High dietary salt decreases antioxidant defenses in the liver of fructose-fed insulin-resistant rats

Similar documents
Chronic high-sodium diet intake after weaning lead to neurogenic hypertension in adult Wistar rats

Effect of kazunoko lipid on the concentrations of plasma glucose and lipids and liver lipids in mice

EFFECTS OF INGREDIENT AND WHOLE DIET IRRADIATION ON NURSERY PIG PERFORMANCE

DIETARY FOOD FORTIFIED WITH OROTIC ACID AND LIVER FUNCTION

EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE

Abstract ABSTRACT #69. Abstract. Introduction & Methods. Methods & Results. Results. Results & Conclusions

EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1

Physical training prevents oxidative stress in L-NAME-induced hypertension rats

Supporting information

SUPPLEMENTARY INFORMATION

Effect of supplemental fat from dried distillers grains with solubles or corn oil on cow performance, IGF-1, GH, and NEFA concentrations 1

CHAPTER- 3 ANALYSIS OF PATHOPHYSIOLOGICAL MARKER ENZYMES, LIPID AND PROTEIN PROFILES IN CONTROL AND EXPERIMENTAL ANIMALS

British Journal of Nutrition

* * * * * liver kidney ileum. Supplementary Fig.S1

British Journal of Nutrition

Check your understanding 3

THE EVALUATION OF DEHULLED CANOLA MEAL IN THE DIETS OF GROWING AND FINISHING PIGS

PROVEN ANTICOCCIDIAL IN NEW FORMULATION

PHYSIOLOGICAL AND PROTEOMIC RESPONSES OF TOBACCO SEEDLINGS EXPOSED TO SILVER NANOPARTICLES

2018 American Diabetes Association. Published online at

Research Article Maternal Fructose Intake Induces Insulin Resistance and Oxidative Stress in Male, but Not Female, Offspring

Background Pears (Pyrus L.) are one of the leading cultivated fruit trees in China following apples and oranges in planting area and fruit yield.

Optimisation of diets for Atlantic cod (Gadus morhua) broodstock: effect of arachidonic acid on egg & larval quality

SESSIONE I: RELATORI. Ghrelin: from oroxigenic signal to metabolic master regulator?

Kumar et al. Kumar et al. BMC Complementary and Alternative Medicine 2013, 13:273

Effect of Different Dietary Energy Sources on Induction of Fatty Liver-Hemorrhagic Syndrome in Laying Hens

Feeding state and age dependent changes in melaninconcentrating hormone expression in the hypothalamus of broiler chickens

Roughage Type & Level & Grain Processing Interactions with Distiller s s Grains Diets. Matt May High Plains Bio Fuels Co-Product Nutrition Conference

The protective roles of GLP-1R signaling in diabetic nephropathy: possible mechanism and therapeutic potential

Effects of physical exercise on working memory and prefrontal cortex function in post-stroke patients

39 Nippon Shokuhin Kagaku Kogaku Kaishi Vol. /1, No. 0,,0-,01 (,*+*)

Adipocyte in vascular wall can induce the rupture of abdominal aortic aneurysm

The Effect of Substituting Sugar with Artificial. Sweeteners on the Texture and Palatability of Pancakes

Effect of Aqueous Extract of Carica papaya Dry Root Powder on Lactation of Albino Rats

PNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :

The effect of dietary α-linolenic acid levels on regulation of omega-3 lipid synthesis in rat

The Journal of Physiology

SUPPLEMENTARY INFORMATION

British Journal of Nutrition

Consumer perceptions of meat quality and shelf-life in commercially raised broilers compared to organic free range broilers

Meat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel

Diabetes mellitus secondary to pancreatic diseases (type 3c): The effect of smoking on the exocrine endocrine interactions of the pancreas

Effects of Different Sources and Levels of Selenium on Performance, Thyroid Function and Antioxidant Status in Stressed Broiler Chickens

SUPPLEMENTARY INFORMATION

USE OF SORGHUM-BASED DISTILLERS GRAINS IN DIETS FOR NURSERY AND FINISHING PIGS

British Journal of Nutrition

The effects of Momordica charantia on obesity and lipid profiles of mice fed a high-fat diet

Clinical Study Report Synopsis Drug Substance Naloxegol Study Code D3820C00018 Edition Number 1 Date 01 February 2013 EudraCT Number

Effect of environmental stress on biochemical and physiological features in cultured fish

Acute and gradual increases in BDNF concentration elicit distinct signaling and functions in neurons

EFFECT OF DIETARY ENZYME ON PERFORMANCE OF WEANLING PIGS

The effect of encapsulated butyric acid and zinc on performance, gut integrity and meat quality in male broiler chickens 1

Beneficial effects of hesperidin following cis diamminedichloroplatinum induced damage in heart of rats

Effects of Dietary Protein and Energy on Growth Performance and Carcass Characteristics of Betong Chickens (Gallus domesticus) During Growing Period

SUPPLEMENTARY INFORMATION. Cytochrome P450-2E1 promotes fast food-mediated hepatic fibrosis

INFLUENCE OF DIFFERENT STRAINS AND WAYS OF INOCULATION ON THE RABBIT S RESPONSE TO EXPERIMENTAL INFECTION WITH PASTEURELLA MULTOCIDA

Effect of Oral Administration of Propylene Glycol on Serum Glucose Concentrations in Periparturient Dairy Cows

Chi-Hua Yen, 1,2,3 Shu-Ju Chen, 4 Jen-Tzu Liu, 5 Yu-Fen Tseng, 5 and Ping-Ting Lin 5,6. 1. Introduction

Extraction and Some Functional Properties of Protein Extract from Rice Bran

Effect of Conjugated Linoleic Acid (CLA) in Rats Subjected to Damage Liver Induced by Carbon Tetrachloride

Relationship between serum irisin, glycemic indices, and renal function in type 2 diabetic patients

The Journal of Physiology

Effects of Curcumin Attenuated Hepatitis in Mice with Paracetamol Overdose ABSTRACT

Curcumin attenuates Nrf2 signaling defect, oxidative stress in muscle and glucose intolerance in high fat diet-fed mice

Supplemental Materials

Excessive fructose intake causes 1,25-(OH) 2 D 3 -dependent inhibition of intestinal and renal calcium transport in growing rats

