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1.
肾近端小管是镉主要的作用靶器官,但人们对镉引起肾脏毒性的作用机制仍不清楚。在体内外的研究中,镉能够诱导肾近端小管上皮细胞的凋亡,这表明通过细胞凋亡通路引起上皮细胞的凋亡可能是镉引起肾脏毒性的关键环节之一。部分研究表明镉在不同细胞可通过多个途径来引起细胞凋亡,包括线粒体介导的及死亡受体介导的凋亡通路。本篇综述将在以往镉相关及细胞凋亡的文献报道及其重大发现的基础上,特别是在肾脏及肾脏近端小管上皮细胞的研究基础上,来阐述镉通过细胞凋亡来诱导肾脏毒性的作用机制。  相似文献   

2.
为了研究环境中常见重金属污染物铅对大鼠胰岛瘤细胞INS-1自噬与凋亡的影响及其可能的分子机制,使用不同浓度醋酸铅暴露大鼠胰岛瘤细胞INS-1,利用磺酰罗丹明B(sulforhodamine B,SRB)法检测细胞存活率;Western blot法检测不同浓度醋酸铅对细胞中自噬与凋亡标志蛋白及哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)信号通路标志分子表达的影响;利用活性氧(reactive oxygen species,ROS)试剂盒检测细胞内ROS水平;用ROS清除剂N-乙酰-L-半胱氨酸(N-acetylcysteine,NAC)预处理细胞,检测醋酸铅引起的细胞自噬与凋亡是否受到影响。使用统计学软件SPSS 17.0对数据进行统计学分析后,与对照组相比,醋酸铅导致INS-1细胞的存活率下降(p0.05),且呈时间-剂量依赖性;随醋酸铅浓度增大,自噬和凋亡标志蛋白表达增加,mTOR信号途径标志分子没有明显变化;NAC预处理后醋酸铅引起的细胞自噬和凋亡减少。实验结果表明,醋酸铅可通过mTOR-非依赖途径诱导INS-1细胞的自噬与凋亡,其可能机制为刺激细胞内ROS的产生。  相似文献   

3.
铬(chromium)是一种在工业生产过程中广泛使用的重金属,进入人体后可导致急慢性中毒,具有神经毒性、基因毒性、致癌性和免疫毒性。了解六价铬(hexavalent chromium,Cr(Ⅵ))的细胞毒性,进一步探究Cr(Ⅵ)的毒作用机制,可为防治Cr(Ⅵ)对人群健康的损害提供实验依据。电压依赖性阴离子通道蛋白1(voltage-dependent anion channel-1,VDAC1)参与调控线粒体外膜通透性,影响细胞凋亡;同时VDAC1也是BCL-2家族的重要结合位点,它可与BAX/BAK相互作用形成孔道,使线粒体内的凋亡相关蛋白,如细胞色素C等,进入胞浆,引起细胞凋亡。但VDAC1影响细胞凋亡的确切路径与分子机制,目前尚未完全研究清楚。使用L02人正常肝细胞作为实验对象,通过慢病毒包装法建立VDAC1低表达细胞系,检测在相同浓度Cr(Ⅵ)处理的条件下,与非染毒组相比,不同受试细胞的生存率、凋亡情况、活性氧簇(reactive oxygen species,ROS)生成量、线粒体功能和凋亡诱导因子(AIF)的变化情况是否存在差异。结果表明,与VDAC1正常表达的细胞相比,VDAC1低表达组在Cr(Ⅵ)染毒的情况下,细胞生存率升高,凋亡率下降,细胞内ROS生成量减少,MPTP活性增加不明显,胞浆内细胞色素C(Cytochrome C,Cyt C)和AIF含量降低。上述研究结果表明VDAC1参与了由六价铬诱导的线粒体依赖性肝细胞凋亡,并且抑制VDAC1的表达可减轻因Cr(Ⅵ)暴露而引起的L02肝细胞损伤。  相似文献   

