SUMMARY:Based on recent retrospective, prospective, and experimental studies, mild to moderate elevation of fasting or postmethionine-load plasma homocysteine is accepted as an independent risk factor for cardiovascular disease and thrombosis in both men and women. Hyperhomocysteinemia results from an inhibition of the remethylation pathway or from an inhibition or a saturation of the transsulfuration pathway of homocysteine metabolism. The involvement of a high dietary intake of methionine-rich animal proteins has not yet been investigated and cannot be ruled out. However, folate deficiency, either associated or not associated with the thermolabile mutation of the N 5,10 -methylenetetrahydrofolate reductase, and vitamin B 6 deficiency, perhaps associated with cystathionine -synthase defects or with methionine excess, are believed to be major determinants of the increased risk of cardiovascular disease related to hyperhomocysteinemia. Recent experimental studies have suggested that moderately elevated homocysteine levels are a causal risk factor for atherothrombotic disease because they affect both the vascular wall structure and the blood coagulation system. The oxidant stress that results from impaired homocysteine metabolism, which modifies the intracellular redox status, might play a central role in the molecular mechanisms underlying moderate hyperhomocysteinemia-mediated vascular disorders. Because folate supplementation can efficiently reduce plasma homocysteine levels, both in the fasting state and after methionine loading, results from further prospective cohort studies and from on-going interventional trials will determine whether homocysteine-lowering therapies can contribute to the prevention and reduction of cardiovascular risk. Additionally, these studies will provide unequivocal arguments for the independent and causal relationship between hyperhomocysteinemia and atherothrombotic disease. (Lab Invest 2001, 81:645-672).C ardiovascular diseases remain the leading cause of mortality in Western populations. Hyperlipoproteinemia, hypertension, diabetes, obesity, and tobacco smoking are the main risk factors for atherosclerosis and its thrombotic complications. However, these factors alone cannot account for all of the deaths caused by vascular pathologies.As early as 1969, clinical studies conducted in homocystinuric children revealed the importance of severe hyperhomocysteinemia in premature development of atherosclerosis and thromboembolism (McCully, 1983). According to numerous retrospective case-controlled studies, moderate increases in plasma homocysteine, which can be precisely quantitated by high performance liquid chromatography (HPLC), raise the risk for cardiovascular disease 2-fold, after adjusting for classic risk factors. Moreover, up to 20% to 40% of patients with vascular pathologies present moderate to intermediate hyperhomocysteinemia. However, results from prospective studies are inconsistent. Additionally, molecular mechanisms underlying hyperhomocysteinemia-induced vascular diseas...
This paper provides a summary review of the major biological features concerning the essential oil of turpentine, its origin and use in traditional and modern medicine. More precisely, the safety of this volatile fraction to human health, and the medical, biological and environmental effects of the two major compounds of this fraction (α-and β-pinenes) have been discussed. Key words:Spirits of turpentine, α-pinene, β-pinene Received: July 1, 2009. Accepted : September 28, 2009. Address reprint request to B. Mercier, UPRES EA 4183 "Lipides & Signalisation Cellulaire", Faculté des Sciences de la Vie, Université de Bourgogne 6, Boulevard Gabriel, F-21000 Dijon (e-mail: beamercier@laposte.net). ORIGIN OF TURPENTINEThe term "essential oil of turpentine" designates the terpenic oil, obtained by hydrodistillation of the gem pine. It is also named the "spirits of turpentine", "pine tree terpenic", "pine oleoresin", "gum turpentine", "terpenes oil" or "turpentine from Bordeaux". Due to its pleasant fragrance, the terpenic oil is used in the pharmaceutical industry, perfume industry, food additives and other chemical industries (household cleaning products, paintings, varnishes, rubber, insecticides, etc.) [1]. TRADITIONAL MEDICINE AND TURPENTINEThe eminent doctors of antiquity, Hippocrates, Dioscoride or Galien, used the terpenic oil for its properties against lung diseases and biliary lithiasis. In France, Thillenius, Pitcairn, Récamier and Martinet recommended it against the blennorrhoea and cystitis. Chaumeton, Peschiez, Kennedi, Mérat prescribed it against the neuralgias. It was also used in the treatment of