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Global Veterinaria 15 (1): 72-81, 2015
IDOSI Publications, 2015
Effect of Honey on Hydroxyl Radical Generation, Glutathione Depletion
And on Myeloperoxidase Released in the Extra-Cellular
Milieu by Activated Neutrophils
1Saad Aissat, Ha
ma Benbarek, 3 Thi
erry Franck, G
3 inette Deby-Dupont,
,4 idier Serteyn and Ang
1Institute of Veterinary Sciences, Ibn Khaldoun University, Tiaret 14000, Algeria.
2Faculty of Sciences of Nature and Life, Mascara University, Mascara 29000, Algeria
3Centre for Oxygen, Research and Development (CORD),
Institute of Chemistry B6a, University of Liège, SartTilman, 4000 Liège 1, Belgium
4Department of Clinical Sciences, Large Animal Surgery,
Faculty of Veterinary Medicine, B41, University of Liège, Sart Tilman, 4000 Liège 1, Belgium
Abstract: Using Electron spin resonance we have shown that (1): nectar honey (NH) and mixed honey (MH)
at 2% and 5% (w/v)generate the hydroxyl radical (O
. H) via Fenton-like reactions and noticed a partial quenching
of this radical at 10% (w/v). Honeydew honey (HH) produced partial quenching at 2%, strong quenching of.
OH at 5% (w/v) and complete quenching at 10% (w/v). (2): the three honey types honey exhibited a biphasic
activity on glutathione (GSH) depletion, as they lead to GSH depletion and increase reactive oxygen species
(ROS) generation at low concentrations, but prevent this depletion at higher concentrations. The present study
investigates also the effects of honey on the release of myeloperoxidase (MPO) by equine neutrophils (PMNs)
activated with phorbol 12-myristate 13-acetate (PMA), we noticed also a biphasic effect. At low concentration
the three honeys increased significantly the total MPO released in the extra-cellular milieu by activated PMNs
but decreased it significantly at higher concentrations. Honey is a very complex mixture containing a number
of ingredients involved in "oxidant/antioxidant physiological processes,bifunctional activities may occur at
different dosages.
Key words: Honey Hydroxyl Radical Myeloperoxidase Neutrophils
acute inflammation. Similarly, the H O
Escherichia coli appears to be mediated by OH via
Although the basal production of ROS can be
Fenton reaction [2,4]. OH reacts indiscriminately with
beneficial to maintain the redox homeostasis, still the
most metabolites and macromolecules, in many cases
excessive production of ROS, followed by a depletion of
generating other radicals in the process [1].
endogenous antioxidant enzymes, remains responsible for
During the inflammatory process, phagocytosis by
the disruption of the redox state balance named "oxidant
PMNs is highly correlated with the respiratory burst and
stress". Among these species,. OH a potent oxidizing
often accompanied by neutrophils degranulation and the
agent capable of reacting with a wide variety of targets
extracellular release of enzymes such as MPO. MPO is
over very short distances has been implicated in different
also found to a much lesser extent in monocytes and some
models of neutrophil-mediated tissue injury. OH cytotoxic
macrophages [5]. MPO has long been considered a key
effects have been shown for both prokaryotic and
constituent of the neutrophil's cytotoxic armament by
eukaryotic cells; bacteria, yeast and human cells [1-3]. For
catalyzing the formation of hypochlorous acid, a potent
example, OH production from H O
oxidant that displays bactericidal activity in vitro [6].
granules is a first line of defense against bacteria during
Although the generation of oxidants by MPO is beneficial
Corresponding Author: Saad Aissat, Institute of Veterinary Sciences, Ibn Khaldoun University, Tiaret 14000, Algeria.
Tel: +213 046451553.
Global Veterinaria, 15 (1): 72-81, 2015
in terms of the immune response to invading pathogens,
The concept "antioxidant" is usually linked to free
inappropriate stimulation of oxidant formation by this
radical scavenging and that ROS are essentially harmful
enzyme (wrong place, wrong time, excessive levels) can
and should be eliminated. However, the purpose of the
result in host tissue damage [7].
