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1.
Food Nutr Res ; 642020.
Article in English | MEDLINE | ID: mdl-33447179

ABSTRACT

BACKGROUND: The antioxidant effects of Bacillus subtilis-fermented red bean (natto-red bean) extract (NRBE) in young (6 weeks old) Sprague-Dawley rats and aged (12 months old) mice had been reported previously. OBJECTIVE: To evaluate the antioxidant and anti-inflammatory effects of NRBE in the kidneys of streptozocin-induced diabetic rats. DESIGN: Normal control rats and diabetic rats were orally gavaged with saline and low-dose NRBE (100 mg/kg body weight [BW]), medium-dose NRBE (200 mg/kg BW), and high-dose NRBE (500 mg/kg BW), for 12 weeks and then sacrificed. Concentration of fasting glucose, adiponectin, renal function markers, antioxidative markers, and pro-inflammatory markers were measured. RESULTS: Oral administration of 50% ethanolic extract of NRBE with a dosage of 100 mg/kg BW, 200 mg/kg BW, or 500 mg/kg BW could improve the symptoms of kidney enlargement and renal function. Supplementation of NRBE can effectively inhibit the formation of renal reactive oxygen species and advanced-glycation end-products and increase renal glutathione content and serum adiponectin. A low dose of NRBE (100 mg/kg BW) decreased fasting blood sugar and renal interleukin (IL)-6 expression. Serum C-reactive protein, renal tumor necrosis factor-α, and monocyte chemoattractant protein-1 concentrations were decreased, and renal superoxide dismutase activity was increased in the medium-dose NRBE group. Twenty-four hour creatinine clearance and urinary albumin excretion also improved by medium-dose NRBE supplementation. In NRBE, total phenols and flavonoids were 6.3 mg gallic acid equivalent/g and 12.02 mg rutin equivalent/g, respectively, and kampherol was the major active antioxidant compound. CONCLUSION: This study demonstrated that appropriate amount of NRBE, 200 mg/kg BW in rats, could prevent diabetic nephropathy by improving antioxidant status and inhibiting inflammation in renal tissue.

2.
Nutr Cancer ; 68(3): 473-80, 2016.
Article in English | MEDLINE | ID: mdl-27007465

ABSTRACT

Oral cancer is keeping its 4th rank on the death causing cancers among Taiwan males, and its metastatic and recurrent rates remain high and a life-threatening issue to the citizens. Fermented wheat germ extract (AVEMAR) is used in clinical cancer nutritional therapy in gastrointestinal cancers but not in oral cancer yet. In this study, the potential of AVEMAR to inhibit tumor proliferation and metastasis of oral cancer was first investigated. Antiproliferative activity of AVEMAR was determined in human oral squamous carcinoma SCC-4 cells by MTT methodology. Wound-healing migration, transwell invasion, and Western blotting assays were carried out to examine the in vitro antimetastatic effects and involved signaling molecules for AVEMAR in oral cancer cells. AVEMAR at 0.2-1.6 mg/ml significantly inhibited the cell viability with IC50 values of 1.19 and 0.98 mg/ml for 24-h and 48-h treatment. Furthermore, AVEMAR could induce cell apoptosis and inhibit the migration and invasion of metastatic SCC-4 cells at a similar dose range. Notably, AVEMAR suppressed the expression of matrix metalloproteinase (MMP)-2 and urokinase plasminogen activator (u-PA), but not MMP-1 or MMP-9, in SCC-4 cells. These results strongly support the antiproliferation and in vitro antimetastatic capacity of AVEMAR which may extend its contributions from cancer nutrition supplements to preventive agent for oral cancer.


