Honey: A Novel Antioxidant

The global prevalence of chronic diseases such as diabetes mellitus, hypertension, atherosclerosis, cancer and Alzheimer's disease is on the rise. These diseases, which constitute the major causes of death globally, are associated with oxidative stress. Oxidative stress is defined as an “imbalance between oxidants and antioxidants in favor of the oxidants, potentially leading to damage”. Individuals with chronic diseases are more susceptible to oxidative stress and damage because they have elevated levels of oxidants and/or reduced antioxidants. This, therefore, necessitates supplementation with antioxidants so as to delay, prevent or remove oxidative damage. Honey is a natural substance with many medicinal effects such as antibacterial, hepatoprotective, hypoglycemic, reproductive, antihypertensive and antioxidant effects. This review presents findings that indicate honey may ameliorate oxidative stress in the gastrointestinal tract (GIT), liver, pancreas, kidney, reproductive organs and plasma/serum. Besides, the review highlights data that demonstrate the synergistic antioxidant effect of honey and antidiabetic drugs in the pancreas, kidney and serum of diabetic rats. These data suggest that honey, administered alone or in combination with conventional therapy, might be a novel antioxidant in the management of chronic diseases commonly associated with oxidative stress. In view of the fact that the majority of these data emanate from animal studies, there is an urgent need to investigate this antioxidant effect of honey in human subjects with chronic or degenerative diseases.

[1]  S. A. Sulaiman,et al.  Antioxidant protection of Malaysian tualang honey in pancreas of normal and streptozotocin-induced diabetic rats. , 2010, Annales d'endocrinologie.

[2]  D. Albanes,et al.  The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. , 1994, The New England journal of medicine.

[3]  M. Özcan,et al.  Evaluation of antioxidant activity, phenolic, mineral contents and some physicochemical properties of several pine honeys collected from Western Anatolia , 2009, International journal of food sciences and nutrition.

[4]  G. Rimbach,et al.  Ascorbic acid partly antagonizes resveratrol mediated heme oxygenase-1 but not paraoxonase-1 induction in cultured hepatocytes - role of the redox-regulated transcription factor Nrf2 , 2011, BMC complementary and alternative medicine.

[5]  S. A. Sulaiman,et al.  Fructose Might Contribute to the Hypoglycemic Effect of Honey , 2012, Molecules.

[6]  Y. Naito,et al.  Impaired gastric ulcer healing in diabetic mice: role of methylglyoxal. , 2009, Journal of physiology and pharmacology : an official journal of the Polish Physiological Society.

[7]  C. Hung Effect of lysozyme chloride on betel quid chewing aggravated gastric oxidative stress and hemorrhagic ulcer in diabetic rats. , 2005, World journal of gastroenterology.

[8]  Amal I. Hassan Efficiency of Camel Milk and Honey Bee in Alleviation of Diabetes in Rats , 2010 .

[9]  F. S. Gakhramanov Effect of Natural Antioxidants on Antioxidant Activity and Lipid Peroxidation in Eye Tissue of Rabbits with Chemical Burns , 2005, Bulletin of Experimental Biology and Medicine.

[10]  P. Vit,et al.  Antioxidant capacity of Venezuelan honey in wistar rat homogenates. , 2006, Journal of medicinal food.

[11]  Praveen Sharma,et al.  Reconvene and Reconnect the Antioxidant Hypothesis in Human Health and Disease , 2010, Indian Journal of Clinical Biochemistry.

[12]  R. Doll Chronic and degenerative disease: major causes of morbidity and death. , 1995, The American journal of clinical nutrition.

[13]  S. A. Sulaiman,et al.  Studies on the antioxidant properties of Tualang honey of Malaysia. , 2010, African journal of traditional, complementary, and alternative medicines : AJTCAM.

[14]  J. Majtán,et al.  Honey Prophylaxis Reduces the Risk of Endophthalmitis During Perioperative Period of Eye Surgery , 2012, Phytotherapy research : PTR.

[15]  C. Calhau,et al.  Modulation of MPP+ uptake by procyanidins in Caco‐2 cells: Involvement of oxidation/reduction reactions , 2006, FEBS letters.

[16]  Masayuki Yamamoto,et al.  The Antioxidant Defense System Keap1-Nrf2 Comprises a Multiple Sensing Mechanism for Responding to a Wide Range of Chemical Compounds , 2008, Molecular and Cellular Biology.

[17]  J. González‐Gallego,et al.  Quercetin decreases oxidative stress, NF-kappaB activation, and iNOS overexpression in liver of streptozotocin-induced diabetic rats. , 2005, The Journal of nutrition.

[18]  R. Mitchel,et al.  Vitamin E is a complete tumor promoter in mouse skin. , 1993, Carcinogenesis.

[19]  Hyeyoung Kim Oxidative stress in Helicobacter pylori-induced gastric cell injury , 2006, InflammoPharmacology.

[20]  B. Halliwell,et al.  Free radicals in biology and medicine , 1985 .

[21]  Z. Bobby,et al.  Increased protein glycation in non-diabetic pediatric nephrotic syndrome: possible role of lipid peroxidation. , 2003, Clinica chimica acta; international journal of clinical chemistry.

[22]  N. Al-Waili Natural honey lowers plasma glucose, C-reactive protein, homocysteine, and blood lipids in healthy, diabetic, and hyperlipidemic subjects: comparison with dextrose and sucrose. , 2004, Journal of medicinal food.

