This introductory review examines the historical and methodological aspects and prospects for the application of gas chromatography in redox biology and neurochemistry. In particular, the following topics are covered: the history of gas chromatography and GC-MS of thiols; the history of gas chromatography and GC-MS of acetylcysteine; the history of gas chromatography and GC-MS of acetylcholine; the history of gas chromatography and GC-MS of catecholamines and their metabolites; the history of gas chromatography and GC-MS of hydroperoxides; and the history of gas chromatography and GC-MS of phosphatidylcholine.
Keywords: Gas chromatography, Thiols, Acetylcysteine, Acetylcholine, Catecholamines, Hydroperoxides, Phosphatidylcholine, GC-MS, Antioxydants, Bio-antioxydants, Redox-etiology, Redox-pathology, Neuromediators, Neurotransmitters
1. The Practical Importance of Analytical
Determination of Antioxidants
This article draws
on several previously unpublished bibliographic compilations and seminar
materials prepared over roughly a decade. The core foundation consists of
annotated working lists on chromatographic methods for neurotransmitters,
antioxidant chemistry and neurochemical applications of gas chromatography and
GC–MS, assembled at different stages of the second author’s academic and
laboratory work (from pre-graduation research through 2016) and later expanded
in the early 2020s with contributions from all co-authors. Each set of
documents provided a defined share of the present bibliography and conceptual
outline, with the largest inputs coming from neurotransmitter-focused
chromatography and GC–MS surveys accumulated during dissertation-related work
and subsequent employment in research laboratories.
The preparation
history also reflects the institutional and technical constraints under which
the material was collected. Multiple research initiatives were interrupted by
contract termination, laboratory reorganization, dissolution of units following
broader institutional reforms and progressive obsolescence and loss of GC/GC–MS
instrumentation and facilities. An updated integrative bibliographic dossier
produced for internal planning in the early 2020s ultimately remained unused
due to further relocations and degradation of laboratory infrastructure. Given
the accelerating loss of technical capacity and the improbability of converting
the accumulated bibliographic groundwork into new experimental GC/GC-MS
studies, the authors decided to publish the present abridged review version as
the most feasible outcome under current conditions, without attempting to
expand it into a full-scale high-impact review.
A major practical
challenge associated with the medical use of various antioxidants1 is their detection in natural samples2,3, pharmaceutical substances and their
precursors4,5, as well as in human
tissues and physiological excreta. Without documenting the redox status of the
latter, the transition from redox biology6-9
to redox medicine10-14 cannot be
meaningfully advanced. This implies that, in the absence of objective
assessment of redox status, a constructive approach to redox pathology15-20, redox aetiology21,22 and redox-based disease prevention23,24-achieved through dietary intake of
antioxidant-containing foods and supplements25-37-is
likewise unattainable.
Clearly, if agents
acting as antioxidants in metabolism cannot be analytically monitored, their
tissue levels cannot be regulated, nor-ideally-can the antioxidant-induced
status of cells and tissues be controlled, at least with the aim of reaching a
range of optimal concentrations associated with predictable physiological
effects38-40. Therefore, technologies
in the analytical chemistry of antioxidants41-45
and, in particular, in the analytical biochemistry of antioxidants46-48 are of critical importance for formulating
problems in redox medicine. At the same time, many methods used for these
purposes quantify activity rather than specific chemical systems that are
selective with respect to composition and reactivity in a given medium.
Examples include potentiometric determination of redox-active species (in
particular radical species49) and
antioxidants50-54.
If one accepts
that many antioxidant schemes operate efficiently in
microheterogeneous/ultramicroheterogeneous media55
and that biological tissue containing organelles with different electrophysical
parameters represents a highly characteristic example of such media, it becomes
evident that additive analysis, as well as evaluation based on overall redox
efficiency, is unfortunately insufficiently rigorous for the purposes of redox
medicine. At a minimum, the concentrations of different redox components and antioxidants
must be assessed separately; at a maximum, the analysis should be
position-sensitive-performed within the compartments in which the reaction
processes occur-regardless of whether plant or animal tissues are considered56-65.
