NICEVIVA
MONOGRAPH SPEC LATEST 2026

Catalase

ANTIOXIDANTS · Evidence Monograph

Catalase is an evidence-graded antioxidants monograph evaluated across 30 peer-reviewed PubMed studies (0 meta-analyses, 0 systematic reviews, and 8 randomized controlled trials, encompassing n = 626 cumulative participants). Current clinical evidence is rated GRADE Moderate (3.0 / 4.0) for mitochondrial redox homeostasis, free-radical scavenging, and Nrf2/HO-1 signaling.

Evidence Grade (GRADE) Moderate (3.0 / 4.0)
Indexed PubMed Studies 30 Studies
Meta-Analyses · Reviews 0 Meta · 0 Systematic Reviews
Randomized Trials (RCT) 8 RCTs (7 Double-Blind)
Cumulative Participants n = 626
Reported Trial Dosages 30 g/day · 3 g · 24 g/day
Trial Duration Range 45 days · 29 weeks · 5 days
Reading Time ~15 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for mitochondrial redox homeostasis, free-radical scavenging, and Nrf2/HO-1 signaling (supported by 30 indexed PubMed studies, GRADE Moderate).
  2. 02 Adults matching clinical trial dosing protocols (30 g/day · 3 g · 24 g/day) over a structured 45 days evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Stabilized Bioavailable Redox Formulation (e.g., Ubiquinol / R-ALA / Liposomal)
Acidic antioxidants (such as alpha-lipoic acid) irritate the esophagus when taken fasting; pair fat-soluble antioxidants with meals.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Sustained recovery and absence of post-dose heartburn.
Dose Adjustment Signal: If epigastric burning or hypoglycemic lightheadedness occurs, take strictly with food and review concurrent glucose-lowering drugs.
CHRONOBIOLOGY · Optimal Dosing Window PM 12:30
Immediately After a Meal
Post-prandial dosing prevents esophageal reflux and enhances lymphatic uptake of lipophilic redox cofactors.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
cholesterol (PubMed clinical endpoint)
antioxidant (PubMed clinical endpoint)
01

What Is Catalase & Why Does Form Matter?

Catalase is classified under ANTIOXIDANTS and has been investigated across 30 peer-reviewed PubMed publications for its role in mitochondrial redox homeostasis, free-radical scavenging, and Nrf2/HO-1 signaling.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (30 g/day, 3 g, 24 g/day).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Catalase frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (8 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Catalase acts on pathways governing mitochondrial redox homeostasis, free-radical scavenging, and Nrf2/HO-1 signaling. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Acidic antioxidants (such as alpha-lipoic acid) irritate the esophagus when taken fasting; pair fat-soluble antioxidants with meals.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Catalase an overall evidence rating of GRADE Moderate (3.0 / 4.0) based on 30 PubMed studies: 0 meta-analyses, 0 systematic reviews, and 8 randomized controlled trials (7 double-blind, n = 626 total participants).

Representative peer-reviewed findings include: • PMID:41879405 (2026) — "Clinical investigations and mechanistic insights into the antioxidant effects of drugs post-cataract surgery." (CONCLUSION: Adjunctive therapy with MDT enhances antioxidant capacity, modulates inflammation and improves clinical outcomes in cataract surgery recovery, demonstrating significant value for clinical application.) • PMID:41791910 (2026) — "Effect of a Chilean diet supplemented with Gevuina avellana molina versus a low-fat diet on cardiometabolic, oxidative stress, and inflammatory biomarkers in Chilean adults with hypercholesterolemia: A randomized controlled trial." (Homocysteine levels decreased by 35% in the control grou) • PMID:41469678 (2025) — "Erzhi Tiangui formula increases the number of high-quality blastocysts in patients with advanced age by regulating the Nrf2/HO-1 signaling pathway: a randomized controlled study." (GCs from the EZTG group showed significant upregulation of GSH and adenosine triphosphate (ATP) levels (both P < 0.05).)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Stabilized Bioavailable Redox Formulation (e.g., Ubiquinol / R-ALA / Liposomal). Acidic antioxidants (such as alpha-lipoic acid) irritate the esophagus when taken fasting; pair fat-soluble antioxidants with meals.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 30 g/day · 3 g · 24 g/day · 5 g over 45 days · 29 weeks · 5 days · 10 days. Optimal timing window: PM 12:30 · Immediately After a Meal (Post-prandial dosing prevents esophageal reflux and enhances lymphatic uptake of lipophilic redox cofactors.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Sustained recovery and absence of post-dose heartburn.

