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      Ozone therapy: an overview of pharmacodynamics, current research, and clinical utility

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          Abstract

          The use of ozone (O 3) gas as a therapy in alternative medicine has attracted skepticism due to its unstable molecular structure. However, copious volumes of research have provided evidence that O 3's dynamic resonance structures facilitate physiological interactions useful in treating a myriad of pathologies. Specifically, O 3 therapy induces moderate oxidative stress when interacting with lipids. This interaction increases endogenous production of antioxidants, local perfusion, and oxygen delivery, as well as enhances immune responses. We have conducted a comprehensive review of O 3 therapy, investigating its contraindications, routes and concentrations of administration, mechanisms of action, disinfectant properties in various microorganisms, and its medicinal use in different pathologies. We explore the therapeutic value of O 3 in pathologies of the cardiovascular system, gastrointestinal tract, genitourinary system, central nervous system, head and neck, musculoskeletal, subcutaneous tissue, and peripheral vascular disease. Despite compelling evidence, further studies are essential to mark it as a viable and quintessential treatment option in medicine.

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          Basic principles and emerging concepts in the redox control of transcription factors.

          Convincing concepts of redox control of gene transcription have been worked out for prokaryotes and lower eukaryotes, whereas the knowledge on complex mammalian systems still resembles a patchwork of poorly connected findings. The article, therefore, reviews principles of redox regulation with special emphasis on chemical feasibility, kinetic requirements, specificity, and physiological context, taking well investigated mammalian transcription factor systems, nuclear transcription factor of bone marrow-derived lymphocytes (NF-κB), and kelch-like ECH-associated protein-1 (Keap1)/Nrf2, as paradigms. Major conclusions are that (i) direct signaling by free radicals is restricted to O(2)•- and •NO and can be excluded for fast reacting radicals such as •OH, •OR, or Cl•; (ii) oxidant signals are H(2)O(2), enzymatically generated lipid hydroperoxides, and peroxynitrite; (iii) free radical damage is sensed via generation of Michael acceptors; (iv) protein thiol oxidation/alkylation is the prominent mechanism to modulate function; (v) redox sensors must be thiol peroxidases by themselves or proteins with similarly reactive cysteine or selenocysteine (Sec) residues to kinetically compete with glutathione peroxidase (GPx)- and peroxiredoxin (Prx)-type peroxidases or glutathione-S-transferases, respectively, a postulate that still has to be verified for putative mammalian sensors. S-transferases and Prxs are considered for system complementation. The impact of NF-κB and Nrf2 on hormesis, management of inflammatory diseases, and cancer prevention is critically discussed.
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            Ozone therapy: A clinical review

            Ozone (O3) gas discovered in the mid-nineteenth century is a molecule consisting of three atoms of oxygen in a dynamically unstable structure due to the presence of mesomeric states. Although O3 has dangerous effects, yet researchers believe it has many therapeutic effects. Ozone therapy has been utilized and heavily studied for more than a century. Its effects are proven, consistent, safe and with minimal and preventable side effects. Medical O3 is used to disinfect and treat disease. Mechanism of actions is by inactivation of bacteria, viruses, fungi, yeast and protozoa, stimulation of oxygen metabolism, activation of the immune system. Medication forms in a gaseous state are somewhat unusual, and it is for this reason that special application techniques have had to be developed for the safe use of O3. In local applications as in the treatment of external wounds, its application in the form of a transcutaneous O3 gas bath has established itself as being the most practical and useful method, for example at low (sub-atmospheric) pressure in a closed system guaranteeing no escape of O3 into the surrounding air. Ozonized water, whose use is particularly known in dental medicine, is optimally applied as a spray or compress. Diseases treated are infected wounds, circulatory disorders, geriatric conditions, macular degeneration, viral diseases, rheumatism/arthritis, cancer, SARS and AIDS.
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              Scientific and medical aspects of ozone therapy. State of the art.

              V. Bocci (2006)
              The aim of this review is to dispel misconceptions and skepticism regarding ozone therapy and to clarify the biochemical and pharmacological mechanisms of action of ozone dissolved in biological fluids. The work performed in the last decade in our laboratory allows drawing a comprehensive framework for understanding and recommending ozone therapy in some diseases. It is hoped that this report will open a dialogue among clinical scientists and will inform physicians about the beneficial effects of ozone therapy.

                Author and article information

                Journal
                Med Gas Res
                Med Gas Res
                MGR
                Medical Gas Research
                Medknow Publications & Media Pvt Ltd (India )
                2045-9912
                Jul-Sep 2017
                17 October 2017
                : 7
                : 3
                : 212-219
                Affiliations
                [1 ]Foley Plaza Medical, New York, NY, USA
                [2 ]Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
                [3 ]Medical Student Research Institute, St. George's University School of Medicine, Grenada, West Indies
                [4 ]Department of Cardiothoracic Surgery, Lenox Hill Hospital, New York, NY, USA
                [5 ]Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY, USA
                Author notes
                [* ]Correspondence to: Sardar Ali Khan, skysalik@ 123456gmail.com .

                Author contributions NLS designed, organized, and wrote the article; ALW designed the outline, wrote the article, and solved queries related to scientific publications from the journals; JG performed literature searches, critiqued the literature findings, and wrote the article; SV critiqued and applied logical reasoning to the literature findings; SAK applied clinical concepts, revised the article to add logical reasoning, and cross-checked the referencing. All authors have read and approved the manuscript provided.

                Author information
                http://orcid.org/0000-0002-4759-530X
                Article
                MGR-7-212
                10.4103/2045-9912.215752
                5674660
                29152215
                1cd8efeb-ba60-4782-8f16-9813669cce14
                Copyright: © 2017 Medical Gas Research

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Categories
                Review

                Molecular medicine
                ozone,ozone therapy,ozone gas,autohemotherapy,oxidative stress,reactive oxidative species,lipid ozonation products,oxidative preconditioning

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