Vitamin E comprising of at-least 6-8 rats. For all the groups,
(-Tocopherol [(-Toc]) is the primary membrane dose of LPS was prepared in water for injection
bound, lipid-soluble, chain-breaking antioxidant and that of α- Tocopherol was prepared in olive
that protects cell membranes against lipid oil. (1) Control group: Rats in this group were
peroxidation [15-18]. Vitamin E pre-treatment has administered normal saline i.p., (2) Vehicle group
been reported to be beneficial in preventing (VEH): Rats in this group were administered olive
formaldehyde-induced tissue damage in rats [16, oil orally (solvent for α- Tocopherol) for 15 days,
19]. The preventive effect of vitamin E on (3) α- Tocopherol (TC) per se group: Animals in
cypermethrin or endotoxin-induced oxidative this group were supplemented with α- Tocopherol
stress in rat tissues is suggestive of its antioxidant (35mg/kg body weight) orally for 15 days, (4)
activity [1, 20-24]. In addition to its antioxidative LPS challenged group: Rats in this group
properties, treatment with vitamin E incorporated received a dose of LPS (10mg/kg body weight,
in liposomes has been shown to be beneficial in pre-standardized dose) i.p., (5) α- Tocopherol
down-modulating airway inflammation induced by supplemented + LPS challenged group (TC +
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 52
LPS): Animals in this group were supplemented superoxide dismutase and catalase activities, post
with α- Tocopherol (35mg/kg body weight) orally mitochondrial preparation was made. For this, the
for 15 days and then challenged with endotoxin on remaining tissue homogenates were centrifuged at
16th day 12,000 rpm for 20 min at 4C in a refrigerated
Animals in all these groups were sacrificed 8 centrifuge. The supernatants thus obtained were
hrs post-endotoxin challenge by cervical called as the post mitochondrial supernatants
dislocation. Livers were removed quickly, rinsed (PMS).
in cold phosphate buffer saline (0.05 M, pH 7.4)
and stored at -20C till further use. 2.5.1 Extent of peroxidative liver damage
The quantitative measurement of lipid
2.4 Markers of liver damage peroxidation in liver was performed according to
the method of Wills [26]. The amount of
2.4.1 Assessment of liver function malondialdehyde (MDA) formed, which is a
Blood was collected by retro-orbital puncture measure of lipid peroxidation, was assayed by the
from rats before they were sacrificed. Alanine reaction with thiobarbituric acid (TBA). In brief,
aminotransferase (ALT) and aspartate to 0.5 ml of liver homogenate, 0.5 ml of Tris-HCl
aminotransferase (AST) enzyme activities in buffer (0.1 M, pH 7.4) was added and the mixture
serum were determined by the method was incubated at 37C for 2 h. Following
recommended by International Federation of incubation, 1.0 ml of 10% (w/v) ice-cold
Clinical Chemistry (IFCC) using ERBA test kits trichloroacetic acid (TCA) was added and the
(ERBA Diagnostics, Mannheim, Germany). mixture was centrifuged at 1,000 rpm for 10
Alkaline phosphatase (ALP) was estimated by the minutes. To 1.0 ml of supernatant (obtained after
p-nitrophenyl phosphate method recommended by centrifugation), 1.0 ml of 0.67% (w/v) TBA was
German Society for Clinical Chemistry using added and the mixture was kept in boiling water
Enzopak Diagnostic kit (Reckon Diagnostics, bath for 10 min. After cooling the tubes with tap
India). water, 1.0 ml of distilled water was added and
absorbance was measured at 532 nm. The results
2.4.2 Histological studies were expressed as nanomoles of MDA per
Liver tissues removed aseptically from all the milligram of protein, using the molar extinction
groups were cut into small pieces and fixed in 10 coefficient of chromophore (1.56 X 105 M-1cm-1)
% buffered formalin. Samples were processed, for which protein content of tissue homogenates
stained with haematoxylin-eosin and examined was calculated according to the method of Lowry
under the light microscope. Histological et al. [27].
processing and interpretation was done by Dr. B.
