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抗氧化剂在恰加斯病辅助治疗中的潜在作用。

Potential Role of Antioxidants as Adjunctive Therapy in Chagas Disease.

机构信息

Translational Biomedical Research Group, Centro de Investigaciones, Fundación Cardiovascular de Colombia, Santander, Colombia.

Faculty of Basic Sciences, Universidad Antonio Nariño, Santander, Colombia.

出版信息

Oxid Med Cell Longev. 2020 Mar 26;2020:9081813. doi: 10.1155/2020/9081813. eCollection 2020.

Abstract

Chagas disease (CD) is one of the most important neglected tropical diseases in the American continent. Host-derived nitroxidative stress in response to infection can induce tissue damage contributing to the progression of Chagas disease. Antioxidant supplementation has been suggested as adjuvant therapy to current treatment. In this article, we synthesize and discuss the current evidence regarding the use of antioxidants as adjunctive compounds to fight harmful reactive oxygen species and lower the tissue oxidative damage during progression of chronic Chagas disease. Several antioxidants evaluated in recent studies have shown potential benefits for the control of oxidative stress in the host's tissues. Melatonin, resveratrol, the combination of vitamin C/vitamin E (vitC/vitE) or curcumin/benznidazole, and mitochondria-targeted antioxidants seem to be beneficial in reducing plasma and cardiac levels of lipid peroxidation products. Nevertheless, further research is needed to validate beneficial effects of antioxidant therapies in Chagas disease.

摘要

恰加斯病(CD)是美洲大陆最重要的被忽视热带病之一。宿主对 感染的氮氧化物应激反应会导致组织损伤,从而促进恰加斯病的进展。抗氧化剂补充已被建议作为当前治疗的辅助疗法。在本文中,我们综合讨论了使用抗氧化剂作为辅助化合物来对抗有害的活性氧物质并降低慢性恰加斯病进展过程中组织氧化损伤的最新证据。最近的研究评估了几种抗氧化剂,它们显示出对控制宿主组织氧化应激具有潜在益处。褪黑素、白藜芦醇、维生素 C/维生素 E(vitC/vitE)或姜黄素/苯并咪唑的组合以及靶向线粒体的抗氧化剂似乎有利于降低血浆和心脏脂质过氧化产物水平。然而,仍需要进一步的研究来验证抗氧化治疗在恰加斯病中的有益效果。

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