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(Journal of Nutrition. 2000;130:10-14.)
© 2000 The American Society for Nutritional Sciences


Article

Vitamin E Supplementation Decreases Basal Levels of F2-Isoprostanes and Prostaglandin F2{alpha} in Rats1

Eva Södergren*2, Jonas Cederberg**, Samar Basu* and Bengt Vessby*

* Clinical Nutrition Research, Department of Public Health and Caring Sciences/Geriatrics, and ** Department of Medical Cell Biology, Faculty of Medicine, Uppsala University, Sweden

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Lipid peroxidation is thought to be an important factor in the pathophysiology of a number of diseases and in the process of aging. We investigated the effects of supplementation with vitamin E on lipid peroxidation in rats. Both free radical-induced nonenzymatic- and cyclooxygenase-catalyzed enzymatic lipid peroxidation were investigated by measuring the levels of F2-isoprostanes (8-iso-PGF2{alpha}) and PGF2{alpha}-metabolite (15-K-DH-PGF2{alpha}), respectively, in blood, urine and liver. Samples were collected from control rats (n = 6) and from rats supplemented with vitamin E in the diet for 3 wk (n = 8, 20 g/kg diet of DL-{alpha}-tocopherol hydrogen succinate). Plasma {alpha}-tocopherol concentration and antioxidative capacity were greater in the vitamin E-supplemented rats than in the control rats (17.9 ± 1.7 vs. 50.4 ± 10.4 µmol/L, P < 0.001 and 181 ± 6 vs. 275 ± 27 µmol/L trolox equivalents, P < 0.001). Urine 8-iso-PGF2{alpha} tended to be lower in the vitamin E-supplemented rats (0.72 ± 0.40 vs. 0.34 ± 0.19 nmol/mmol creatinine, P = 0.056). Urine 15-K-DH-PGF2{alpha} was lower due to vitamin E supplementation (0.97 ± 0.38 vs. 0.56 ± 0.21 nmol/mmol creatinine, P < 0.05), as was liver-free 8-iso-PGF2{alpha} concentration (0.47 ± 0.11 vs. 0.18 ± 0.04 nmol/g, P < 0.001). Supplementation with vitamin E did not affect plasma 8-iso-PGF2{alpha} or 15-K-DH-PGF2{alpha} concentrations, liver total 8-iso-PGF2{alpha} or plasma malondialdehyde levels. Thus, vitamin E supplementation reduced urine basal levels of biomarkers of both nonenzymatic and enzymatic lipid peroxidation. In liver, vitamin E reduced the basal level of free 8-iso-PGF2{alpha} but not total 8-iso-PGF2{alpha}.


KEY WORDS: • vitamin E • lipid peroxidation • F2-isoprostane • prostaglandin • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Lipid peroxidation is thought to be an important factor in the pathophysiology of a number of diseases and in the process of aging (Halliwell and Gutteridge 1989Citation ). Peroxidation of unsaturated fatty acids can proceed through nonenzymatic free radical-catalyzed pathways or through processes that are enzymatically catalyzed. Several methods have been developed to assess nonenzymatic lipid peroxidation, but most of these methods have their own shortcomings and limitations (de Zwart et al. 1999Citation , Gutteridge and Halliwell 1990Citation ).

Recently, a group of prostaglandin (PG)3 F2-like compounds, F2-isoprostanes, produced by free radical-induced peroxidation of arachidonic acid independent of the cyclooxygenase pathway, was discovered (Morrow et al. 1990Citation ). F2-isoprostanes are formed in situ in phospholipids (Morrow et al. 1992aCitation ) and are then released into circulation and excreted in the urine (Roberts and Morrow 1997Citation ). 8-Iso-prostaglandin F2{alpha} (8-iso-PGF2{alpha}) is the most abundant F2-isoprostane, exerts potent biological activity (Morrow et al. 1990Citation ) and has been suggested as a potential marker for oxidative injury (Morrow and Roberts 1999Citation , Roberts and Morrow 1997Citation ). Levels of 8-iso-PGF2{alpha} in body fluids are elevated in animal models of oxidative injury (Awad et al. 1994aCitation , Basu 1999Citation , Basu and Eriksson 1998Citation and 1999Citation , Burk et al. 1995Citation , Mathews et al. 1994Citation , Morrow et al. 1992aCitation and 1992bCitation , Nanji et al. 1994bCitation ) and in several diseases and conditions that are proposed to be associated with free radical-induced oxidative injury in humans such as smoking (Morrow et al. 1995Citation , Reilly et al. 1996Citation ), diabetes mellitus (Davi et al. 1999Citation , Gopaul et al. 1995Citation ), vascular reperfusion (Delanty et al. 1997Citation , Reilly et al. 1997Citation ), hypercholesterolemia (Davi et al. 1997Citation ) and liver cirrhosis (Pratico et al. 1998aCitation ).

