N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings

SARS-CoV-2 infects type II pneumocytes and disrupts redox homeostasis by overproducing reactive oxygen species (ROS). N-acetyl cysteine (NAC) is a precursor of the synthesis of glutathione (GSH) and it restores the loss of redox homeostasis associated to viral infections. The aim of the study is to...

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Main Authors: María Elena Soto, Linaloe Manzano-Pech, Adrían Palacios-Chavarría, Rafael Ricardo Valdez-Vázquez, Verónica Guarner-Lans, Israel Pérez-Torres
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/4/591
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author María Elena Soto
Linaloe Manzano-Pech
Adrían Palacios-Chavarría
Rafael Ricardo Valdez-Vázquez
Verónica Guarner-Lans
Israel Pérez-Torres
author_facet María Elena Soto
Linaloe Manzano-Pech
Adrían Palacios-Chavarría
Rafael Ricardo Valdez-Vázquez
Verónica Guarner-Lans
Israel Pérez-Torres
author_sort María Elena Soto
collection DOAJ
description SARS-CoV-2 infects type II pneumocytes and disrupts redox homeostasis by overproducing reactive oxygen species (ROS). N-acetyl cysteine (NAC) is a precursor of the synthesis of glutathione (GSH) and it restores the loss of redox homeostasis associated to viral infections. The aim of the study is to evaluate the effect of the treatment with NAC on the enzymatic antioxidant system in serum from patients infected by SARS-CoV-2. We evaluated the enzymatic activities of thioredoxin reductase (TrxR), glutathione peroxidase (GPx), -S-transferase (GST), and reductase (GR) by spectrophotometry and the concentrations of the glutathione (GSH), total antioxidant capacity (TAC), thiols, nitrites (NO<sub>2</sub><sup>–</sup>), and lipid peroxidation (LPO) in serum. The activity of the extracellular super oxide dismutase (ecSOD) was determined by native polyacrylamide gels, and 3-nitrotyrosine (3-NT) was measured by ELISA. A decrease in the activities of the ecSOD, TrxR, GPx, GST GR, (<i>p</i> = 0 ≤ 0.1), and the GSH, TAC, thiols, and NO<sub>2</sub><sup>–</sup> (<i>p</i> ≤ 0.001) concentrations and an increase in LPO and 3-NT (<i>p</i> = 0.001) concentrations were found in COVID-19 patients vs. healthy subjects. The treatment with NAC as an adjuvant therapy may contribute to a reduction in the OS associated to the infection by SARS-CoV-2 through the generation of GSH. GSH promotes the metabolic pathways that depend on it, thus contributing to an increase in TAC and to restore redox homeostasis.
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spelling doaj.art-65945fa03cb24fbba8b4169dfeed0ff22023-11-17T20:51:06ZengMDPI AGPharmaceuticals1424-82472023-04-0116459110.3390/ph16040591N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary FindingsMaría Elena Soto0Linaloe Manzano-Pech1Adrían Palacios-Chavarría2Rafael Ricardo Valdez-Vázquez3Verónica Guarner-Lans4Israel Pérez-Torres5Department of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano 1, Sección XVI, Tlalpan, Mexico City 14080, MexicoDepartment of Cardiovascular Biomedicine, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, MexicoCritical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center, Mexico City 11200, MexicoCritical Care Unit of the Temporal COVID-19 Unit, Citibanamex Center, Mexico City 11200, MexicoDepartment of Physiology, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano 1, Sección XVI, Tlalpan, Mexico City 14080, MexicoDepartment of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano 1, Sección XVI, Tlalpan, Mexico City 14080, MexicoSARS-CoV-2 infects type II pneumocytes and disrupts redox homeostasis by overproducing reactive oxygen species (ROS). N-acetyl cysteine (NAC) is a precursor of the synthesis of glutathione (GSH) and it restores the loss of redox homeostasis associated to viral infections. The aim of the study is to evaluate the effect of the treatment with NAC on the enzymatic antioxidant system in serum from patients infected by SARS-CoV-2. We evaluated the enzymatic activities of thioredoxin reductase (TrxR), glutathione peroxidase (GPx), -S-transferase (GST), and reductase (GR) by spectrophotometry and the concentrations of the glutathione (GSH), total antioxidant capacity (TAC), thiols, nitrites (NO<sub>2</sub><sup>–</sup>), and lipid peroxidation (LPO) in serum. The activity of the extracellular super oxide dismutase (ecSOD) was determined by native polyacrylamide gels, and 3-nitrotyrosine (3-NT) was measured by ELISA. A decrease in the activities of the ecSOD, TrxR, GPx, GST GR, (<i>p</i> = 0 ≤ 0.1), and the GSH, TAC, thiols, and NO<sub>2</sub><sup>–</sup> (<i>p</i> ≤ 0.001) concentrations and an increase in LPO and 3-NT (<i>p</i> = 0.001) concentrations were found in COVID-19 patients vs. healthy subjects. The treatment with NAC as an adjuvant therapy may contribute to a reduction in the OS associated to the infection by SARS-CoV-2 through the generation of GSH. GSH promotes the metabolic pathways that depend on it, thus contributing to an increase in TAC and to restore redox homeostasis.https://www.mdpi.com/1424-8247/16/4/591SARS-CoV-2N-acetyl cysteineantioxidant enzymatic systemCOVID-19total antioxidant capacity
spellingShingle María Elena Soto
Linaloe Manzano-Pech
Adrían Palacios-Chavarría
Rafael Ricardo Valdez-Vázquez
Verónica Guarner-Lans
Israel Pérez-Torres
N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
Pharmaceuticals
SARS-CoV-2
N-acetyl cysteine
antioxidant enzymatic system
COVID-19
total antioxidant capacity
title N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
title_full N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
title_fullStr N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
title_full_unstemmed N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
title_short N-Acetyl Cysteine Restores the Diminished Activity of the Antioxidant Enzymatic System Caused by SARS-CoV-2 Infection: Preliminary Findings
title_sort n acetyl cysteine restores the diminished activity of the antioxidant enzymatic system caused by sars cov 2 infection preliminary findings
topic SARS-CoV-2
N-acetyl cysteine
antioxidant enzymatic system
COVID-19
total antioxidant capacity
url https://www.mdpi.com/1424-8247/16/4/591
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