The second task
pertains to classical cytochemistry or ultrastructural biochemistry and is
therefore not considered here, whereas the first task is relatively
straightforward from the standpoint of point measurements or sample-averaged
determinations-i.e., it can be addressed using standard methods of
bioanalytical chemistry66-72. In
particular, since the early 2000s, gas-chromatographic methods for antioxidants73-87-most actively developed in the context of
GC–MS, against which other gas-chromatographic techniques “fade, losing their
classical luster”88,89-may be
regarded as an optimal means of achieving such analytical objectives.
Nevertheless, classical gas-chromatographic techniques can also be employed for
these purposes, as will be shown below.
2. On “dialectical mechanisms” in Redox Physiology
At the same time,
even under this simplified approach, the chemical physics of
molecular–biological regulatory systems remain unchanged, constituting a
dialectical90-99 reflection of the
mechanisms underlying the corresponding physiological and biochemical
reactions. For example, for the well-known thiols, pro-oxidant and antioxidant
effects coexist100-109. The recently
cited study108 demonstrates that the
pro-oxidant effects of native thiols are associated with reactions of thiyl
radicals, which readily add to unsaturated bonds; these radicals are formed, in
particular, in thiol exchange reactions with other radicals and during thiol
interactions with hydroperoxides.
At the same time,
in solution at physiological temperature, the antioxidant mechanisms of
endogenous thiols (glutathione, cysteine, homocysteine) include reactions with
reactive oxygen species-peroxyl radicals (and hydrogen peroxide); notably,
reduction of the latter (hydrogen peroxide) is accompanied by radical
formation. The phenolic antioxidants used in the aforementioned work
(resveratrol and caffeic acid) are consumed upon interaction with glutathione
and the reaction is accelerated in the presence of hydrogen peroxide. Thus,
thiols provide an example that illustrates the full range of antagonistic and
competitive, as well as cooperative and synergistic, processes characteristic
of the chemistry of such systems-excluding those determined by additional
phases and compartmentalizing boundaries. For solution chemistry and the
chemistry of homogeneous media (both aqueous and non-aqueous110,111), this is sufficient.
3. Excursus into the Chemistry of Microheterogeneous Systems
and Membrane Mimetics
For the chemistry
of microheterogeneous systems, the situation appears even more complex112-117, both in terms of solute behavior in
micelles and in terms of photometric and spectrophotometric determination, as
well as chromatography and chromatography–mass spectrometry of such systems-procedures
that become almost impossible without disrupting the microheterogeneous
structure. In other words, the method ceases, to any meaningful extent, to
qualify as non-destructive, owing to the emergent properties of
microheterogeneous assemblies and the irreducibility of those properties to the
behavior of the individual components.
In our work, the
principal practical sources concerning the behavior of the microheterogeneous
systems of interest are publications from the Laboratory of Liquid-Phase
Oxidation of the N.N. Semenov Institute of Chemical Physics, Russian Academy of
Sciences, which effectively continues the research tradition in homolytic
reactions established by Academician N.M. Emanuel and his colleagues. This
laboratory provides a bridge to several aspects that are largely beyond the
scope of the present review but are important for understanding the
neurochemical dimension of phenomena involving
neurotransmitters/neuromediators, in particular:
·
The influence of membrane lipids on free-radical generation in
acetylcholine-containing systems118
·
The combined (superadditive, microstructure-dependent) contributions of
lipids/surfactants and antioxidants in similar microheterogeneous systems119,120;
·
The interactions of thiols and catecholamines with reactive oxygen
species121;
·
Catalysis of radical reactions in mixed surfactant micelles in the
presence of hydroperoxides.
·
This line of research has a broader physicochemical context. In122, the authors note that:
o
In oxidizing hydrocarbons (RH), hydroperoxides (ROOH)-the primary
amphiphilic oxidation products—form mixed micelles with cationic surfactants,
{m\mathrmROOH⋯ n\mathrmCS⁺}, in which ROOH decomposition into radicals is accelerated
and in which other polar components (metal compounds, inhibitors, etc.) may
become concentrated; this substantially affects both the rate and the mechanism
of oxidation. It is shown that cationic surfactants immobilized on a solid
support retain the ability to catalyze hydroperoxide decomposition with radical
formation and to initiate radical oxidation and polymerization processes.
o
The specific features of the catalytic action of cationic surfactants,
in combination with hydroperoxides, on radical generation are considered, as is
the influence of various factors on this process, including transition-metal
compounds, oxygen and an external magnetic field.