N Datta, Ex-Professor of Pathology, Post Graduate 2.5.2 Liver glutathione (GSH) assay
Institute of Medical Education and Research, GSH levels in the livers were estimated
Chandigarh. according to the method of Jollow et al. [28]. 1.0
ml of liver homogenate was precipitated with 1.0
2.5 Mechanistic studies ml of 4% sulphosalicylic acid. The samples were
To carry out the biochemical estimations, kept at 4C for at least 1 h, and then subjected to
liver homogenates were prepared. Briefly, livers centrifugation at 2000 rpm for 15 min at 4C. The
removed aseptically from all the groups were assay mixture contained 0.1 ml of supernatant, 0.2
rinsed in isotonic saline solution and weighed. A ml of 0.01 M, 5, 5’-dithiobis 2-nitrobenzoic acid
25% (w/v) tissue homogenate in each case was (DTNB) and 2.7 ml phosphate buffer (0.1 M, pH
prepared in 0.05 M phosphate buffer saline (pH 8.0) in a total volume of 3.0 ml. The mixture was
7.4) using a Potter Elvehjen homogenizer. An kept at room temperature for 10 min. The yellow
aliquot of the liver homogenate was used for the color that developed was measured at 412 nm. The
estimation of lipid peroxidation and reduced results were expressed as micromoles of GSH per
glutathione levels. For the estimation of milligram of protein.
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 53
2.5.3 Liver superoxide dismutase (SOD) and The ELISA was sensitive to 5 picogram/ml of the
catalase activities TNF-α released.
SOD activity was assayed according to the
method of Kono [29]. The reaction was initiated 2.6 Statistical analysis
by the addition of 0.5 ml of hydroxylamine Results were expressed as Mean ± S.D. The
hydrochloride to the reaction mixture containing inter group variation was measured by one way
2.0 ml nitroblue tetrazolium (NBT) and 0.1 ml analysis of variance (ANOVA) followed by
PMS of liver homogenate. Change in absorbance Fisher’s least significant difference test. The
was measured spectrophotometrically at 560 nm. statistical analysis was done using Jandel Sigma
SOD activity was expressed as units of SOD per Stat Statistical Software version 2.0. Statistical
milligram of protein where one unit of activity is significance of the results were calculated atleast
defined as the amount of SOD required to inhibit at p<0.05.
the rate of reduction of NBT by 50%.
The catalase activity was assayed by the 3. Results
method of Luck [30]. The assay mixture consisted
of 3.0 ml H2O2-phosphate buffer (0.05 M, pH 7.0) 3.1 Liver function tests
and 0.05 ml of PMS taken directly in a cuvette. LPS caused a marked rise in serum levels of
Change in absorbance was recorded AST (259.01 48.71 IU/L vs. 140.0346.93
spectrophotometrically at 240 nm. The results IU/L), ALT (129.77 48.56 IU/L vs. 63.06 8.04
were expressed as millimoles of H2O2 decomposed IU/L) and ALP (870.87 139.52 IU/L vs. 251.63
per min per mg protein using the molar extinction 50.97 IU/L). The activities of liver enzymes
coefficient of the chromophore (0.0394 mM-1 cm- were decreased significantly (p<0.05) on
1
). supplementation with tocopherol. Tocopherol per
se had no effect on liver enzyme levels (Fig. 1a-
2.5.4 Liver TNF-α assay 1c).
Assay for tumor necrosis factor (TNF-α) was
performed by ELISA in the liver homogenate in 3.2 Hepatic histoarchitechture
all the groups by commercially available cytokine Histological evaluation of liver tissues did not
assay kit (R&D Systems, USA) according to the reveal any morphological alterations in the control
manufacturers instructions. Briefly, standards for group (Fig. 2a) and tocopherol per se (Fig. 2b). In
TNF-α were dispensed in the 96 well microtitre contrast, livers of LPS-administered rats showed
plates pre-coated with monoclonal antibody marked morphological disruption such as portal
specific for rat TNF-α. To each of the designated triaditis, Kupffer cell hyperplasia, necrosis and
wells, 50 µl of each test sample and 50 µl of assay lymphocytic infiltration (Fig. 2c, 2d).
diluent was added, the plates were sealed with Supplementation with tocopherol resulted in
acetate plate sealer and incubated at room significant morphological protection (Fig. 2e, 2f).
temperature for 2 h. Plates were then washed five
times with the wash buffer and 100 µl of rat TNF- 3.3 Malondialdehyde levels
α conjugate was dispensed into each well. Plates LPS caused a significant increase in lipid
were again sealed and incubated at room peroxidation as compared to control rats
temperature for 2 h, after which they were washed (125.71 41.85 nanomoles/mg protein vs.
five times with the wash buffer and 100 µl of 51.45 8.48 nanomoles/ mg protein in
substrate solution was dispensed into each well. control). However, tocopherol significantly
Plates were finally incubated at room temperature (p<0.01) attenuated LPS-induced increase in liver
(in dark) for 30 min. 100 µl of the stop solution MDA levels (Fig. 3) when rats were supplemented
was added into each well to stop the reaction and with tocopherol for 15 days before LPS challenge.
absorbance was read at 450 nm. The results were
expressed as picogram/ml of the TNF-α released.
