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First published online August 6, 2004
Journal of Experimental Biology 207, 3221-3231 (2004)
Published by The Company of Biologists 2004
doi: 10.1242/jeb.01022
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Oxidants, antioxidants and the ischemic brain

David S. Warner1,3,4,*, Huaxin Sheng1 and Ines Batinic-Haberle2

1 Department of Anesthesiology, The Multidisciplinary Neuroprotection Laboratories, Duke University Medical Center, Durham, NC 27710, USA
2 Department of Radiation Oncology, The Multidisciplinary Neuroprotection Laboratories, Duke University Medical Center, Durham, NC 27710, USA
3 Department of Neurobiology, The Multidisciplinary Neuroprotection Laboratories, Duke University Medical Center, Durham, NC 27710, USA
4 Surgery (Neurosurgery), The Multidisciplinary Neuroprotection Laboratories, Duke University Medical Center, Durham, NC 27710, USA



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Fig. 1. Ischemia/reperfusion presents numerous opportunities for formation of reactive oxygen/nitrogen species and resultant tissue injury. Simultaneously, numerous site-specific targets for therapeutic intervention are presented. It quickly becomes clear that inhibition of a single pathway may be insufficient to provide persistent protection against oxidative stress. (1) Inhibition of lipid peroxidation; (2) inhibition of xanthine oxidase; (3) the superoxide dismutases (SOD) and their mimetics; (4) catalase and glutathione peroxidase (GSHPx); (5) glutathione (GSH) mimetics; (6) nitric oxide synthase (NOS) inhibition; (7) metal chelators; (8) poly(ADP-ribose) polymerase (PARP) inhibitors; (9) mitochondrial permeability transition inhibitors; (10) spin traps and peroxynitrite scavengers. O2·, superoxide; CO3·, carbonate radical; H2O2, hydrogen peroxide; GSSG, glutathione disulfide; ·OH, hydroxyl radical; ·NO2, nitrogen dioxide; ·NO, nitric oxide; ONOO nicotinamide adenine dinucleotide. peroxynitrite; NAD,

 





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