It is proposed that there is biological regulation of the low molecular wei
ght antioxidant (LMWA) status of the body, and that these different antioxi
dants work in concert and in homeostasis as a system analogous to the regul
ation of acid-base status (pH). The theoretical design characteristics for
such a system include regulation, inducibility, interactivity and balance w
ith the beneficial properties of reactive oxygen species. Testing the hypot
hesis requires developing suitable methodologies (such as measurement of th
e redox state) for assessing the total ratio of antioxidant to oxidant acti
vity of both tissues and biological fluids, since it is not clear whether p
lasma antioxidant status reflects that of the tissues as well. This concept
, if accepted, may help explain the contradictions relating to antioxidant
therapy and lead to more rational recommendations for dietary intake. it ma
y also help explain the effects of manipulating (increasing/decreasing) spe
cific antioxidants on the overall antioxidant status in health and disease.
(C) 1999 Harcourt Publishers Ltd.