4.
2,2’,4,4’-四溴联苯醚(BDE-47)是生物体中含量最高且毒性最强的PBDEs之一,有关BDE-47对肾细胞的毒性及其作用机制的研究仍有待补充。选取3个剂量组(低:10-6mol·L-1、中:10-5mol·L-1、高:10-4mol·L-1)及溶剂对照组,研究了BDE-47对人胚肾细胞(HEK293)的细胞凋亡率及活性氧(ROS)水平的影响;并从分子水平对细胞氧化损伤、凋亡相关蛋白(APE1及p53)及凋亡相关基因m RNA(p53、Bax、Caspase 3、Caspase 8)的表达量进行测定。实验结果显示:与对照组相比,中、高剂量组细胞凋亡率显著增加(P0.05);ROS水平在中剂量组显著上升(P0.01);随BDE-47浓度的变化,APE1蛋白表达量与细胞ROS水平存在一致性;p53、Bax、Caspase 8 m RNA表达量与BDE-47的浓度间存在剂量-效应关系。结果表明,BDE-47可诱导HEK293细胞凋亡及氧化应激,APE1可能是细胞ROS升高与细胞凋亡间重要的中介因子;BDE-47可以通过影响Caspase 8及线粒体途径中p53及Bax的表达诱导细胞凋亡。  相似文献   

5.
流行病学结果显示慢性砷暴露可导致人群罹患皮肤癌、膀胱癌、肺癌等恶性疾病,但其致毒/癌机制尚不明确.目前关于砷暴露致毒/癌机理的讨论主要集中在砷的胞内作用途径,而较少关注砷摄入调控过程对其暴露致毒/癌的贡献.在生理条件下,部分砷化合物由于结构与磷酸根、葡萄糖、甘油等天然底物相近,可借由相应的载体被细胞摄入,摄入途径和效率存在显著的砷形态依赖性.此外,砷化合物的生物毒性效应与其赋存形态直接相关.可见,砷的摄入调控对于砷的暴露致毒/癌具有重要作用.本文主要综述了在哺乳动物体系中不同砷形态的摄入载体、载体调控及对应的砷摄入分布、效率和暴露毒性,在此基础上,强调了以往在砷致毒/癌机制研究中被忽视的砷摄入调控途径.然而,砷摄入调控过程中的诸多重要环节如砷胁迫下的摄入启动和调控机制等都是空白,需进一步系统深入地研究,为深入理解砷的致毒机制提供了新的视角和研究思路.  相似文献   

6.
磷系阻燃剂对人体的潜在毒性作用引起了国内外研究者的广泛关注。肾脏是机体重要的排毒器官,若肾脏细胞受损,可能影响肾脏功能的正常发挥。本研究以人胚肾细胞HEK293为研究对象,结合传统毒理学实验,筛选出磷酸三苯酯(TPP)及磷酸三(2-氯异丙基)酯(TCPP)诱导人胚肾细胞HEK293凋亡的关键靶标基因p53。在此基础上采用分子对接模拟和光谱法分析发现,TPP和TCPP分别以嵌插方式和沟槽方式结合p53-DNA,改变基因片段的框架结构,启动分子起始事件,通过影响相关基因(Bax、Hrk、Bcl-2和Bad)的表达量,导致线粒体途径释放cyt c,最终激活Caspase 7实现细胞凋亡。研究结果阐明了此类污染物诱导凋亡的作用机制,为毒害化学品的污染防控提供理论依据。  相似文献   

7.
高等植物细胞中的钙通道   总被引:10,自引:0,他引:10  
钙通道在高等植物细胞中参与众多的信号转导过程,对钙通道的研究最近几年获得长足的进步:不仅在质膜中直接发现了电位依赖性的钙通道、牵张刺激激活的机械敏感性钙通道等,而且在液泡膜中发现了众多具有不同开放调控机制的钙通道:受化学信使控制的钙释放通道、电位依赖性钙通道、钙离子诱导的钙释放通道.本文对高等植物细胞中钙通道的研究进行了综述  相似文献   

8.
大量流行病学研究和体内、体外检测分析表明,长期低剂量接触农药可以导致人体细胞和分子损伤,诱导细胞凋亡。农药致细胞及DNA损伤的机制主要与DNA加合物的形成、DNA单链和/或双链的断裂有关。此外,氧化应激参与农药致细胞及DNA损伤的过程,可能成为农药致细胞及DNA损伤的促发因素。从总体上看,其具体分子机制还不十分清楚,有待进一步研究。  相似文献   