Invasive Pneumococcal Disease Quarterly Report. July September 2017

Enhanced glutathione peroxidases (GPx) activity in young barley seedlings enriched with selenium

Alterations in drug metabolizing activities in acute hepatosteatosis induced by intake of a high-carbohydrate/fat-free diet after food deprivation

How adaptations of substrate utilization regulate body composition

Effects of rosuvastatin and/or -carotene on non-alcoholic fatty liver in rats

Response of Commercial Egg-Type Pullets to Diets Varying in Protein and Energy Content in Arid Hot Climate

Input from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer

Effect of ethanol extracts from red pepper seeds on antioxidative defense system and oxidative stress in rats fed high-fat high-cholesterol diet

larvi 2013 Oxidative stress in sea bass (Dicentrarchus labrax) larvae interaction of high dietary DHA contents and several antioxidant nutrients

Effect of processing on in vitro bioaccessibility of phenolics, flavonoids and antioxidant activity of vegetables with/without yoghurt

Supplementary Figure 1

Compound K attenuates glucose intolerance and hepatic steatosis through AMPK-dependent pathways in type 2 diabetic OLETF rats

Protective effect of rosuvastatin treatment by regulating oxidized low-density lipoprotein expression in a rat model of liver fibrosis

Bioactive milk components to secure growth and gut development in preterm pigs ESTER ARÉVALO SUREDA PIGUTNET FA1401 STSM

Nutrition Research and Practice 2015;9(3): ; doi: /nrp ; pissn eissn

Preventive Effects of Lycopene-Enriched Tomato Wine against Oxidative Stress in High Fat Diet-Fed Rats

Flaxseed Lignan Increased Glucose Uptake by Human Red Blood Cells

ANTIOXIDANT EFFECT OF SELENIUM ON HEPATOTOXICITY INDUCED BY CHLORPYRIFOS IN MALE RATS

Effects of Dietary Conjugated Linoleic Acid and Biopolymer Encapsulation on Lipid Metabolism in Mice

Available online at International Journal of Current Research Vol. 9, Issue, 10, pp , October, 2017

Combined high-fat diet and sustained high sucrose consumption promotes NAFLD in a murine model

Ajuwon et al., Afr J Tradit Complement Altern Med. (2016) 13(3):1-15

A FACTORIAL STUDY ON THE EFFECTS OF β CYCLODEXTRIN AND POLOXAMER 407 ON THE SOLUBILITY AND DISSOLUTION RATE OF PIROXICAM

Research Article Protective Effect of Short-Term Genistein Supplementation on the Early Stage in Diabetes-Induced Renal Damage

Effects of Cinnamomum zeylanicum (Ceylon cinnamon) on blood glucose and lipids in a diabetic and healthy rat model

NappHS. rrna. transcript abundance. NappHS relative con W+W 0.8. nicotine [µg mg -1 FM]

SUPPLEMENTARY INFORMATION

Inheritance of cholesterol metabolism of probands with high or low cholesterol absorption

Therapeutic effects of tender coconut water on oxidative stress in fructose fed insulin resistant hypertensive rats

Effects of Recombinant Bovine Somatotropin Administration at Breeding on the Cow, Conceptus and Subsequent Offspring Performance of Beef Cattle

The Ever Changing World of Feed Additives in The Poultry Industry

Catalase, SOD and GPx Activities in Triceps brachii Muscle from Aberdeen Angus Steers Finished on Pasture, Pasture and Concentrate, or Concentrate

Ibrahim, I. Hamid Animal Production Research Center-Khartoum North, Sudan

Anti-Tumor Effect of Azadirachta indica (Neem) on Murine Solid Ehrlich Carcinoma

Transcription:

Aville online t www.sciencedirect.com ScienceDirect Journl of Nutritionl Biochemistry 24 (213) 216 222 RESEARCH ARTICLES High dietry slt decreses ntioxidnt defenses in the liver of fructose-fed insulin-resistnt rts Wlesk Cludi Dorns, Wnderson Gerldo de Lim,, Rinldo Crdoso dos Sntos c, Joyce Ferreir d Cost Guerr, Melin Oliveir de Souz, Mís Silv, Loren Souz e Silv, Mirl Fiuz Diniz, Mrcelo Eustáquio Silv,c, Reserch in Biologicl Sciences - NUPEB, Federl University of Ouro Preto, Mins Geris, Brzil Deprtment of Biologicl Sciences, Institute of Exct nd Biologicl Sciences, Federl University of Ouro Preto, Mins Geris, Brzil c Deprtment of Foods, School of Nutrition, Federl University of Ouro Preto, Mins Geris, Brzil Received 23 Novemer 212; received in revised form 25 April 213; ccepted 14 June 213 Astrct In this study we investigted the hypothesis tht high-slt diet to hyperinsulinemic rts might impir ntioxidnt defense owing to its involvement in the ctivtion of sodium resorption to led to higher oxidtive stress. Rts were fed stndrd (CON), high-slt (HS), or high-fructose (HF) diet for 1 weeks fter which, 5% of the nimls elonging to the HF group were switched to regimen of high-fructose nd high-slt diet (HFS) for 1 more weeks, while the other groups were fed with their respective diets. Animls were then euthnized nd their lood nd liver were exmined. Fsting plsm glucose ws found to e significntly higher (pproximtely 5%) in fructose-fed rts thn in the control nd HS rts, wheres ft liver lso differed in these nimls, producing stetosis. Feeding fructose-fed rts with the high-slt diet triggered hyperinsulinemi nd lowered insulin sensitivity, which led to incresed levels of serum sodium compred to the HS group. This resulted in memrne perturtion, which in the presence of stetosis potentilly enhnced heptic lipid peroxidtion, therey decresing the level of ntioxidnt defenses, s shown y GSH/GSSG rtio (HFS rts, 7.98±2.1 versus CON rts, 13.2±6.1) nd superoxide dismutse (HFS rts, 2.1±.5 versus CON rts, 2.3±.1%), nd ctlse (HFS rts, 526.6±88.6 versus CON rts, 745.8±228.7 U/mg ptn) ctivities. Our results indicte tht consumption of slt-rich diet y insulin-resistnt rts my led to regultion of sodium resorption, worsening heptic lipid peroxidtion ssocited with impired ntioxidnt defenses. 213 Elsevier Inc. All rights reserved. Keywords: high-slt diet; fructose-fed rts; oxidtive stress; stetosis; ntioxidnt defenses 1. Introduction Incresing evidence suggests the involvement of oxidtive stress in insulin resistnce [1] nd hs generted high interest in the role of free rdicls in the mintennce of dequte levels of ntioxidnt defenses [2,3]. In type 2 dietes, significnt inverse correltion exists etween heptic ft lod nd the ntioxidnt defense system [4], which my prevent genertion of n dequte compenstory response for restortion of cellulr redox lnce [5]. In prticulr, Arevitions: AST, Asprtte minotrnsferse; ALT, Alnine minotrnsferse; CAT, Ctlse; GFR, Glomerulr filtrtion rte; GSH, Reduced glutthione; GSSG, Oxidized glutthione; GPx, Glutthione peroxidse (GPx); HOMA, Homeostsis model ssessment; ROS, Rective oxygen species; O 2, Superoxide nions; SOD, Superoxide dismutse; TBARS, Thiorituric cid rective sustnces. Corresponding uthor. Reserch in Biologicl Sciences - NUPEB, Federl University of Ouro Preto, Mins Geris, Brzil. E-mil ddresses: w.dorns@ig.com.r (W.C. Dorns), mesilv@enut.ufop.r (M.E. Silv). chnges hve een demonstrted in some components of the free rdicl defense system in different models [6 8]. We oserved tht the expression of genes encoding the ntioxidnt enzymes glutthione peroxidse (GPx), gmm-glutmylcysteine synthetse nd superoxide dismutse (SOD) decresed in the liver tissue of streptozotocin-induced dietic rts ecuse of incresed oxidtive stress [9] ssocited with overproduction of rective oxygen species (ROS)[1]. Under norml conditions, lmost ll of the produced superoxide nions (O 2 ) re converted to hydrogen peroxide (H 2 O 2 ) y the ction of SOD, which is further detoxified to wter y ctlse (CAT) or GPx [11]. However hyperglycemi induce the overproduction of O 2 [12] nd drmtic chnge in the oxidnt/ntioxidnt lnce hs een postulted to ply role in the pthogenesis of dietes. Incresing the sugr intke hs een reported to result in dyslipidemi, s indicted y elevted levels of serum triglycerides, cholesterol, nd low-density lipoproteins [13,14].These underlying metolic disturnces pper to induce insulin resistnce commonly oserved in high-fructose fed humn nd niml models [15] when fructose consumption cuses progressive liver disese stimulted 955-2863/$ - see front mtter 213 Elsevier Inc. All rights reserved. http://dx.doi.org/1.116/j.jnutio.213.6.6

