Sains Malaysiana 49(2)(2020): 357-373

http://dx.doi.org/10.17576/jsm-2020-4902-14

 

Tocotrienol-Rich Fraction Modulates Cardiac Metabolic Profile Changes in Isoprenaline-Induced Myocardial Infarction Rats

(Fraksi Kaya Tokotrienol Memodulasi Perubahan Profil Metabolisma Jantung pada Tikus Infarksi Miokardium Aruhan Isoprenalin)

 

KHAIRUL ANWAR ZARKASI1,4, SATIRAH ZAINALABIDIN2, TAN JEN-KIT1, NUR HALEEDA HAKIMI1, NUR ZULIANI RAMLI3,4 & ZAKIAH JUBRI1*

 

1Department of Biochemistry, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Federal Territory, Malaysia

 

2Programme of Biomedical Science, Centre for Health and Applied Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Federal Territory, Malaysia

 

3Department of Anatomy, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Federal Territory, Malaysia

 

4Department of Biomedical Sciences and Therapeutics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia

 

Diserahkan: 12 Mei 2019/Diterima: 24 Oktober 2019

 

ABSTRACT

In myocardial infarction (MI), the occurrence of energy depletion, oxidative stress, and decreased amino acids metabolism alter tissue metabolites. Evidence has shown that tocotrienol-rich fraction (TRF) prevents myocardial injury in MI. However, the protective mechanism at the metabolite level is unknown. Male Sprague-Dawley rats were grouped into control, isoprenaline (ISO)-induced MI (MI), healthy rats receiving 200 mg/kg TRF (200TRF), and MI rats receiving 200 mg/kg TRF (200TRF+MI) groups. TRF was administered via oral gavage daily for 12 weeks followed by intraperitoneal ISO injection (85 mg/kg) for two consecutive days at a 24-hour interval to induce MI. High-performance liquid chromatography was performed to analyze serum α-tocopherol and tocotrienol concentration whereas ultra-high-performance liquid chromatography-mass spectrometry was used for the untargeted metabolomic study. Serum α-tocopherol but not tocotrienol was increased in the 200TRF (p=0.121) and 200TRF+MI (p<0.05) following TRF supplementation. Multivariate analysis by Orthogonal Projections to Latent Structures Discriminant Analysis showed high predictability of the group comparison models for MI vs control and 200TRF+MI vs MI (cross-validation: Q2>0.7, R2Y>0.8, p<0.05). A total of 84 and 37 metabolites [when covariance of p≥|0.05| (magnitude) and p(corr)≥|0.5| (reliability)] were significantly different in the myocardial homogenates of MI vs control and 200TRF+MI vs MI, respectively. MI rats had reduced S-adenosylmethionine and L-cystathionine that might worsen MI by disturbing glutathione metabolism; decreased phosphoribosyl-pyrophosphate and purine salvage process that might impair DNA synthesis, and elevated glucose-6-phosphate suggesting enhanced anaerobic glycolysis possibly for rapid production of energy. Conversely, TRF supplementation reversed the impaired metabolic pathways caused by MI.

 

Keywords: Isoprenaline; liquid chromatography-mass spectrometry; metabolomics; myocardial infarction; tocotrienol-rich fraction

 

