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      Consequences of Hyperoxia and the Toxicity of Oxygen in the Lung

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          Abstract

          Oxygen (O 2) is life essential but as a drug has a maximum positive biological benefit and accompanying toxicity effects. Oxygen is therapeutic for treatment of hypoxemia and hypoxia associated with many pathological processes. Pathophysiological processes are associated with increased levels of hyperoxia-induced reactive O 2 species (ROS) which may readily react with surrounding biological tissues, damaging lipids, proteins, and nucleic acids. Protective antioxidant defenses can become overwhelmed with ROS leading to oxidative stress. Activated alveolar capillary endothelium is characterized by increased adhesiveness causing accumulation of cell populations such as neutrophils, which are a source of ROS. Increased levels of ROS cause hyperpermeability, coagulopathy, and collagen deposition as well as other irreversible changes occurring within the alveolar space. In hyperoxia, multiple signaling pathways determine the pulmonary cellular response: apoptosis, necrosis, or repair. Understanding the effects of O 2 administration is important to prevent inadvertent alveolar damage caused by hyperoxia in patients requiring supplemental oxygenation.

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          Most cited references88

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          Reactive species and antioxidants. Redox biology is a fundamental theme of aerobic life.

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            Oxidation of biological systems: oxidative stress phenomena, antioxidants, redox reactions, and methods for their quantification.

            Reactive oxygen species (ROS) and other radicals are involved in a variety of biological phenomena, such as mutation, carcinogenesis, degenerative and other diseases, inflammation, aging, and development. ROS are well recognized for playing a dual role as deleterious and beneficial species. The objectives of this review are to describe oxidative stress phenomena, terminology, definitions, and basic chemical characteristics of the species involved; examine the biological targets susceptible to oxidation and the defense mechanisms of the organism against these reactive metabolites; and analyze methodologies, including immunohistochemical markers, used in toxicological pathology in the visualization of oxidative stress phenomena. Direct detection of ROS and other free radicals is difficult, because these molecules are short-lived and highly reactive in a nonspecific manner. Ongoing oxidative damage is, thus, generally analyzed by measurement of secondary products including derivatives of amino acids, nuclei acids, and lipid peroxidation. Attention has been focused on electrochemical methods based on voltammetry measurements for evaluating the total reducing power of biological fluids and tissues. This approach can function as a tool to assess the antioxidant-reducing profile of a biological site and follow changes in pathological situations. This review thus includes different topics essential for understanding oxidative stress phenomena and provides tools for those intending to conduct study and research in this field.
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              Invited Review: Oxidation of Biological Systems: Oxidative Stress Phenomena, Antioxidants, Redox Reactions, and Methods for Their Quantification

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                Author and article information

                Journal
                Nurs Res Pract
                NRP
                Nursing Research and Practice
                Hindawi Publishing Corporation
                2090-1429
                2090-1437
                2011
                5 June 2011
                : 2011
                : 260482
                Affiliations
                1School of Nursing, University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA
                2U.S. Department of Veterans Affairs (122), Rehabilitation Research and Development Service, 810 Vermont Avenue, NW, Washington, DC 20420, USA
                Author notes
                *Amanda R. Thimmesch: athimmesch@ 123456kumc.edu

                Academic Editor: Alan Pearson

                Article
                10.1155/2011/260482
                3169834
                21994818
                4e343cdc-742f-41c2-af3b-2f4e3b07ab38
                Copyright © 2011 William J. Mach et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 December 2010
                : 29 March 2011
                : 4 April 2011
                Categories
                Review Article

                Nursing
                Nursing

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