W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 217 lipogenesis [16]. Furthermore, despite recent dvnces in elucidting the pthogenesis of relted conditions, studies hve shown tht presence of insulin resistnce nd compenstory hyperinsulinemi would led to sodium retention [17]. Therefore in the present study we exmined whether high-slt diet could impir ntioxidnt defenses in the liver of fructose-fed rts due ctivtion of enhnced renl sodium resorption potentiting oxidtive stress. 2. Mterils nd methods 2.1. Animl nd diets Forty-five mle 12-week-old Fischer rts, weighing pproximtely 3 g, were individully housed in temperture-nd humidity-controlled room under 12 h light/drk regimen. Initilly, the rts were rndomly ssigned to three experimentl groups (n=1 12) s follows: the control group (CON), fed with the AIN93M diet [18] nd wter; the high-slt group (HS), fed with the AIN93M diet plus 8% w/w NCl nd wter; nd the high-fructose group (HF), fed with the AIN93M diet nd 2% w/v fructose solution s drinking wter. After 1 weeks of tretment, the nimls elonging to the HF group were further divided into 2 groups: rts tht continued to e fed on the fructose solution (HF) nd rts tht were switched to high-fructose + high-slt regimen (HFS) for 1 more weeks. Detils of the experimentl diets re given in Tle 1. Food nd wter were provided d liitum nd their intke ws mesured. At the end of the experimentl period, the rts were fsted for 12 hours, nesthetized with isoflurne nd euthnized y totl lood collection from the rchil plexus. The lood ws centrifuged t 15g for 15 min. One liver loule from ech niml ws seprted for histologicl nlysis nd the rest ws frozen t 8 C until further nlysis. All the procedures were pproved y the Ethicl Committee for Animl Cre nd Use of the Federl University of Ouro Preto. 2.2. Biochemicl determintions Serum sprtte minotrnsferse (AST), lnine minotrnsferse (ALT) ctivities nd plsm glucose concentrtion were determined using commercil kits from Ltest Dignostic SA (Lgo Snt, MG, Brzil) # 18, 19 nd 84, respectively, y following the mnufcturer s instructions. ELISA ws utilized to quntify plsm insulin nd leptin levels using commercil kits from Ultr Sensitive Rt Insulin ELISA, Crystl Chem Downers Grove, IL, USA, nd Rt Leptin ELISA Kit, Linco Reserch, USA, (Ctlog #96 nd #94, respectively). The homeostsis model ssessment (HOMA), descried y Mtthews et l. [19] s mesure of insulin resistnce, ws clculted using the formul [insulin (μmol/ml) glucose (mm/l)/22.5]. Heptic ft ws extrcted using chloroform-methnol mixture (2:1, v/v) ccording to the method of Folch et l. [2] nd the totl lipids were quntified grvimetriclly y evporting the solvents in the extrct. Sodium concentrtions were mesured y flme photometry (Olidef model C-71 pprtus; São Pulo, Brzil). 2.3. Antioxidnt defenses nd oxidtive stress Liver SOD ctivity ws mesured y the method of Mrklund nd Mrklund [21]. One unit of SOD ctivity ws defined s the mount of enzyme tht inhiited the rte of utoxidtion of pyrogllol y 5%, which ws determined t 57 nm. Ctlse ctivity ws mesured ccording to Aei [22] nd ws expressed in units per milligrm of protein using the extinction coefficient of.394 L/mmol/L/cm. The rte of H 2 O 2 decomposition ws followed y monitoring sorption t 24 nm in 5 mm phosphte uffer, ph 7., contining 5 mm H 2 O 2. Tissue protein content ws determined ccording to the method developed y Lowry et l. [23] using ovine serum lumin s the stndrd. The totl glutthione (GSH + GSSG) ws mesured fter precipittion of Tle 1 Diets composition Ingredient Composition (g/kg diet) CON HS HF 3 HFS 3 Strch 622.5 542.5 622.5 542.5 Csein 14. 14. 14. 14. Sucrose 1. 1. 1. 1. Slt - 8. - 8. Cellulose 5. 5. 5. 5. Ft 4. 4. 4. 4. 1 Minerls 35. 35. 35. 35. 2 Vitmins 1. 1. 1. 1. Choline 2.5 2.5 2.5 2.5 Energy content (kcl/kg) 381 349 381 349 1 Minerl mixture for AIN93M; 2 Vitmin mixture for AIN93M; 3 D-Fructose (SynthLsynth, São Pulo, Brzil). proteins with n equl volume of 4% sulfoslicylic cid using the enzymtic method previously descried [24]. Oxidized glutthione (GSSG) ws determined fter derivtiztion of totl GSH with 2-vinylpiridine. Oxidtive stress index ws clculted from the GSH/GSSG rtio nd y lipid peroxidtion sttus through of levels of thiorituric cid rective sustnces (TBARS) s descried y Buege nd Aust [25]. 2.4. Liver histology After removl from ech niml, the livers were immeditely fixed in 1% uffered formldehyde, emedded in prffin, cut (4-μm thickness) nd mounted on glss slides. The sections were deprffinized in xylene, stined with hemtoxylin nd eosin (H&E) using the stndrd technique nd then exmined. Histologicl exmintion of the slides ws performed y using concentrted light microscope equipped with photogrphic digitl cmer (DM5; Leic) with softwre Qwin Plus. Scoring of the slides ws performed using semi-quntittive method reported y Brunt et l. [26]. Ft degenertion ws grded ccording to the percentge of ft-contining heptocytes. Grde of vesiculr stetosis ccording to the originl system involved 1 grdes, wheres in this system, stetosis ws grded from 4 sed on the percentge of heptocytes involved in the iopsy (, none; 1, 1%; 2, 1 33%; 3, 33 66% nd 4, N66%). 2.5. Sttisticl nlysis Normlity of the smple distriution for ech continuous prmeter ws tested with the Kolmogorov Smirnov test. The significnce of ny differences in proportions of medins ws tested with Kruskl Wllis test nd in mens y one-wy nlysis of vrince (ANOVA), followed y Dunns nd Tukey tests, respectively. Correltion nlysis ws used to mesure the degree to which 2 vriles were relted. Significnce for ll mesures ws defined when P.5. GrphPd Prism version 5. for Windows (Sn Diego, CA, USA) ws used for sttisticl nlyses. 3. Results Notly, the men food intke ws significntly different mongst different dietry groups. In reltion to the control group, high dietry NCl resulted in lower cloric vlue leding to higher food intke in HS rts (P.1). On the other hnd, fructose supplementtion led to lower food intke (P.1) due to its energy content (Fig. 1A). Men vlues for liquid intke were significntly higher in the high-slt groups (P.1) thn in the CON nd HF groups (Fig. 1B). Higher fructose intke lowered the energetic demnd for solid food (P.1) in HFS rts thn in other groups (Fig. 1C). The high-slt diet led to incresed liquid intke, thus compelling HS nd HFS rts to drink pproximtely 4. nd 3. times the liquid volumes consumed y the CON nimls, respectively, resulting in the corresponding differences in the liquid clorie intke of HFS rts drinking the fructose solution (P.1) in reltion to HF rts (Fig. 1D). There were no significnt differences in the totl energy intke (Fig. 1E). Moreover, plsm leptin concentrtions in HF rts ws higher (P.1) compred to tht in other groups (Fig. 1F). The verge finl ody weight ws lower in HFS rts thn in HF nd CON rts (P.5). Reltive liver weights were higher (P.5) in fructose-fed rts (HF nd HFS) nd corresponding increse ws oserved in the liver lipid content nd plsm glucose in fructose-fed rts in reltion to CON (P.5) nd HS (P.1). The highest insulin concentrtion ws found in HFS rts (P.5) nd HOMA nlysis reveled tht this group hd significntly higher vlues thn the controls nimls (P.1), therey indicting tht the comintion of dietry fructose with NCl in HFS rts impired insulin response. For determintion of whether the dietry tretment induced liver injury, serum AST nd ALT ctivities were exmined, nd ALT ut not AST in the HF group were found to e significntly higher thn tht of the control group (P.5). Augmented ntriuretic response to high-slt diet significntly decresed serum sodium in HS rts compred to tht in other groups (P.5) nd prticulrly HFS showed sustntil increse in reltion to the HS group (Tle 2). Photomicrogrphs of heptic specimens stined with H&E re shown in Fig. 2A D, nd the scores of histologicl vriles re presented s medins in Fig. 2E. Mild or no heptic stetosis occurred in CON rts (Fig. 2A). HS rts did not show predominnt occurrence of stetosis, ut hyperemic vessels were oserved in the prenchym

