Novel electrochemical approach to enhanced toxicity of 4-oxo-2-nonenal vs. 4-hydroxy-2-nonenal (role of imine): oxidative stress and therapeutic modalities

Reactive oxygen species (ROS) and oxidative stress (OS) have received increasing attention in connection with illness, disease, and aging. The OS results in widespread attack of body constituents, with unsaturated lipids, leading to hydroperoxides, being a focus of research. Subsequent decomposition yields various functionalized aldehydes, including 4-hydroxy-2-nonenal (HNE). OS linked to HNE is associated with various illnesses. Recently, much attention has been devoted to 4-oxo-2-nonenal (ONE), also a product from lipid hydroperoxide decomposition. ROS and OS are increasingly implicated in the mode of action of drugs and toxins. The preponderance of bioactive substances or their metabolites incorporate electron transfer (ET) functionalities, among which are imines or iminiums. Also, in this category are the less well-known alpha-dicarbonyls. ET moieties undergo redox cycling accompanied by generation of ROS. Electrochemistry, a neglected area, can provide valuable insight. If the reduction potential is more positive than -0.5 V, then ET reactions are a possibility in vivo. Both HNE and ONE participate in Michael addition reactions with protein nucleophiles. The process occurs at a faster rate with ONE due mainly to the high reactivity toward His and Cys. The greater toxicity of ONE vs. HNE may partly reflect this difference. Also, ONE forms Schiff base (imine) at a faster rate than HNE, which also may contribute to the difference in toxicity. Electrochemistry of alpha-dicarbonyls and their imine derivatives can elucidate basic mechanisms. Methylglyoxal possesses a reduction potential of -0.18 V, amenable to ET in vivo. Since ONE is a vinylog of methylglyoxal, redox cycling should be even more facile. Another model is diacetyl whose reduction potential is also favorable. In contrast, crotonaldehyde, a model for the HNE vinylog, is characterized by a quite negative reduction potential, unsuitable for ET; acrolein is included. Imines of alpha-dicarbonyls serve as models for Schiff bases from ONE. The diimines in acid have reduction potentials of -0.45 to -0.49 V. Diacetyl monoxime, an oximino analog of the vinylogous ONE mono Schiff base, possesses a similar value. The ONE vinylogs should exhibit even better electrochemical characteristics. Thus, these neglected electrochemical properties can help rationalize the greater toxicity of ONE vs. HNE. Toxicity of the aldehydes may be countered by various approaches: formation of non-toxic imines, carboxylic acids, and Michael adducts. Genetic methods and AO therapy are treated.     

Ototoxicity and noise trauma: electron transfer, reactive oxygen species, cell signaling, electrical effects, and protection by antioxidants: practical medical aspects

Ototoxins are substances of various structures and classes. This review provides extensive evidence for involvement of electron transfer (ET), reactive oxygen species (ROS) and oxidative stress (OS) as a unifying theme. Successful application is made to the large majority of ototoxins, as well as noise trauma. We believe it is not coincidental that these toxins generally incorporate ET functionalities (quinone, metal complex, ArNO(2), or conjugated iminium) either per se or in metabolites, potentially giving rise to ROS by redox cycling. Some categories, e.g., peroxides and noise, appear to operate via non-ET routes in generating OS. These highly reactive entities can then inflict injury via OS upon various constituents of the ear apparatus. The theoretical framework is supported by the extensive literature on beneficial effects of antioxidants, both for toxins and noise. Involvement of cell signaling and electrical effects are discussed. This review is the first comprehensive one based on a unified mechanistic approach. Various practical medical aspects are also addressed. There is extensive documentation for beneficial effects of antioxidants whose use might be recommended clinically for prevention of ototoxicity and noise trauma. Recent research indicates that catalytic antioxidants may be more effective. In addition to ototoxicity, a widespread problem consists of ear infections by bacteria which are demonstrating increasing resistance to conventional therapies. A recent, novel approach to improved drugs involves use of agents which inhibit quorum sensors that play important roles in bacterial functioning. Prevention of ear injury by noise trauma is also discussed, along with ear therapeutics.