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Recent studies are emphasising the importance and putative modes of action of specific flavonoids as bioactive components of the diet in in vivo and in vitro models. Thus, it is important to have a clear idea of the major phenolic families of which fruit and vegetables are comprised and the levels contained therein. Regularly consumed fruit and vegetables of mixed varieties available on the UK market were analysed for the composition of the major individual phenolic components. The total phenolic content (applying the Folin assay) and the vitamin C levels were also determined. The antioxidant capacities of aqueous/methanolic extracts were comparatively assessed using the TEAC (Trolox Equivalent Antioxidant Capacity), the FRAP (Ferric Reducing Ability of Plasma) and ORAC (Oxygen Radical Absorbance Capacity) assays, which comprise contributions from polyphenols, simple phenols and the ascorbate component. The results were calculated in terms of 100 g fresh weight (FW) uncooked portion sizes. Fruit and vegetables rich in anthocyanins (e.g. strawberry, raspberry and red plum) demonstrated the highest antioxidant activities, followed by those rich in flavanones (e.g. orange and grapefruit) and flavonols (e.g. onion, leek, spinach and green cabbage), while the hydroxycinnamate-rich fruit (e.g. apple, tomato, pear and peach) consistently elicited the lower antioxidant activities. The TEAC, FRAP and ORAC values for each extract were relatively similar and well-correlated with the total phenolic and vitamin C contents. The antioxidant activities (TEAC) in terms of 100 g FW uncooked portion size were in the order: strawberry>> raspberry = red plum >> red cabbage >>>grapefruit = orange > spinach > broccoli > green grape approximately/= onion > green cabbage > pea > apple > cauliflower tomato approximately/= peach=leek > banana approximately/= lettuce.

There is considerable current interest in the neuroprotective effects of flavonoids. This study focuses on the potential for dietary flavonoids, and their known physiologically relevant metabolites, to enter the brain endothelium and cross the blood-brain barrier (BBB) using well-established in vitro models (brain endothelial cell lines and ECV304 monolayers co-cultured with C6 glioma cells). We report that the citrus flavonoids, hesperetin, naringenin and their relevant in vivo metabolites, as well as the dietary anthocyanins and in vivo forms, cyanidin-3-rutinoside and pelargonidin-3-glucoside, are taken up by two brain endothelial cell lines from mouse (b.END5) and rat (RBE4). In both cell types, uptake of hesperetin and naringenin was greatest, increasing significantly with time and as a function of concentration. In support of these observations we report for the first time high apparent permeability (P app ) of the citrus flavonoids, hesperetin and naringenin, across the in vitro BBB model (apical to basolateral) relative to their more polar glucuronidated conjugates, as well as those of epicatechin and its in vivo metabolites, the dietary anthocyanins and to specific phenolic acids derived from colonic biotransformation of flavonoids. The results demonstrate that flavonoids and some metabolites are able to traverse the BBB, and that the potential for permeation is consistent with compound lipophilicity. Keywords: blood-brain barrier, flavonoids, glucuronidation, hesperetin, naringenin, neuroprotection. There is growing interest in dietary therapeutic strategies to combat oxidative stress-induced damage to the CNS associated with a number of pathophysiological processes, including Alzheimer's disease, cerebrovascular disease such as strokes or lesions, Parkinson's disease, Creutzfeldt-Jakob disease and certain traumas (Coyle and Puttfarcken 1993;Cantuti-Castelvetri et al. 2000). In addition, changes in the optimal performance of the CNS may occur simply as a function of ageing, possibly exacerbating the motor and cognitive behavioural changes seen in these conditions (Shukitt-Hale 1999). Recent studies have highlighted an important role for the neuroprotective actions of dietary components, including flavonoids found in fruit, vegetables and plant-derived beverages (for a review see Abbreviations used: BBB, blood-brain barrier; b.END5, brain endothelial cell line from mouse; bFGF, basic fibroblast growth factor; BSA, bovine serum albumin; C3R, cyanidin-3-rutinoside; DMEM, Dulbecco's modified Eagle medium; FBS, fetal bovine serum; FCS, fetal calf serum; HPLC, high-performance liquid chromatography; MTT, 2-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide; OATP, organic anion transport polypeptide; P3G, pelargonidin-3-glucoside; P app , apparent permeability; PBS, phosphate-buffered saline; P-gp, P-glycoprotein; RBE4, brain endothelial cell line from rat; RT, retention time; TEER, transendothelial electrical resistance.

