PMC:6650341 / 24071-25490 JSONTXT

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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/6650341","sourcedb":"PMC","sourceid":"6650341","source_url":"https://www.ncbi.nlm.nih.gov/pmc/6650341","text":"Several antioxidant drugs, such as vitamin C, vitamin D, vitamin E, and bardoxolone alone or in combination302–307,310–312,314–317,319,320,324,384,386 with other antioxidants have been shown to prevent the deleterious effects of oxidative stress or hypoxia in different cardiovascular and renal diseases, including hypertension but some with undesirable side effects308,309,318,325,326,327,387,388. A meta-analysis in 135,967 participants in 19 clinical trials showed that high doses of vitamin E increased mortality387. The authors of a more recent meta-analysis concluded that supplements with vitamin E decreased cardiovascular mortality risk and folic acid decreased the risk for cardiovascular disease, while β-carotene, eicosapentanoic acid, magnesium, selenium, vitamins D and K, and zinc did not show significant risk reduction of cause-specific death or cardiovascular disease388. Thiosulfate, a hydrogen sulfide donor, which can decrease oxidative stress, has been reported to improve vascular endothelial function in hypertensive humans389,390. Bardoxolone, a Nrf2 agonist that increases the expression of several antioxidants, was initially shown to improve renal function in humans with advanced chronic kidney disease and type 2 diabetes391,. 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