·
These considerations are applicable to neurotransmitter-containing
systems, including, specifically, acetylcholine-containing systems. Thus,119,120 reports that:
· Cationic surfactants (S⁺) and acetylcholine (ACh; a major
neurotransmitter that plays a substantial role in the neuromuscular and
cognitive activity of living organisms) form mixed reverse micelles with
hydroperoxides (ROOH) in organic media, in which the catalytic decomposition of
ROOH into free radicals is accelerated.
· The addition of cholesterol (Chol; 30 mol%) to pyridinium bromides (CPB)
and cetyltrimethylammonium bromide (CTAB) reduces, by several-fold, the rate of
radical generation during the catalytic decomposition of ROOH.
·
…in the case of less ordered and larger reverse micelles ACh–ROOH, an
increase in the rate of radical initiation is observed.
·
The addition of Chol has virtually no effect on the micelle sizes of
CTAB and CPB with hydroperoxides, but leads to a decrease in micelle size in
the case of ACh–ROOH.
On the one hand, a
“bridge” between the chemistry of such microheterogeneous systems and
neurochemistry is readily apparent, because in nervous tissue acetylcholine
(ACh) is also conveyed in the form of microheterogeneous entities - synaptosomes.
Although synaptosomes are not fully equivalent to the micelles used in model
microheterogeneous systems, they nevertheless represent prototypical objects
for model descriptions of ACh-signal transmission123-143.
On the other hand,
emphasizing the role of cholesterol naturally connects this line of inquiry
with nutraceutical science and foodomics, while cholinergic neuromuscular
synapses, in this context, additionally link ACh-containing microheterogeneous
systems to myology. One may also raise the question of whether
electrophysiological and magnetobiological phenomena in ACh neurotransmission
are related to the structure of microheterogeneous “neuromimetic” micellar
systems that carry those “quanta” of the ACh neurotransmitter and that can
likewise be transmitted-at least in model systems. Thus, Kasaikina and
Pisarenko report the following:
·
Oxygen and an external magnetic field were found to exert a retarding
effect on the rate of radical initiation during hydroperoxide decomposition in
catalytic nanoreactors. Mixed reverse micelles formed by a cationic surfactant
and a hydroperoxide, {mLOOH...n surfactant}, served as the nanoreactors.
·
Similar effects of oxygen and an external magnetic field (60-150 mT) on
the rate of radical initiation were observed for the catalytic radical
decomposition of a hydroperoxide in the presence of acetylcholine.
·
Notably, the retarding effect of the magnetic field decreased in the
presence of paramagnetic species—oxygen and relatively stable radicals.
Similarly,
Kasaikina, et al. state144:
·
It was established that acetylcholine, a key neurotransmitter that plays
a substantial role in neuromuscular and cognitive activity in living organisms,
in organic media catalyzes the radical decomposition of hydroperoxides in a
manner analogous to cationic surfactants; under these conditions, the radical
yield decreases in a magnetic field and in the presence of oxygen.
Accordingly, one
can substantiate, on the one hand, the need to include acetylcholine and other
neurotransmitters in the discussion as antioxidants and, on the other hand, the
need to consider thiols.
4. History of Gas Chromatography and GC–MS of Thiols
To begin, it is
useful to consider-using a concrete example-methodological approaches to the
additive separation and practical identification of specific redox factors and
antioxidants that are applicable (or relevant) to physiology and medicine. In
view of the above, thiols appear to be a reasonable starting point. Given the
reproducibility of a range of analytical methods for thiols, similarly to other
redox agents and antioxidants, it was decided to implement this approach on the
basis of gas chromatography.
The earliest
studies on the gas chromatographic analysis of thiols-particularly on their
separation from other components in complex mixtures-date to the early 1960s145. For a long time, however, widespread
adoption was constrained by the technical capabilities available at the time,
which were insufficient for efficient analysis. The introduction in the 1980s
of methods that simplified thiol analysis (including headspace gas
chromatography146) enabled a marked
intensification of research in the 1990s. In particular, the emergence of
affordable MS detectors and integrated GC-MS hardware–software platforms made
it possible to develop experimental protocols that included not only
chromatographic separation but also direct identification, including
multiparametric identification using multiple detectors, in native and
synthetic matrices containing thiols147-149.
