This is the review's named oxidative-stress model used to discuss how extracellular calcium conditions influence vitamin E-dependent cytotoxicity in hepatocytes.
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Ca2+-omission model of in vitro oxidative stress
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Alpha-tocopherol threshold-dependent cell viability is directly correlated with prevention of cellular protein thiol loss in the absence of intracellular GSH.
In in vitro hepatocyte systems, extracellular Ca2+-related cytotoxicity is reported to depend on Ca2+-influenced vitamin E content of isolated hepatocytes.
The Ca2+-omission oxidative stress model indicates interdependence between the GSH redox system and vitamin E as protective agents during oxidative stress.
The review proposes that alpha-tocopherol may protect against cytotoxicity either by directly reducing protein thiyl radicals or by preventing protein thiol oxidation through scavenging lipid peroxyl radicals.
After chemical oxidant-induced intracellular GSH depletion, hepatocyte morphology and viability are maintained when cellular alpha-tocopherol remains above a threshold of 0.6-1.0 nmol per 10^6 cells.
Because vitamin E shows a threshold phenomenon in preventing severe oxidative-stress-induced cytotoxicity, its use as a protective agent against oxidative challenge in vivo should be reassessed.