218 W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 A B C Food intke/dy (g) 25 2 15 1 5 c d Liquid intke/dy (ml) 8 6 4 2 c D E F Energy intke from liquid/dy (kcl) 4 3 2 1 Totl energy intke/dy (kcl) 9 8 7 6 5 c Energy intke from food/dy (kcl) Leptin (ng/ml) 1 8 6 4 2 2 15 1 5 Fig. 1. Food, fluid, cloric intke nd serum leptin of experimentl rts. Symols represent the nimls in sctter plots to ech group. Different letters indicte significnt differences t P.5 y one-wy ANOVA followed y Tukey s test. Control diet (CON); high-slt diet (HS); high-fructose diet (HF); high-fructose nd slt (HFS) diet for 1 weeks fter previous tretment for period of 1 weeks with HF. cells (Fig. 2B). As expected, the high fructose tretment cused heptic lipid ccumultion, which ws evident in oth HF nd HFS rts (Fig. 2C nd 2D) with no signs of necroinflmmtion. Ft deposition in the HF group ws clssified s mcrovesiculr, while livers of HFS rts showed minly microvesiculr pttern with lesser grde of lipid ccumultion in reltion to HF rts. A sttisticlly significnt higher stetosis score (P.5) ws seen in livers from HF compred to CON nimls (Fig. 2E). Compred with the control group, the heptic levels of totl glutthione nd GSH were significntly lower in the HFS group (P.1), lthough no significnt difference ws oserved in the GSSG levels (Fig. 3). The GSH/GSSG rtio ws clculted to determine whether oxidtive stress hd een ugmented nd ws found to e lower in HFS rts thn in control rts (P.1). Assessment of lipid peroxidtion showed dmge in heptocytes, s verified through TBARS content of HFS in reltion to CON nimls (P.5). Furthermore, progressive functionl deficiency in ntioxidnt defenses ws lso evidenced in the HFS group, with significnt decrese in SOD nd CAT ctivities, (P.5; P.1, respectively) in reltion to the CON group. Additionlly, negtive correltion ws found etween TBARS Tle 2 Chrcteristics of experimentl rts Vrile Tretments Initil ody weight, g 295.±21.5 295.1±23.1 295.1±22.2 294.4±28.5 Finl ody weight, g 451.2±29.5 428.2±28.2 448.2±36.9 412.±17.2 Asolute weight liver, g 12.6±1.8 11.7±1.5 13.7±1.9 13.±1.3 Reltive liver weight, mg/g 27.8±3. 27.± 2.3 3.6±2.4 31.6±1.3 Totl ft liver, mg/g 53.3±6. 42.5±4.4 73.4±17.3 72.6±12.6 Plsm glucose, mmol/l 8.±.9 8.7±1.1 11,9±1.8 12.7±1.6 Plsm insulin, μmol/ml 2.9±13.1 27.7±14.2 34.±19.4 45.1±25.8 HOMA-IR, score 7.6±5.4 11.±7. 17.4±11.1 23.2±16.4 Serum AST, U/L 56.8±17.3 56.8±16.3 58.3±17.3 57.1±16. Serum ALT, U/L 16.±5.4 25.2±11.2 28.7±11.6 24.8±7.2 Serum sodium, mmol/l 142.9±5.3 127.6±4.5 14.8±8.1 135.8±4.5 Vlues re expressed s mens±s.d. Different letters within the sme row indicte significnt differences t P.5 y one-wy ANOVA followed y Tukey s test. nd GSH/GSGG rtio (r=.4, P.1), SOD (r=.56, P.5) nd CAT ctivities (r=.5, P.2) (Tle 3). 4. Discussion The present study suggested tht the osmotic lod cused y ugmenting dietry NCl incresed plsm osmollity, stimulted thirst, nd enhnced liquid intke, s oserved y Mnesh et l. [27]. Studies in oth rts [28] nd humns [29] hve reported tht chronic fructose ingestion is ssocited with increse in plsm leptin levels nd leptin resistnce, which lters the informtion tht is relyed to the centrl nervous system on energy intke nd ody ft stores for regultion of food intke nd energy homeostsis [3]. Roglns et l. [31] reported tht this increse precedes oesity, suggesting tht the liver is key orgn in the development of metolic derngements induced y fructose consumption. Nevertheless, in our study this increse of leptin levels only in HF rts occurred in the sence of ugmented ody weight: HF nd control rts hd the sme ody weight, lthough leptin potently ctivtes cellulr fuel consumption y stimulting ftty cid oxidtion nd reducing lipogenesis [32]. On the other hnd, while fructose is more solule, sweeter, nd less glucogenic thn glucose or sucrose nd hs een recommended s replcement for these sugrs in the diets of dietic nd oese people, it is lipogenic nd usully cuses greter elevtion in triglyceride levels [3]. Significnt differences due to fructose dietinduced development of ftty liver were oserved in our experiments, s well s in other studies [33,34]. Fructose tretment-induced incresed ftty liver nd consequent heptomegly ws found in HF nd HFS nimls. Fructose-fed rts served s model for diet-induced insulin resistnce, suggesting tht pthophysiologicl mechnisms nd lipid retention in heptocytes (heptic stetosis) ws n importnt erly sign in the development of metolic normlities spectrum. Our model ws thus proved pproprite ecuse it reproduced histologiclly detectle stetosis resulting primrily from the deposition of ft in heptocytes of fructose-fed rts. However, our results demonstrted tht HFS rts consumed more fructose thn HF rts did, ut displyed lower degree of stetosis

