The Oxidative Stress Menace to Coronary Vasculature: Any Place for Antioxidants?

被引:22
作者
Briasoulis, Alexandros [1 ]
Tousoulis, Dimitris [1 ]
Antoniades, Charalambos [1 ]
Stefanadis, Christodoulos [1 ]
机构
[1] Univ Athens, Sch Med, Cardiol Unit 1, Hippokrat Hosp, Athens 16675, Greece
关键词
Antioxidants; coronary artery disease; nitric oxide; endothelium; VITAMIN-E SUPPLEMENTATION; ACTIVATED RECEPTOR-GAMMA; LONG-TERM SUPPLEMENTATION; COA REDUCTASE INHIBITOR; ISCHEMIC-HEART-DISEASE; NITRIC-OXIDE; BETA-CAROTENE; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; ALPHA-TOCOPHEROL;
D O I
10.2174/138161209789058057
中图分类号
R9 [药学];
学科分类号
100702 [药剂学];
摘要
Oxidative stress is involved in the pathogenesis of atherosclerosis. A variety of antioxidants has been used in clinical studies, during the past few years, for the prevention and treatment of atherosclerosis. In small clinical studies it was found that both vitamins C and E may improve endothelial function in high risk patients. However, interventional trials have been controversial, with some positive findings, many null findings, and some suggestion of harm in certain high-risk populations. Therefore, treatment with antioxidant vitamins C and E should not be recommended for the prevention or treatment of coronary atherosclerosis. New antioxidant strategies are needed to clarify the exact role of antioxidant treatment in coronary atherosclerosis.
引用
收藏
页码:3078 / 3090
页数:13
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