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 54
expressed as mean ± SD. *p<0.05 vs. control, Vehicle
350 and Tocopherol per se; #p<0.05 vs. LPS.
*
300
250 *, #
AST (IU/L)
200
150
100
50
0
VEH
Control
LPS
TC + LPS
TC
Fig. 1a
200
*
175
Fig. 2a
150
ALT (IU/L)
125
#
100
75
50
25
0
VEH
Control
LPS
TC + LPS
TC
Fig. 1b
Fig. 2b
1100 *
1000
900
,
800 *#
ALP (IU/L)
700
600
500
400
300
200
100
0
VEH
Control
LPS
TC+LPS
TC
Fig. 1c
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 55
adjacent portal tracts showing considerable portal
triaditis with some breach of lamina limitence
indicating development of chronic hepatitis (100 x);
(2d) Photomicrograph of liver 8 hours after LPS
administration to rats showing portal triaditis (portal
tract distended with mononuclear cell infiltration).
Surrounding liver showing significant Kupffer cell
hyperplasia (100 x); (2e) Photomicrograph of rat livers
supplemented with tocopherol (35mg/kg) for 15 days
before LPS challenge showing moderate degree of
lymphocytes and plasma cells in the portal tracts. The
portal tracts are expanded but intact. Hepatocytes are
normal (100 x); (2f) Photomicrograph of rat livers
supplemented with tocopherol (35mg/kg) for 15 days
Fig. 2d before LPS challenge showing normal liver. Liver cells
show mild diffuse microvesicular fatty change only
(400 x).
200
LPS
TC + LPS
TC
VEH
Control
LPS
TC + LPS
TC
in the group treated with only tocopherol did not
show any significant change in the antioxidant
enzyme levels.
Fig. 5b
0.8
activity and (5b) catalase activity in LPS-challenged
0.7
rats compared to control or tocopherol administered
0.6 #
rats. Values are expressed as mean ± SD. *p<0.05 vs.
0.5 control, Vehicle and Tocopherol per se; #p<0.05 vs.
0.4 *
LPS.
0.3
0.2
3.6 Liver TNF-α levels
0.1
LPS challenge caused a marked rise in the
0
levels of TNF- compared to the control group
VEH
Control
LPS
TC + LPS
TC
*#
500
20
400
17.5
SOD (units/mg protein)
300
15
,
200
12.5 *#
100
10
0
*
Control
LPS
TC + LPS
TC
7.5
5
2.5
0 Fig 6: Effect of Tocopherol on TNF-α levels in LPS-
VEH
LPS
TC + LPS
TC
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 59
12. Thomas, J.A. Oxidative stress, oxidant defense induced oxidative stress in rats, Türk J Vet
and dietary constituents. In: Maurice, E., Shils, Anim Sci, 2005, 29, 385-391.
M.E., Olson, J.A., Shike, M., Eds. Modern 22. Avanzo, J.L.; Jr De Mendonca, C.X.; Pugine,
Nutrition in Health and Disease, Awaverly, S.M.; De Cerqueira Cesar, M. Effect of
Philadelphia; 1994; pp 501–512. vitamin E and selenium on resistance to
13. Gupta, A.; Vij, G.; Sharma, S.; Tirkey, N.; oxidative stress in chicken superficial
Rishi, P.; Chopra, K. Curcumin, a pectoralis muscle, Comp Biochem Physiol C
polyphenolic antioxidant, attenuates chronic Toxicol Pharmacol, 2001, 129, 163-173.
fatigue syndrome in murine water immersion 23. Giray, B.; Gurbay, A.; Hincal, F.
stress model, Immunobiol, 2009, 214, 33-39. Cypermethrin-induced oxidative stress in rat
14. Cadenas, S.; Cadenas, A.M. Fighting the brain and liver is prevented by vitamin E or
stranger-antioxidant protection against allopurinol, Toxicol Lett, 2001, 118, 139-146.
endotoxin toxicity, Toxicol, 2002, 180, 45-63. 24. Kale, M.; Rathore, N.; John, S.; Bhatnagar, D.