W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 219 Fig. 2. (A-D) Representtive photomicrogrphs H&E stining of liver sections of experimentl rts. Heptocytes normlities were not oserved in the CON group (A); note hyperemic vessels (rrowhed) nd norml prenchym ppernce in the HS group (B); spect of mcrovesiculr stetosis in the HF group (C). Note heptocytes with lrge negtive imge in the cytoplsm with nucleus displced into the periphery of the cell, lrge ft gloule in most cses (white rrow); spect of microvesiculr stetosis in the HFS group (D). Note cells with smll cytoplsmic vcuoles without displced nucleus (lck rrow) mgnifiction 44. Grde of liver stetosis of rts in experimentl groups (E). Vlues (medinne, n=8 11) (*P.5 vs. control rts). development. This my indicte tht the high-slt diet model, s in other studies, ttenuted gin in ody weight [35,36], which cn led to lower ccumultion of ft in heptocytes, s supported y our dt. Determintion of liver function prmeters lso reveled liver dysfunction due to fructose-feeding nd heptic dmge in fructose-fed rts. Fructose feeding ws found to significntly enhnce serum ALT ctivity, indicting considerle heptocellulr injury in HF rts. ALT hs een routinely mesured nd is considered surrogte mrker of liver ft ccumultion [37]. Injury to the heptocyte leds to disruption of the plsm memrne nd lekge of the enzyme to the extrcellulr fluid. Thus it cn e detected t norml levels in the serum nd this condition my e cuse of heptocyte deth. Rts re n excellent niml model to study the effects of fructose intke ecuse their fructose metolism closely resemles tht of humns [38] nd studies hve shown tht fructose induces hyperglycemi nd hyperinsulinemi [39,4]. The results demonstrted tht fructose dministrtion produces insulin resistnce in HFS rts consistently with previous studies crried out using different techniques to ssess insulin resistnce [4,41]. Insulin resistnce in fructose-fed rts hs een ttriuted to low level of insulin-stimulted glucose oxidtion due to modifictions in the post-receptor cscde of insulin ction [42]. Thus elevted plsm insulin concentrtions enhnce the synthesis of very-lowdensity lipoprotein, nd this my induce increse in ftty liver s oserved y us in HF nd HFS rts with decresed in response of HFS rts to glucose utiliztion, feturing lower insulin ction s indicted y higher HOMA vlues. In contrst, Nishimoto et l. [43] used fructose-fed insulin-resistnt rts with low or high-sodium diet nd found no significnt differences in plsm glucose or

