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Medicinal Plants Classification Biosynthesis and ... - Index of

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14<br />

Rosa Martha Perez Gutierrez, Adriana Maria Neira Gonzalez et al.<br />

capillaries. In the same rats, micronutrients inhibited increases in retinal oxidatively modified<br />

DNA <strong>and</strong> nitrotyrosine <strong>and</strong> decreases in manganese superoxide dismutase. Diabetes-induced<br />

alterations in the messenger RNA expression <strong>of</strong> mitochondrial electron transport complex III<br />

(coenzyme Q cytochrome-c reductase) <strong>and</strong> inducible nitric oxide synthase were also<br />

prevented. Age-Related Eye Disease Study-based micronutrients inhibit the development <strong>of</strong><br />

diabetic retinopathy in rodents by inhibiting oxidative <strong>and</strong> nitrative stress (Kowluru et al.,<br />

2008).<br />

Beta-carotene supplements do not appear to lower the risk <strong>of</strong> developing type 2, or adultonset,<br />

diabetes. Researchers analyzed the development <strong>of</strong> type 2 diabetes in 22,071 healthy<br />

US male physicians aged 40 to 84 years in a r<strong>and</strong>omized, double- blind, placebo-controlled<br />

trial, from 1982 to 1995 participating in the Physicians' Health Study, about half <strong>of</strong> whom<br />

were taking beta-carotene supplements (50 mg on alternate days) or placebo. Over a 12-year<br />

period, the rate <strong>of</strong> type 2 diabetes was similar in men who took beta-carotene <strong>and</strong> those who<br />

did not (Liu et al., 1999).<br />

-Carotene <strong>and</strong> Maculopathy<br />

In the USA, an estimated 30% <strong>of</strong> persons 65 years <strong>and</strong> older show signs <strong>of</strong> early age<br />

related maculopathy (ARM) or its late-stage manifestations, which are also known as agerelated<br />

macular degeneration (AMD) (National Advisory Eye Council, 2004).<br />

In a r<strong>and</strong>omized trial conducted for a 12 years‘ period <strong>of</strong> duration from a large<br />

population 22, 071 apparently healthy US male physicians aged 40 to 84 years. Participants<br />

were r<strong>and</strong>omly assigned to receive beta carotene (50 mg every other day) or placebo.<br />

However, the main trial results indicated that 12 years <strong>of</strong> r<strong>and</strong>omized β-carotene treatment<br />

had no beneficial or harmful effect on any cancer or cardiovascular disease end point in the<br />

overall population or in the 11.0% <strong>of</strong> physicians who were current smokers at baseline<br />

(Hennekens et al., 1996). Two other r<strong>and</strong>omized trials also reported no effect <strong>of</strong> beta carotene<br />

supplementation on cancer, cardiovascular, or mortality end points (Greenberg et al., 1996;<br />

Lee et al., 1999).<br />

In summary, the results <strong>of</strong> this trial indicate that beta carotene supplementation for 12<br />

years has little effect on the development <strong>of</strong> visually significant ARM in apparently healthy<br />

men (Christen et al., 2007).<br />

-Carotene <strong>and</strong> Pregnancy<br />

Reducing infant mortality remains a major public health challenge in developing<br />

countries. In recent years, attention has turned to reaching newborns with safe, efficacious<br />

interventions to improve survival (Martines et al., 2005). Long known to reduce child<br />

mortality over 6 months <strong>of</strong> age (Sommer <strong>and</strong> West, 1996), new observations have emerged in<br />

recent years that vitamin A, if given as an oral supplement shortly after birth, can reduce<br />

infant mortality. Two r<strong>and</strong>omized, placebo-controlled trials in South Asia have, to date,<br />

reported significant reductions in infant mortality after receipt <strong>of</strong> a large, oral dose <strong>of</strong> vitamin

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