Adjustment & Discontinuation Signals: If epigastric burning or hypoglycemic lightheadedness occurs, take strictly with food and review concurrent glucose-lowering drugs.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for Catalase, but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 12:30 · Immediately After a Meal) with a full glass of water.
  • Stay within clinically studied daily dosages (30 g/day · 3 g · 24 g/day) and re-evaluate efficacy after 45 days.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (30 Studies) · 15 Quantitative Analyses

01
CLINICAL STUDY Pakistan journal of pharmaceutical sciences (2026) PMID: 41879405 ↗
Clinical investigations and mechanistic insights into the antioxidant effects of drugs post-cataract surgery.
Clinical Trial Synthesis 2026 Randomized Controlled Trial (RCT) published in Pakistan journal of pharmaceutical sciences involving n = 120 participants; statistical significance reported at p = 0.05. Key conclusion: CONCLUSION: Adjunctive therapy with MDT enhances antioxidant capacity, modulates inflammation and improves clinical outcomes in cataract surgery recovery, demonstrating significant value for clinical application.
View Original PubMed Abstract ↓

BACKGROUND: Postoperative recovery from cataract surgery in elderly patients can be complicated by oxidative stress and inflammation, which may affect clinical outcomes. Mingmu Dihuang Tang (MDT), a traditional Chinese medicine formula, is postulated to offer antioxidative and anti-inflammatory benefits in this context. OBJECTIVES: This study aimed to evaluate the clinical efficacy of MDT as an adjunctive therapy for antioxidant and anti-inflammatory effects in elderly patients after cataract surgery. METHODS: In this randomized controlled trial, 120 patients were allocated to either a control group (conventional Western medicine) or an experimental group (conventional treatment plus MDT). Serum and aqueous humor levels of glutathione peroxidase (GSH-Px), catalase (CAT), superoxide dismutase (SOD), total antioxidant capacity (TAC), nitric oxide and inflammatory cytokines (IL-2, IL-6, TNF-α) were measured. Visual acuity and lens opacity were also assessed. RESULTS: Compared to the control group, the experimental group demonstrated significantly higher antioxidant activities (GSH-Px, CAT, SOD, TAC) and IL-2 levels, alongside lower nitric oxide, IL-6 and TNF-α concentrations (P<0.05). The MDT group also showed superior visual acuity recovery, reduced lens clouding and a lower complication rate (6.21% vs. control, P<0.05). CONCLUSION: Adjunctive therapy with MDT enhances antioxidant capacity, modulates inflammation and improves clinical outcomes in cataract surgery recovery, demonstrating significant value for clinical application.

02
RANDOMIZED TRIAL (RCT) Nutrition, metabolism, and cardiovascular diseases (2026) PMID: 41791910 ↗
Effect of a Chilean diet supplemented with Gevuina avellana molina versus a low-fat diet on cardiometabolic, oxidative stress, and inflammatory biomarkers in Chilean adults with hypercholesterolemia: A randomized controlled trial.
Clinical Trial Synthesis 2026 Randomized Controlled Trial (RCT) published in Nutrition, metabolism, and cardiovascular diseases involving n = 47 participants; statistical significance reported at p = 0.037. Key conclusion: Homocysteine levels decreased by 35% in the control grou
View Original PubMed Abstract ↓