22 W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 nmol/ml 2. 1.5 1..5 Totl Gluthtione nmol/ml 2. 1.5 1..5 GSH nmol/ml.15.1.5 GSSG... 2 15 1 5 GSH/GSSG U/mg de ptn.4.3.2.1 TBARS. % inhiition 2.5 2. 1.5 1..5 SOD ctivity U/mg protein 1 8 6 4 2 Ctlse ctivity. Fig. 3. Antioxidnt defenses nd oxidtive stress in the liver of experimentl rts. Different letters indicte significnt differences t P.5 y one-wy ANOVA followed y Tukey s test. Tle 3 Regression nlyses etween TBARS (U/mg ptn) nd ntioxidnt defenses of experimentl rts Vrile r P Glutthione totl, nmol/ml.21.1815 GSH, nmol/ml.22.154 GSSG, nmol/ml.18.2558 GSH/GSSG, rtio.4.194 SOD, % inhiition.56.5 Ctlse, U/mg ptn.5.24 insulin mong their groups, lthough they used lower dosge for oth slt nd fructose thn in our study. This discrepncy mong studies my e etter explined y the fct tht diet-induced modifictions in metolic nd hormonl profile re proly dependent on the durtion of diet tretment, on the mount of crohydrte nd slt in the diet esides interctions with other nutrients [44 46]. Our model ws sed on the dministrtion of high-fructose diet inducing insulin resistnce tht resemles the so-clled fst food tht is highly populr nowdys. This type of diet constitutes n importnt, typiclly westernized lifestyle, which includes consumption of processed foods tht re high in slt nd sugr. Fructose hs een rodly used in metolic studies, lthough there is no dt concerning liver normlities ssocited with high-slt regimens. In this study, the high-slt diet led to greter urinry excretion of sodium, ut hyperinsulinemi showed in HFS rts hs influence on sodium retention s demonstrted y higher serum sodium concentrtions in HFS when compred with the HS group. This ntintriuretic effect my e opposed y concomitnt decrese in proximl tuulr sodium resorption [47] or n increse in glomerulr filtrtion rte (GFR) [48]. Chronic hyperinsulinemi increses GFR in norml dogs [48], ut not in oese insulin-resistnt dogs [49] which suggest tht insulin could increse GFR, nd thus the filtered sodium lod, only in insulin-sensitive sujects. Insulin hs een known to enhnce sodium resorption in the proximl tuule nd stimultes not only sodium ut lso volume sorption in the rit proximl convoluted tuule. Thus, from these stimultory effects, it is cler tht insulin cts on proximl tuules to resor sodium filtered from the glomeruli nd yet, importnt regultory mechnisms exist susequently in the Henle s loop, distl tuule nd connecting tuule [17]. Besides, Vsdev et l. [5] showed tht intrcellulr sodium levels increse cytosolic free clcium, which cn increse oxidtive stress nd this condition chnges the memrne components compromising its integrity [51] ecuse incresed ROS genertion hs een shown to induce cell memrne lipid peroxidtion [52]. Therefore, it hs een suggested tht lipid ccumultion in the liver mkes heptocytes more sensitive to oxidtive stress [53], which in this study, potentilly ctivted lipid peroxidtion, s demonstrted y incresed TBARS in HFS rts. The oserved stetosis could hve ffected lipid composition nd fluidity of mitochondril memrnes, which incresed oxidtive stress in the liver. In ddition, chnges in liver glutthione redox sttus were monitored in this work y recording the GSH/GSSG rtio, ecuse severe oxidtive stress my deplete cellulr GSH, nd glutthione ply n importnt function in detoxifiction of free rdicls [54].Glutthione is the mjor intrcellulr non-protein ntioxidnt, nd GPx converts H 2 O 2 to H 2 O y oxidizing glutthione to glutthione disulfide [2]. We oserved decrese in liver GSH levels in HFS rts s well s in