Subject(s)
Mouth Neoplasms/drug therapy , Mouth Neoplasms/pathology , Plant Extracts/pharmacology , Antineoplastic Agents, Phytogenic/pharmacology , Apoptosis/drug effects , Cell Line, Tumor , Cell Movement/drug effects , Cell Proliferation/drug effects , Cell Survival/drug effects , Drug Screening Assays, Antitumor/methods , Humans , Matrix Metalloproteinase 2/metabolism , Mouth Neoplasms/metabolism , Urokinase-Type Plasminogen Activator/metabolism
3.
Mol Nutr Food Res ; 57(12): 2264-8, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23901023

ABSTRACT

The receptor for advanced glycation of end products (RAGE) plays a critical role in the progression of type 2 diabetes (T2D). Soluble RAGE (sRAGE) is one of the RAGE variants, which acts as a decoy domain receptor and competes with RAGE, thus contributing to prevention of T2D. In this study, we conducted clinical trials of (-)-epigallocatechin-3-gallate (EGCG) rich green tea extract (300-900 mg/day) to investigate the effect of EGCG on relationship between S100A12 RAGE ligand and diverse sRAGE in T2D. Moreover, mechanism of sRAGE production also confirmed in vitro. Our data indicated that EGCG could stimulate sRAGE circulation but inhibited RAGE ligand in T2D, and ADAM10-mediated ectodomain shedding of extracellular RAGE was mainly involved in EGCG-stimulated sRAGE circulation. The present evidence indicates that EGCG has a potential to block S100A12-RAGE axis by stimulating sRAGE production through ADAM10-mediated ectodomain shedding of extracellular RAGE. Therefore, EGCG contributes to nutritional strategies for diabetes, not only because of its efficient antioxidant activity to scavenge free radicals, but also because of its ability stimulating sRAGE release in the circulation. Additionally, ADAM10-induced ectodomain shedding of extracellular RAGE leading to sRAGE circulation should be a potential of passive mechanism of sRAGE production to block S100A12-RAGE axis-related pathogenesis of proinflammation and diabetes.


Subject(s)
ADAM Proteins/metabolism , Amyloid Precursor Protein Secretases/metabolism , Catechin/analogs & derivatives , Diabetes Mellitus, Type 2/diet therapy , Diabetes Mellitus, Type 2/metabolism , Membrane Proteins/metabolism , Plant Extracts/therapeutic use , Receptors, Immunologic/metabolism , S100 Proteins/metabolism , ADAM10 Protein , Camellia sinensis/chemistry , Catechin/pharmacology , Female , Humans , Male , Middle Aged , Monocytes/drug effects , Monocytes/metabolism , Protein Structure, Tertiary , Receptor for Advanced Glycation End Products , Receptors, Immunologic/blood , S100 Proteins/blood , S100A12 Protein
4.
J Ethnopharmacol ; 143(3): 914-9, 2012 Oct 11.
Article in English | MEDLINE | ID: mdl-22971663

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Echinacea is a top-selling herbal supplement that acts as immunostimulant. It has been used to treat common cold, coughs, bronchitis and upper respiratory infections. It is also a popular product used in anticancer therapy. The cytotoxic effects of Echinacea on cancer cells are still not clear. The aims of this study were to provide a preliminary validation of the effects of 50% aqueous ethanol extract of Echinacea purpurea flowers and its major compound, cichoric acid, on human colon cancer cells Caco-2 and HCT-116. MATERIALS AND METHODS: The cytotoxic effects of Echinace flower extracts and cichoric acid on cell viability, telomerase activity, DNA fragmentation, ß-catenin, caspase-9, and cleavage of poly-ADP-ribose polymerase (PARP) of human colon cancer cell were examined. RESULTS: The results showed a significant inhibition of proliferation in E. purpurea flower extract and cichoric acid in a dose- and time-dependent manner. Cichoric acid treatment decreased telomerase activity in HCT-116 cells. Moreover, cichoric acid effectively induced apoptosis in colon cancer cells, which were characterized by DNA fragmentation, activation of caspase-9, cleavage of PARP and downregulation of ß-catenin. CONCLUSIONS: Our data indicate that cichoric acid has a strong growth-inhibitory effect against colon cancer cells, presumably resulting from the reduced telomerase activity and the induction of apoptosis. The exact mechanism of action should still be determined in future studies. Overall, the effects of 50% aqueous ethanol extract of E. purpurea flowers and cichoric acid may have provided in vitro evidence for the use as chemotherapeutic agents.