To investigate the aetiology of chronic idiopathic axonal polyneuropathy (CIAP), 50 consecutive patients were compared with 50 control subjects from the same region. There were 22 patients with painful neuropathy and 28 without pain, 26 with sensory neuropathy and 24 with sensory and motor neuropathy. The typical picture was a gradually progressive sensory or sensory and motor neuropathy. It caused mild or sometimes moderate disability, and reduced the quality of life. There was no evidence that alcohol, venous insufficiency, arterial disease or antibodies to peripheral nerve antigens played a significant part. There was a possible history of peripheral neuropathy in the first or second-degree relatives of six patients and no controls (P = 0.01), and claw toes were present in 12 patients and four controls (P = 0.03). Thirty-two per cent of the patients and 14% of the controls had impaired glucose tolerance or fasting hyperglycaemia but, after adjusting for age and sex, the difference was not significant (P = 0.45), even in the painful neuropathy subgroup. The mean (SD) fasting insulin concentrations were significantly (P = 0.01) higher in the patients [75.9 (44.4) mmol/l] than the controls [47.3 (37.9) mmol/l], and the mean was higher still in the painful neuropathy subgroup [92.2 (37.1) mmol/l] (P < 0.0001). However, insulin resistance as assessed using the homeostasis model assessment formula was not significantly greater in the patients, even in those with pain, than the controls. After adjustment for body mass index as well as age and sex, there was no significant difference in the serum cholesterol concentrations, but there were significantly higher triglyceride concentrations in the patients [mean 1.90 (1.41) mmol/l] than the controls [mean 1.25 (0.79] mmol/l) (P = 0.02). In the patients with painful peripheral neuropathy, the mean triglyceride concentration was 2.37 (1.72), which was even more significantly greater compared with the controls (P = 0.003). In conclusion, CIAP is a heterogeneous condition. A logistic regression analysis identified environmental toxin exposure and hypertriglyceridaemia, but not glucose intolerance or alcohol overuse as significant risk factors that deserve further investigation as possible causes of CIAP.

The biological properties and, particularly, the antioxidant activity of plant hydroxycinnamic acids, such as caþ eic and ferulic acids, are well recognised. This preliminary study was designed to estimate the potential utility of caþ eic and ferulic acids to prevent, when topically applied, photooxidative stress in the skin. With this aim we have evaluated the antioxidant activity of ferulic and caþ eic acids in two experimental models : (1) the UV radiation-induced peroxidation in phosphatidylcholine (PC) liposomal membranes ; (2) the scavenging activity against nitric oxide (a radical involved in oxidative reactions). In addition, given that a suitable percutaneous absorption is an essential requirement for successful topical photoprotective agents, we measured their in vitro permeation through excised human skin. Caþ eic and ferulic acids efficiently protected PC liposomes from UV radiation-induced peroxidation and reacted with nitrogen oxides. In addition, caþ eic and ferulic acids were able to permeate through the stratum corneum (the main barrier against the penetration of exogenous substances through the skin). Taken together, these ündings suggest that caþ eic and ferulic acids should be good canditates for successful employment as topical protective agents against UV radiation-induced skin damage.1999 Society of Chemical Industry (

Epidemiological evidence has suggested that consumption of fruit and vegetables reduces the risk of both cancer and cardiovascular diseases, potentially through the biological actions of components such as vitamin C, vitamin E, flavonoids and carotenoids. Citrus species are extremely rich sources in vitamin C and flavanones, a class of compounds which belongs to the flavonoids family. A comparison of the phenolic compositions, the ascorbic acid contents and the antioxidant activities of fresh Sicilian orange juices from pigmented (Moro, Tarocco and Sanguinello) and non-pigmented (Ovale, Valencia and Navel) varieties of orange (Citrus sinensis L. Osbeck), was undertaken. The simultaneous characterisation and quantification of the major flavanone, anthocyanin and hydroxycinnamate components were attained by HPLC with diode array detection. Differences between varieties in terms of the flavanone glycoside content, particularly hesperidin, were observed, with the Tarocco juices reporting the highest content. Furthermore, cyanidin-3-glucoside and cyanidin-3-(6"-malonyl)-glucoside were predominant in all the pigmented varieties, but their concentration was higher in the juices of the Moro variety. Quantitatively, the major antioxidant component of all juices was ascorbic acid and its concentration was significantly correlated (r = 0.74, P < 0.001) with the total antioxidant activity of the juices, determined in vitro using the ABTS radical cation decolorization assay. Similarly, hydroxycinnamates (r = 0.73, P < 0.01) and anthocyanins (r = 0.98, P < 0.001) content showed a good correlation with the determined antioxidant capacity. Therefore orange juices, particularly those rich in anthocyanins, may represent a significant dietary source of flavonoids.

The biological properties and, particularly, the antioxidant activity of plant hydroxycinnamic acids, such as caffeic and ferulic acids, are well recognised. This preliminary study was designed to estimate the potential utility of caffeic and ferulic acids to prevent, when topically applied, photooxidative stress in the skin. With this aim we have evaluated the antioxidant activity of ferulic and caffeic acids in two experimental models: (1) the UV radiation‐induced peroxidation in phosphatidylcholine (PC) liposomal membranes; (2) the scavenging activity against nitric oxide (a radical involved in oxidative reactions). In addition, given that a suitable percutaneous absorption is an essential requirement for successful topical photoprotective agents, we measured their in vitro permeation through excised human skin. Caffeic and ferulic acids efficiently protected PC liposomes from UV radiation‐induced peroxidation and reacted with nitrogen oxides. In addition, caffeic and ferulic acids were able to permeate through the stratum corneum (the main barrier against the penetration of exogenous substances through the skin). Taken together, these findings suggest that caffeic and ferulic acids should be good canditates for successful employment as topical protective agents against UV radiation‐induced skin damage. © 1999 Society of Chemical Industry

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