Oxidative stress is a state of excess of prooxidative species relative to the antioxidant defenses (enzymatic and nonenzymatic) in a living organism. The consequence of this imbalance is damage of the major cellular macromolecules (carbohydrates, lipids, proteins, and DNA), which further leads to a gradual loss of tissue and organ function. It has been shown that oxidative stress plays an important role in the pathogenesis of many chronic diseases (cardiovascular, metabolic, and neurodegenerative diseases and cancer) and in the process of aging. Thus, many strategies to combat oxidative stress have been proposed and tested. In this context, food rich in antioxidants has received great attention. Pomegranate, berries, and walnuts have been recognized as “superfood” particularly for their cardioprotective effects. The common characteristic of these foods is the high content of ellagitannins. Since tannins are not bioavailable, they have been neglected in nutrition science and even considered antinutrients for a long time. However, this view has changed dramatically once it was recognized that ellagic acid, released from ellagitannins in the gastrointestinal system, is further metabolized by colonic microbiota to bioavailable compounds—known as urolithins. Thus, urolithins (3,4-benzocoumarin derivatives) have emerged as novel natural bioactive compounds and are now the focus of extensive investigations. So far, urolithins were shown to be powerful modulators of oxidative stress and agents with potential anti-inflammatory, antiproliferative, and antiaging properties. Furthermore, a few synthetic derivatives of urolithins were recognized as lead compounds for new drug development. Available data on urolithin synthesis, physicochemical and pharmacokinetic characteristics, biological activity, and safety will be presented in this review.

There are major disparities in the provision of HIV care among sub-regions in Europe, which should be addressed. More attention in terms of funding, knowledge and experience sharing, and capacity building is required for the resource-limited settings of Central and Eastern Europe. The exact needs should be defined and services scaled up in order to achieve a standard level of care and provide an adequate and sustainable response to the HIV epidemic in this region.

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This work investigates the level of exposure to cadmium (Cd), mercury (Hg), and lead (Pb) via fish and seafood products in adult population in Bosnia and Herzegovina (BiH). Metals content was determined in seven commercial species of fish and seafood products widely available and consumed in BiH. Analysis of Cd and Pb was performed by GFAAS (Graphite furnace atomic absorption spectrometry), and analysis of Hg by FIAS AAS (flow injection cold vapour atomic absorption spectrometry) in accredited laboratory for food analysis. The health risk was determined by the estimated weekly intake, hazard index, target hazard quotients, and percent of tolerable weekly intake or percent of benchmark dose lower confidence limit. Concentration above the maximum residue level (MRL) set in the European Union was found in only one sample (Hg in mackerel). Cd content was generally high in squid, approaching the corresponding MRL in two samples. The hazard index was close to 1 in bluefin tuna and mackerel, mostly due to Hg content. These two fish species should be consumed in moderation, especially by pregnant women. While consumption of various fish and seafood on average is not of significant concern, health risk could not be ruled out for high consumers. Fish is considered a significant part of a healthy, well-balanced diet due to its exceptional nutritional properties (high-quality proteins, vitamins, essential omega-3 fatty acids). Fish and seafood are unique dietary sources of cardioprotective docosahexaenoic (DHA) and eicosapentaenoic (EPA) fatty acids. Thus, many public health authorities recommend regular fish consumption equivalent to at least 1-2 serving per week in order to prevent diet-related chronic diseases 1-3. Unfortunately, anthropogenic environmental impacts (industry, agriculture, mining) significantly increase the naturally occurring amounts of heavy metals in the environment, including the marine ecosystem. Consequently, marine organisms (fish, shellfish, crustaceans) can accumulate these metals to potentially toxic concentrations. Often, fish and other seafood represent one of the main sources of exposure to metals in the general population. Foods that contain toxic metals above the permitted levels are considered to be harmful to human health and are banned for trade by many national and international regulations. Maximum levels (MRL) of harmful substances in food in Bosnia and Herzegovina (BiH) are defined in the Regulation on maximum levels for certain contaminants in food 4. The same rules apply to food in the European Union 5-9. Some of the toxic effects of heavy metals include: impaired renal (Pb, Cd, Hg) and liver (Pb and Cd) function, decreased cognitive function (Pb, Hg), impaired reproductive capacity (Cd, Pb), hypertension (Cd), neurological changes (Hg, Pb), teratogenic effects (Hg), and cancers (Cd) 10-12. Our previous work showed that the content of heavy metals in certain samples of fish from the Neretva river (BiH) exceeds MRLs for some metals, and content found in many commercially available fi...

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