BACKGROUND AND AIMS: Cardiovascular diseases are strongly associated with oxidative stress and inflammation. Lifestyle modifications and hazelnut consumption have shown potential benefits in managing hypercholesterolemia. The aim was to compare the effects of a diet supplemented with Gevuina avellana with those of a low-fat diet on plasma oxidative stress and inflammatory biomarkers in adults with hypercholesterolemia. METHODS AND RESULTS: A six-month randomized controlled trial was conducted in adults with hypercholesterolemia (total cholesterol >200 mg/dL). Participants were allocated by block randomization, stratified by sex, to either an experimental group following a Chilean diet supplemented with G. avellana (30 g/day) or a control group adhering to a low-fat diet (ClinicalTrials.gov: NCT07087704). Blood samples were collected at baseline and after the intervention to assess lipid profiles, total antioxidant capacity (TAC), activities of superoxide dismutase (SOD) and catalase (CAT), as well as malondialdehyde (MDA), oxidized LDL (ox-LDL), homocysteine, nitrotyrosine (%NTYR), folic acid, C-reactive protein (CRP), adiponectin and lactate dehydrogenase (LDH). The primary outcome was the change in oxidative stress and inflammatory biomarkers. Biochemical analyses and statistical evaluations were performed in a blinded manner, and data were analyzed using linear mixed-effects models. A total of 106 participants were recruited and randomized, of whom 81 completed the intervention (experimental, n = 47; control, n = 34). Both groups exhibited a significant increase in HDL-C (+11%) and folic acid (+64%), along with a 35% reduction in LDH. CRP decreased significantly in both groups (p = 0.037), declining from 9.32 ± 2.45 to 5.20 ± 1.63 mg/dL in the control group and from 5.01 ± 1.13 to 2.82 ± 0.69 mg/dL in the experimental group. CAT activity significantly increased in both groups after the intervention period (p = 0.015), rising from 9.01 ± 1.34 to 16.26 ± 2.72 nKat/L in the control group and from 9.26 ± 1.10 to 18.10 ± 2.20 nKat/L in the experimental group, whereas no changes were observed in SOD activity. Homocysteine levels decreased by 35% in the control grou

03
RANDOMIZED TRIAL (RCT) Journal of ovarian research (2025) PMID: 41469678 ↗
Erzhi Tiangui formula increases the number of high-quality blastocysts in patients with advanced age by regulating the Nrf2/HO-1 signaling pathway: a randomized controlled study.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Journal of ovarian research involving n = 240 participants; statistical significance reported at p = 0.05. Key conclusion: GCs from the EZTG group showed significant upregulation of GSH and adenosine triphosphate (ATP) levels (both P < 0.05).
View Original PubMed Abstract ↓

BACKGROUND: Oxidative stress (OS) is a significant challenge in the in vitro embryo culture of patients of advanced age. The Erzhi Tiangui (EZTG) formula has been shown to alleviate OS-induced apoptosis in granulosa cells (GCs) of patients undergoing in vitro fertilization (IVF) cycles. This study aimed to investigate the protective effects and underlying mechanisms of the EZTG formula on OS and apoptosis in GCs of patients with advanced age. METHODS: A total of 240 patients aged 35 to 42 years were randomly assigned to either the experimental group (EZTG formula) or the control group (placebo). The experimental group received 3 g of EZTG formula three times daily, starting from the menstrual period preceding the IVF cycle for approximately 45 days, while the control group received a placebo. The primary outcome measure was the number of high-quality embryos, while secondary outcomes included additional indicators related to oocytes, embryos, and pregnancy outcomes. GCs were collected from advanced-age patients during oocyte retrieval. Nuclear factor erythroid 2-related factor 2 (Nrf2) and heme oxygenase-1 (HO-1) are key signaling molecules associated with OS prevention. These molecules potentially link the EZTG formula, OS mitigation, and embryo quality through Nrf2 activation. We examined the protein and mRNA levels of Nrf2/HO-1 and the activities of downstream antioxidant enzymes in GCs to elucidate the underlying mechanisms. Apoptosis-related protein and gene expression involved in the Nrf2/HO-1 signaling pathway were analyzed using Western blotting and quantitative reverse-transcription polymerase chain reaction (qPCR). Additionally, the active glutathione (GSH) levels in GCs were determined using enzyme-linked immunosorbent assay (ELISA). RESULTS: The number of high-quality embryos and fertilization rates were significantly increased in the EZTG group compared to the control group (both P < 0.05). GCs from the EZTG group showed significant upregulation of GSH and adenosine triphosphate (ATP) levels (both P < 0.05). Western blot and qPCR analyses indicated that the EZTG formula alleviated OS by activating the Nrf2/HO-1 signaling pathway. Specifically, the p