Subject(s)
Antineoplastic Agents/pharmacology , Caffeic Acids/pharmacology , Echinacea , Plant Extracts/pharmacology , Succinates/pharmacology , Apoptosis/drug effects , Caco-2 Cells , Caspase 9/metabolism , Cell Survival/drug effects , Colonic Neoplasms , DNA Fragmentation , Flowers , HCT116 Cells , Humans , Poly(ADP-ribose) Polymerases/metabolism , Telomerase/metabolism , beta Catenin/metabolism
5.
J Food Sci ; 77(2): H76-80, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22309505

ABSTRACT

Astaxanthin at 0.01 or 0.05% of the diet was supplied to diabetic rats for 12 wk. Astaxanthin intake significantly increased its deposit in plasma, and retained glutathione content, reduced the production of reactive oxygen species, interleukin-6, tumor necrosis factor-α, and monocyte chemoattractant protein-1 in blood and kidney of diabetic rats (P < 0.05). Astaxanthin treatments also significantly decreased plasma levels of C-reactive protein and von Willebrand factor in diabetic rats (P < 0.05). Astaxanthin intake at 0.05% significantly diminished plasminogen activator inhibitor-1 and factor VII activities, enhanced antithrombin-III and protein C activities in circulation (P < 0.05). These results support that astaxanthin could attenuate diabetes associated coagulatory, oxidative, and inflammatory stress.


Subject(s)
Anti-Inflammatory Agents/therapeutic use , Anticoagulants/therapeutic use , Diabetes Mellitus, Experimental/drug therapy , Animals , Antioxidants/therapeutic use , Blood Coagulation/drug effects , Blood Glucose/drug effects , C-Reactive Protein/metabolism , Chemokine CCL2/blood , Glutathione/metabolism , Interleukin-6/blood , Kidney/drug effects , Male , Plasminogen Activator Inhibitor 1/metabolism , Rats , Rats, Sprague-Dawley , Reactive Oxygen Species/metabolism , Tumor Necrosis Factor-alpha/blood , Xanthophylls/therapeutic use
6.
Mol Nutr Food Res ; 54(3): 388-95, 2010 Mar.
Article in English | MEDLINE | ID: mdl-19885845

ABSTRACT

Protective effects of caffeic acid (CA) and ellagic acid (EA) in kidney of diabetic mice were examined. CA or EA at 2.5 and 5% was mixed in diet and supplied to diabetic mice for 12 wk. Results showed that the intake of CA or EA increased renal content of these compounds, alleviated body weight loss, decreased urine output, increased plasma insulin and decreased blood glucose levels at weeks 6 and 12 (p<0.05). The intake of these compounds dose dependently reduced plasma blood urea nitrogen and elevated creatinine clearance (p<0.05). CA or EA at 5% significantly decreased the levels of plasma HbA1c, urinary glycated albumin, renal carboxymethyllysine, pentosidine, sorbitol and fructose (p<0.05), and significantly diminished renal activity of aldose reductase and sorbitol dehydrogenase, as well as suppressed renal aldose reductase mRNA expression (p<0.05). CA or EA dose dependently lowered renal levels of IL-6, IL-1beta, tumor necrosis factor (TNF)-alpha and monocyte chemoattractant protein 1 (MCP-1) (p<0.05). Furthermore, CA or EA dose dependently down-regulated tumor necrosis factor-alpha and monocyte chemoattractant protein-1 mRNA expression in kidney (p<0.05). Based on the observed anti-glycative and anti-inflammatory effects, the supplement of CA or EA might be helpful for the prevention or attenuation of diabetic kidney diseases.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Caffeic Acids/therapeutic use , Diabetes Mellitus, Experimental/physiopathology , Diabetic Nephropathies/prevention & control , Ellagic Acid/therapeutic use , Kidney/drug effects , Aldehyde Reductase/genetics , Aldehyde Reductase/metabolism , Animals , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Biomarkers/blood , Biomarkers/metabolism , Caffeic Acids/administration & dosage , Caffeic Acids/metabolism , Cytokines/genetics , Cytokines/metabolism , Diabetes Mellitus, Experimental/complications , Diabetes Mellitus, Experimental/metabolism , Diabetic Nephropathies/drug therapy , Diabetic Nephropathies/metabolism , Diabetic Nephropathies/physiopathology , Ellagic Acid/administration & dosage , Ellagic Acid/metabolism , Fructose/metabolism , Gene Expression Regulation/drug effects , Glycation End Products, Advanced/metabolism , Glycosylation/drug effects , Kidney/metabolism , Kidney/physiopathology , Kidney Function Tests , L-Iditol 2-Dehydrogenase/metabolism , Male , Mice , Mice, Inbred BALB C , RNA, Messenger/metabolism , Sorbitol/metabolism , Time Factors
7.
J Food Sci ; 74(7): H225-31, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19895474

