00:01
So clearly,
we've seen this before,
not enough oxygen
is a bad thing.
00:06
We don't make enough ATP,
we go to anaerobic glycolysis.
00:12
We don't want to do that
unless we absolutely have to.
00:14
So too little oxygen a bad thing,
too much oxygen in various forms
can lead to damage as well.
00:23
And so, it turns out that inflammation
as we talk about radiation
we will talk about just
increased oxygen levels.
00:34
Toxins and chemicals
reperfusion injury
will all lead to
increased levels of oxygen
and more importantly,
oxygen metabolites.
00:43
These are reactive oxygen species and
you need to hang on to this term ROS
or reactive oxygen species because we're
going to see this many, many, many times
over the course of
talking about pathology.
00:55
And ROS includes superoxide
free radicals,
hydroxide radicals and hydrogen peroxide.
01:02
And these,
in high amounts or even moderate
amount can cause significant damage.
01:09
And so you can have to
low oxygen causing damage.
01:13
We can have ROS reactive
oxygen species causing damage
and there's reactive
oxygen species come from
that inflammation radiation
oxygen toxicity etc.
01:22
So what's a free radical?
It's an unpaired electron
in an outer orbital.
01:27
So you have in the outer
orbital one extra electron
and it is very,
very, very reactive.
01:36
That's the whole point.
01:37
For the chemist in the audience,
that's a very simplified explanation.
01:40
For everybody else,
it's a very reactive electron.
01:44
A nd it will affect every component of
the cell, lipid, protein, nucleic acid.
01:50
So here's an example
what it does to lipid,
we're looking at a very
simplified in the top right.
01:54
A membrane with
the phospholipid,
the tails, hydrophobic
interacting with each other
and the hydrophilic
heads pointing out.
02:03
And you see that there are a lot of
unsaturation in most of the phospholipids,
that's the double bond,
it's indicated there.
02:09
Along comes your not-so-friendly
superoxide free radical
or any of the
other free radicals
and it will break at
those double bonds
or it will cause peroxidation.
02:22
That's the oxygen looking like a
little triangle across the double bond.
02:26
Or it will cause peroxy links,
that's the double oxygen
between various lipid tails.
02:35
The end result is that we turn a
lipid bilayer into a detergent.
02:41
We've fragmented all of those lipid
tails and it's now very, very soluble.
02:48
So the membrane integrity is lost as a
result of the oxygen free radical damage.
02:54
So that's effect on lipids.
02:56
It also affects nucleic acids.
02:59
There was oxygen free
radicals will cause
thymine dimers as indicated
on the right hand side.
03:04
And if we do excision repair,
it's possible that we will get breaks
or we will get defective
genetic repair.
03:12
And we can also
cause DNA breaks.
03:15
So just by having those
oxygen free radicals,
we can lose genome
genetic integrity.
03:22
And proteins, same thing
happens, we get breaks.
03:25
You can see that a normal protein with
all of its folds is on the left hand side
and then we get protein
cross-linking and breaks
and you can see gaps in
the protein structure.
03:36
And you can also see cross-linking,
so we can toward and distort
the normal architecture.
03:41
And when that
happens that protein,
that was previously
doing something important
maybe enzyme activity or a structural
protein is not able to do its job.
03:50
So for oxygen free radicals,
radicals of any kind
will cause damage
to all three of those components
and you can imagine that
that has fairly dramatic
effects on the cell.
04:02
Kind of another important point about free
radicals besides the fact that it's the,
you know, the unpaired
electron in the outer orbital.
04:10
They are autocatalytic.
04:12
So nasty little buggers that they
are, once they're formed,
they tend to as they go about
their business of breaking lipids
or cross-linking proteins
or causing thymine dimers.
04:23
They generate more
free radicals.
04:25
So at each step,
you not only do your thing,
but you make another free radical.
04:32
So it's autocatalytic.
04:33
They just keep going.
04:34
It's like lighting a match
to a bit of dry grass and
it just keeps expanding.
04:42
An important other point
is that we use this,
so these are not just evil things that
happen because of bad engineering.
04:50
This is happening normally,
it's a normal component of inflammation.
04:54
So what's being shown on the
right hand side is a neutrophil.
04:57
It's engulfing a bacteria.
04:59
How do we kill it?
Once we've engulfed it,
we douse it with reactive oxygen species.
05:05
It's very effective.
05:06
And that's how we, as we will see
in subsequent topic discussions.
05:10
That's how we kill things
that we internalize.
05:13
It's also very important
for killing tumors.
05:15
So we use it as a normal
component inflammatory cascade.
05:20
It's important also that you understand
that reactive oxygen species,
ROS free radicals contribute
to the radiation injury.
05:27
So when we get zapped with
gamma rays or any any radiation,
that is one of the
major toxicities.
05:35
It also has to do with
increased oxygen toxicity
of already mentioned in a
previous topic discussion,
that if if I put you in a
hyperbaric chamber for a week,
you will get pulmonary fibrosis.
05:45
Well, that's because you're generating
too many oxygen free radicals.
05:49
And cellular aging,
cellular senescence happens,
because we have oxygen free radical
damage that's happening at a low level
and we may not completely,
accurately repair that.