It also became feasible to compare data obtained by methods using different
phases-for example, GC–MS and HPLC.
By the mid-2000s,
the predominance of GC–MS over “stand-alone” GC in thiol analysis had become
established and this trend began to extend to catalytically generating systems
employing various agents, including photocatalysts and others150. Subsequent microminiaturization enabled
analyses not only on conventional columns but also on capillary or needle-type
columns, including chromatographic–mass-spectrometric formats such as NTD-GC–MS151.
In the mid-2010s,
applications of tandem GC–MS to these tasks became increasingly prominent152,153. Improved mass-spectrometer resolving
power-including that of designs integrally coupled to GC–MS systems and used in
MS/MS-enabled precise and reproducible isotope analysis154. In addition, the advent of field-deployable
and mobile mass spectrometers made it possible to integrate gas chromatographic
analysis with olfactometry (as an alternative to “electronic nose”
technologies) for comparative odorological and flavor-chemical studies. During
the same period, gas chromatographic methods that do not rely on
mass-spectrometric detection also continued to develop, but substantially more
slowly, as their capabilities have largely been exhausted. Nevertheless, notable
advances include the chiral gas chromatographic separation of products of thiol-ene
synthesis / “click chemistry”155. To
date, most applied studies involving natural raw materials are generally
performed using conventional GC-MS, albeit with various methodological
innovations at the stages of sample preparation and separation156.
Using an
“inhibitor method,” it has been established that the reduction of hydrogen
peroxide by thiols in aqueous solutions is typically accompanied by radical
formation. Specifically, the interaction of glutathione and the
synthetic/semi-biosynthetic thiol N-acetylcysteine with hydrogen peroxide at
\mathrmpH<7 generates thiyl and hydroxyl radicals157. This, in particular, supports the use of
luminescence methods and electron paramagnetic resonance in addition to mass
spectrometry.
5. History of Gas Chromatography and GC–MS of
N‑Acetylcysteine
As noted above,
the interaction of the thiol N‑acetylcysteine (NAC) with hydrogen peroxide in
the presence of glutathione is of particular interest. Accordingly, it is
reasonable to consider next the methodological development of GC and GC–MS
approaches for NAC determination.
In this context,
the following can be noted. GC analysis of NAC has been performed at least
since the late 1970s158. By the early
1990s, these assays had largely transitioned to capillary GC formats159, reflecting the general shift toward
higher-efficiency separations and improved sensitivity.
In parallel, GC
coupled with mass-spectrometric detection was introduced for NAC measurements,
including applications in blood plasma and other biogenic, partially structured
matrices160. By the 2000s, GC-MS-based
determination of NAC (and related sulfur-containing metabolites) had been
incorporated into clinical laboratory diagnostic workflows in both the United
States and the European Union, for example in routine urine analysis161. As a result, the core analytical tasks of
identification and clinical interpretation based on mass spectrometry-also
encompassing NAC quantification for pharmacokinetic and pharmacodynamic
purposes-are now well supported by established clinical MS practice.
6. History of Gas Chromatography and GC-MS of
Acetylcholine
The gas-phase
determination of neurotransmitters is of considerable interest, as it aligns
well with the conceptual framework of “gas biology” and lays the groundwork for
qualitatively new directions such as gas neurochemistry and gas-phase
biochemical neurophysiology. One of the best-known neurotransmitters of the
parasympathetic nervous system is acetylcholine. Purely gas-chromatographic
methods for acetylcholine determination have been known since the 1960s162-164. As a rule, these studies employed pyrolytic
gas chromatography165-171. However,
from the second half of the 1960s onward, combined gas chromatography/mass
spectrometry approaches also began to be introduced172-177, including methods capable of measuring acetylcholine
at subpicomolar amounts-although this did not preclude the continued use in the
1970s and later of conventional gas178,179
or gas-liquid180,181 chromatography.
The integration of
pyrolytic gas chromatography and mass spectrometry in the analysis of
acetylcholine and other neurotransmitters took place in the mid-1970s182-184 and reached conceptual maturity in the
1980s, with the emergence of pyrolytic chromatography with MS detection,
achieving at least picomolar concentration levels and being integrated with
mass fragmentography185-188. In
acetylcholine analysis, the era of pyrolytic chromatography ended in the 1990s
for reasons related to the advent of more sensitive technologies189.