15. Bulger, E.M.; Maier, R.V. An argument for Lipid peroxidative damage on pyrethroid
vitamin E supplementation in the management exposure and alterations in antioxidant status
of systemic inflammatory response syndrome, in rat erythrocytes: a possible involvement of
Shock, 2003, 19, 99-103. reactive oxygen species, Toxicol Lett, 1999,
16. Gulec, M.; Gurel, A.; Armutcu, F. Vitamin E 105, 197-205.
protects against oxidative damage caused by 25. Rocksén, D.; Ekstrand-Hammarström, B.;
formaldehyde in the liver and plasma of rats, Johansson, L.; Bucht, A. Vitamin E reduces
Mol Cell Biochem, 2006, 290, 61–67. transendothelial migration of neutrophils and
17. Ognjanović, B.I.; Pavlović, S.Z.; Maletić, prevents lung injury in endotoxin-induced
S.D.; Zikić, R.V.; Stajn, A.S.; Radojicić, R.M.; airway inflammation, Am J Respir Cell Mol
Saicić, Z.S.; Petrović, V.M. Protective Biol, 2003, 28, 199-207.
influence of vitamin E on antioxidant defense 26. Wills, E.D. Mechanisms of lipid peroxide
system in the blood of rats treated with formation in animal tissues, Biochem J, 1966,
cadmium, Physiol Res, 2003, 52, 563-570. 99, 667-676.
18. Soylu, A.R.; Aydogdu, N.; Basaran, U.N.; 27. Lowry, O.H.; Rosenbrough, N.J.; Farr, A.L.;
Altaner, S.; Tarcin, O.; Gedik, N.; Umit, H.; Randell, R.J. Protein measurement with
Tezel, A.; Dokmeci, G.; Baloglu, H.; Ture, M.; Folin’s phenol reagent, J Biol Chem, 1951,
Kutlu, K.; Kaymak, K. Antioxidants vitamin E 193, 265-275.
and C attenuate hepatic fibrosis in biliary- 28. Jollow, D.; Mitchell, L.; Zampaglione, N.;
obstructed rats, World J Gastroenterol, Gillete, J. Bromobenzene induced liver
2006,12, 6835-6841. necrosis: protective role of glutathione and
19. Gurel, A.; Coskun, O.; Armutcu, F.; Kanter, evidence for 3, 4-bromobenzenoxide as the
M.; Ozen, O.A. Vitamin E against oxidative hepatotoxic intermediate, Pharmacol, 1974,
damage caused by formaldehyde in frontal 11, 151-169.
cortex and hippocampus: biochemical and 29. Kono, Y. Generation of superoxide radical
histological studies, J Chem Neuroanat, 2005, during autooxidation of hydroxylamine and an
29, 173–178. assay for superoxide dismutase, Arch Biochem
20. Aldana, L.; Tsutsumi, V.; Craigmill, A.; Biophys, 1978, 186, 189-195.
Silveria, M.I.; Mejia, E.G. Alpha-tocopherol 30. Luck, H. Catalase. In: Bergmeyer, H.U. ed.
modulates liver toxicity of pyrethroid Methods of Enzymatic Analysis, New York,
cypermethrin, Toxicol Lett, 2001, 125, 107- Academic Press, 1971, pp 885-894.
116. 31. Bansal, A.K.; Bansal, M.; Soni, G.; Bhatnagar,
21. Atessahin, A.; Yilmaz, S.; Karahan, I.; D. Protective role of vitamin E pre-treatment
Pirincci, I.; Tasdemir, B. The effects of on N-nitrosodiethylamine induced oxidative
vitamin E and selenium on cypermethrin- stress in rat liver, Chem-Biol Interact, 2005,
156, 101–111.
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 60
32. Montilla, P.; Cruz, A.; Padillo, F.J.; Túnez, I.; decrease in catalase activity and increases
Gascon, F.; Muñoz, M.C.; Gómez, M.; Pera, superoxide dismutase and glutathione
C. Melatonin versus vitamin E as protective peroxidase activity in the brain of aged rats,
treatment against oxidative stress after extra- Free Radic Biol Med, 1992, 12, 177-181.
hepatic bile duct ligation in rats, J Pineal Res, 44. Eastin, C.E.; McClain, C.J.; Lee, E.Y.; Bagby,
2001, 31, 138-144. G.J.; Chawla, R.K. Choline deficiency
33. Onyema, O.O.; Farombi, E.O.; Emerole, G.O.; augments and antibody to tumor necrosis
Ukoha, A.I.; Onyeze, G.O. Effect of vitamin E factor-alpha attenuates endotoxin-induced
on monosodium glutamate induced hepatic injury, Alcohol Clin Exp Res, 1997, 21,
hepatotoxicity and oxidative stress in rats, 1037-1041.