ABSTRAK

Dalam infarksi miokardium (MI), penurunan tenaga, tekanan oksidatif, serta pengurangan metabolisme asid amino mengubah metabolit dalam tisu. Bukti terkini menunjukkan bahawa fraksi kaya tokotrienol (TRF) mencegah kecederaan miokardium dalam MI. Namun, mekanisme perlindungannya pada tahap metabolit masih tidak diketahui. Tikus Sprague-Dawley jantan dibahagikan kepada kumpulan kawalan, MI aruhan isoprenalin (ISO) (MI), tikus sihat yang menerima 200 mg/kg TRF (200TRF), dan tikus MI yang menerima 200 mg/kg TRF (200TRF+MI). TRF diberikan melalui gavaj oral setiap hari selama 12 minggu diikuti suntikan ISO secara intraperitoneum (85 mg/kg) dua hari berturut-turut berselang 24 jam untuk mengaruh MI. Kromatografi cecair berprestasi tinggi digunakan untuk menganalisis kepekatan serum α-tokoferol dan tokotrienol manakala kromatografi cecair berprestasi ultra-tinggi-spektrometri jisim digunakan untuk kajian metabolomik tanpa sasaran. Serum α-tokoferol tetapi tidak tokotrienol telah meningkat bagi kumpulan 200TRF (p=0.121) dan 200TRF+MI (p<0.05) setelah disuplementasi TRF. Analisis multivariat oleh Unjuran Ortogon kepada Analisis Diskriminasi Struktur Pendam menunjukkan kebolehramalan yang tinggi bagi model perbandingan antara kumpulan MI vs kawalan dan 200TRF+MI vs MI (pengesahan silang: Q2>0.7, R2Y>0.8, p<0.05). Sebanyak 84 dan 37 metabolit [apabila kovarians p≥|0.05| (magnitud) dan p(corr)≥|0.5| (kebolehpercayaan)] berbeza secara signifikan dalam homogenat miokardium masing-masing bagi kumpulan MI vs kawalan dan 200TRF+MI vs MI. Tikus MI mengalami penurunan S-adenosilmetionina dan L-sistationina yang mungkin meningkatkan keterukan MI melalui gangguan metabolisme glutation; pengurangan fosforibosil-pirofosfat dan proses penyelamatan purina yang mungkin menjejaskan sintesis DNA, serta peningkatan glukosa-6-fosfat bagi proses glikolisis anaerob yang mungkin bertujuan menghasilkan tenaga secara pantas. Sebaliknya, suplementasi TRF menghalang penjejasan pada laluan metabolisma yang dicetuskan oleh MI.

 

Kata kunci: Fraksi kaya tokotrienol; infarksi miokardium; isoprenalin; kromatografi cecair-spektrometri jisim; metabolomik

 

REFERENCES

Al-Shamiri, S.A., Hasan, N.A., Frankul, W.M. & Al-Hamdi, A.T. 2009. Purines and oxypurines in myocardial ischemia. Saudi Medical Journal 30(2): 257-266.

Ali, S.E., Farag, M.A., Holvoet, P., Hanafi, R.S. & Gad, M.Z. 2016. A comparative metabolomics approach reveals early biomarkers for metabolic response to acute myocardial infarction. Scientific Reports 6: 36359.

Arai, K., Tashiro, A., Osaka, Y. & Iwaoka, M. 2017. Glutathione peroxidase-like activity of amino-substituted water-soluble cyclic selenides: A shift of the major catalytic cycle in methanol. Molecules 22(3): 354.

Atia, A. & Abdullah, A. 2014. Tocotrienols: The other half of natural vitamin E. Research Journal of Pharmaceutical, Biological and Chemical Sciences 5(2): 533-543.

Bae, S., Park, M., Kang, C., Dilmen, S., Kang, T.H., Kang, D.G., Ke, Q., Lee, S.U., Lee, D. & Kang, P.M. 2016. Hydrogen peroxide-responsive nanoparticle reduces myocardial ischemia/reperfusion injury. Journal of the American Heart Association 5(11): e003697.

Bardhan, J., Chatterjee, A., Das, S., Bandyopadhyay, S.K., Chakraborty, R. & Raychaudhuri, U. 2015. Evaluation of cardioprotective effect of tocotrienol rich fraction from rice bran oil. International Journal of Pharmaceutical Sciences Review and Research 30(1): 143-149.

Berkholz, D.S., Faber, H.R., Savvides, S.N. & Karplus, P.A. 2008. Catalytic cycle of human glutathione reductase near 1 Å resolution. Journal of Molecular Biology 382(2): 371-384.