‘‘antioxidant defense network" is not to remove all ROS,
Most of publications the higher level of MPO was
but to control their levels so as to allow useful functions
connected to enhanced free radicals productions.
whilst minimising oxidative damage [21]. Honey seems to
However, some observations expand this view and show
either reduce or activate the production of reactive
that MPO-derived oxidants are critically involved in a
oxygen species from neutrophils. Honey and its
more subtle modulation of signaling pathways [8]. It has
components are able to either stimulate or inhibit the
been also suggested that MPO might be involved in the
release of certain cytokines (tumor necrosis factor- ,
antioxidant, not pro-oxidant, activity of phenolic
interleukin-1 , interleukin-6) from human monocytes and
compounds in endothelial Cells under oxidative stress [9].
macrophages. Honey seems also, to either reduce or
Peroxidases mediate in vitro the pro-oxidant or antioxidant
activate the production of reactive oxygen species from
activity of phenolic compounds, depending on the
neutrophils. Similarly, human keratinocytes, fibroblasts
chemical environment [10].
and endothelial cell responses (e.g., cell migration and
Reduced GSH, a thiol-containing tripeptide, is a
proliferation, collagen matrix production, chemotaxis) are
significant contributor for maintaining the intracellular
positively affected in the presence of honey. However,
redox state and, as such, is an important component of the
the immunomodulatory activity of honey is highly
overall cellular defensive mechanisms against ROS. An
complex because of the involvement of multiple
important function of this intracellular antioxidant is to
quantitatively variable compounds among honeys of
scavenge ROS produced during normal aerobic cellular
different origins [22].
respiration; if left unchecked, such ROS could oxidize and,
The aim of this work was to evaluate the effect of
thereby, damage nucleic acids, proteins and lipids [11].
three types of raw Algerian honey on hydroxyl radical
Several studies have noted greater depletions of
produced by the Fenton reaction and glutathione
intracellular GSH in cancer, than in normal, cel s upon their
depletion by using Electron Spin Resonance-spin
exposures to polyphenols. Normal cells maintain a proper
intracellular redox status with their antioxidant enzymes
trapping and on MPO Released in the Extra-Cellular Milieu
and their sufficient supply of reduced GSH and thus are
by Activated Neutrophils (MPO-ELISA Assay). At the
less susceptible to cytotoxic damage by pro-oxidant
best of our knowledge the two latter studies have never
polyphenols [12].
been achieved so far in the case of honey.
It is widely accepted that honey is beneficial to
health, thanks to its antioxidant properties among all of its
MATERIALS AND METHODS
beneficial aspects. Explanation(s) remain obscure and the
mechanism by which it acts also so far remains to be
elucidated. The antioxidant activity of honey has been
paranitrophenyl phosphate, ethylene diamine tetra-acetic
extensively studied, but there are remarkable
acid (EDTA), phorbol 12-myristate 13-acetate
discrepancies in the published data. The main cause and
(PMA),Percollwere purchased from Sigma (Bornem,
far from being negligible is that honey is a very complex
Belgium), FeSO4 was purchased from Merck.Horseradish
mixture containing a number of ingredients involved in
peroxidase (HRP), diethylenetetraminepenta acetic acid
"oxidant/antioxidant" physiological processes [13].
(DTPA) were purchased from Boehringer Mannheim,
Besides the direct antimicrobial effects of honey [14],
Trypan blue was from ICN Biomedicals, Inc (Ohio, USA).
research has also focused on identification of the
Analytical-gradNaCl, KCl, H2O2 30%, were supplied by
substances responsible for its anti-inflammatory [15-16]
Merck (VWRI, Leuven, Belgium). all aqueous solutions
and immunomodulatory effects [17-19]. It has been
were prepared with water previously purified in a Milli-Q
proposed that the antioxidant capacity of honey is due
water system (Millipore, Bedford, MA, USA
mainly to the phenolic compounds and flavonoids they
contain and there is a high correlationship between
Honey Samples: Three samples of Algerian honey,
polyphenols and honey antioxidant capacity, if possible
honeydew honey (HH), mixed honey (MH1) and nectar
a synergistic effect is observed on honey polyphenols
honey (NH), were directly obtained from beekeepers,
and the more than 181 compounds that form part of honey
belonging to different geographical regions. Raw honeys
used in this study were not submitted to thermal
Global Veterinaria, 15 (1): 72-81, 2015
treatments or to pasteurization or any other operation
Effect of honey on hydroxyl radical produced by the
able to alter natural composition. Honey samples were
Fenton reaction.
