Review Article

Site-Specific Antioxidative Therapy for Prevention of Atherosclerosis and Cardiovascular Disease

Table 1

Inhibitors of ROS sources.

ROS sourcesInhibitorsMechanisms

NADPH oxidase (Nox)Calorie restriction exercise(i) Reduction of visceral adipose tissue-derived inflammatory cytokines
(ii) Downregulation of AT1R
ARBsAT1R-induced activation of Nox
StatinsInhibition of ROCK

Xanthine oxidase (XO)Calorie restriction exercise(i) Inhibition of Nox-mediated EC damage
(ii) Inhibition of Nox-mediated EC damage
ARBsInhibition of Nox-mediated EC damage
Allopurinol oxypurinolDirect inhibition of XO

Calorie restriction exerciseInhibition of oxidative stress and NOS uncoupling
Nitric oxide synthase (NOS)ARBs
Statins
Allopurinol and oxypurinol
Inhibition of oxidative stress and NOS uncoupling
BH4
Sepiapterin
Direct inhibition of NOS uncoupling

Calorie restriction exercise(i) Inhibition of electron leakage from ETC
(ii) Stimulation of mitochondrial biogenesis
(iii) Induction of UPs by activating PPARs
ResveratrolStimulation of mitochondrial biogenesis
TZDActivation of PPAR- and induction of UP2 and UP3
Mitochondrial electron
transfer chain (ETC)
WY-14643Activation of PPAR- and induction of UP2 and UP3
Fibrates
Activation of PPARs and induction of UP2 and UP3
ARBs
Activation of PPAR- and induction of UP2 and UP3
Statins Activation of PPAR- and induction of UP2 and UP3

AT1R: angiotensin II type 1 receptor, ARBs: angiotensin II type 1 receptor blockers, ROCK: Rho-kinase, ECs: endothelial cells, CMCs: cardiomyocytes, UP: uncoupling protein, PPAR: peroxisome proliferator-activated receptor, TZD: thiazolidinedione.