Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage.[1] Disturbances in the normal redox state of cells can cause toxic effects through the production of peroxides and free radicals that damage all components of the cell, including proteins, lipids, and DNA. Oxidative stress from oxidative metabolism causes base damage, as well as strand breaks in DNA. Base damage is mostly indirect and caused by the reactive oxygen species generated, e.g., O− 2 (superoxide radical), OH (hydroxyl radical) and H2O2 (hydrogen peroxide).[2] Further, some reactive oxidative species act as cellular messengers in redox signaling. Thus, oxidative stress can cause disruptions in normal mechanisms of cellular signaling.[citation needed]
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^Dean OM, van den Buuse M, Berk M, Copolov DL, Mavros C, Bush AI (July 2011). "N-acetyl cysteine restores brain glutathione loss in combined 2-cyclohexene-1-one and d-amphetamine-treated rats: relevance to schizophrenia and bipolar disorder". Neuroscience Letters. 499 (3): 149–153. doi:10.1016/j.neulet.2011.05.027. PMID21621586. S2CID32986064.
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^Kennedy G, Spence VA, McLaren M, Hill A, Underwood C, Belch JJ (September 2005). "Oxidative stress levels are raised in chronic fatigue syndrome and are associated with clinical symptoms". Free Radical Biology & Medicine. 39 (5): 584–9. doi:10.1016/j.freeradbiomed.2005.04.020. PMID16085177.
^Jiménez-Fernández S, Gurpegui M, Díaz-Atienza F, Pérez-Costillas L, Gerstenberg M, Correll CU (December 2015). "Oxidative stress and antioxidant parameters in patients with major depressive disorder compared to healthy controls before and after antidepressant treatment: results from a meta-analysis". The Journal of Clinical Psychiatry. 76 (12): 1658–67. doi:10.4088/JCP.14r09179. hdl:10630/29937. PMID26579881.