ABSTRACT

Nerve growth factor differentiated PC12 cells were used to examine the antioxidative and anti-inflammatory effects of astaxanthin (AX) and canthaxanthin (CX). PC12 cells were pretreated with AX or CX at 10 or 20 muM, and followed by exposure of hydrogen peroxide (H(2)O(2)) or 1-methyl-4-phenylpyridinium ion (MPP(+)) to induce cell injury. H(2)O(2) or MPP(+) treatment significantly decreased cell viability, increased lactate dehydrogenase (LDH) release, enhanced DNA fragmentation, and lowered mitochondrial membrane potential (MMP) (P < 0.05). The pretreatments from AX or CX concentration-dependently alleviated H(2)O(2) or MPP(+)-induced cell death, LDH release, DNA fragmentation, and MMP reduction (P < 0.05). Either H(2)O(2) or MPP(+) treatment significantly increased malonyldialdehyde (MDA) and reactive oxygen species (ROS) formations, decreased glutathione content, and lowered glutathione peroxidase (GPX) and catalase activities (P < 0.05). The pretreatments from AX or CX significantly retained GPX and catalase activities, and decreased MDA and ROS formations (P < 0.05). H(2)O(2) or MPP(+) treatment significantly decreased Na(+)-K(+)-ATPase activity, elevated caspase-3 activity and levels of interleukin (IL)-1, IL-6, and tumor necrosis factor (TNF)-alpha (P < 0.05); and the pretreatments from these agents significantly restored Na(+)-K(+)-ATPase activity, suppressed caspase-3 activity and release of IL-1, IL-6, and TNF-alpha (P < 0.05). Based on the observed antioxidative and anti-inflammatory protection from AX and CX, these 2 compounds were potent agents against neurodegenerative disorder.


Subject(s)
Anti-Inflammatory Agents/pharmacology , Antioxidants/pharmacology , Canthaxanthin/pharmacology , Neurons/drug effects , Neuroprotective Agents/pharmacology , 1-Methyl-4-phenylpyridinium/toxicity , Animals , Caspase 3/metabolism , Cell Membrane/drug effects , Cell Survival/drug effects , Cytokines/metabolism , DNA Fragmentation/drug effects , Dose-Response Relationship, Drug , Hydrogen Peroxide/toxicity , Membrane Potential, Mitochondrial/drug effects , Nerve Growth Factor/pharmacology , Neurodegenerative Diseases/prevention & control , Neurons/physiology , Oxidative Stress/drug effects , PC12 Cells , Rats , Sodium-Potassium-Exchanging ATPase/metabolism , Xanthophylls/pharmacology
8.
Int J Nanomedicine ; 4: 27-35, 2009.
Article in English | MEDLINE | ID: mdl-19421368

ABSTRACT

Soy isoflavones may have applications in cancer prevention and anti-inflammation, therefore this study was conducted to investigate the effect of dietary supplementation with black soybean on the immune response in the senescence-accelerated-prone mice (SAMP8) and -resistant mice (SAMPR1, as controls). The mechanism of isoflavones was also investigated. Six-month-old male SAMP8 and SAMR1 mice were divided into the control groups and experimental groups supplemented with nanonized (Nano-soy) or microparticled (Micro-soy) black soybeans (n = 8/group), respectively for 12 weeks. Human peripheral blood mononuclear cells (PBMC) and murine splenocytes were stimulated with mitogens and cytokines were determined by reverse transcriptase-polymerase chain reaction and/or ELISA. The results showed that body weight, food intake, and relative weights of organs did not differ among the SAMP8 control and experimental groups. Isoflavone (daidzin and genistin) intake was higher in the Nano-soy group than the Micro-soy group. The lymphoproliferation and production of interleukin-2 (IL-2) and interferon-gamma (IFN-gamma) in the Nano-soy group had a significantly higher (P < 0.05) than those in the control and Micro-soy groups. The Nano-soy supplemented mice reached these cytokine levels similar to SAMR1 mice. This result was consistent with the in vitro data that daidzein (a metabolite of daidzin), at a concentration of 10 muM, increased IL-2, IL-4, and IFN-gamma production from phytohemagglutinin-stimulated PBMC (P < 0.05). However at higher concentrations (> 50 microM), daidzein only reduced IL-10 and IFN-gamma levels, whereas genistein reduced levels of the IL-2, IL-4, IL-10, IFN-gamma mRNA and protein and these results suggest that the Nano-soy supplementation improved immune response in SAMP8 mice which may be attributable to higher daidzin content in the black soybean preparation.