Cyclooxygenase-2, an isoform of cyclooxygenase, is induced in macrophages, epithelial cells and fibroblasts by several pro-inflammatory stimuli leading to release of prostaglandins (Fu et al. 1990Citation , Mitchell et al. 1993Citation , Vane and Botting 1995Citation , Xie et al. 1991Citation ). 15-Keto-13,14-dihydro-PGF2{alpha} (15-K-DH-PGF2{alpha}), a major metabolite of the primary PGF2{alpha}, is increased in inflammatory response and can be used as an index of lipid peroxidation through the cyclooxygenase pathway (Basu 1998cCitation and 1999Citation , Basu and Eriksson 1998Citation and 1999Citation ).

Highly specific and sensitive radioimmunoassays for the measurement of both 8-iso-PGF2{alpha} and 15-K-DH-PGF2{alpha} were recently developed, validated and used as biomarkers of oxidative injury and inflammatory response (Basu 1998bCitation and 1998cCitation ).The use of these radioimmunoassays is an excellent approach for simultaneous measurement of nonenzymatic and enzymatic lipid peroxidation in vivo. Both 8-iso-PGF2{alpha} and 15-K-DH-PGF2{alpha} levels in urine and plasma are increased in animal models of hepatotoxicity (Basu 1999Citation ) and experimental septic shock (Basu and Eriksson 1998Citation and 1999Citation ).

Vitamin E is a chain-breaking antioxidant with the particular function of preventing lipid peroxidation in membrane systems. The aim of this study was to investigate if enrichment of the diet with vitamin E could suppress basal levels of both F2-isoprostanes and PGF2{alpha} metabolite in rats by its influence on nonenzymatic and enzymatic lipid peroxidation. We measured 8-iso-PGF2{alpha} as an index of nonenzymatic lipid peroxidation and 15-K-DH-PGF2{alpha} as a biomarker of enzymatic lipid peroxidation in plasma, urine and liver. Malondialdehyde and antioxidant status in the circulation were also monitored.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals and diets.

Male Sprague-Dawley rats (6-wk-old, about 200 g) were purchased from B & K Universal (Sollentuna, Sweden). The rats had free access to tap water and food. They were subjected to a 12 h light/12 h dark schedule. Powdered food was prepared from commercial food pellets (R36; Lactamin AB, Stockholm, Sweden) containing total lipids 4%, protein 18.5%, carbohydrates 55.7% and fibers 3.5% and supplemented with vitamin E at 63 mg/kg and vitamin K and cholecalciferol at 10 mg/kg and 37.5 µg/kg, respectively. For vitamin E treatment, DL-{alpha}-tocopherol hydrogen succinate (Merck, Darmstadt, Germany) was blended into the powdered food at a concentration of 20 g/kg diet, which equals ~2 g/(kg body wt/d). Control rats received powdered food without vitamin E supplementation. Both control (n = 6) and vitamin E-treated rats (n = 8) received powdered food for 3 wk.

Sample collection.

Urine samples were collected in petri dishes. The rats were then weighed and surgical anesthesia was induced with ether. During laparotomy, livers were excised and blood samples were drawn from the abdominal aorta. The rats were killed by heart puncture. Blood samples were collected in heparinized glass vials and plasma was prepared by centrifugation at 1930 x g for 8 min. All samples were immediately stored at -20°C during the experiment and thereafter at -70°C until analysis. The animal experimental procedure was approved by the Animal Ethics Committee of the Medical Faculty of Uppsala University.

Preparation of liver tissues.