Biaggiono, I. & Robertson, D. 2014. Adrenoceptor agonists & sympathomimetic drugs. In Basic & Clinical Pharmacology, edited by Katzung, B.G. & Trevor, A.J. 13th ed. New York: McGraw-Hill Education. pp. 133-151.

Brooks, W.W. & Conrad, C.H. 2009. Isoproterenol-induced myocardial injury and diastolic dysfunction in mice: Structural and functional correlates. Comparative Medicine 59(4): 339-343.

Buckoreelall, K., Wilson, L. & Parker, W.B. 2011. Identification and characterization of two adenosine phosphorylase activities in Mycobacterium smegmatis. Journal of Bacteriology 193(20): 5668-5674.

Casey, T.M., Arthur, P.G. & Bogoyevitch, M.A. 2007. Necrotic death without mitochondrial dysfunction-delayed death of cardiac myocytes following oxidative stress. Biochimica et Biophysica Acta 1773(3): 342-351.

Che-Muzaini, C.M. & Norsa’adah, B. 2017. Complications of acute coronary syndrome in young patients. Iranian Journal of Public Health 46(1): 139-140.

Chong, J., Soufan, O., Li, C., Caraus, I., Li, S., Bourque, G., Wishart, D.S. & Xia, J. 2018. MetaboAnalyst 4.0: Towards more transparent and integrative metabolomics analysis. Nucleic Acids Research 46(W1): W486-W494.

Clark-Matott, J., Saleem, A., Dai, Y., Shurubor, Y., Ma, X., Safdar, A., Beal, M.F., Tarnopolsky, M. & Simon, D.K. 2015. Metabolomic analysis of exercise effects in the POLG mitochondrial DNA mutator mouse brain. Neurobiology of Aging 36(11): 2972-2983.

Das, M., Das, S., Wang, P., Powell, S.R. & Das, D.K. 2008. Caveolin and proteasome in tocotrienol mediated myocardial protection. Cellular Physiology and Biochemistry 22(1-4): 287-294.

Dieplinger, H. & Dieplinger, B. 2015. Afamin-A pleiotropic glycoprotein involved in various disease states. Clinica Chimica Acta 446: 105-110.

Dow, J.W., Bowditch, J., Nigdikar, S.V. & Brown, A.K. 1987. Salvage mechanisms for regeneration of adenosine triphosphate in rat cardiac myocytes. Cardiovascular Research 21(3): 188-196.

Durani, L.W., Hamezah, H.S., Ibrahim, N.F., Yanagisawa, D., Makpol, S., Damanhuri, H.A. & Tooyama, I. 2017. Age-related changes in the metabolic profiles of rat hippocampus, medial prefrontal cortex and striatum. Biochemical and Biophysical Research Communications 493(3): 1356-1363.

Eritja, N., Jové, M., Eldevik Fasmer, K., Gatius, S., Portero-Otin, M., Trovik, J., Krakstad, C., Sol, J., Pamplona, R., Haldorsen, I.S. & Matias-Guiu, X. 2017. Tumour-microenvironmental blood flow determines a metabolomic signature identifying lysophospholipids and resolvin D as biomarkers in endometrial cancer patients. Oncotarget 8(65): 109018-109026.

Fairus, S., Nor, R.M., Cheng, H.M. & Sundram, K. 2012. Alpha-tocotrienol is the most abundant tocotrienol isomer circulated in plasma and lipoproteins after postprandial tocotrienol-rich vitamin E supplementation. Nutrition Journal 11: 5.

Fairus, S., Nor, R.M., Cheng, H.M. & Sundram, K. 2006. Postprandial metabolic fate of tocotrienol-rich vitamin E differs significantly from that of α-tocopherol. The American Journal of Clinical Nutrition 84(4): 835-842.