Subject(s)
Aging/immunology , Cytokines/immunology , Glycine max/chemistry , Immunity, Innate/immunology , Nanostructures/administration & dosage , Plant Extracts/administration & dosage , Administration, Oral , Aging/drug effects , Animals , Immunity, Innate/drug effects , Mice
9.
J Agric Food Chem ; 55(17): 7177-81, 2007 Aug 22.
Article in English | MEDLINE | ID: mdl-17658830

ABSTRACT

Oleanolic acid and ursolic acid are two triterpenes presented in several herbs. This study analyzed the content of oleanolic acid and ursolic acid in eight locally available fresh herbs, also examined several nonenzymatic antioxidant activities of these two triterpenes, and used a liposome system to evaluate the influence of temperature and pH upon the antioxidant property of these two triterpenes. The impact of these two triterpenes on the production of nonenzymatic glycative products, pentosidine and carboxymethyllysine (CML), was also evaluated. alpha-Tocopherol was used for comparison. Results showed that the content of oleanolic acid and ursolic acid in glossy privet fruit and hawthorn fruit varied from season to season and was in the range of 200-650 microg/g of fresh weight. Both oleanolic acid and ursolic acid possessed greater antioxidant activity against 2,2'-azobis-(2-amidinopropane) dihydrochloride and less antioxidant activity against 2,2'-azobis(2,4-dimethylvaleronitrile) when compared with alpha-tocopherol at equal concentration (P <0.05). At 75 and 100 degrees C, oleanolic acid exhibited greater antioxidant activity than alpha-tocopherol and ursolic acid (P <0.05). At pH 2 and pH 4, oleanolic acid and ursolic acid showed greater antioxidant activity than alpha-tocopherol (P <0.05). These two triterpenes also exhibited a dose-dependent effect in superoxide anion scavenging activity, chelating effect, xanthine oxidase inhibition activity, and reducing power (P <0.05). Oleanolic acid significantly and dose-dependently inhibited pentosidine and CML formation (P <0.05). Ursolic acid also significantly suppressed CML formation (P <0.05). These data support that these two triterpenes possessed nonenzymatic antioxidative and antiglycative properties.


Subject(s)
Antioxidants/pharmacology , Oleanolic Acid/pharmacology , Triterpenes/pharmacology , Glycosylation/drug effects , Hydrogen-Ion Concentration , alpha-Tocopherol/pharmacology , Ursolic Acid
10.
Food Chem Toxicol ; 45(3): 502-7, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17123684

ABSTRACT

Diallyl trisulfide (DAT)-rich garlic oil was fed to Sprague-Dawley rats and the effects of this DAT-rich garlic oil on bleeding time, clotting time and anticoagulation factors were examined. Garlic oil supplement at 5 or 50mg garlic oil/kg bodyweight significantly prolonged bleeding time and thrombin time, and enhanced anticoagulation factor activity, such as antithrombin III and protein C (P<0.05). These results suggested that the anticoagulant action of DAT-rich garlic oil was due to inhibition and/or inactivation of thrombin. In addition, DAT-rich garlic oil benefits blood anticoagulation factors, which might further prevent the development of thrombus formation. However, the intake of garlic oil at high dose significantly increased plasma fibrinogen concentration (P<0.05), and affected the levels of several hematological parameters such as erythrocyte count, hemoglobin and platelets (P<0.05). The adverse effect of high doses of garlic oil might further influence the hemostatic balance. Therefore, the concentration of DAT-rich garlic oil should be carefully considered in its application. Supplementation of garlic oil at 5mg/kg bodyweight has anticoagulation effect in this animal study.