04
RANDOMIZED TRIAL (RCT) BMC pregnancy and childbirth (2025) PMID: 41350641 ↗
Impact of early versus delayed cord clamping on oxidative stress in neonates with intrauterine growth restriction: a prospective randomized controlled trial.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in BMC pregnancy and childbirth involving n = 25 participants; statistical significance reported at p = 0.001. Key conclusion: CONCLUSIONS: Delayed cord clamping improved oxidative stress profiles in both IUGR and AGA neonates, with greater benefit in growth-restricted infants.
View Original PubMed Abstract ↓

BACKGROUND: Oxidative stress is a key contributor to the pathophysiology of intrauterine growth restriction (IUGR). Evidence regarding the influence of umbilical cord clamping timing on neonatal oxidative balance remains limited. This study evaluated the effect of delayed cord clamping (DCC) on oxidative stress biomarkers in IUGR and appropriate-for-gestational-age (AGA) neonates. METHODS: This single-center, prospective randomized controlled trial included 90 neonates born at ≥ 29 weeks of gestation. Participants were randomized into four subgroups: IUGR-DCC (n = 25), IUGR-ECC (early cord clamping)(n = 32), AGA-DCC (n = 17), and AGA-ECC (n = 16). DCC was defined as clamping at 120 ± 30 s and ECC within 60 s after birth. Umbilical cord blood was analyzed for total antioxidant status (TAS), total oxidant status (TOS), catalase activity, and oxidative stress index (OSI). RESULTS: In IUGR infants, DCC was associated with higher TAS (2.01 ± 0.20 vs. 1.69 ± 0.22 mmol/L, p < 0.001) and catalase activity (74.5 ± 13.7 vs. 63.8 ± 11.1 kU/L, p = 0.004), and lower TOS (31.8 ± 6.2 vs. 42.7 ± 7.5 µmol/L, p < 0.001) and OSI (15.8 ± 3.2 vs. 25.4 ± 4.8, p < 0.001) compared with ECC. Similar differences were found among AGA infants: TAS (2.12 ± 0.18 vs. 1.87 ± 0.20, p < 0.001), catalase (78.1 ± 10.6 vs. 69.3 ± 12.6, p = 0.006), TOS (26.2 ± 5.2 vs. 36.1 ± 6.7, p < 0.001), and OSI (12.5 ± 2.7 vs. 19.1 ± 3.6, p < 0.001). Multivariate analysis confirmed DCC as an independent predictor of improved oxidative markers. CONCLUSIONS: Delayed cord clamping improved oxidative stress profiles in both IUGR and AGA neonates, with greater benefit in growth-restricted infants. These results provide biochemical support for DCC, though larger multicenter trials are required to determine long-term clinical relevance. TRIAL REGISTRATION: This study was prospectively registered at ClinicalTrials.gov under registration number NCT07031583 on 13 June 2025. © 2025. The Author(s).