Fauconnier, J., Meli, A.C., Thireau, J., Roberge, S., Shan, J., Sassi, Y., Reiken, S.R., Rauzier, J.M., Marchand, A., Chauvier, D., Cassan, C., Crozier, C., Bideaux, P., Lompre, A.M., Jacotot, E., Marks, A.R. & Lacampagne, A. 2011. Ryanodine receptor leak mediated by caspase-8 activation leads to left ventricular injury after myocardial ischemia-reperfusion. Proceedings of the National Academy of Sciences of the United States of America 108(32): 13258-13263.

Finegold, J.A., Asaria, P. & Francis, D.P. 2013. Mortality from ischaemic heart disease by country, region, and age: Statistics from World Health Organisation and United Nations. International Journal of Cardiology 168(2): 934-945.

Frenguelli, B.G. 2019. The purine salvage pathway and the restoration of cerebral ATP: Implications for brain slice physiology and brain injury. Neurochemical Research 44(3): 661-675.

Gandhi, A.A. & Akholkar, P.J. 2015. Metabolic acidosis in acute myocardial infarction. International Journal of Advances in Medicine 2(3): 260-263.

Gyamfi, M.A. & Wan, Y.J.Y. 2006. The effect of ethanol, ethanol metabolizing enzyme inhibitors, and vitamin E on regulating glutathione, glutathione S-transferase, and S-adenosylmethionine in mouse primary hepatocyte. Hepatology Research 35(1): 53-61.

Hill, M.F., Palace, V.P., Kaur, K., Kumar, D., Khaper, N. & Singal, P.K. 2005. Reduction in oxidative stress and modulation of heart failure subsequent to myocardial infarction in rats. Experimental and Clinical Cardiology 10(3): 146-153.

Horgan, R.P. & Kenny, L.C. 2011. ‘Omic’ technologies: Genomics, transcriptomics, proteomics and metabolomics. The Obstetrician & Gynaecologist 13: 189-195.

Huang, G., Liu, X., Jiao, L., Xu, C., Zhang, Z., Wang, L., Li, Y., Yang, C., Zhang, W. & Sun, Y. 2014. Metabolomic evaluation of the response to endocrine therapy in patients with prostate cancer. European Journal of Pharmacology 729: 132-137.

Institute of Medicine. 2010. Promoting Cardiovascular Health in the Developing World: A Critical Challenge to Achieve Global Health. Washington: The National Academies Press.

Jaafar, F., Abdullah, A. & Makpol, S. 2018. Cellular uptake and bioavailability of tocotrienol-rich fraction in SIRT1-inhibited human diploid fibroblasts. Scientific Reports 8(1): 10471.

Jung, Y., Lee, J., Kwon, J., Lee, K.S., Ryu, D.H. & Hwang, G.S. 2010. Discrimination of the geographical origin of beef by 1H NMR-based metabolomics. Journal of Agricultural and Food Chemistry 58(19): 10458-10466.

Kabil, O., Vitvitsky, V., Xie, P. & Banerjee, R. 2011. The quantitative significance of the transsulfuration enzymes for H2S production in murine tissues. Antioxidants & Redox Signaling 15(2): 363-372.

Kannappan, R., Gupta, S.C., Kim, J.H. & Aggarwal, B.B. 2012. Tocotrienols fight cancer by targeting multiple cell signaling pathways. Genes & Nutrition 7(1): 43-52.

Khor, S.C., Razak, A.M., Wan Ngah, W.Z., Mohd Yusof, Y.A., Abdul Karim, N. & Makpol, S. 2016. The tocotrienol-rich fraction is superior to tocopherol in promoting myogenic differentiation in the prevention of replicative senescence of myoblasts. PLoS ONE 11(2): e0149265.

Koutmos, M., Kabil, O., Smith, J.L. & Banerjee, R. 2010. Structural basis for substrate activation and regulation by cystathionine beta-synthase (CBS) domains in cystathionine β-synthase. Proceedings of the National Academy of Sciences 107(49): 20958-20963.

