SYNERGISTIC ANTIOXIDANT EFFECTS OF VITAMINS A AND E ON OXIDATIVE STRESS–INDUCED DAMAGE IN LUNG IMMUNE CELLS

Main Article Content

Amna Ihsan
Saima Manzoor
Roomana Anwar
Sabeen Khalid
Mohammad Iqbal
Sidra Anwar

Keywords

Oxidative stress, Vitamin A, Vitamin E, lung immune cells, antioxidant enzymes, ROS, MDA, cytokines, cell viability.

Abstract

Free radicals increase inflammation, reduce antioxidant defenses, and lead to oxidative stress, which is harmful to lung immunocytes. It is well-established that A and E vitamins are antioxidants. However, the extent of their synergistic protection is still unknown.


Methodology: This HBS Medical and Dental College, Islamabad, research was conducted from June 2023 through June 2024. Seventy two samples were equally distributed into control, oxidative damage, and three treatment groups such that each group consisted of Vitamin A, Vitamin E, and both vitamins. The markers of oxidation relationship to stress and the activities of the antioxidant enzyme along with the inflammatory cytokines and cell viability were quantified in advance and following the treatment.


Results: Cells exposed to oxidative injury showed a sharp rise in ROS, MDA, and inflammatory cytokines, along with a marked decline in antioxidant enzymes. Both vitamins improved these disturbances individually, but the combined treatment produced the strongest effect. The Vitamin A + E group had the lowest ROS and MDA levels, the highest SOD, CAT, and GPx activity, and the greatest improvement in cell viability with reduced apoptosis. The pattern indicated a synergistic benefit rather than a simple additive effect.


Conclusion: The combination of vitamins A and E provide the most effective and significant oxygen radical and cell protection in respiratory immune cells. This indicates the potential importance for the development of combination strategies that utilize more than one antioxidant for the treatment of specific pulmonary disorders characterized by excessive oxidative stress.

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