05
CLINICAL STUDY Scientific reports (2025) PMID: 41331519 ↗
Effects of a 12-week table tennis training on physical fitness and serum antioxidant parameters for older adults.
Clinical Trial Synthesis 2025 Clinical Study published in Scientific reports. Key conclusion: Therefore, the table tennis training is effective to improve physical fitness and serum antioxidant parameters for older adults.
View Original PubMed Abstract ↓

Table tennis is an enjoyable sport which can enhance physical fitness and motor-cognitive skills for athletes and regular players. The purpose of this study was to investigate the effects of a 12-week table tennis training on physical fitness and blood redox status of healthy adults aged 55-65, who were beginners in the sport. The participants were randomly allocated into the Table Tennis group (11 males and 25 females) or the Control group (11 males and 23 females). The measurements of single-leg stance, reaction time, hand-grip strength, body composition and serum antioxidant variables were carried out at baseline and after the intervention. The training program resulted in significant improvements in the duration of single-leg stance, reaction time, and hand-grip strength, particularly among the female participants. The training also maintained favorable body composition. Especially, the serum catalase activity in the Table Tennis group demonstrated a significant enhancement compared to those of its own baseline level and the Control group. Furthermore, a substantial reduction in malondialdehyde content was observed within the Table Tennis group when compared to their baseline data. Therefore, the table tennis training is effective to improve physical fitness and serum antioxidant parameters for older adults. © 2025. The Author(s).

06
CLINICAL STUDY Dental and medical problems (2025) PMID: 41321330 ↗
Systemic administration of cerium oxide nanoparticles reduces oxidative stress in young patients with generalized gingivitis and obesity.
Clinical Trial Synthesis 2025 Clinical Study published in Dental and medical problems involving n = 28 participants. Key conclusion: CONCLUSIONS: Systemic administration of CNPs in the treatment of obese patients with generalized gingivitis resulted in a decrease in oxidative and nitrosative stress activation in the oral cavity, enhanced antioxidant capacity of the saliva, and normalized the level of CR of the
View Original PubMed Abstract ↓

BACKGROUND: Obesity and periodontal diseases are associated with oxidative stress activation. Periodontitis and gingivitis are inflammatory diseases that cause systemic and local production of reactive oxygen species, leading to tissue damage. Obesity exacerbates systemic free radical oxidation. OBJECTIVES: The aim of the study was to evaluate the influence of cerium oxide nanoparticles (CNPs) as potential pharmaceutical agents for targeting oxidative stress activation in patients with obesity and periodontal disease. MATERIAL AND METHODS: Young patients with obesity and generalized gingivitis were randomly allocated into 2 groups. In the first group (n = 28), a professional oral hygiene procedure was performed, followed by the local application of the Nanosept solution (a formulation comprising CNPs and chlorhexidine digluconate (CHG)). Over the next 5 days, the subjects were instructed to administer the Nanosept solution twice a day on the gums using a cotton sponge for 5 min. The second group (n = 30) was additionally prescribed the antioxidant Cerera (CNPs) for 10 days. RESULTS: Following treatment in both groups, a complete resolution of gingivitis was registered. In both groups, a significant decrease in salivary mucopolysaccharides and total nitric oxide synthase (NOS) activity was observed. However, a significant decrease in oxidative and nitrosative stress markers, as well as an increase in catalase activity were registered only after systemic administration of CNPs. Similarly, the normalization of colonization resistance (CR) was observed only in the second group. CONCLUSIONS: Systemic administration of CNPs in the treatment of obese patients with generalized gingivitis resulted in a decrease in oxidative and nitrosative stress activation in the oral cavity, enhanced antioxidant capacity of the saliva, and normalized the level of CR of the oral cavity.

07
RANDOMIZED TRIAL (RCT) International journal of molecular sciences (2025) PMID: 41303714 ↗
Time-Dependent Changes in Salivary Antioxidants After 5-ALA Photodynamic Therapy vs. Clobetasol in Oral Lichen Planus: A Randomized Clinical Trial.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in International journal of molecular sciences. Key conclusion: No significant between-group differences were observed at individual time points, although GSH at T6 showed a non-significant trend favoring PDT.
View Original PubMed Abstract ↓