Kurpad, A.V., Vasudevan, J., Gnanou, J., Regan, M.M., Varalakshmi, S., Raj, T. & Young, V.R. 2003. Daily methionine requirements of healthy Indian men, measured by a 24-h indicator amino acid oxidation and balance technique. The American Journal of Clinical Nutrition 77(5): 1198-1205.

Lee, K.Y., Wan Ahmad, W.A., Low, E.V., Liau, S.Y., Anchah, L., Hamzah, S., Liew, H.B., Mohd Ali, R.B., Ismail, O., Ong, T.K., Said, M.A. & Dahlui, M. 2017. Comparison of the treatment practice and hospitalization cost of percutaneous coronary intervention between a teaching hospital and a general hospital in Malaysia: A cross sectional study. PLoS ONE 12(9): e0184410.

Lenzen, S. 2014. A fresh view of glycolysis and glucokinase regulation: History and current status. The Journal of Biological Chemistry 289(18): 12189-12194.

Li, S., Zheng, M.Q. & Rozanski, G.J. 2009. Glutathione homeostasis in ventricular myocytes from rat hearts with chronic myocardial infarction. Experimental Physiology 94(7): 815-824.

Liu, Y., Jia, H., Chang, X., Ding, G., Zhang, H. & Zou, Z.M. 2013. The metabolic disturbances of isoproterenol induced myocardial infarction in rats based on a tissue targeted metabonomics. Molecular BioSystems 9(11): 2823-2834.

Love, N.R., Pollak, N., Dölle, C., Niere, M., Chen, Y., Oliveri, P., Amaya, E., Patel, S. & Ziegler, M. 2015. NAD kinase controls animal NADP biosynthesis and is modulated via evolutionarily divergent calmodulin-dependent mechanisms. Proceedings of the National Academy of Sciences 112(5): 1386-1391.

Madhesh, M. & Vaiyapuri, M. 2012. Effect of luteolin on lipid peroxidation and antioxidants in acute and chronic periods of isoproterenol induced myocardial infarction in rats. Journal of Acute Medicine 2(3): 70-76.

Madhesh, M., Revathi, R. & Vaiyapuri, M. 2011. Cardioprotective effect of fenugreek on isoproterenol-induced myocardial infarction in rats. Indian Journal of Pharmacology 43(5): 516-519.

Maniam, S., Mohamed, N., Shuid, A.N. & Soelaiman, I.N. 2008. Palm tocotrienol exerted better antioxidant activities in bone than α-tocopherol. Basic and Clinical Pharmacology and Toxicology 103(1): 55-60.

Marney, L.C., Kolwicz Jr., S.C., Tian, R. & Synovec, R.E. 2013. Sample preparation methodology for mouse heart metabolomics using comprehensive two-dimensional gas chromatography coupled with time-of-flight mass spectrometry. Talanta 108: 123-130.

McCarthy, M.T., Moncayo, G., Hiron, T.K., Jakobsen, N.A., Valli, A., Soga, T., Adam, J. & O’Callaghan, C.A. 2018. Purine nucleotide metabolism regulates expression of the human immune ligand MICA. Journal of Biological Chemistry 293(11): 3913-3924.

MIMS. 2019. Isoprenaline. https://www.mims.com/malaysia/drug/info/isoprenaline?mtype=generic Accessed on February 12, 2019.

Mitra, A., Basak, T., Ahmad, S., Datta, K., Datta, R., Sengupta, S. & Sarkar, S. 2015. Comparative proteome profiling during cardiac hypertrophy and myocardial infarction reveals altered glucose oxidation by differential activation of pyruvate dehydrogenase E1 component subunit β. Journal of Molecular Biology 427(11): 2104-2120.

Moffatt, B.A. & Ashihara, H. 2002. Purine and pyrimidine nucleotide synthesis and metabolism. The Arabidopsis Book 1: e0018.

