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Oxidative Stress in the
Pathogenesis of Asthma
Russell P. Bowler, MD, PhD
Address all organisms have evolved elaborate cellular defenses
National Jewish Medical and Research Center, K736a, that are collectively called antioxidants. The imbalance
1400 Jackson Street, Denver, CO, 80206, USA. between reactive oxygen species and antioxidants is called
E-mail: BowlerR@njc.org
oxidative stress. Oxidative stress is a major feature of
Current Allergy and Asthma Reports 2004, 4: 116–122 many respiratory diseases, such as ischemia-reperfusion,
Current Science Inc. ISSN 1529-7322
Copyright © 2004 by Current Science Inc. pulmonary fibrosis, chronic obstructive pulmonary
disease, and asthma [4]
Oxygen’s affinity for electrons is key in understanding
Asthma affects 5% to 10% of the population of the United
the generation of oxidative stress in vivo. The sequential
States. In asthmatics, oxidative stress occurs not only as a
addition of electrons to oxygen results in the formation of
result of inflammation but also from environmental expo-
three species of ROS (Fig. 1): one electron produces super-
sure to air pollution. The specific localization of antioxi- -
oxide (O2• ), a second electron y
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