stored at 4°C in the dark until further analysis. The three
M) in the presence of FeSO (425µl,
varieties of honey are in accordance with international
10 4 M), DTPA (25 µl, 10 -4M), H O (5 µl, 10 3
standards (CARI ABSL, Belgium, which performed the
DMPO (50 µl, 100 mM) were added to each honey sample
at the final concentration of 2, 5 or 10% (w/v). The
reaction mixtures were immediately transferred into the flat
Blood Collection and Isolation of PMNs: Blood
cell in the TM cavity of the spectrometer. ESR spectra
samples were drawn from healthy horses by jugular
were recorded at room temperature on a Bruker
venipuncture in 9 ml vacutainer tubes with EDTA (1.6
spectrometer (Bruker ESP300E, Bruker, Kalsruhe,
mg/mlblood) as anticoagulant. The horses were
Germany) operating at X-band frequency (9.8 GHz) and at
clinically normal; they were fed, bred and housed under
non-saturating microwave power (20 mW).The
identical conditions and not under medical treatment
instrumental settings were the following: 100 KHz
(Faculty of Veterinary Medicine, University of Liège,
modulation frequency, 1.012 G modulation amplitude, 3480
Belgium). PMNs were isolated following the technique
G magnetic field center and receiver gain was 2.10 .4 The
of Pycock et al. [23] on a discontinuous density
sweep width was 100 G and the total number of scans was
gradient of Percoll formed by a 1.108 g/ml solution,
6. The hyperfine splitting constants were measured from
overlaid with a 1.1087 g/ml solution. The anticoagulated
the experimental spectra by means of a Bruker Win-
whole blood, laid on the top of the gradient, was
Simfonia program running under Microsoft Windows. The
centrifuged at 400g for 20 min at 20°C. The PMNs were
Fenton reaction in the absence of honey sample was
collected at the interface between the 2 gradient layers
considered as a positive control (CtrL) for DMPO-OH
and washed in 2volumes of physiological saline solution.
adducts and the signal height of its ESR spectrum was
The cell pellets were suspended in 20 mM phosphate
taken as 100%.
buffer saline (PBS) at pH 7.4 containing 137 mMNaCl and
2.7 mMKCl. The cell preparation was =96% neutrophils
EPR Spin Trapping Investigation of the Effect of Honey
with a viability of 97% as measured by the trypan blue
on the Thiyl Radical Generation: The reaction mixtures
exclusion test. Each batch of neutrophils was obtained
25mg/mL HRP, 10mM GSH, 1 mM H O
DMPO in phosphate buffer (pH 7, 5) were added to each
from 60 ml blood drawn from one horse, the cells were
honey sample at final concentrations of 2% and 10% and
used immediately after isolation, the experiment was
immediately transferred into the flat cell in the TM cavity
completed within 5hours and each assay was performed
of the spectrometer. ESR spectra were recorded at room
in triplicate. Each experiment was repeated at least twice
temperature on a Bruker spectrometer (Bruker ESP300E,
with different cell batches.
Bruker, Kalsruhe, Germany) operating at X-band
Before the experiments, neutrophils (10 c
frequency (9.8 GHz) and at non-saturating microwave
were incubated with diluted honey samples (2, 5, 10 and
power (20 mW).). The instrumental conditions were as
20%) and the cell viability was estimated by the trypan
follows : microwave power, 20 mW ; receiver gain,2x 104;
blue exclusion test in order to exclude a cytotoxicity of the
time constant, 164 ms ; time conversion, 40,96 ms ; center
field, 3480± 50 G and number of scan,2. The hyperfine
splitting constants were measured from the experimental
Electron Spin Resonance (ESR)-spin Trapping
spectra by means of a Bruker Win-Simfonia program
Experiments: Electron spin (or electron paramagnetic)
running under Microsoft Windows. The EPR signal,
resonance (ESR) is a spectroscopic technique that detects
corresponding to the spin adduct of DMPO/thiyl (GS )
unpaired electrons present within the sample. As such,
resulted from the reaction of DMPO with the GS radicals
ESR is the only accurate approach that can provide direct
produced by the HRP enzymatic activity on GSH. The EPR
evidence for the presence of a free radical. In addition, the
signal obtained in the absence of honey was taken as the
analysis of the ESR spectrum generally enables the
control spectrum (CtrL).
determination of the identity of the free radical [24].