9.
探讨线粒体Caspase依赖性途径是否参与微囊藻毒素-LR(microcystin-LR,MC-LR)诱导人支气管上皮细胞(human bronchial epithelial cells,16HBE)凋亡过程。将处于对数生长期的16HBE分别暴露于终浓度为0(对照组)、2.5、5、10μg·m L-1的微囊藻毒素-LR和10μg·m L-1MC-LR+50μmol·L-1Caspase广谱抑制剂Z-VAD-FMK,持续24 h和48 h。检测细胞凋亡率,线粒体跨膜电位(ΔΨm),Caspase-3和Caspase-9相对表达量。结果显示,与对照组相比,各浓度染毒组细胞凋亡率和Caspase-3、Caspase-9相对表达量均升高,10μg·m L-1MC-LR染毒组线粒体膜电位降低;与10μg·m L-1MC-LR组相比,10μg·m L-1MCLR+50μmol·L-1Z-VAD-FMK组细胞凋亡率明显降低,Caspase-3和Caspase-9相对表达量降低,差异均有统计学意义(P0.05)。且随着MC-LR染毒浓度的升高或染毒时间的延长,16HBE细胞凋亡率和Caspase-3、Caspase-9相对表达量呈升高趋势。研究表明,MC-LR可以通过线粒体Caspase依赖性途径诱导16HBE细胞凋亡。  相似文献   

10.
四溴双酚A(TBBPA)作为目前用量最大的一种溴系阻燃剂,在含TBBPA用品的生产、使用和废弃处置过程中,能够通过多种途径进入环境介质,造成持久性污染,危害生态系统和人体健康.为探明TBBPA对人体健康的潜在毒性效应及作用机制,选取人体正常肝细胞L02作为模型,通过分析暴露后细胞形态、存活率、胞内活性氧(ROS)含量、DNA损伤及细胞凋亡等变化.结果表明,TBBPA暴露导致L02细胞形态发生明显改变、存活率显著降低,细胞彗星实验拖尾现象明显增强;随着暴露浓度的升高,L02细胞胞内ROS含量、丙二醛(MDA)含量和氧化型谷胱甘肽/还原型谷胱甘肽(GSSG/GSH)比值均呈现剂量依赖性增加.40μmol·L-1暴露条件下胞内ROS含量升高3.1倍;20 μmol·L-1和40 μmol·L-1暴露条件下,细胞凋亡率分别增加了32倍和4.8倍.推测TBBPA暴露对L02细胞的毒性效应作用机制为,暴露引起细胞氧化应激水平升高,ROS升高再引起DNA损伤程度增强,最终导致细胞凋亡率增加.上述研究结果将为评估TBBPA的毒性效应和健康风险提供科学依据.  相似文献   

11.
Cigarette smoking is one of the main risk factors for premature human death which is associated with a variety of respiratory and vascular diseases, and cancer due to exposure to hundreds of toxicants. Rat mitochondria were obtained by differential ultracentrifugation and incubated with different concentrations (1%, 10%, or 100%) of standardized cigarette smoke extract (CSE). Our results showed that CSE induced a rise in mitochondrial reactive oxygen species (ROS) formation, lipid peroxidation, and mitochondrial membrane potential (MMP) collapse before mitochondrial swelling ensued in isolated pulmonary mitochondria. Disturbance in oxidative phosphorylation was also confirmed by decrease in ATP concentration in the CSE-treated mitochondria. In addition, collapse of MMP and mitochondrial swelling produced release of cytochrome c via outer membrane rupture or mitochondrial permeability transition (MPT) pore opening. Our results suggested that CSE-induced toxicity in lung tissue is the result of disruptive effect on mitochondrial respiratory chain that leads to ROS formation, lipid peroxidation, MMP decline, and cytochrome c expulsion which results in apoptosis signaling and cell loss.  相似文献   