Liver samples were weighed, diluted with 3 vol of phosphate buffer and homogenized under cold conditions. The homogenate was centrifuged at 1680 x g and 4°C for 10 min, and the supernatant was stored frozen at -0°C until further preparation within 1 wk. The homogenate was hydrolyzed by incubation with 3 vol of 3 mol/L KOH at 37°C for 60 min. Extraction with 3 vol of ethyl acetate was performed after acidification to pH 3–4 with HCl. Extracts were then centrifuged at 1680 x g and 4°C for 10 min, and the supernatant was evaporated under nitrogen. Samples were finally rediluted in <5% ethanol and phosphate buffer and stored frozen at -70°C until analysis within 2–8 wk.

Radioimmunoassay of 8-iso-PGF2{alpha}.

The plasma, urine and liver samples were analyzed for 8-iso-PGF2{alpha} by a newly developed radioimmunoassay (Basu 1998bCitation ). An antibody was raised in rabbits by immunization with 8-iso-PGF2{alpha} coupled to bovine serum albumin at the carboxylic acid by the 1,1'-carbonyldiimmidazole method. The cross-reactivity of the antibody with 8-iso-15-keto-13,14-dihydro-PGF2{alpha}, 8-iso-PGF, PGF2{alpha}, 15-keto-PGF2{alpha}, 15-keto-13,14-dihydro-PGF2{alpha}, TXB2, 11ß-PGF2{alpha}, 9ß-PGF2{alpha} and 8-iso-PGF3{alpha} was 1.7, 9.8, 1.1, 0.01, 0.01, 0.1, 0.03, 1.8 and 0.6%, respectively. The detection limit of the assay was about 23 pmol/L. Unextracted plasma and urine samples of various volumes and dilutions were used in the assay. The levels of 8-iso-PGF2{alpha} in urine were adjusted for creatinine concentration and were measured by a colorimetric method using IL test creatinine 181672–00 in a Monarch 2000 centrifugal analyzer (Instrumentation Laboratories, Lexington, MA). In the liver samples, free 8-iso-PGF2{alpha} was analyzed after extraction and the total amount (sum of free and esterified) of 8-iso-PGF2{alpha} was analyzed after hydrolysis and extraction.

Radioimmunoassay of 15-keto-13,14-dihydro-PGF2{alpha}.

The plasma and urine samples were analyzed for 15-K-DH-PGF2{alpha} by a newly developed radioimmunoassay (Basu 1998cCitation ). An antibody was raised in rabbits by immunization with 15-K-DH-PGF2{alpha} coupled to bovine serum albumin at the carboxylic acid by the 1,1'-carbonyldiimmidazole method. The cross-reactivity of the antibody with PGF2{alpha}, 15-keto-PGF2{alpha}, PGE2, 15-keto-13,14 dihydro-PGE2, 8-iso-15-keto-13,14-dihydro-PGF2{alpha}, 11ß-PGF2{alpha}, 9ß-PGF2{alpha}, TXB2 and 8-iso-PGF3{alpha} was 0.02, 0.43, <0.001, 0.5, 1.7, <0.001, <0.001, <0.001 and 0.01%, respectively. The detection limit of the assay was about 45 pmol/L. Unextracted plasma and urine samples of various volumes and dilutions were used in the assay. The levels of 15-K-DH-PGF2{alpha} in urine were adjusted for creatinine concentration.

Measurement of malondialdehyde.

Malondialdehyde levels in plasma samples were measured using HPLC with fluorescence detection as described by Öhrvall et al. (1994)Citation . A thiobarbituric acid reaction was carried out by mixing 200 µL of plasma sample with 750 µL of 0.15 mol/L phosphoric acid, 300 µL of water and 250 µL of 42 mmol/L thiobarbituric acid. The reaction mixture was incubated in a boiling water bath for 60 min and then cooled on ice. The malondialdehyde-thiobarbituric acid complex was extracted with methanol, and 20 µL of the sample was injected into an HPLC column (Lichrospher 100 RP-18, 250 x 4 mm). The mobile phase contained methanol/50 mmol/L phosphate buffer (2:3). Fluorescence was measured with an excitation wavelength of 532 nm and an emission wave length of 553 nm.

Measurements of antioxidants.

Plasma {alpha}-tocopherol was assayed by using HPLC with fluorescence detection (Öhrvall et al. 1993Citation ). Briefly, 500 µL of plasma was extracted with 500 µL of ethanol containing 0.05 g/L of butylated hydroxytoluene and 2 mL of hexane. Supernatant (20 µL) was injected into an HPLC column (LiChrospher 100 NH2 250 x 4 mm). Fluorescence was measured with an excitation wavelength of 295 nm and an emission wavelength of327 nm.