Because of their short lifetime, the detection of such free
Effect of honey on Total MPO Released in the Extra-
radicals is very difficult in biological samples and
Cellular Milieu by Neutrophils Activated with PMA
therefore, spin trap agents (nitrones) are used to form
(MPO-ELISA Assay): The neutrophil suspensions
adducts with a higher lifetime.
(106cells/mL) were incubated for 10 min at 37 °C in
Global Veterinaria, 15 (1): 72-81, 2015
darkness with honey at final concentrations of 2, 5, 10 and
complex spectra with an increased intensity of the four-
20% (w/v) for each honey sample and then activated for
line ESR signal attributed to the DMPO-OH adducts (sign
30 min at 37 °C once again in darkness with PMA at the
Ø spectrum 2in Fig. 1b) and a new signal (sign * spectrum
final concentration of 0.8 µM. After activation, the cell
2in Fig 1b). Similar data were obtained with MH, but are
suspensions were centrifuged for 10 min (450 g) and the
not presented here. When, 5% of NH (w/v) were added to
supernatants were collected. To measure the total MPO
the complete system, there was no real modification of the
released by activated neutrophils in the extra-cellular
shape of the ESR signal intensity attributed to DMPO-OH
milieu, an original Equine MPO ELISA assay designed by
adducts and the new signal as shown in Fig. 1a spectrum
Franck et al. [25] was performed, using a specific kit
3. Upon addition of 10% of NH we noticed a decrease of
provided by BiopTis (Liège, Belgium). Briefly, polyclonal
the height of the spectrum VsCtrL. In contrast, the lines
antibodies against equine MPO were obtained in rabbit
attributed to the unidentified species were enhanced
and coated on 96 wells-microtiter plates. The
(Fig 1a spectrum 4). The addition of HH at 2 % (w/v)
supernatants, which contained MPO released by the cells,
already resulted in a slight decrease of the 4-line ESR
were diluted 200-fold with PBS, loaded into the wells and
spectrum of DMPO-OH adduct (sign Ø in Fig 1b spectrum
incubated at 4 °C overnight. After washing, a second
2), the new signal was also present. When high
polyclonal antibody against equine MPO, raised in guinea
concentrations of HH (5 and 10% w/v) were added to the
pigs and labeled with alkaline phosphatase, was loaded
mixture, the lines corresponding to DMPO-OH adducts
into the wells and incubated for 2 h in darkness. After an
were strongly reduced and even totally disappeared for
ultimate washing, the wells were loaded with a solution of
the highest concentration of 10 %. In contrast, the second
paranitrophenyl phosphate for the measurement of
ESR signal (*) enhanced dramatically (Fig. 1b spectra 3
phosphatase activity and incubated for 30 min at 37 °C in
darkness. The absorbance (405 nm) proportional to the
content of MPO in the wells was read with Multiscan
EPR Spin Trapping Investigation of the Effect of Honey
Ascent (Thermo Scientific). The control was performed
on the Thiyl Radical Generation: The peroxidase-
with neutrophils activated with PMA in presence of PBS
catalysed oxidation system allowed investigation of the
instead of honey and was taken as 100% MPO release to
formation of the thiyl (GS ) radical intermediate triggered
compare with the effects of honey.
by the addition of H O
2 n the presence of a peroxidase
(HRP). This system was designed to assess the capability
Statistical Analysis: Determination the effect of honey on
of honey to protect glutathione from the oxidant attack by
total MPO released by PMA-activated PMNs was done in
/2HRP couple (Fig 2). Fig (2a) shows EPR
triplicate. The n value of one experimental point was 5.
spectrum characteristic of the thiyl radical produced by
Data are given as mean ± SD and statistical analysis was
the enzymatic system HRP/GSH/H O
2in the presence of
performed with Graph Padins tat 3.05 (Graph Pad Software,
DMPO (control). The addition to the complete system of
San Diego California, USA). A p value < 0.05 was
2% (w/v) of HH and NH resulted in an increased intensity
considered as significant.
of the four-line ESR signal attributed to the thiyl radical
adduct, MH being slightly active (Fig 2b).The four-line
EPR spectrum was totally abolished when HH, NHand
MHat final concentration of 5%was added to the reaction
Effect of Various Types of Honey on Hydroxyl Radical
mixture (Fig 2c).