Indian J Biochem Biophys, 2006, 43, 20-24. 45. Arthur, M.J.; Bentley, I.S.; Tanner, A.R.;
34. Rao, M.V.; Parekh, S.S.; Chawla, S.L. Saunders, P.K.; Millward-Sadler, G.H.;
Vitamin E supplementation ameliorates Wright, R. Oxygen-derived free radicals
chromium and/or nickel-induced oxidative promote hepatic injury in the rat,
stress in vivo, J Health Sci, 2006, 52,142-147. Gastroenterology, 1985, 89, 1114–1122.
35. Coşkun, O.; Yakan, B.; Öztaş, E.; Sezen, S.; 46. Muto, Y.; Nouri-Aria, K.T.; Meager, A.;
Günaydin, A.A. Antioxidant and Alexander, G.J.; Eddleston, A.L. Williams R.
hepatoprotective activity of vitamin E and Enhanced tumour necrosis factor and
EGb 761 in experimental endotoxemic rats, interleukin-1 in fulminant hepatic failure,
Turk J Med Sci, 2000, 30, 427-432. Lancet, 1988, 2, 72–74.
36. Singh, U.; Devaraj, S.; Jialal, I. Vitamin E, 47. Nagakawa, J.; Hishinuma, I.; Hirota, K.;
oxidative stress, and inflammation, Annu Rev Miyamoto, K.; Yamanaka, T.; Tsukidate, K.;
Nutr, 2005, 25, 151–174. Katayama, K.; Yamatsu I. Involvement of
37. Di Mascio, P.; Devasagayam, T.P.; Kaiser, S.; tumor necrosis factor-α in the pathogenesis of
Sies, H. Carotenoids, tocopherols and thiols as activated macrophage- mediated hepatitis in
biological singlet molecular oxygen mice, Gastroenterology, 1990, 99, 758–765.
quenchers, Biochem Soc Trans, 1990, 18, 48. Wang, H.; Wei, W.; Shen, Y.X.; Dong, C.;
1054–1056. Zhang, L.L.; Wang, N.P.; Yue, L.; Xu, S.Y.
38. Packer, L.; Landvik, S. Vitamin E in Protective effect of melatonin against liver
biological systems, Adv Exp Med Biol, 1990, injury in mice induced by Bacillus Calmette-
264, 93–103. Guerin plus lipopolysaccharide, World J
39. Sakamoto, W.; Fujie, K.; Handa, H.; Ogihara, Gastroenterol, 2004, 10, 2690-2696.
T.; Mino, M. In vivo inhibition of superoxide 49. Rishi, P.; Kaur, H.; Tirkey, N.; Chopra, K.;
production and protein kinase C activity in Bharrhan, S.; Chanana, V.; Koul, A. Are the
macrophages from vitamin E-treated rats, Int J increases in local tumour necrosis factor and
Vitam Nutr Res, 1990, 60, 338–342. lipid peroxidation observed in pre-starved
40. Fantone, J.C.; Ward, P.A. Role of oxygen- mice infected with Salmonella typhimurium
derived free radicals and metabolites in markers of increased liver damage? Microbes
leukocyte-dependent inflammatory reactions, Infect, 2006, 8(7), 1695-1701.
Am J Pathol, 1982, 107, 397-418. 50. Chanana, V.; Majumdar, S.; Rishi, P.
41. Zaidi, S.M.K.R.; Banu, N. Antioxidant Involvement of caspase-3, lipid peroxidation
potential of vitamins A, E and C in modulating and TNF-alpha in causing apoptosis of
oxidative stress in rat brain, Clin Chim Acta, macrophages by coordinately expressed
2004, 340, 229–233. Salmonella phenotype under stress conditions,
42. Lunec, J. Free radicals: Their involvement in Mol Immunol, 2007, 44, 1551-1558.
disease processes, Ann Clin Biochem, 1990, 51. Hirose, K.; Longo, D.L.; Oppenheim, J.J.;
27,173–182. Matsushima, K. Over expression of
43. Nistico, G.; Ciriolo, M.R.; Fiskin, K.; Iannone, mitochondrial manganese superoxide
M.; De Martino, A.; Rotilio, G. NGF restores dismutase promotes the survival of tumor cells
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 61
exposed to interleukin-1, tumor necrosis Modulation of lipopolysaccharide-mediated
factor, selected anti cancer drugs, and ionizing activation in rat Kupffer cells by antioxidants,
radiation, FASEB J, 1993, 7, 361-368. J Lab Clin Med, 1998, 131, 36-44.
52. Bellezzo, J.M.; Leingang, K.A.; Bulla, G.A.;
Britton, R.S.; Bacon, B.R.; Fox, E.S.
Am. J. Biomed. Sci. 2010, 2(1), 51-62; doi: 10.5099/aj100100051 © 2010 by NWPII. All rights reserved. 62