Plasma antioxidant capacity was measured as trolox equivalents by a modified chemiluminescence assay described by Öhrvall et al. (1997)Citation . The technique is based on measurement of light emission when the chemiluminescent substrate luminol is oxidized by hydrogen peroxide in a reaction catalyzed by horseradish peroxidase. Suppression of the light output by antioxidants is related to the antioxidant capacity of the sample. Uricase was used to eliminate the urate content in the sample resulting in an antioxidant capacity value without urate.

Statistics.

Data are presented as means ± SD. All variables were continuous and on an interval scale. Significant differences between groups were determined with unpaired Student’s t test. Variables with skewed distributions were log-transformed before analyses. Variables that were not normally distributed after transformation were analyzed with Mann Whitney’s nonparametric test. P < 0.05 was regarded as significant. The statistical analyses were performed using the statistical software package JMP (SAS Institute, Cary, NC).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Both the control group and the group supplemented with vitamin E gained weight during the 3-wk intervention period, and their final body weights did not differ (Table 1Citation ). The plasma {alpha}-tocopherol concentration and the antioxidative capacity of plasma samples were greater in the rats supplemented with vitamin E for 3 wk compared to the control rats (P < 0.001). Plasma malondialdehyde concentrations did not differ between groups.


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Table 1. Effect of vitamin E supplementation on body weight, plasma antioxidants and plasma malondialdehyde of male rats12

 
Urine 8-iso-PGF2{alpha} level tended to be lower in the vitamin E-supplemented rats compared to the controls (P = 0.056, Fig. 1ACitation ). However, plasma 8-iso-PGF2{alpha} did not differ between the groups (Fig. 1BCitation ). Free 8-iso-PGF2{alpha} concentration in the liver was significantly lower in the vitamin E-supplemented rats than in the controls (P < 0.001, Fig. 2ACitation ), whereas the total 8-iso-PGF2{alpha} hepatic concentration did not differ between groups (Fig. 2BCitation ).



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Figure 1. Effect of vitamin E supplementation on levels of 8-iso-prostaglandin F2{alpha} (8-iso-PGF2{alpha}) in urine (A) and plasma (B) of male rats. Control rats (n = 6) are compared with vitamin E-supplemented rats (n = 8) receiving 2 g/(kg body weight/d) of DL-{alpha}-tocopherol hydrogen succinate for 3 wk. Levels of 8-iso-PGF2{alpha} were measured in unextracted plasma and urine samples using a radioimmunoassay. Values are means ± SD. Means did not differ (P > 0.05).

 


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Figure 2. Effect of vitamin E supplementation on levels of 8-iso-prostaglandin F2{alpha} (8-iso-PGF2{alpha}) measured as the free form (A) and as the sum of free and esterified forms, total (B) in liver of male rats. Control rats (n = 6) are compared with vitamin E-supplemented rats (n = 8) receiving 2 g/kg body weight/d of DL-{alpha}-tocopherol hydrogen succinate for 3 wk. Levels of 8-iso-PGF2{alpha} are measured using a radioimmunoassay. Free fractions were measured after extraction and total amounts were measured after hydrolysis followed by extraction. Values are means ± SD. *** Different from mean of controls, P < 0.001.

 
The effects of vitamin E supplementation on the basal levels of 15-K-DH-PGF2{alpha} were similar to those on 8-iso-PGF2{alpha}. Urine 15-K-DH-PGF2{alpha} was significantly lower in the vitamin E-supplemented rats than in the control rats (P < 0.05, Fig. 3ACitation ), while the plasma concentration was not affected by vitamin E treatment (Fig. 3BCitation ).