Produced by the Fenton Reaction: The Fenton reaction is
based on the reduction of H O
n electron donated by
Effect of Honey on Total MPO Released in the Extra-
metal ions to produce hydroxyl radical ( OH). Iron is used
Cellular Milieu by Neutrophils Activated with PMA
as an electron donor. We used the spin trap 5,5'-dimethyl-
(MPO-ELISA Assay): The MPO amount released by
1-pyrroline-N-oxide (DMPO), which reacts with OH to
activated PMNs (Ctrl PBS), in which PBS was used
form a relatively stable paramagnetic species, the DMPO-
instead of honey, was set as 100% MPO release (Ctrl).
OH spin adduct with a characteristic four-line ESR
The addition OF NH, HH and MH honey at the final
spectrum (quartet with 1:2:2:1 intensities) [24]. Figure 1a
concentration of 2% increased respectively the MPO
and 1b spectrum 1 shows the ESR spectra obtained from
release by 96,76%;64,48% and 15,53%. The addition of NH
the trapping of hydroxyl radicals (•OH) by DMPO in the
and HH honey at the final concentration of 5% also
absence of honey samples (CtrL). The addition to the
increased respectively the MPO release by 47, 59% and
complete system of 2% (w/v) of NH resulted in more
28,71%, while no significant effect was observed for
Global Veterinaria, 15 (1): 72-81, 2015
Fig. 1: Hydroxyl radical ( O
H) by fenton reaction (Fe /D
2 and effects of honey
(Fig 1a) ESR spectra obtained from the trapping of hydroxyl radicals (•OH) by DMPO in the absence of honey
samples (Ctrl). (1b): same as (1a) but with addition of honey at final concentration of 2% (w/v).(1c): same as ( 1a)
but with addition of honey at final concentration of 5% (w/v). ).(1): same as ( 1a) but with addition of honey at
final concentration of 10% (w/v)The instrument settings are listed in materiel and methods
Global Veterinaria, 15 (1): 72-81, 2015
Fig. 2: Thiyl (GS ) radical produced by the enzymatic system (HRP/GSH/H O
d effects of honey.
(2a): Complete system.HRP/GSH/H O
DMPO. (2b): same as (2a) but with addition of honey at final
concentration of 2% (w/v).(2c): same as ( 2a) but with addition of honey at final concentration of 5% (w/v).The
instrument settings are listed in materiel and methods.
MH at the same concentration. Meanwhile the addition of
dilution[26]. Since the rates of hydrogen peroxide
NH, HH and MH honey at the final concentration of 10%
production increase with honey concentrations until the
and 20% decreased respectively the MPO release by
optimal dilution at which honey produces the maximal
12,7% ; 50%; 30,55% and 60.21; 59.96; 59.33.
amounts of hydrogen peroxide (which is between 40 and
60%) [26],and since OH generation increases with honey
dilution [27],it would thus be expected an increase of the
DMPO-OH signal intensity when the concentrations of
In the present work we found that NH and MH
honey increased.
honeys at 2% and 5% (w/v) generate OH via Fenton-like
Therefore, 10 % NH (w/v) were added to the complete
reactions with generation of unidentified species Fig 1a
system and the shape of the ESR spectrum was
spectrum 2 and 3). In1994, Mason et al. [24] ascertained
monitored. In contrary, we noticed apartial quenching of
that since the Fenton reaction requires hydrogen
OH, but the lines attributed to the unidentified species
peroxide, a substance that catalyzes hydrogen peroxide
were enhanced (Fig 1a spectrum 4).
formation would increase the signal. It is well established
Addition of HH produced partial quenching at 2%,
that honeys contain glucose oxidase enzyme which
strong quenching of. OH at 5% (w/v) and complete
catalyses the formation of hydrogen peroxide, after honey
quenching at 10% (w/v), the signal attributed to the new
Global Veterinaria, 15 (1): 72-81, 2015
species enhanced dramatically. The other radical species
observed could not be unequivocally identified Fig 1b
specta 2, 3 and 4).