By that time,
mass-spectrometric analytics had already developed methods such as
secondary-ion mass spectrometry for compounds of this type190, surface-ionization mass spectrometry191, MALDI192
and liquid chromatography with mass-spectrometric detection-including tandem
mass spectrometry193 and micro- and
semi-micro-HPLC inlet technologies194-as
well as fast-atom bombardment methods195,196.
In response to increased analytical requirements and improved
sample-preparation strategies, GC-MS was combined with intracerebral
microdialysis197. In GC-MS, an
approach based on the interpretation of electron-impact mass spectra became
established198,199. Nevertheless, a
purely pyrolytic approach continued to be applied in the 1990s as well200.
7. Historical development of gas chromatography and
GC–MS for catecholamines and their metabolites
Catecholamines are
generally defined as physiologically active compounds-derivatives of
pyrocatechol-that act as chemical messengers and regulatory molecules
(mediators and neurohormones) in intercellular communication in animals and
humans, including within the brain. As is well known, this class includes
neurotransmitters such as adrenaline/epinephrine, noradrenaline/norepinephrine
and dopamine.
The history of
gas-chromatographic determination of catecholamines and their metabolites dates
back to the 1960s-1970s and was, from the outset, closely associated with mass
spectrometry201-206. Studies on the
GC determination of catecholamines in the absence of MS detection during the
1970s constitute a separate branch that did not shape the main direction of the
field207,208, a limitation that many
authors attributed to the lack of optimal chromatographic columns. As an
intermediate line of development, gas-liquid chromatography of these compounds
also progressed during the 1970s209,210.
During the 1980s, the relative merits of gas versus liquid chromatography for
catecholamine analysis continued to be debated211.
However, from the early 1980s through the 2000s, advances in the GC analysis of
catecholamines-irrespective of the detector employed-were largely driven by the
introduction of capillary columns212-214.
From the mid-1980s
onward, GC-MS methodologies incorporating real-time tracking and monitoring of
selected ions, including negative ions, were introduced for catecholamine
analysis215,216. With the development
of thermodesorber technology and microwave-assisted derivatization, sample
preparation and conversion of analytes into GC-compatible forms were simplified217, which also had a favorable impact on
GC–MS-based catecholamine assays.
In the 2010s,
GC–MS and GC–MS/MS methods for catecholamines and their metabolites became
widely adopted in laboratory and clinical practice, typically as routine
analytical procedures accessible to mid-level laboratory personnel. At the same
time, the accuracy of mass-spectrometric measurements increased with the
introduction of new detector technologies, particularly high-resolution
Orbitrap (“Makarov trap”) analyzers. Among many examples of GC–MS and GC–MS/MS
applications to catecholamine analysis are the studies by Zoerner, et al. and
Nguyen, et al.218,219.
8. Historical development of gas chromatography and GC-MS
for hydroperoxides
The history of the
gas-chromatographic analysis of hydroperoxides, as well as their use in gas
chromatography, apparently dates back to the 1970s220,221.
By the early 1980s, capillary columns were already being actively employed in
this area222 and by the end of that
decade the field had joined the broader trend toward integrating gas
chromatography with mass spectrometry223.
Work along these lines continued through the 1980s224
and into the 1990s225-227. During
this period, attempts were made both to integrate and to compare GC–MS with GC
using flame-ionization detection228,
as well as to integrate and benchmark GC–MS (including ion-trap detection,
GC-ITDMS) against high-performance liquid chromatography for these analytes229. The 1980s–1990s also saw the evaluation of
a number of relatively “exotic” approaches in this analytical domain, including
on-column injection230.
By around 2000,
numerous specialized columns and kits optimized for hydroperoxide determination
had been introduced and validated, enabling their reliable detection even
without mass-spectrometric detection231-233.