W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 221 the GSH/GSSG rtio, which could e consequence of dpttion of the ftty liver, s suggested y the negtive correltion of TBARS with GSH/GSSG rtio. It my represent consequence of the higher prooxidnt sttus developed in HFS rts, which is likely responsile for the high consumption of cellulr nd circulting ntioxidnts. Moreover, decresed SOD nd CAT ctivities were oserved in HFS rts tht could prticipte in heptic vulnerility to oxidtive stress. Decresed feedck regultory mechnisms involving these ntioxidnt enzymes, prevents the restortion to norml enzyme level. Thus, the susceptiility of the tissue to oxidtive stress ws dependent on the ltertion in lipid composition nd tissue dmge. SOD ply key role in cell protection ginst the deleterious effects of O 2, nd ctlse prevents dmge y rpidly converting H 2 O 2 to wter [55]. There re possile pthwys y which cellulr metolism in this model my e ltered, which in turn my ccelerte oxidtive stress. The incresed oxidtive stress could e due to production of oxygen free rdicls [3] nd H 2 O 2 resulting from SOD ctivity, which cn generte hydroxyl rdicls through the Fenton rection, nd thus, ROS cn themselves reduce the ctivity of ntioxidnt enzymes such s CAT nd GPx [56]. Consequently, lowering of these ctivities is suggestive of reduced scvenging potentil in the insulin-resistnt rts on high-slt diet. Another possiility is tht ccumultion of dvnced glyction products resulted in the production of free rdicls [57]. Therefore the high-slt diet might e regrded s n instigtor tht reduces ntioxidnt defenses, worsening insulin sensiility in the erly stge of experimentl dietes in rts; however, further reserch is needed to define the interdependencies/interctions mong fructose, slt nd oxidtive stress more clerly. In conclusion, the high-slt diet reduced heptic ntioxidnt defenses in the fructose-fed rts, providing evidence to support the ide tht incresed oxidtive stress is involved in memrne perturtion through importnt regultory mechnisms. Thus, our findings suggest tht hyperinsulinemi ply role in sodium retention nd it is therefore possile tht the deleterious effects of slt overlod on insulin- resistnt sujects my e ttriuted, in prt, to the development of sustntil pro-oxidnt condition tht impirs ntioxidnt defenses. Acknowledgments The uthors would like to thnk LAPAC (Pilot Lortory of Clinicl Anlysis, School of Phrmcy, Federl University of Ouro Preto) for technicl ssistnce. References [1] Evns JL, Goldfine ID, Mddux BA, Grodsky GM. Are oxidtive stress ctivted signling pthwys meditors of insulin resistnce nd et cell dysfunction? Dietes 23;52:1 8. [2] Sies H. Strtegies of ntioxidnt defense. Eur J Biochem 1993;215:213 9. [3] Myne ST. Antioxidnt nutrients nd chronic disese: use of iomrkers of exposure nd oxidtive stress sttus in epidemiologic reserch. J Nutr 23;133: 933 4. [4] Loguercio C, De Girolmo V, De Sio I, Turccillo C, Ascione A, Bldi F, et l. Nonlcoholic ftty liver disese in n re of southern Itly: min clinicl, histologicl, nd pthophysiologicl spects. J Heptol 21;35:568 74. [5] Evns JL, Goldfine ID, Mddux BA, Grodsky GM. Oxidtive stress nd stressctivted signling pthwys: unifying hypothesis of type 2 dietes. Endocr Rev 22;23:599 622. [6] Fure P, Rossini E, Lfond JL, Richrd MJ, Fvier A, Hlimi S. Vitmin E improves the free rdicl defense system potentil nd insulin sensitivity of rts fed high fructose diets. J Nutr 1997;127:13 7. [7] Peixoto EB, Pesso BS, Bisws SK, Lopes de Fri JB. Antioxidnt SOD mimetic prevents NADPH oxidse-induced oxidtive stress nd renl dmge in the erly stge of experimentl dietes nd hypertension. Am J Nephrol 29;29:39 18. [8] Sinh-Hikim I, Sinh-Hikim AP, Shen R, Kim H, French SW, Vzri ND, et l. A novel cystine sed ntioxidnt ttenutes oxidtive stress nd heptic stetosis in dietinduced oese mice. Exp Mol Pthol 211;91:419 28. [9] Guerr JF, Mglhães CL, Cost DC, Silv ME, Pedros ML. Dietry çí modultes ROS production y neutrophis nd gene expression of liver ntioxidnt enzymes in rts. J Clin Biochem Nutr 211;49:188 94. [1] Ceriello A, Motz E. Is oxidtive stress the pthogenic mechnism underlying insulin resistnce, dietes nd crdiovsculr disese? The common soil hypothesis revisited. Arterioscler Throm Vsc Biol 24;24:816 23. [11] Fridovich I. Superoxide rdicl nd superoxide dismutses. Annu Rev Biochem 1995;64:97 112. [12] Fujit H, Fujishim H, Chid S, Tkhshi K, Qi Z, Knetsun Y, et l. Reduction of renl superoxide dismutse in progressive dietic nephropthy. J Am Soc Nephrol 29;2:133 13. [13] Stnhope KL, Hvel PJ. Fructose consumption: considertions for future reserch on its effects on dipose distriution, lipid metolism, nd insulin sensitivity in humns. J Nutr 29;139:1236S 41S. [14] Fried SK, Ro SP. Sugrs, hypertriglyceridemi, nd crdiovsculr disese. Am J Clin Nutr 23;78:873S 8S. [15] Bscino H, Federico L, Adeli K. Fructose, insulin resistnce, nd metolic dyslipidemi. Nutr Met 25;2:5. [16] Assy N, Nsser G, Kmyse I, Nseir W, Benishvili Z, Djire A, et l. Soft drink consumption linked with ftty liver in the sence of trditionl risk fctors. Cn J Gstroenterol 28;22:811 6. [17] Horit S, Seki G, Ymd H, Suzuki M, Koike K, Fujit T, et l. Insulin resistnce, oesity, hypertension, nd renl sodium trnsport. Int J Hypertens 211:391762. [18] Reeves PG, Nielsen FH, Fhey Jr GC. AIN-93 purified diets for lortory rodents: finl report of the Americn Institute of Nutrition nd hoc writing committee on the reformultion of the AIN-76A rodent diet. J Nutr 1993;123:1939 51. [19] Mtthews DR, Hosker JP, Rudenski AS, Nylor BA, Trecher DF, Turner RC. Homeostsis model ssessment: insulin resistnce nd β-cells function from fsting plsm glucose nd insulin concentrtions in mn. Dietologi 1985;28: 412 9. [2] Folch J, Lees M, Slone-Stnley GH. A simple method for the isoltion nd purifiction of totl lipides from niml tissues. J Biol Chem 1957;226:497 59. [21] Mrklund S, Mrklund G. Involvement of the superoxide nion rdicl in the utoxidtion of pyrogllol nd convenient ssy for superoxide dismutse. Eur J Biochem 1974;47:469 74. [22] Aei H. Ctlse in vitro. Methods Enzymol 1984;15:121 6. [23] Lowry OH, Roserough NJ, Frr AL, Rndll RJ. Protein mesurement with the folin-phenol regent. J Biol Chem 1951;193:265 75. [24] Akeroom T, Sies H. Assy of glutthione disulfide nd glutthione mixed disulfides in iologicl smples. Methods Enzymol 1981;77:373 82. [25] Buege JA, Aust SD. Microsoml lipid peroxidtion. Methods Enzymol 1978;52: 32 1. [26] Brunt EM, Jnney CG, Di Bisceglie AM, Neuschwnder- Tetri BA, Bcon BR. Nonlcoholic stetoheptitis: proposl for grding nd stging the histologicl lesions. Am J Gstroenterol 1999;94:2467 74. [27] Mnesh R, Hoffmnn ML, Stricker EM. Wter ingestion y rts fed high-slt diet my e medited, in prt, y viscerl osmoreceptors. Am J Physiol Regul Integr Comp Physiol 26;29:R1742 9. [28] Moordin AD, Chehde J, Hurd R, Hs MJ. Monoscchride enriched diets cuse hyperleptinemi without hypophgi. Nutrition 2;16:439 41. [29] Lê KA, Feh D, Stettler R, Ith M, Kreis R, Vermthen P, et l. A 4-wk high-fructose diet lters lipid metolism without ffecting insulin sensitivity or ectopic lipids in helthy humns. Am J Clin Nutr 26;84:1374 9. [3] Porte Jr D, Bskin DG, Schwrtz MW. Leptin nd insulin ction in the centrl nervous system. Nutr Rev 22;6:S2 9. [31] Roglns N, Vil L, Frre M, Alegret M, Snchez RM, Vzquez- Crrer M, et l. Impirment of heptic Stt-3 ctivtion nd reduction of PPAR-α ctivity in fructose-fed rts. Heptology 27;45:778 88. [32] Orci L, Cook WS, Rvzzol M, Wng MY, Prk BH, Montesno R, et l. Rpid trnsformtion of white dipocytes into ft-oxidizing mchines. Proc Ntl Acd Sci U S A 24;11:258 63. [33] Ouyng X, Cirillo P, Sutin Y, McCll, Bruchette JL, Diehl AM, et l. Fructose consumption s risk fctor for non-lcoholic ftty liver disese. J Heptol 28;48:993 9. [34] Sánchez-Lozd LG, Mu W, Roncl C, Sutin YY, Adelmlek M, Reungjui S, et l. Comprison of free fructose nd glucose to sucrose in the ility to cuse ftty liver. Eur J Nutr 21;49:1 9. [35] Hsegw H, Tkno H, Kohro T, Ued K, Niitsum Y, Aurtni H, et l. Ameliortion of hypertensive hert filure y mlodipine my occur vi ntioxidtive effects. Hypertens Res 26;29:719 29. [36] Vsdev S, Gill V, Longerich L, Pri S, Gdg V. Slt-induced hypertension in WKY rts: prevention y α-lipoic cid supplementtion. Mol Cell Biochem 23;254: 319 26. [37] Angulo P. Nonlcoholic ftty liver disese. N Engl J Med 22;346:1221 31. [38] Myes PA. Intermediry metolism of fructose. Am J Clin Nutr 1993;58:754S 65S. [39] Liu IM, Tzeng TF, Liou SS. A Chinese Herl Decoction, Dng Gui Bu Xue Tng, Prepred from Rdix Astrgli nd Rdix Angelice sinensis, meliortes insulin resistnce induced y high-fructose diet in rts. Evid Bsed Complement Alternt Med 29. [4] Nkgw T, Hu H, Zhrikov S, Tuttle KR, Short RA, Glushkov O, et l. A cusl role for uric cid in fructose-induced metolic syndrome. Am J Physiol Renl Physiol 26;29:F625 31. [41] Thorurn AW, Storlien LH, Jenkins AB, Khouri S, Kregen EW. Fructose-induced in vivo insulin resistnce nd elevted plsm triglyceride levels in rts. Am J Clin Nutr 1989;49:1155 63.