12.
Role of mitochondrial dysfunction and oxidative stress has been well documented in various cognitive-related disorders such as Alzheimer's disease (AD). Evidence indicates that Aß formation impairs mitochondrial function and that mitochondrial dysfunction is an early event in the pathogenesis of AD. The present study was, therefore, designed to investigate the direct toxicity of Aß peptide on isolated mitochondria obtained from rat brain. Various mitochondrial toxicity/integrity parameters such as succinate dehydrogenase activity, reactive oxygen species (ROS) formation, mitochondrial membrane potential collapse (MMP), mitochondrial swelling, and cytochrome c release were measured following the addition of Aß peptide on isolated mitochondria and then, mitoprotective effect of aqueous extracts of Mangifera indica and Juglans regia against mitochondrial toxicity endpoints parameters induced by Aß peptide were assessed. Our results showed that exposure to Aß peptide (30 nM) in isolated brain mitochondria induced mitochondrial ROS formation, MMP collapse, mitochondrial swelling, and cytochrome c release which is the starting point of apoptosis signaling. All these mitochondrial toxic endpoints induced by Aß peptide inhibited by aqueous extracts of Mangifera indica (100–400 µg/ml) and Juglans regia (200–400 µg/ml). To our knowledge, this is one of the first apparent studies to claim directly targeting of brain mitochondria and induction of apoptosis by Aß peptide as a new hypothesis for etiology of AD and other related neurodegenerative diseases as well as mitopreventive role of common antioxidant nutritional products including walnut and mango.  相似文献   

13.
Environmental metal toxins, generated through diverse anthropogenic activities, constitute one of the major contaminants that have led to global dispersion of these toxic metals in the ecosystem. Thallium is one of these widely dispersed metals that produce severe adverse effects on human and biological systems. The influence of thallium(I) and thallium(III) on the early events that trigger apoptosis signaling were examined in freshly isolated rat hepatocytes. In addition, the role of oxidative stress, and mitochondria in the induction of apoptosis were also investigated. Incubation of thallium(I) and thallium(III) with isolated rat hepatocytes generated reactive oxygen species (ROS), collapse of mitochondrial membrane potential, activation of caspases cascade, and appearance of apoptosis phenotype. Mitochondrial permeability transition (MPT) pore sealing agents (cyclosporine A and carnitine) and ATP generators (L-glutamine, fructose, and xylitol) inhibited the activation of caspase-3 and apoptosis, indicating that both the cations activated apoptosis signaling via mitochondrial pathway. Pretreatment of hepatocytes with antioxidants (α-tocopherol or deferoxamine) also blocked caspase-3 activation induced by these cations, suggesting that oxidative stress may be directly involved in a mitochondrial MPT pore opening and activation of caspases cascade. These findings contribute to a better understanding of the mechanisms that mediate thallium-induced apoptosis in isolated rat hepatocytes.  相似文献   

14.
4-methylimidazole (4MI) is a compound widely used in various industrial and consumer applications. The most important sources of exposure include chemical caramel coloring, ammoniated molasses, dyes and pigments, rube, cleaning and agricultural chemicals. Toxicity attributed to 4MI in foods has recently become a focus of research. Recent studies showed that 4MI induced adverse changes in various target tissues. Brain is known to be a target organ for 4MI-induced toxicity but its cytotoxic mechanisms have not yet been elucidated. In this study, experiments were divided into two parts: (1) using in vivo methodology, doses of 4MI at 100, 200, or 300 mg/kg were administered orally to mice daily for 14 to obtain brain mitochondria; and (2) utilizing in vitro methodology, brain mitochondria were incubated with 4MI at 400, 800, or 1600 μM concentrations. Subsequently, the neurotoxicity of 4MI was assessed using mitochondrial dysfunction tests, including reactive oxygen species (ROS) formation, mitochondrial membrane potential (MMP) collapse, mitochondrial swelling, and cytochrome c release. Our results from both in vivo and in vitro experiments on isolated brain mitochondria showed a significant decrease in complex II activity and also marked elevation in the ROS formation, MMP collapse, mitochondrial swelling, and enhanced release of cytochrome c. Data indicated that 4MI induced neurotoxicity through the impairment of electron transfer chain especially at complex II and elevated ROS formation leading to subsequent oxidative stress events including mitochondrial membrane depolarization, mitochondrial swelling, and release of cytochrome c, which is the starting point of mitochondrial-mediated apoptosis signaling and neurodegeneration.  相似文献   