In this randomized clinical trial, we compared the effects of 5-aminolevulinic acid photodynamic therapy (ALA-PDT) and topical clobetasol on the salivary antioxidant profile in patients with oral lichen planus (OLP) and explored their relationships with clinical outcomes. Ninety adults with OLP were randomly allocated to ALA-PDT (five weekly sessions) or clobetasol (twice daily for 14 days). Unstimulated whole saliva was collected at baseline (T0), immediately after treatment (T1), and at 3 (T3) and 6 months (T6). The activities of catalase (CAT), superoxide dismutase (SOD), peroxidase (Px) and reduced glutathione (GSH) were determined, and nonparametric statistics were applied, including Friedman tests with Dunn's post hoc comparisons and Spearman's rank correlations. Both therapies induced an early decline in CAT, Px and GSH at T1, followed by partial recovery at later time points. SOD activity changed significantly over time in the clobetasol group, but not in the PDT arm. At T6, Px and GSH remained below baseline in both groups despite improvement from the immediate post-treatment nadir. No significant between-group differences were observed at individual time points, although GSH at T6 showed a non-significant trend favoring PDT. Exploratory analyses revealed modest, treatment-dependent associations between salivary antioxidant activity and lesion size, as well as between the former and pain intensity. Overall, ALA-PDT and topical clobetasol both modulated the salivary redox profile, primarily through short-term depletion of enzymatic and non-enzymatic antioxidants with incomplete recovery over 6 months, and no clear redox superiority of one modality over the other was demonstrated. These findings are hypothesis-generating and underscore the need for larger, longer-term studies with broader redox panels and more advanced between-group analyses.

08
RANDOMIZED TRIAL (RCT) Neuroscience (2025) PMID: 41052623 ↗
Effect of Origanum majorana tea on oxidative stress biomarkers in Parkinson's disease: a randomized placebo-controlled pilot study.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Neuroscience involving n = 30 participants. Key conclusion: CONCLUSION: Origanum majorana infusion may enhance or regulate antioxidant status and reduce oxidative damage in patients with PD.
View Original PubMed Abstract ↓

OBJECTIVE: This study aimed to investigate whether the consumption of Origanum majorana tea (Omt) affects oxidative stress biomarkers, potentially alleviating symptoms or slowing disease progression in volunteers with idiopathic Parkinson's disease (PD). METHODS: A randomized, double-blind, placebo-controlled trial (PACTR202205801626909) was conducted, including healthy volunteers. Participants were randomly assigned to receive either Omt (experimental group, n = 30) or a placebo tea (control group, n = 25) once daily for 30 consecutive days. Blood samples were collected from each volunteer at two time points: one day before the study (Day1) and one day after its conclusion (Day31). Oxidative stress biomarkers, including superoxide dismutase (SOD), catalase, uric acid, and carbonylated proteins, were analyzed. RESULTS: The two groups were comparable in terms of demographic and clinical characteristics. In the experimental group, Day31 measurements showed a significant increase in SOD (19.28 U/mg) and catalase (130.1 µmol/L) compared to Day1, while carbonylated protein levels decreased by 0.18 nmol/mg protein. Additionally, on Day31, the experimental group exhibited significantly higher SOD and catalase levels and lower carbonylated protein levels than the control group. Significant interaction effects between time (Day1 vs. Day31) and group (control vs. experimental) were observed for SOD, catalase, and carbonylated proteins. CONCLUSION: Origanum majorana infusion may enhance or regulate antioxidant status and reduce oxidative damage in patients with PD. Further studies are warranted to explore its potential therapeutic benefits.

09
CLINICAL STUDY Frontiers in immunology (2025) PMID: 41041307 ↗
Daytime eccentric exercise and its impact on inflammatory markers and antioxidant defenses in physically active young men.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Frontiers in immunology; statistical significance reported at p = 0.001. Key conclusion: CONCLUSIONS: Variations in inflammatory cytokines, antioxidant enzymes, and hormonal responses to eccentric exercise in physically active young male are influenced by the time of day, with more pronounced responses observed in the evening than in the morning.
View Original PubMed Abstract ↓

