Review Article

The Intestinal Redox System and Its Significance in Chemotherapy-Induced Intestinal Mucositis

Table 1

Major oxidoreductive enzymatic reactions of oxidoreductases in intestine.

Enzyme nameEnzymatic reactionCofactor

NADPH oxidaseNADPH+2 O2=2 O2.-+NADP+ +H+
Xanthine dehydrogenaseH2O+xanthine+O2=H2O2+urate[2Fe-2S] cluster, FAD, Mo-molybdopterin
Nitric oxide synthaseH++4 O2+3 NADPH+2 L-arginine=4 H2O+L-citrulline+3 NADP++ 2NOHeme, FAD, FMN, tetrahydrobiopterin (BH4)
MyeloperoxidaseChloride+H++H2O2=H2O+hypochlorous acidCa2+, Heme b
Catalase2H2O2=2H2O+O2Heme, NADP+
Superoxide dismutase
 SOD12H++2 O2.-=H2O2+O2Zn2+, Cu+
 SOD2Mn2+
 SOD3Zn2+, Cu+
Glutathione peroxidase
 GPX1~3, 5~82 glutathione+H2O2=glutathione-2S+2 H2O
 GPX41 hydroperoxy polyunsaturated fatty acid+2 glutathione=1 hydroxy polyunsaturated fatty acid+glutathione-2S+H2O
Peroxiredoxin
 PRDX-1~5[thioredoxin]-dithiol+1 hydroperoxide=[Thioredoxin]-2S+1 alcohol+H2O
 PRDX-61 hydroperoxide+2 glutathione=1 alcohol+glutathione-2S+H2O
Heme oxygensae
 HO-1Heme b+3 O2+3 reduced [NADPH-hemoprotein reductase]=Biliverdin IXα+CO+Fe2++H++3 H2O+3 oxidized [NADPH-hemoprotein reductase]
 HO-2