This trend matured into an optimized, quantitative framework by the mid-2010s234 and was further supported by chemometric
tools, offering a low-cost solution for routine, high-throughput laboratories
where instrumentation may be limited to GC with an FID detector235. However, such approaches are not suitable
for operation with a thermal conductivity detector because of the well-known
limitations of that detector. In better-equipped settings operating under good
laboratory practice (GLP), mass-spectrometric detection is generally considered
preferable for hydroperoxide analysis, often in conjunction with
cross-validation against other methods such as thin-layer chromatography (TLC)236,237. At a minimum, widely available and
technically straightforward MS instrumentation employing electron ionization is
sufficient for these purposes238.
9. Historical development of gas chromatography and GC-MS
for phosphatidylcholine
There are fewer
publications on the gas-chromatographic analysis of phosphatidylcholine than
proponents of classical GC might wish. Beginning in the 1970s with gas–liquid
chromatography239, this line of work
rapidly shifted its emphasis toward GC-MS, primarily targeting acetolysis
products241. Thereafter,
methodological development progressed only modestly, broadly following the
patterns outlined above for the other compound classes considered here. In the
2010s-somewhat later than for the other analytes discussed-GC-MS applications
expanded to include “nontraditional” extraction techniques such as headspace
solid-phase microextraction (HS-SPME)242.
A distinctive feature of the GC-related trajectory for phosphatidylcholine has
been its integration with and comparison to, matrix-assisted laser
desorption/ionization mass spectrometry (MALDI MS)243.
10. History of the preparation of the present article
The present paper
is based on several previously unpublished documents and, in some cases, on the
corresponding transcripts of presentations delivered at bibliographic seminars:
·
A bibliographic annotated list (used as a working outline) on
chromatographic methods for a range of neurotransmitters (covering publications
up to the 2010s), compiled and used by the second author during dissertation
work, as well as earlier purely abstracting material-largely historical and
science-historical in nature-on the development of gas chromatography of
neurotransmitters up to the 1990s (prepared during the pre-graduation period
while working with outdated instrumentation, under the supervision of a
specialist in biogenic monoamines). The contribution of these sources to the
present work is estimated at approximately 30%.
·
A bibliographic annotated list on gas chromatography and potentiometry
in antioxidant chemistry, prepared during an attempt to organize RD on
position-sensitive redox-metric measurements and gasometric microscopy at the
Institute of Chemical Physics of the Russian Academy of Sciences (2011-2012).
This work was discontinued due to termination of the contract and the lack of
staff positions in the Department of Dynamics of Chemical and Biological
Processes. This source accounts for approximately 10% of the bibliography used
here.
·
A bibliographic annotated list on applications of gas chromatography in
neurochemical research, compiled during the second author’s employment in the
Laboratory of Neuronal Brain Structure, Department of Brain Research,
Scientific Center of Neurology of the Russian Academy of Medical Sciences (2012-2013).
Unfortunately, by the mid-2010s these research plans were disrupted: following
the reform of the Russian Academy of Sciences, the Laboratory of Neuronal Brain
Structure was soon dissolved and the remaining chromatographic equipment
(partly purchased by the authors with personal funds) was disposed of. The
contribution of this source is up to 20%.
·
A bibliographic annotated list on neurochemical applications of GC–MS
(maintained in several versions and updated annually from 2013 to 2016 during
the second author’s work in a mass-spectrometry laboratory at the Institute of
Energy Problems of Chemical Physics of the Russian Academy of Sciences), as
well as a similar frequently updated outline for antioxidant-related studies.
These lists often included other mass-spectrometric approaches discussed in a
comparative context. The contribution of these sources to the present work is
estimated at approximately 30%. Unfortunately, owing to the obsolescence of the
VARIAN- and Finnigan MAT–based GC–MS instrumentation at the institute, these
approaches were not implemented there in routine practice.
