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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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206<br />

Chapter | 7 The Erythrocyte: Physiology, Metabolism, and Biochemical Disorders<br />

and Whanger, 1983 ; Caple et al. , 1978 ; Thompson et al. ,<br />

1976 ). Selenium deficiency can be diagnosed by measuring<br />

decreased RBC GPx activity in some species ( Anderson<br />

et al. , 1978 ; Caple et al. , 1978 ); however, caution is indicated<br />

in using this activity as a direct indicator <strong>of</strong> selenium<br />

status because polymorphism in GPx activity may be present,<br />

as occurs in Finn sheep ( Sankari and Atroshi, 1983 ).<br />

A wide variety <strong>of</strong> abnormalities or lesions (most notably in<br />

skeletal and cardiac muscle) have been described in association<br />

with selenium deficiency in animals ( Shamberger,<br />

1986 ), but hemolytic anemia rarely, if ever, occurs in the<br />

absence <strong>of</strong> external oxidant stress. Heinz body (HzB) hemolytic<br />

anemia has been reported during the summer months<br />

in selenium-deficient cattle grazing on St. Augustine grass<br />

growing on peaty muck soils in South Florida ( Morris<br />

et al. , 1984 ). Although HzB formation was greatly reduced<br />

by selenium supplementation, it is likely that these animals<br />

were also exposed to a seasonal oxidant, possibly incorporated<br />

in the grass.<br />

6 . Thioredoxin, Glutaredoxin, and Peroxyredoxin<br />

Thioredoxin (Trx) and glutaredoxin (Grx) are small proteins<br />

with two closely associated cysteines in their active<br />

sites ( Lillig and Holmgren, 2007 ). They may be present in<br />

either oxidized disulfide forms or reduced dithiol forms.<br />

The reduced forms <strong>of</strong> these proteins interact with and<br />

reduce intramolecular protein disulfides that form in oxidatively<br />

damaged proteins. Resultant oxidized Trx is reduced<br />

to the dithiol form by NADPH and thioredoxin reductase<br />

(together called the thioredoxin system) ( Cha and Kim,<br />

1995 ; Mendiratta et al. , 1998 ). In contrast, oxidized Grx<br />

is reduced by GSH, and the GSSG formed is reduced by<br />

NADPH and GR (together called the glutaredoxin system)<br />

( Papov et al. , 1994 ). Reduced Grx can also reduce mixed<br />

disulfides that form between glutathione and oxidized protein<br />

SH groups (S-glutathionylation) ( Klatt and Lamas,<br />

2000 ). These various reactions regenerate SH groups, presumably<br />

protecting proteins such as Hb and enzymes with<br />

reactive SH groups from irreversible denaturation. Trx<br />

is also important in the scavenging <strong>of</strong> free radicals (both<br />

directly and indirectly) and as an electron donor for peroxyredoxins.<br />

Grx is also utilized in the reduction <strong>of</strong> dehydroascorbate.<br />

Both Trx and Grx have additional functions<br />

in other cell types ( Lillig and Holmgren, 2007 ).<br />

Peroxyredoxins are an emerging family <strong>of</strong> multifunctional<br />

SH-dependent enzymes that reduce H 2 O 2 and alkyl<br />

hydroperoxides to water and alcohol, respectively. Oxidized<br />

peroxyredoxins are regenerated using the Trx system ( Lee<br />

et al. , 2003 ). Peroxiredoxin 2 (Prx2) is the third most abundant<br />

protein in human RBCs, in which it has been shown to<br />

be an efficient scavenger <strong>of</strong> H 2 O 2 generated endogenously<br />

at low concentrations ( Low et al. , 2007 ). Knockout mice<br />

lacking Prx2 have severe hemolytic anemia characterized<br />

by an increase in RBC reactive oxygen species, leading to<br />

protein oxidation, HzB formation, and decreased RBC life<br />

span ( Lee et al. , 2003 ).<br />

7 . Catalase<br />

Catalase is a heme-containing homotetrameric enzyme that<br />

also destroys H 2 O 2 by conversion to H 2 O and O 2 ( Kirkman<br />

and Gaetani, 2007 ). Except in dogs, mammalian RBCs<br />

generally have high catalase activities ( Allison et al. , 1957 ;<br />

Nakamura et al. , 1998 ; Paniker and Iyer, 1965 ; Suzuki<br />

et al. , 1984 ). Catalase is linked metabolically to the PPP<br />

because NADPH is tightly bound to catalase in mammals<br />

( Kirkman and Gaetani, 2007 ). The oxidation <strong>of</strong> bound<br />

NADPH to bound NADP results in the accumulation <strong>of</strong><br />

an inactive form <strong>of</strong> catalase (compound II). This inactive<br />

catalase can be returned to normal function by reduction<br />

<strong>of</strong> bound NADP with unbound NADPH and (to a lesser<br />

degree) unbound NADH using reductase and transhydrogenase<br />

activities, respectively, inherent in catalase ( Gaetani<br />

et al. , 2005 ). This may explain the finding <strong>of</strong> normal catalase<br />

activity in RBCs from a horse with extremely low NADPH<br />

concentration secondary to G6PD deficiency ( Stockham<br />

et al. , 1994 ). In addition to its benefit to RBCs, the presence<br />

<strong>of</strong> catalase in RBCs may help protect somatic cells<br />

exposed to high levels <strong>of</strong> H 2 O 2 , such as in sites <strong>of</strong> active<br />

inflammation ( Agar et al. , 1986 ).<br />

The relative importance <strong>of</strong> catalase versus GPx in the<br />

detoxification <strong>of</strong> low levels <strong>of</strong> endogenous H 2 O 2 produced<br />

in vivo has been controversial ( Gaetani et al. , 1994 ;<br />

Nagababu et al. , 2003 ; Scott et al. , 1993 ). Dogs have been<br />

identified that lack catalase within their RBCs but have<br />

catalase in other tissues ( Nakamura et al. , 1999 ). RBCs<br />

from acatalasemic humans, mice, and dogs have not been<br />

reported to exhibit increased oxidative damage in vivo<br />

( Goth, 2001 ; Kirkman and Gaetani, 2007 ). RBCs from mice<br />

with GPx deficiency exhibit nearly normal defenses against<br />

H 2 O 2 in vitro , although some loss <strong>of</strong> membrane sulfhydryls<br />

occurs in vivo (Ho et al. , 2004 ; Johnson et al. , 2000 ). Based<br />

on information available at this time, it appears that Prx2 is<br />

the most important enzyme in protecting RBCs against the<br />

low levels <strong>of</strong> H 2 O 2 normally produced in vivo (Lee et al. ,<br />

2003 ). Catalase appears to be important in protecting RBCs<br />

against higher levels <strong>of</strong> exogenous H 2 O 2 (Johnson et al. ,<br />

2005 ; Stagsted and Young, 2002 ). The primary physiological<br />

role <strong>of</strong> GPx in RBCs appears to be the detoxification <strong>of</strong><br />

organic peroxides ( Johnson et al. , 2000 ).<br />

8 . Vitamin E ( α-Tocopherol)<br />

Vitamin E is lipid soluble and the most important antioxidant<br />

in the cell membrane. It donates reducing equivalents<br />

to lipid peroxyl radicals, converting them to less toxic lipid<br />

hydroperoxides (May, 1998 ; Valko et al. , 2007 ). GSHdependent<br />

phospholipid hydroperoxidase can reduce the<br />

lipid hydroperoxides that form. Oxidized vitamin E can be

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