Murugesan, M., Revathi, R. & Manju, V. 2011. Cardioprotective effect of fenugreek on isoproterenol-induced myocardial infarction in rats. Indian Journal of Pharmacology 43(5): 516-519.

Nam, M., Jung, Y., Ryu, D.H. & Hwang, G.S. 2017. A metabolomics-driven approach reveals metabolic responses and mechanisms in the rat heart following myocardial infarction. International Journal of Cardiology 227: 239-246.

Ng, L.T. & Ko, H.J. 2012. Comparative effects of tocotrienol-rich fraction, α-tocopherol and α-tocopheryl acetate on inflammatory mediators and nuclear factor kappa B expression in mouse peritoneal macrophages. Food Chemistry 134(2): 920-925.

Panda, S., Kar, A. & Biswas, S. 2017. Preventive effect of agnucastoside C against isoproterenol-induced myocardial injury. Scientific Reports 7(1): 16146.

Park, S., Page, G.P., Kim, K., Allison, D.B., Meydani, M., Weindruch, R. & Prolla, T.A. 2008. α- and γ-Tocopherol prevent age-related transcriptional alterations in the heart and brain of mice. The Journal of Nutrition 138(6): 1010-1018.

Poloni, S., Blom, J.H. & Schwartz, V.I. 2015. Stearoyl-CoA desaturase-1: Is it the link between sulfur amino acids and lipid metabolism? Biology 4(2): 383-396.

Prudova, A., Bauman, Z., Braun, A., Vitvitsky, V., Lu, S.C. & Banerjee, R. 2006. S-adenosylmethionine stabilizes cystathionine beta-synthase and modulates redox capacity. Proceedings of the National Academy of Sciences 103(17): 6489-6494.

Qiu, F., Zhang, H., Yuan, Y., Liu, Z., Huang, B., Miao, H., Liu, X., Zhao, Q., Zhang, H., Dong, H. & Zhang, Z. 2018. A decrease of ATP production steered by PEDF in cardiomyocytes with oxygen-glucose deprivation is associated with an AMPK-dependent degradation pathway. International Journal of Cardiology 257: 262-271.

Riera-Borrull, M., Garcia-Heredia, A., Fernandez-Arroyo, S., Hernandez-Aguilera, A., Cabre, N., Cuyas, E., Luciano-Mateo, F., Camps, J., Menendez, J.A. & Joven, J. 2017. Metformin potentiates the benefits of dietary restraint: A metabolomic study. International Journal of Molecular Sciences 18(11): 2263.

Saito, Y., Yoshida, Y., Nishio, K., Hayakawa, M. & Niki, E. 2004. Characterization of cellular uptake and distribution of vitamin E. Annals of the New York Academy of Sciences 1031: 368-375.

Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R. & Lucia, A. 2016. Epidemiology of coronary heart disease and acute coronary syndrome. Annals of Translational Medicine 4(13): 256-256.

Seong, A.C. & John, C.K.M. 2016. A review of coronary artery disease research in Malaysia. Medical Journal Malaysia 71: 42-57.

Serbinova, E., Kagan, V., Han, D. & Packer, L. 1991. Free radical recycling and intramembrane mobility in the antioxidant properties of alpha-tocopherol and alpha-tocotrienol. Free Radical Biology & Medicine 10(5): 263-275.

Siddiqui, M.A., Ahmad, U., Khan, A.A., Ahmad, M., Badruddeen, Khalid, M. & Akhtar, J. 2016. Isoprenaline: A tool for inducing myocardial infarction in experimental animals. International Journal of Pharmacy 6(2): 138-144.

Singhal, A. & Cheng, C.Y. 2019. Host NAD+ Metabolism and infections: Therapeutic implications. International Immunology 31(2): 59-67.