·
An updated (relative to item 2) bibliographic annotated list on GC and
GC–MS in studies of neurotransmitters, bio antioxidants and antibacterial
drugs, compiled with active participation of all authors. This list was
prepared in the early 2020s for the management of the Department of Dynamics of
Chemical and Biological Processes of the Federal Research Center for Chemical
Physics of the Russian Academy of Sciences (formerly the Institute of Chemical
Physics, RAS) and for the Laboratory of Liquid-Phase Oxidation of the same
center. However, due to reorganization processes and redistribution of
laboratory space, this document ultimately became unused. The equipment
preserved by the authors was subsequently disposed of during the takeover of
the premises (room 164) and only partly moved to unsafe rooms in Building 1 of
the center, where a ceiling collapse later occurred. In view of the
accelerating degradation of the GC/GC–MS infrastructure and the associated
laboratory facilities, the authors jointly decided to publish an abridged
version of the review material in its current form (without converting the
accumulated bibliographic groundwork into empirical GC or GC–MS articles
corresponding to the substance-specific sections of the review). We do not
anticipate that we will be able to continue work in this direction; therefore,
lacking support from a number of colleagues, we are not attempting to upgrade
this review note to a full-scale, high-impact review article (in which citing
those colleagues would be appropriate). Instead, we present what can reasonably
be published given the material and technical resources available (and
unavailable) to us.
11. Perspectives and Challenges (Discussions with
Students)
A practically
important challenge in contemporary redox medicine is not merely to use
antioxidants, but to reliably and reproducibly detect and quantify antioxidant
compounds and the associated redox markers in real samples: natural matrices
(plant raw materials, foods), pharmaceutical substances and precursors, as well
as human biomaterials (tissues, blood, urine, saliva, exhaled breath condensate
and others). In European and U.S. research agendas, this is directly linked to
a shift from “descriptive redox biology” toward measurable redox medicine and
precision medicine, where decisions are grounded in validated biomarkers,
standardized preanalytical procedures and interlaboratory-comparable data.
Without objective assessment of the redox status of biosystems (and its
temporal dynamics), it is impossible to develop a constructive approach to what
may be broadly termed redox pathology, redox etiology and redox prevention: one
cannot properly evaluate the contribution of oxidative stress, compare patient
cohorts, rationally select an intervention strategy (diet, nutraceuticals,
pharmacological antioxidants) or monitor treatment effects.
Contemporary
experience from clinical trials of antioxidants has shown that “universal”
regimens often yield equivocal outcomes precisely because interventions are
implemented without sufficient characterization of baseline redox profiles and
without monitoring of target molecular changes. This underscores the pivotal
role of analytical chemistry and analytical biochemistry technologies for
antioxidants: they provide the measurement framework for formulating
redox-medicine problems, comparable in importance to the role that standardized
hormone panels have played in endocrinology and that lipid profiles and
high-sensitivity troponin have played in cardiology.
It is therefore
important to distinguish between methods that evaluate “overall activity” and
those that identify specific molecules. A number of widely used approaches
capture integral reducing-oxidizing capacity or a global response (e.g.,
potentiometric measurements of redox potential, certain assays of total
antioxidant capacity). Such methods are useful for screening; however, they are
generally nonselective with respect to composition and poorly resolve the
contributions of individual redox couples, oxidation products, metal complexes
and matrix effects. In a clinical and biological context, this means that what
is measured is not the “set of chemical systems actually operating in a given
environment,” but rather an aggregate signal that may be identical despite
fundamentally different molecular causes.
The modern redox
concept assumes that many antioxidant mechanisms operate in microheterogeneous
and ultramicroheterogeneous environments: membranes, lipoproteins,
mitochondria, peroxisomes, the endoplasmic reticulum, granules and microdomains
differing in ionic strength, pH, dielectric permittivity and local metal
availability. Biological tissue with its organelles and compartments is a
particularly illustrative example. Consequently, additive (essentially
“summative”) assessments and inferences about “overall redox efficacy” are
insufficiently rigorous for redox medicine: they do not allow observations to
be linked reliably to mechanism and, ultimately, to clinical decision-making.
A minimally
appropriate analytical level is the separate quantitative determination of key
redox components and markers (e.g., individual low-molecular-weight
antioxidants, their oxidized/reduced forms, lipid peroxidation products,
oxysterols, markers of carbonyl stress and the like). The most advanced level
is position- and compartment-sensitive analysis-i.e., measurement performed
precisely where the reaction process unfolds (within an organelle, in a
membrane, in the extracellular space or in a specific cell type). This task
already belongs to the domains of cytochemistry, spatially resolved
biochemistry and ultrastructural approaches and it requires specialized sample
preparation and imaging methods; it may therefore fall outside the scope of the
present review.
12. Acknowledgements
The authors would
like to thank their colleagues for proofreading the machine translation of this
review.
13.
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