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Figure 3. Effect of vitamin E supplementation on levels of 15-keto13,14-dihydro-prostaglandin F2{alpha} (15-K-DH-PGF2{alpha}) in urine (A) and plasma (B) of male rats. Control rats (n = 6) are compared with vitamin E-supplemented rats (n = 8) receiving 2 g/kg body weight/d of DL-{alpha}-tocopherol hydrogen succinate for 3 wk. Levels of 15-K-DH-PGF2{alpha} were measured in unextracted plasma and urine samples using a radioimmunoassay. Values are means ± SD. *Different from mean of controls, P < 0.05.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
This study concerned the effect of dietary supplementation with vitamin E on nonenzymatic free radical-induced lipid peroxidation and enzymatic cyclooxygenase-mediated oxidation of arachidonic acid in rats. Basal conditions in normal rats differed from rats fed a vitamin E-enriched diet because vitamin E had a suppressive effect on both nonenzymatic and enzymatic lipid peroxidation.

Nonenzymatic formation of isoprostanes through free radical-catalyzed peroxidation of arachidonic acid or enzymatic formation of prostaglandins, mainly PGF2{alpha}, through oxidation catalyzed by cyclooxygenase are found to be unique indicators of in vivo oxidative stress and inflammation, respectively (Basu 1998bCitation and 1998cCitation ). 8-Iso-PGF2{alpha}, a major F2-isoprostane, increases during free radical-mediated arachidonic acid oxidation in experimental animal studies (Awad et al. 1994aCitation , Basu 1999Citation , Basu and Eriksson 1998Citation and 1999Citation , Burk et al. 1995Citation , Mathews et al. 1994Citation , Morrow et al. 1992aCitation and 1992bCitation , Nanji et al. 1994bCitation ) and in human studies (Davi et al. 1997Citation and 1999Citation , Delanty et al. 1997Citation , Gopaul et al. 1995Citation , Morrow et al. 1995Citation , Pratico et al. 1998aCitation and 1997, Reilly et al. 1996Citation ). The primary PGF2{alpha} increases not only during inflammation (Basu and Eriksson 1998Citation and 1999Citation ) and hepatotoxin-induced oxidative injury (Basu 1999Citation ), but also during physiological control of luteolysis and parturition in various species (Basu and Kindahl 1987Citation , Basu et al. 1987Citation ). To our knowledge, however, little is known about the effect of vitamin E on levels of F2-isoprostanes and PGF2{alpha} formation in vivo.

The levels of plasma 8-iso-PGF2{alpha} in the present study did not differ between control rats and the vitamin E-supplemented rats in contrast to the levels of urinary 8-iso-PGF2{alpha}, which did differ between the two groups. The 8-iso-PGF2{alpha} in plasma does not decrease after vitamin E supplementation as in the urine probably because of the difference in the kinetics of formation and availability. The half-life of plasma 8-iso-PGF2{alpha} is very short, and 8-iso-PGF2{alpha} metabolizes rapidly and is efficiently excreted into the urine (Basu 1998aCitation ). We contend that urinary levels of 8-iso-PGF2{alpha} reflect an earlier event of the biosynthesis and availability of 8-iso-PGF2{alpha} in the body compared to plasma levels measured at the same time (Basu 1998aCitation ).

Levels of both free and esterified 8-iso-PGF2{alpha} were also measured in liver. The free 8-iso-PGF2{alpha} levels are very low in liver, since isoprostanes initially are formed from arachidonic acid esterified to phospholipids from which they subsequently are released preformed, presumably by phospholipases (Morrow et al. 1992aCitation ). By hydrolysis of the liver, it is possible to detect the sum of free and esterified 8-iso-PGF2{alpha} levels. Vitamin E supplementation suppressed free but not total 8-iso-PGF2{alpha} levels compared to controls. The cause for these different effects of vitamin E on 8-iso-PGF2{alpha} levels in the liver is unclear.

