2018
DOI: 10.1016/j.chemphyslip.2018.03.001
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Antioxidants inhibit low density lipoprotein oxidation less at lysosomal pH: A possible explanation as to why the clinical trials of antioxidants might have failed

Abstract: HighlightsThe initial oxidation of LDL by iron under lysosomal conditions occurs in the hydrophobic core where probucol has limited access.At lysosomal pH hydroperoxyl radical (HO2•) would be the main oxidising species which can be scavenged by cysteamine.Our findings here might explain why probucol failed to protect against atherosclerosis in the PQRST Trial.Lysosomotropic antioxidants might be the effective antioxidants to test the oxidised LDL hypothesis of atherosclerosis.

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Cited by 21 publications
(29 citation statements)
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References 52 publications
(75 reference statements)
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“…DPPD effectively inhibits oxidation of LDL by copper and endothelial cells at pH 7.4 (Sparrow et al, 1992) and by ferrous iron at pH 4.5 (Ahmad and Leake, 2018). It also protects against atherosclerosis in cholesterol-fed rabbits (Sparrow et al, 1992) and decreases atherosclerosis in apoE deficient mice (Tangirala et al, 1995).…”
Section: Lhmentioning
confidence: 99%
See 3 more Smart Citations
“…DPPD effectively inhibits oxidation of LDL by copper and endothelial cells at pH 7.4 (Sparrow et al, 1992) and by ferrous iron at pH 4.5 (Ahmad and Leake, 2018). It also protects against atherosclerosis in cholesterol-fed rabbits (Sparrow et al, 1992) and decreases atherosclerosis in apoE deficient mice (Tangirala et al, 1995).…”
Section: Lhmentioning
confidence: 99%
“…Tempol is an amphipathic compound and might be expected to accumulate in the phospholipid outer monolayer of LDL, rather than in its cholesteryl ester core. We suspect the oxidation of LDL by iron at lysosomal pH starts in the core of LDL and then spreads to the phospholipid monolayer (Ahmad and Leake, 2018). Tempol might not be able to scavenge superoxide or hydroperoxyl radicals effectively enough to stop them entering the LDL particles and oxidising its core, but might be able to inhibit the later oxidation of the phospholipid monolayer by scavenging phospholipid peroxyl or alkoxyl radicals.…”
Section: Lhmentioning
confidence: 99%
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“…We have shown previously that LDL can be oxidised by iron in the lysosomes of macrophages [21] and that this causes the secretion of inflammatory cytokines [22]. The antioxidant cysteamine, which accumulates in lysosomes, inhibits the lysosomal oxidation of LDL [22][23][24][25] and decreases atherosclerosis in LDL receptor-deficient mice [25]. The oxidation of LDL by ferrous ion at lysosomal pH (pH 4.5) was not effectively inhibited by a-tocopherol [26].…”
Section: Introductionmentioning
confidence: 98%