Alvarez-Suarez et al. [28] previously noticed that all
Cuban honeys studied generated OH to varying extents
via the Fenton reaction. While in another study carried
out by the same authors, it was found on the contrary that
all the studied Cuban honeys scavenged the OH
generated via the Fenton reaction [29]. In a similar study
Henriques et al. [30], studying three types of honey
(Manuka honey, pasture honey P59 and artificial honey),
reported that only pasture honey P59 was able to generate
free radicals. These authors concluded that additional
unidentified species might arise from secondary reactions
Fig. 3: Effect of honey on Total MPO Released in the
involving free radicals and the organic components of
Extra-Cellular Milieu by Neutrophils Activated
honey. It must be noticed that these authors used only a
with PMA (MPO-ELISA Assay
single dilution. Honeys were shown to cause oxidative
Columns and bars represent mean ± standard
damage that restricted bacterial growth and caused
deviation of the results of five measurements.
cytotoxic degradation of DNA due to the formation of
*Significant difference (*P < 0.05, **P < 0.01,
OH and appear to involve some components in honey
***P<0.001) vs. CtrL. + : enhancement;-inhibition;
that have not yet been identified [27,31].
ns: no significant
As, the other radical species observed could not be
unequivocally identified, we cannot state here if the
initial studies suggested that GSH depletion was only a
quenching of OH may represent an antioxidant or
byproduct of oxidative stress generated during cell death,
prooxidant effect of honey. Honey's therapeutic
recent discoveries suggest that GSH depletion plays a
properties are largely attributed to its antimicrobial and
critical as regulator of apoptosis [38].
anti-oxidant activities. Bactericidal activity could be due
According to Jaganathan and Mandal. [39], honey at
low concentration (3% v/v) induced apoptosis of the
to OH and possibly to these secondary organic radicals.
HCT-15 and HT-29 colon cancer cells by causing the
Any antibacterial properties of honey will thus be a
depletion of intracellular non-protein thiols and increasing
balance between the opposing activities of radical
the reactive oxygen species (ROS) generation.In line with
generation and quenching [30].
these findings, we have also shown in the present study
GSH is an intracellular antioxidant which accounts for
that honey at low concentrations causes a depletion of
over 90% of the intracellular non-protein thiols [32]. It is
GSH and increase ROS generation (Fig 2c).
commonly viewed as an universal free radical scavenger
Compared to CtrL, the three honey samples at 10%
and major intracellular antioxidant [33]. In a vivo studies,
and 20% (w/v) decreased significantly the total MPO
honey was found to maintain or enhance the level of non-
released in the extra-cellular milieu by activated PMNs
protein sulfhydyl substances (such as GSH) [34]. Similar
observation was made by Korkmaz et al. [35]) and
Very few studies reported the effect of honey on
Galal et al. [36]. In agreement with what precedes,it
MPO even though Medhi et al. [40] reported that Manuka
appears from our results that at 5% (w/v) the three honey
Honey reduced the MPO level in rats induced ulcerative
types prevent GSH depletion (Fig 2b).
colitis. Honey was also found to decrease the luminol-
While strategies for increasing GSH levels were
enhanced chemiluminescence in opsonisedzymosan-
developed to increase cellular defenses and resist toxicity,
stimulated whole blood and isolated leukocytes [41]. But,
strategies for depleting GSH were developed to increase
as was the case for GSH depletion, at the best of our
the sensitivity of tumors and certain parasites to radiation,
knowledge there is not available published data on the
drugs or endogenous killing mechanisms [37]. Apoptosis
effect of honey on the release of MPO from activated
is a conserved homeostatic process critical for organ and
tissue morphogenesis, development and senescence. This
Surprisingly, except for MH at 5% the three honey
form of programmed cell death also participates in the
types at 2% and 5% increased significantly the total MPO
etiology of several human diseases including cancer,
released in the extra-cellular milieu by activated PMNs
neurodegenerative and autoimmune disorders Although
Global Veterinaria, 15 (1): 72-81, 2015
However, upon its release from neutrophils, the
beneficial and adverse effects important in the
enzyme becomes inactive very frequently in tissue
prevention and pathogenesis of disease. The
microenvironment. Therefore, both enzymatically active
mechanisms by which honey affects the release of MPO
MPO and enzymatically inactive MPO are present at
and the GSH depletion need to be clarified. However, our
inflammatory sites [42].
results herein may represent framework for further studies.