There are only a few earlier animal studies investigating the effect of vitamin E on F2-isoprostanes (Awad et al. 1994bCitation , Nanji et al. 1994aCitation , Palmer et al. 1998Citation , Pratico et al. 1998bCitation ). In apolipoprotein E-deficient mice, supplementation with vitamin E (2000 IU/kg diet) significantly reduced F2-isoprostane generation in urine, plasma and vascular tissue (Pratico et al. 1998bCitation ). Inverse correlations were also seen between plasma vitamin E and F2-isoprostane levels in the urine, plasma and vascular tissues. Vitamin E dietary supplementation to streptozotocin-diabetic rats decreased the levels of plasma and liver total 8-iso-PGF2{alpha} (Palmer et al. 1998Citation ). However, plasma levels of 8-iso-PGF2{alpha} in the nondiabetic control rats and in diabetic rats fed a higher dose of vitamin E (500 mg/kg diet) were below the detection limit (0.03 nmol/L). In the same study, a dose-dependent decrease in plasma 8-iso-PGF2{alpha} concentration was demonstrated when comparing a vitamin E-deficient diet, a standard diet with a small amount of vitamin E (75.9 mg/kg diet), and a vitamin E-supplemented diet (250 mg/kg diet). Vitamin E deprivation has also been related to increased basal levels of 8-iso-PGF2{alpha} in both plasma and tissues of normal rats (Awad et al. 1994bCitation ) and in plasma in an animal model of alcoholic liver injury (Nanji et al. 1994aCitation ). The changes in levels of 8-iso-PGF2{alpha} in relation to the content of vitamin E in the diet may be important to consider when comparing the effects on oxidative stress in different animal studies. The dose used in our study (20 g/kg diet, which equals to ~2 g/kg body weight) is in the upper range of vitamin E doses used in animal studies. In safety studies of vitamin E intake (reviewed in Kappus and Diplock 1992Citation ), adverse effects were rarely observed with dosages up to 2 g/kg body weight in rats. It was concluded that there was no evidence of adverse toxic effects nor mutagenic, carcinogenic or teratogenic effects even at high doses of vitamin E. Controls and vitamin E-supplemented rats in this study both gained weight, and there was no difference in the final body weight between the groups. The antioxidant capacity and {alpha}-tocopherol level in plasma were greater in the vitamin E-supplemented rats than in controls.

Plasma malondialdehyde did not differ between groups, and the concentration of malondialdehyde did not correlate with levels of 8-iso-PGF2{alpha} in plasma (r = -0.35, P = 0.23, n = 14). This is in agreement with previously reported results from an animal study where 8-iso-PGF2{alpha} was measured with the same radioimmunoassay (Basu 1999Citation ). These different responses between two biomarkers of lipid peroxidation may be because they reflect different stages of the lipid peroxidation process.

Whether vitamin E has other functions, apart from its antioxidant properties by scavenging of free radicals and reacting with active forms of oxygen, has not yet been established. We showed that the basal levels of the PGF2{alpha} metabolite 15-K-DH-PGF2{alpha} in urine were decreased due to vitamin E supplementation with a simultaneous suppression of urinary 8-iso-PGF2{alpha}. In an earlier animal experimental study of hepatotoxicity (Basu 1999Citation ), both the inflammatory response, as measured by 15-K-DH-PGF2{alpha}, and oxidative injury, as measured by 8-iso-PGF2{alpha}, were increased. The oxidative injury was increased before an increase in the inflammatory response could be seen, suggesting that the cyclooxygenase-dependent inflammatory response possibly could be a secondary effect of oxidative injury and a conceivable link between inflammation and oxidative stress (Basu 1999Citation ). The simultaneous noninvasive measurement of 8-iso-PGF2{alpha} and 15-K-DH-PGF2{alpha} is a promising approach for studies, investigating the possible roles of lipid peroxidation under normal conditions and in the pathology of human diseases.

In summary, dietary supplementation with the antioxidant vitamin E decreased basal levels of free 8-iso-PGF2{alpha} in rats. Thus, vitamin E supplementation may have a possible effect on free radical-induced oxidative injury. A decrease in the basal levels of 15-K-DH-PGF2{alpha} in urine after vitamin E supplementation also shows a possible effect of vitamin E on cyclooxygenase-catalyzed prostaglandin formation.


    ACKNOWLEDGMENTS
 
We thank Lisbeth Sagulin and Barbro Simu for excellent technical assistance and Lars Berglund for invaluable advice regarding the statistical analyses.


    FOOTNOTES
 
1 Supported by The Swedish Medical Research Council (Grant no. 12X-7545 and 12X-109), The Swedish Nutrition Foundation, The Geriatrics Foundation, Loo and Hans Ostermans Foundation, The Royal Society of Science Research Grants. Back

3 Abbreviations used: 8-iso-PGF2{alpha}, 8-iso-prostaglandin F2{alpha}; 15-K-DH-PGF2{alpha}, 15-keto-13,14-dihydro-prostaglandin F2{alpha}; PG, prostaglandin. Back

Manuscript received June 23, 1999. Initial review completed July 23, 1999. Revision accepted September 9, 1999.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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