15.
Arsenic is a significant environmental concern worldwide, primarily due to geo physiochemical contamination of drinking water, and a major public health hazard in both developing and developed countries. The present study was aimed to investigate ameliorative effects of curcumin (Cur) against sodium arsenite (SA)-induced toxicity in cultured murine Sertoli cells. The cells were treated with SA (5 μM) and Cur (5 μg/ml and 10 μg/ml) alone or in combination for 12 hr. The SA treatment decreased cell viability, produced oxidative stress, and induced apoptosis as reflected by reactive oxygen species (ROS) generation, loss of mitochondrial transmembrane potential, DNA fragmentation, and apoptotic cells. Moreover, the SA-induced cell cycle arrest in the cells is characterized by a rise in the number of cells in the sub G1 phase of the cell cycle. The Cur was found to be effective in reversing all these arsenic (As)-induced cellular events. Data suggest that Cur modulates As-mediated oxidative stress, apoptosis, DNA fragmentation, and cell cycle arrest through suppression of excessive ROS generation. Evidence indicates that Cur may emerge as a useful protective agent against As-induced Sertoli cells toxicity by inhibiting As-induced damage in testes.  相似文献   

16.
A new series of 3-phenoxyazetidin-2-ones (β-lactams) were designed and synthesized for the evaluation as selective cyclooxygenase-2 (COX-2) inhibitors. In this study, the effects of a synthetic of β-lactam-structured COX-2 inhibitor with 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one on cell viability of cancerous lymphoblast isolated from patients diagnosed with acute lymphocytic leukemia (ALL) and normal lymphocytes collected from healthy donors were investigated. The viability % of cancer lymphoblast and normal lymphocyte treated 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one were tested with MTT assay. Apoptosis and necrosis were measured by double stains of annexin V and propidium iodide, and caspase-3 as a final mediator in apoptotic death measured by colorimetric assay. Mitochondria were isolated from both cancerous lymphoblast and normal lymphocytes to measure parameters of mitochondrial damage such as reactive oxygen species (ROS) formation, mitochondrial membrane potential decrease, swelling, and cytochrome c release following the administration of azithidine-2-one derivative, 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one. Our results showed that 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one inhibited proliferation of cancerous lymphoblast in a concentration-dependent manner by inducing apoptosis but not in normal lymphocytes. Treatment with azithidine-2-one derivative produced a rapid loss of mitochondrial transmembrane potential, stimulation of release of ROS and mitochondrial cytochrome c into cytosol, and subsequent induction of procaspase-9 processing. Data suggest that 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one-induced ROS production led to mitochondria-mediated death signaling that resulted in apoptosis in cancerous lymphoblast cells. The induction of apoptosis by azithidine-2-one compounds, such as 4-(4-(methylsulfonyl)phenyl)-3-phenoxy-1-phenylazetidin-2-one, may provide a mechanism for its cancer chemopreventive action in acute lymphocytic leukemia cells.  相似文献   

17.
Harmful algal blooms produced by the marine ichthyotoxic dinoflagellate Cochlodinium polykrikoides are responsible for mass mortalities of wild and farmed fish globally. This study compared the cytotoxic mechanisms of C. polykrikoides total extract on both trout and rat liver hepatocytes. Trout hepatocytes were more sensitive than rat hepatocytes against C. polykrikoides extract. The effective concentration 50 after 3 hour incubation (EC503hr) concentrations found for C. polykrikoides extract in trout and rat hepatocytes (i.e., 50% membrane lysis in 3 hr) were Eq. 1 cell/ml and Eq. 240 cell/ml, respectively. C. polykrikoides extract exposure in both isolated trout and rat hepatocytes resulted in membrane lysis, reactive oxygen species formation, glutathione depletion, collapse of mitochondrial membrane potential, ATP depletion, increase in adenosine diphosphate (ADP)/adenosine triphosphate (ATP) ratio, cytochrome c release into the hepatocyte cytosol, and activation of caspases cascade. Trout hepatocyte toxicity was also associated with lysosomal membrane injury. Mitochondrial permeability transition in both trout and rat hepatocytes produced cytochrome c release from the mitochondrial intramembrane space into the cytosol. Thus, the cytochrome c release triggered activation of caspase-3 and apoptosis. Finally, data demonstrated that C. polykrikoides extract may induce more apoptotic phenotype in rat than trout hepatocytes, which in the latter favored predominantly necrotic mode of cell death.  相似文献   