Suvagandha, D., Nishijo, M., Swaddiwudhipong, W., Honda, R., Ohse, M., Kuhara, T., Nakagawa, H. & Ruangyuttikarn, W. 2014. A biomarker found in cadmium exposed residents of Thailand by metabolome analysis. International Journal of Environmental Research and Public Health 11(4): 3661-3677.

Thygesen, K., Alpert, J.S., Jaffe, A.S., Simoons, M.L., Chaitman, B.R. & White, H.D. 2012. Third universal definition of myocardial infarction. European Heart Journal 33(20): 2551-2567.

Top, A. & Gapor, M. 2005. Production of Palm-Based Tocotrienols-Enhanced Fraction. Kuala Lumpur: Malaysian Palm Oil Board.

Ukachukwu, V., Idris, S. & McIlwee, A. 2012. Acute myocardial infarction in a young patient with hyperhomocysteinaemia. BMJ Case Reports 2012: bcr2012007489.

Viana, L.R., Canevarolo, R., Luiz, A.C.P., Soares, R.F., Lubaczeuski, C., de Mattos Zeri, A.C. & Gomes-Marcondes, M.C.C. 2016. Leucine-rich diet alters the 1H-NMR based metabolomic profile without changing the Walker-256 tumour mass in rats. BMC Cancer 16(1): 764.

Vlaanderen, J.J., Janssen, N.A., Hoek, G., Keski-Rahkonen, P., Barupal, D.K., Cassee, F.R., Gosens, I., Strak, M., Steenhof, M., Lan, Q., Brunekreef, B., Scalbert, A. & Vermeulen, R.C.H. 2017. The impact of ambient air pollution on the human blood metabolome. Environmental Research 156: 341-348.

Voegele, A.F., Jerković, L., Wellenzohn, B., Eller, P., Kronenberg, F., Liedl, K.R. & Dieplinger, H. 2002. Characterization of the vitamin E-binding properties of human plasma afamin. Biochemistry 41(49): 14532-14538.

Wang, L.L., Xie, L., Zhang, Q., Cai, X., Tang, Y., Wang, L.L., Hang, T., Liu, J., Gong, J., Simmons, J.D. & Gillespie, M.N. 2015. Plasma nuclear and mitochondrial DNA levels in acute myocardial infarction patients. Coronary Artery Disease 26(4): 296-300.

Whitmer, J.T., Idell-Wenger, J.A., Rovetto, M.J. & Neely, J.R. 1978. Control of fatty acid metabolism in ischemic and hypoxic hearts. Journal of Biological Chemistry 253(12): 4305-4309.

World Health Organization. 2017. Cardiovascular diseases (CVDs): Fact sheet. http://www.who.int/mediacentre/factsheets/fs317/en/. Accessed on December 12, 2018.

Wu, G., Fang, Y.Z., Yang, S., Lupton, J.R. & Turner, N.D.  2004. Glutathione metabolism and its implications for health. The Journal of Nutrition 134(3): 489-492.

Zainalabidin, S., Aziz, N.F., Mohd, N.N. & Jubri, Z. 2018. Effect of palm tocotrienol rich fraction on oxidative status of heart in a rat model of isoprenaline-induced myocardial injury. Research Updates in Medical Sciences 6(1): 1-10.

Zarkasi, K.A., Jen-Kit, T. & Jubri, Z. 2019. Molecular understanding of the cardiomodulation in myocardial infarction and the mechanism of Vitamin E protection. Mini Reviews in Medicinal Chemistry 19(17): 1407-1426.

Zhao, S., Murugiah, K., Li, N., Li, X., Xu, Z.H., Li, J., Cheng, C., Mao, H., Downing, N.S., Krumholz, H.M. & Jiang, L.X. 2017. Admission glucose and in-hospital mortality after acute myocardial infarction in patients with or without diabetes: A cross-sectional study. Chinese Medical Journal 130(7): 767-775.

 

*Pengarang untuk surat-menyurat; email: zakiah.jubri@ppukm.ukm.edu.my  

 

 

 

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