PMID- 34113073 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220423 IS - 1177-5467 (Print) IS - 1177-5483 (Electronic) IS - 1177-5467 (Linking) VI - 15 DP - 2021 TI - The Effect of Dietary Antioxidant Supplementation in Patients with Glaucoma. PG - 2293-2300 LID - 10.2147/OPTH.S314288 [doi] AB - PURPOSE: Oxidative stress may be a risk factor for glaucoma, and many previous reports have suggested that antioxidants could be a promising treatment. Here, we investigated the effects of a novel supplement containing three food-derived antioxidants (hesperidin, crocetin, and Tamarindus indica) on markers of oxidative stress in patients with glaucoma. PATIENTS AND METHODS: This study had a prospective, single arm design. Thirty Japanese glaucoma patients were recruited and given 4 tablets with ample water twice a day for 8 weeks. The treatment was stopped, and the subjects were followed for an additional 8 weeks. We measured biological antioxidant potential (BAP) with a free radical analyzer. We also measured urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG; a marker of oxidative DNA damage). Clinical laboratory data were measured in venous blood samples. Clinical parameters were also recorded. Comparisons used a one-way analysis of variance (ANOVA) followed by Dunnett's test. RESULTS: The 8-OHdG level was not reduced. We also divided the patients into groups with high or low oxidative stress. In patients with relatively high oxidative stress, the 8-OHdG level was significantly reduced at weeks 4, 8, 12, and 16 (P < 0.001, P < 0.01, P < 0.01, P < 0.01), and BAP was significantly elevated at weeks 8 and 12 (P = 0.03, P = 0.04). In patients with relatively low oxidative stress, the 8-OHdG level was not significantly reduced during supplement intake but was significantly elevated at weeks 12 and 16 (P =0.03, P = 0.04), while BAP was not significantly elevated. CONCLUSION: An 8-week oral course of antioxidant supplementation was effective in patients with a high oxidative stress level. Dietary supplementation could hold promise in the treatment of systemic oxidative stress-related diseases. CI - (c) 2021 Himori et al. FAU - Himori, Noriko AU - Himori N AUID- ORCID: 0000-0001-8307-0458 AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Inoue Yanagimachi, Maki AU - Inoue Yanagimachi M AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Omodaka, Kazuko AU - Omodaka K AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. AD - Department of Ophthalmic Imaging and Information Analytics, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Shiga, Yukihiro AU - Shiga Y AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Tsuda, Satoru AU - Tsuda S AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Kunikata, Hiroshi AU - Kunikata H AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. AD - Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai, Japan. FAU - Nakazawa, Toru AU - Nakazawa T AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan. AD - Department of Ophthalmic Imaging and Information Analytics, Tohoku University Graduate School of Medicine, Sendai, Japan. AD - Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai, Japan. AD - Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. LA - eng PT - Case Reports PT - Clinical Trial DEP - 20210602 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC8183457 OTO - NOTNLM OT - 8-OHdG OT - glaucoma OT - oxidative stress OT - supplement COIS- Professor Toru Nakazawa reports grants from Wakamoto Pharmaceutical Co., Ltd. during the conduct of this study; grants and personal fees from Santen Pharmaceutical Co., Ltd., Senju Pharmaceutical Co., Ltd., and Topcon Corporation, outside the submitted work; grants from Nidek Co., Ltd. This research was supported by Wakamoto Pharmaceutical Co., Ltd. The authors report no other conflicts of interest in this work. EDAT- 2021/06/12 06:00 MHDA- 2021/06/12 06:01 PMCR- 2021/06/02 CRDT- 2021/06/11 06:40 PHST- 2021/04/04 00:00 [received] PHST- 2021/05/18 00:00 [accepted] PHST- 2021/06/11 06:40 [entrez] PHST- 2021/06/12 06:00 [pubmed] PHST- 2021/06/12 06:01 [medline] PHST- 2021/06/02 00:00 [pmc-release] AID - 314288 [pii] AID - 10.2147/OPTH.S314288 [doi] PST - epublish SO - Clin Ophthalmol. 2021 Jun 2;15:2293-2300. doi: 10.2147/OPTH.S314288. eCollection 2021.