18.
It has often been suggested that ultrastructural properties of mitochondria are correlated with oxygen and sulfide levels from the environment, although careful analyses of this question are rare. In this study the ultrastructure and distribution of mitochondria in Tubificoides benedii, a marine oligochaete from sulfide-rich sediments, were investigated after a series of oxic, hypoxic and hypoxic–sulfidic (200 μM H2S) incubations up to 24 h. Succinate, one of the key endproducts of an anaerobic metabolism, was used as an indicator of mitochondrial anaerobiosis. Consistent differences in mitochondrial ultrastructure were not observed in any of the incubations, even after 24 h. Stereological parameters of mitochondria (volume density, surface density of the outer mitochondrial membrane, and specific surface) in epidermal and intestinal tissues of T. benedii were not affected by hypoxia or sulfide either. On the other hand, succinate concentrations increased significantly within 24 h under hypoxic and hypoxic–sulfidic conditions. Thus, experimental hypoxia and sulfide clearly caused mitochondrial anaerobiosis without affecting ultrastructure or distribution of mitochondria in T. benedii. Distinct differences in ultrastructural and stereological parameters were common between different tissues and between individuals, showing that different forms of mitochondria can occur within one species. Our results imply that a mitochondrial ultrastructure specific to thiobiotic animals does not appear to exist. Received: 4 August 1996 / Accepted: 20 September 1996  相似文献   

19.
Depleted uranium (DU) is widely used in military anti-armor weapons. Recent evidence suggested that oxidative stress and mitochondrial dysfunction may contribute to DU-induced toxicity. However, the underlying mechanisms of DU toxicity in mitochondria are not well understood. In this study, liver mitochondria were obtained from Wistar rats treated with DU in the form of uranyl acetate (UA) (0.5, 1 or 2 mg/kg i.p.) using differential centrifugation. For in vitro experiments, control rat liver mitochondria were incubated with different concentrations of UA (50, 100 or 200 μM) for 1 hr. Mitochondrial reactive oxygen species (ROS) production, collapse of mitochondrial membrane potential, and mitochondrial swelling were examined by flow cytometry. Mitochondrial sources of ROS formation were determined using specific substrates and inhibitors. Extent of lipid peroxidation (LPO) and glutathione (GSH) oxidation, and also complex II and IV activities were detected via spectroscopy. Further, the concentration of ATP and ATP/ADP ratio was measured using luciferase enzyme and release of cytochrome c from mitochondria which was detected by ELISA kit. UA induced succinate-supported mitochondrial ROS production, elevated LPO levels, GSH oxidation, and mitochondrial complex II inhibition. UA also induced mitochondrial permeability transition and increase in cytochrome c release which subsequently disturbed oxidative phosphorylation and reduced the mitochondrial ATP concentration. Data suggest that mitochondrial oxidative stress and uncoupling of oxidative phosphorylation may play key roles in DU-induced hepatic toxicity.  相似文献   

20.
Camptothecin (CPT), a broad spectrum antineoplastic agent, is known to induce oxidative stress and mitochondria are among the main sources of intracellular reactive oxygen species (ROS). We investigated the merit of vitamins E and C supplementation on CPT-induced mitochondrial alterations in vitro. Following treatment of isolated liver mitochondria with CPT, we assessed the mitochondrial membrane permeability transition (MPT), concentration of malondialdehyde, antioxidants and activities of the enzymes of the respiratory chain and Krebs cycle. Our results provide evidence that CPT caused mitochondrial swelling, increased lipid peroxidation and transition of mitochondrial permeability. The CPT lowered the levels of reduced mitochondrial thiols suggesting that thiol oxidation is the mechanism underlying CPT-induced MPT. Identical experiments were also performed after preincubating the mitochondria with vitamins E and C. It was found that vitamins E and C pretreatment inhibited the deleterious effects of CPT and loss of enzyme activity was restored by antioxidant supplementation. Our results suggest that the toxicity of CPT was mediated by an increase in ROS production by mitochondria. However, the addition of vitamins E or C ameliorated the oxidative stress. We propose that an attempt to counteract the deleterious consequences of chemotherapy with nutritional therapies may be a rational approach in superior patient care especially in a disease like cancer.  相似文献   

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