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Department of Community Health and Family Medicine, Nutrition and Infectious Diseases Unit, Tufts University School of Medicine, Boston, MA 02111
ABSTRACT
Oxidative modification of DNA, proteins and lipids by reactive oxygen
species (ROS) plays a role in aging and disease, including
cardiovascular, neurodegenerative and inflammatory diseases and cancer.
Extracts of fresh garlic that are aged over a prolonged period to
produce aged garlic extract (AGE) contain antioxidant phytochemicals
that prevent oxidant damage. These include unique water-soluble
organosulfur compounds, lipid-soluble organosulfur components and
flavonoids, notably allixin and selenium. Long-term extraction of
garlic (up to 20 mo) ages the extract, creating antioxidant properties
by modifying unstable molecules with antioxidant activity, such as
allicin, and increasing stable and highly bioavailable
water-soluble organosulfur compounds, such as
S-allylcysteine and
S-allylmercaptocysteine. AGE exerts antioxidant action
by scavenging ROS, enhancing the cellular antioxidant enzymes
superoxide dismutase, catalase and glutathione peroxidase, and
increasing glutathione in the cells. AGE inhibits lipid peroxidation,
reducing ischemic/reperfusion damage and inhibiting oxidative
modification of LDL, thus protecting endothelial cells from the injury
by the oxidized molecules, which contributes to atherosclerosis. AGE
inhibits the activation of the oxidant-induced transcription
factor, nuclear factor (NF)-
B, which has clinical significance in
human immunodeficiency virus gene expression and atherogenesis. AGE
protects DNA against free radicalmediated damage and mutations,
inhibits multistep carcinogenesis and defends against ionizing
radiation and UV-induced damage, including protection against some
forms of UV-induced immunosuppression. AGE may have a role in
protecting against loss of brain function in aging and possess other
antiaging effects, as suggested by its ability to increase cognitive
functions, memory and longevity in a senescence-accelerated mouse
model. AGE has been shown to protect against the cardiotoxic effects of
doxorubicin, an antineoplastic agent used in cancer therapy and against
liver toxicity caused by carbon tetrachloride (an industrial chemical)
and acetaminophen, an analgesic. Substantial experimental evidence
shows the ability of AGE to protect against oxidant-induced
disease, acute damage from aging, radiation and chemical exposure, and
long-term toxic damage. Although additional observations are
warranted in humans, compelling evidence supports the beneficial health
effects attributed to AGE, i.e., reducing the risk of cardiovascular
disease, stroke, cancer and aging, including the oxidant-mediated
brain cell damage that is implicated in Alzheimers disease.
KEY WORDS: antioxidants garlic phytochemicals chemoprevention aging
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