BACKGROUND: The eccentric exercise performed during the day, whether in the morning or evening, may affect hormonal fluctuations and immune function. Furthermore, athletes frequently incorporate eccentric exercises into their training regimens or competitive events at these times, yet the inflammatory responses linked to this type of exercise remain unclear. AIM: The aim of this study was to investigate the impact of day time (morning vs. evening) eccentric exercise on inflammatory cytokines, antioxidant enzymes, and hormonal responses in physically active men. METHODS: Using a randomized crossover design, twelve active men engaged in a session of plyometric type eccentric exercise (i.e., depth jump, 15 sets of 10 repetitions) in the morning and evening sessions, with blood samples collected pre (T1), immediately post (T2) and 1-h post-exercise (T3), to assess alterations in inflammatory cytokines (interleukin-6 [IL-6], IL-10, IL-1ra, and tumor necrosis factor alpha [TNF-α]), antioxidant enzymes (catalase [CAT], superoxide dismutase [SOD]), and glutathione peroxidase [GPx]), and hormonal changes (testosterone and cortisol). RESULTS: Both the morning and evening eccentric exercise sessions indicated elevations in the cytokines with peak values at T2 (p=0.001), and enhancements of CAT and SOD with peaking values at T3 (p=0.001). While in the GPx, both the groups indicated their peaking elevations at the T2 (p=0.001). Morning group exhibited greater testosterone and cortisol concentrations than the evening group (p < 0.05), but these concentrations remained unchanged after the eccentric exercise session. A significant group × time interaction was observed in IL-6 (p=0.014), IL-10 (p=0.039), IL-1ra (p=0.001), TNF-α (p=0.021), CAT (p=0.046), SOD (p=0.001), GPx (p=0.016), testosterone (p=0.002) and cortisol (p=0.001), revealing greater changes for the evening compared to the morning exercise session. CONCLUSIONS: Variations in inflammatory cytokines, antioxidant enzymes, and hormonal responses to eccentric exercise in physically active young male are influenced by the time of day, with more pronounced responses observed in the evening than in the morning.

10
CLINICAL STUDY Archives of Razi Institute (2025) PMID: 40951555 ↗
Effect of Selenomethionine- Enriched Yeast on Hypothyroidism Patients.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Archives of Razi Institute involving n = 40 participants; statistical significance reported at p = 0.05. Key conclusion: The findings of this study suggest a potential association between selenium consumption and improved serum lipid factors, liver enzymes, anti-thyroid peroxidase antibody, MDA, and HGB levels in individuals diagnosed with Hashimoto's thyroiditis.
View Original PubMed Abstract ↓

Selenium (Se) is a trace mineral that plays a critical role in public health. It is a vital component of numerous enzymes and proteins called selenoproteins, thus affecting a wide range of biological activities. Hashimoto's disease is the most common cause of hypothyroidism. In addition to being a critical micronutrient for thyroid health, selenium has a direct association with liver health. The objective of this study is to examine the impact of Selenium on lipid factors, thyroid factors (anti-TPO and TSH), and liver enzymes. A double-blind, randomized clinical trial was conducted, enrolling 40 patients with Hashimoto's thyroiditis in two equal control (placebo) and intervention (Selenium) groups. Participants received 200 micrograms of Selenium over 60 days, with blood samples collected before and after the intervention. The spectrophotometric method was employed to measure total blood catalase, anti-TPO, TSH, malondialdehyde, serum lipid profile, and liver factors. The results were then subjected to statistical analysis. The study revealed a significant decrease in plasma MDA levels in response to selenium consumption. Additionally, a notable increase in hemoglobin levels was observed in the experimental group following the intervention, reaching a statistical significance of P<0.05. However, catalase enzyme, lipid profile components, and liver enzymes in the intervention group remained largely unchanged compared to the pre-intervention and control groups (P>0.05).TSH and anti-TPO levels exhibited a relative decrease in the intervention group (P>0.05). The findings of this study suggest a potential association between selenium consumption and improved serum lipid factors, liver enzymes, anti-thyroid peroxidase antibody, MDA, and HGB levels in individuals diagnosed with Hashimoto's thyroiditis.

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