222 W.C. Dorns et l. / Journl of Nutritionl Biochemistry 24 (213) 216 222 [42] El Mesllmy HO, El-Demerdsh E, Hmmd LN, El Mgdou HM. Effect of turine supplementtion on hyperhomocysteinemi nd mrkers of oxidtive stress in high fructose diet induced insulin resistnce. Dietol Met Syndr 21;3:46. [43] Nishimoto Y, Tomid T, Mtsui H, Ito T, Okumur K. Decrese in renl medullry endothelil nitric oxide synthse of fructose-fed, slt-sensitive hypertensive rts. Hypertension 22;4:19 4. [44] Kotchen TA, Kotchen JM. Dietry sodium nd lood pressure: interctions with other nutrients. Am J Clin Nutr 1997;65:78S 11S. [45] Vsdev S, Gill V, Pri S, Gdg V. Effect of modertely high dietry slt nd lipoic cid on lood pressure in WKY rts. Exp Clin Crdiol 27;12:77 81. [46] Schefer EJ, Gleson JA, Dnsinger ML. Dietry fructose nd glucose differentilly ffect lipid nd glucose homeostsis. J Nutr 29;139:1257S 62S. [47] Gns RO, Bio HJ, Donker AJ. The renl response to exogenous insulin in noninsulin-dependent dietes mellitus in reltion to lood pressure nd crdiovsculr hormonl sttus. Nephrol Dil Trnsplnt 1996;11:794 82. [48] Hll JE, Colemn TG, Mizelle HL, Smith Jr MJ. Chronic hyperinsulinemi nd lood pressure regultion. Am J Physiol 199;258:F722 31. [49] Hll JE, Brnds MW, Zppe DH, Dixon WN, Mizelle HL, Reinhrt GA, et l. Hemodynmic nd renl responses to chronic hyperinsulinemi in oese, insulinresistnt dogs. Hypertension 1995;25:994 12. [5] Vsdev S, Gill V, Pri S, Gdg V. Fructose-induced hypertension in Wistr Kyoto rts: interction with modertely high dietry slt. Cn J Physiol Phrmcol 27;85:413 21. [51] Gordeev AV, Zvygilsky RA, Ls YA. Crosstlk etween rective oxygen species nd clcium in living cells. Biochemistry 23;68:177 8. [52] Ferret PJ, Hmmoud R, Tulliez M, Trn A, Treeden H, Jffry P, et l. Detoxifiction of rective oxygen species y nonpeptidyl mimic of superoxide dismutse cures cetminophen- induced cute liver filure in the mouse. Heptology 21;33: 1173 8. [53] Grttglino I, Crceni P, Clmit G, Ferrid D, Grgno I, Plscino G, et l. Severe liver stetosis correltes with nitrostive nd oxidtive stress in rts. Eur J Clin Invest 28;38:523 3. [54] Lu SC. Regultion of heptic glutthione synthesis: current concepts nd controversies. FASEB J 1999;13:1169 83. [55] Touyz RM. Rective oxygen species nd ngiotensin II signling in vsculr cells - implictions in crdiovsculr disese. Brz J Med Biol Res 24;37:1263 73. [56] Dtt K, Sinh S, Chttopdhyy P. Rective oxygen species in helth nd diseses. Ntl Med J Indi 2;13:34 1. [57] Levi B, Wermn MJ. Long-term fructose consumption ccelertes glyction nd severl ge-relted vriles in mle rts. J Nutr 1998;128:1442 9.