According to Papineni and Orton [43] after,
Nevertheless, the immunomodulatory activity of honey is
intraperitoneal administration of a single dose honey 0,1
highly complex because of the involvement of multiple
ml (50% v/v) in athymic nude mice, significant
quantitatively variable compounds among honeys of
enhancement in MPO activity was observed within 3 hrs-
different origins.
probably after that honey has been over diluted by
corporal fluids-with robust PMNs activation at different
lymph nodes. According to Lau et al. [8] independently
of his catalytic action MPO exerts leukocyte-activating
The authors would like to thank Mrs Ariane Niesten
functions, an event reminiscent of other PMN-derived
and Jennifer Romainville for their technical assistance.
potent pro-inflammatory cytokines such as TNF- and
This work was supported by Centre for Oxygen, Research
and Development (CORD), University of Liège, funded by
Which should attract attention in this study is that
the NFSR (National Fund for Scientific Research) Belgium.
the honey presents a "pro-oxidant" effectat such low
concentration. In another context, it have been shown
previously that honey at 1% (w/v) significantly enhanced
the expression of MMP-9 mRNA in primary cultures of
1. Halliwell, B., 1995. The biological significant of
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oxygen-derived species. J.S. Valentine, C.S. Foote,
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Similarly, it has been shown that honey at low
2. Imlay, J.A. and S. Linn, 1988. DNA damage and
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[45], increases phagocytic activity [45-46] and induces the
Reactive oxygen species and yeast apoptosis.
chemotactic activity of isolated neutrophils [47] The
Biochim. Biophys. Acta, 1783: 1354-1368.
stimulatory activity of honey at low concentration is
4. Imlay, J.A., S.M. Chin and S. Linn, 1988. Toxic DNA
probably due to a low level of an inflammatory/stimulatory
damage by hydrogen peroxide through the Fenton
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Virtually no research has been conducted on the
5. Davies, M.J., C.L. Hawkins, D.I. Pattison and
biphasic effect of honey except that it has been shown by
M.D. Rees, 2008. Mammalian heme peroxidases:
Tsiapara et al. [48] that honey exhibited a biphasic
from molecular mechanisms to health implications.
activity in breast cancer MCF-7 cells depending on the
Antioxid Redox Signal, 10(7): 1199-1234.
concentration-an antiestrogenic effect at low
6. Winterbourn, C.C., 2002. Biological reactivity and
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7. Michael, J., 2011. Davies. Myeloperoxidase-derived
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The present findings suggest that honey exhibit a
8. Denise Lau, Hanke Mollnau, Jason P. Eiserich,
biphasic activity on hydroxyl radical generation,
Bruce A. Freeman, Andreas Daiber,
glutathione depletion and MPO release by activated
Ursula M. Gehling, Jens Brümmer_, Volker Rudolph,
neutrophils. Being "pro-oxidant" at low concentration and
Thomas Münzel, Thomas Heitzer, Thomas Meinertz
"antioxidant" at high concentration in a variable extent
and Stephan Baldus, 2005. Myeloperoxidase
depending on honey type. Thus, by acting as an
mediates neutrophil activation by association with
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Journal of Advances in Internal Medicine Editorial Underestimation of clinical importance of non-steroidal anti-inflammatory drug induced enteropathy and its exacerbation by proton pump inhibitors Umid Kumar Shrestha* Manipal College of Medical Sciences & Manipal Teaching Hospital, Pokhara, Nepal Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used over-the-counter to relieve pain and symptoms of arthritis and soft tissue inflammation. Proton pump inhibitors (PPIs) are often used simultaneously with NSAID to protect against its gastroduodenal side effects. However, the suppression of gastric acid secretion by PPIs does not seem to protect against the damage caused by NSAIDs in the more distal small intestine, often called as NSAID induced enteropathy. In fact, the small intestine seems to be more susceptible to the damaging effects of NSAIDs than the stomach1 and PPI may even exacerbate the NSAID induced enteropathy.2
Int. J. Pharm. Med. & Bio. Sc. 2013 Kumar Amit et al., 2013 ISSN 2278 – 5221 www.ijpmbs.com Vol. 2, No. 4, October 2013 © 2013 IJPMBS. All Rights Reserved A COMPARATIVE STUDY OF EFFICACY OF TERBINAFINE AND FLUCONAZOLE IN PATIENTS OF TINEA CORPORIS