rheumatism, sciatica, nephritis, drop, constipation and mercury salivation. Those scientists also recognized that the terpenic oil may be a booster at an average dose and may have a paralyzing activity at high doses. In Germany, (Rowachol and Rowatinex), Slovenia (Uroterp) and Poland (Terpichol and Terpinex), the traditional drugs for renal and hepatic diseases (especially against cholesterol stones in the gall bladder and the bile duct) contain α-and β-pinenes [2]. Modern phytotherapy describes the following properties of the terpenic oil: antiparasitic, analgesic, revulsive, disinfectant (external use); balsamic, active on bronchial secretion and pulmonary and genito-urinary tract infections, haemostatic, dissolving gallstones, diuretic, antispasmodic, antirheumatic, deworming, being an antidote for poisonings caused by phosphorus [3] and improving the ciliary and secretory activity in patients who present chronic obstructive bronchitis (internal use ) [4]. ENVIRONMENTAL IMPACT OF THE VOLATILE TURPENTINE FRACTIONThe most volatile components of turpentine are two terpenes: alpha (α) and beta (β) pinenes. They are the dominant odorous compounds emitted by trees, shrubs, flowers and grasses [25]. In the lower troposphere, and depending on the weather conditions at the top of the trees, these compounds can react with OH° radicals, ozone, NO 3 radical and O 2 . Indeed, the electric field in the canopy at...
Ferulic acid (FA) is reported as a good antioxidant absorbed by human or rat but only few data deal with the influence of the food matrix on its bioavailability and with its potential protection against cardiovascular diseases and cancer. Wheat bran is used as a source of ferulic acid, the compound being mainly bound to arabinoxylans of the plant cell walls. Pharmacokinetic profiles of FA and its metabolites are established in rats. Free and conjugated FA quickly appear in plasma, reach a plateau 1 h after intake and remain approximately constant at 1 microM up to 24 h. 2.3% of FA are eliminated in urine. Compared with results obtained after intake of free FA, the presence of FA-arabinoxylans bonds in the food matrix increases the occurrence time of FA in the organism and decreases the level of urinary excretion in 24 h. Nevertheless, sulfated FA is still the main plasmatic form. The antioxidant activity of plasmas of rats fed with a standard diet (containing no FA), pure ferulic acid (5.15 mg FA/kg bw) or bran (4.04 mg FA/kg bw) are measured in an ex vivo test using AAPH as free radical inducer. Plasmas of rats fed with bran show a better antioxidant activity than the control group and the pure FA supplemented group, increasing the resistance of erythrocytes to hemolysis by factors of 2 and 1.5, respectively. These results show the good bioavailability of FA from bran and its potential efficiency to protect organism against pathology involving radical steps of development.
Oxidative damage is increasingly recognized as playing an important role in the pathogenesis of several diseases such as cancer and cardiovascular diseases. Using a biologic test based on whole blood resistance to free-radical aggression, we sought to evaluate lifestyle factors that may contribute to the normal variability of the overall antioxidant status. We assessed this global antiradical defense capacity in 88 men and 96 women in relation to information on lifestyle obtained by questionnaire. In our relatively young, healthy population, we found a weak negative relation between male sex or aging and the resistance to oxidant stress. Among the factors studied, nonsmoking, vitamin and/or mineral supplementation, and regular physical activity were closely associated with an increased overall antioxidant capacity. Conversely, the antioxidant potential was negatively related to tobacco smoking; psychologic stress; alcohol consumption; moderate vegetable, low fruit, and low fish consumption; and, to a lesser extent, high natural ultraviolet light exposure. Thus, we were able to determine "unhealthy" and "healthy" lifestyle patterns that truly contributed to the variation of individual antioxidant capacity. We conclude that lifestyle determinants of cancer and cardiovascular risks were associated with a decreased overall antioxidant status as dynamically measured by means of a biologic test. Thus, the evaluation of the total human resistance against free-radical aggression, taking into account nutritional habits, lifestyle, and environmental factors, may be useful in preventive medicine as a precocious diagnosis to identify healthy subjects who are at risk for free-radical-mediated diseases.
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