Subject(s)
Allyl Compounds/pharmacology , Antioxidants/pharmacology , Blood Coagulation/drug effects , Garlic , Phytotherapy , Sulfides/pharmacology , Administration, Oral , Allyl Compounds/administration & dosage , Allyl Compounds/therapeutic use , Animals , Antioxidants/administration & dosage , Antioxidants/therapeutic use , Blood Cell Count , Male , Rats , Rats, Sprague-Dawley , Sulfides/administration & dosage , Sulfides/therapeutic use
11.
J Agric Food Chem ; 50(21): 6143-7, 2002 Oct 09.
Article in English | MEDLINE | ID: mdl-12358493

ABSTRACT

The nonenzymatic antioxidant activity of diallyl sulfide (DAS), diallyl disulfide (DADS), S-ethyl cysteine (SEC), and N-acetyl cysteine (NAC) in the liposome system was examined. The antioxidant protection from these organosulfur agents was concentration dependent (p < 0.05). SEC and NAC showed significantly lower lipophilicity and greater reducing power than DAS and DADS (p < 0.05). Greater antioxidant protection was presented in the combinations of alpha-tocopherol with four organosulfur agents than alpha-tocopherol treatment alone (p < 0.05), and SEC and NAC showed greater sparing effects on alpha-tocopherol (p < 0.05). Four organosulfur agents lost antioxidant activity when the temperature was 65 degrees C (p < 0.05). At pH 2.5 and 10, DAS and DADS still showed antioxidant activity (p < 0.05). On the basis of the observed nonenzymatic antioxidant protection, these organosulfur compounds are potent agents for enhancing lipid stability.


Subject(s)
Antioxidants/analysis , Antioxidants/pharmacology , Cysteine/analogs & derivatives , Garlic/chemistry , Sulfur Compounds/analysis , Sulfur Compounds/pharmacology , Acetylcysteine/analysis , Acetylcysteine/pharmacology , Allyl Compounds/analysis , Allyl Compounds/pharmacology , Cysteine/analysis , Cysteine/pharmacology , Disulfides/analysis , Disulfides/pharmacology , Hydrogen-Ion Concentration , Lipid Peroxidation/drug effects , Sulfides/analysis , Sulfides/pharmacology , alpha-Tocopherol/pharmacology
12.
Thromb Res ; 108(5-6): 317-22, 2002 Dec 15.
Article in English | MEDLINE | ID: mdl-12676192

ABSTRACT

Isolated human erythrocyte membrane and platelet were used to study the antioxidative and anti-aggregative effects of three diallyl sulphides (diallyl sulphide, DAS; diallyl disulphide, DADS; diallyl trisulphide, DAT) against glucose-induced oxidation and adenosine 5'-diphosphate (ADP)-induced platelet aggregation. Three sulphide agents showed dose-dependent antioxidative protection against glucose-induced erythrocyte membrane oxidation (p<.05), and these agents at 10 microM significantly increased the retention of alpha-tocopherol in erythrocyte membrane (p<.05), in which DAT was the most effective agent (p<.05). Three sulphide agents significantly inhibited 30 and 50 mM of glucose-induced platelet oxidation (p<.05). The anti-aggregative activity of each sulphide agent was dose dependent (p<.05), in which DAT showed the greatest inhibitory effect on platelet aggregation than DADS, followed by DAS (p<.05). After ADP stimulation, the malondialdehyde (MDA) formation in platelets treated with sulphide agents was significantly less (p<.05), in which DADS and DAT showed similar antioxidative activities (p>.05). These results suggested that DADS and DAT could be considered as strong antioxidative and antithrombotic agents to prevent or control oxidative damage and platelet hyperactivity.


Subject(s)
Allyl Compounds/pharmacology , Antioxidants/pharmacology , Blood Platelets/drug effects , Erythrocytes/drug effects , Glucose/pharmacology , Sulfides/pharmacology , Adenosine Diphosphate/pharmacology , Adult , Blood Platelets/metabolism , Blood Platelets/physiology , Disulfides/pharmacology , Drug Antagonism , Erythrocytes/metabolism , Humans , Malondialdehyde/metabolism , Oxidation-Reduction/drug effects , Platelet Aggregation/drug effects , alpha-Tocopherol/metabolism
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