[23]  A. Soladoye,et al.  Effects of honey on inflammation and nitric oxide production in Wistar rats. , 2011, Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine.

[24]  N. Gheldof,et al.  Identification and quantification of antioxidant components of honeys from various floral sources. , 2002, Journal of agricultural and food chemistry.

[25]  M. A. Mohd,et al.  Ellagic acid, phenolic acids, and flavonoids in Malaysian honey extracts demonstrate in vitro anti-inflammatory activity. , 2010, Nutrition research.

[26]  F. Adesoji,et al.  Differential Effect of Honey on Selected Variables in Alloxan-Induced and Fructose- Induced Diabetic Rats , 2010 .

[27]  Goon Jo Aan,et al.  Malaysian gelam honey reduces oxidative damage and modulates antioxidant enzyme activities in young and middle aged rats , 2011 .

[28]  Yousef Rasmi,et al.  Effect of vitamin E on oxidative stress status in small intestine of diabetic rat. , 2007, World journal of gastroenterology.

[29]  S. Bogdanov,et al.  Honey for Nutrition and Health: A Review , 2008, Journal of the American College of Nutrition.

[30]  S. A. Sulaiman,et al.  Antioxidant Protective Effect of Glibenclamide and Metformin in Combination with Honey in Pancreas of Streptozotocin-Induced Diabetic Rats , 2010, International journal of molecular sciences.

[31]  D. Goldstein,et al.  Defining the relationship between plasma glucose and HbA(1c): analysis of glucose profiles and HbA(1c) in the Diabetes Control and Complications Trial. , 2002, Diabetes care.

[32]  M. Al-Humayyd,et al.  Natural Honey Prevents Indomethacin and Ethanol-induced Gastric Lesions in Rats , 1990 .

[33]  R. Rodrigo,et al.  Decrease in oxidative stress through supplementation of vitamins C and E is associated with a reduction in blood pressure in patients with essential hypertension. , 2008, Clinical science.

[34]  Jaime Gonzalez,et al.  The role of oxidative stress in the pathophysiology of hypertension , 2011, Hypertension Research.

[35]  S. A. Sulaiman,et al.  Hypoglycemic and antioxidant effects of honey supplementation in streptozotocin-induced diabetic rats. , 2010, International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition.

[36]  D. Roubik,et al.  Expanded parameters to assess the quality of honey from Venezuelan bees (Apis melllifera) , 2009 .

[37]  Merlin C. Thomas,et al.  New approaches to the treatment of nephropathy in diabetes , 2011, Expert opinion on investigational drugs.

[38]  N. Othman,et al.  The effects of tualang honey on female reproductive organs, tibia bone and hormonal profile in ovariectomised rats - animal model for menopause , 2010, BMC complementary and alternative medicine.

[39]  S. Moselhy,et al.  Inhibition of methylnitrosourea (MNU) induced oxidative stress and carcinogenesis by orally administered bee honey and Nigella grains in Sprague Dawely rats. , 2002, Journal of experimental & clinical cancer research : CR.

[40]  S. Jain,et al.  Pyridoxine and pyridoxamine inhibits superoxide radicals and prevents lipid peroxidation, protein glycosylation, and (Na+ + K+)-ATPase activity reduction in high glucose-treated human erythrocytes. , 2001, Free radical biology & medicine.

[41]  S. A. Sulaiman,et al.  Glibenclamide or Metformin Combined with Honey Improves Glycemic Control in Streptozotocin-Induced Diabetic Rats , 2011, International journal of biological sciences.

[42]  Katsuhiko Suzuki,et al.  The influence of antioxidant supplementation on markers of inflammation and the relationship to oxidative stress after exercise. , 2007, The Journal of nutritional biochemistry.

[43]  N. Starkey,et al.  The long-term effects of feeding honey compared with sucrose and a sugar-free diet on weight gain, lipid profiles, and DEXA measurements in rats. , 2007, Journal of food science.

[44]  S. Tesfaye,et al.  Abnormal liver function tests in patients with Type 1 diabetes mellitus: prevalence, clinical correlations and underlying pathologies , 2009, Diabetic medicine : a journal of the British Diabetic Association.

[45]  B. Halliwell Free radicals and antioxidants - quo vadis? , 2011, Trends in pharmacological sciences.

[46]  H. Jaafar,et al.  Effect of different doses of Malaysian honey on reproductive parameters in adult male rats , 2012, Andrologia.

[47]  M. Hoekstra,et al.  An in vitro examination of the antioxidant and anti-inflammatory properties of buckwheat honey. , 2008, Journal of wound care.

[48]  S. Taysı,et al.  Dehydroepiandrosterone Prevents Oxidative Injury in Obstructive Jaundice in Rats , 2004, The Journal of international medical research.

[49]  R. O’Brien,et al.  In vitro and in vivo antioxidant properties of gliclazide. , 2000, Journal of diabetes and its complications.

[50]  V. Bhor,et al.  Regional variations in intestinal brush border membrane fluidity and function during diabetes and the role of oxidative stress and non-enzymatic glycation , 2003, Molecular and Cellular Biochemistry.

[51]  R. Zimlichman,,et al.  Open Access Research , 2022 .

[52]  Yasmin Anum Mohd Yusof,et al.  Antioxidant Capacities and Total Phenolic Contents Increase with Gamma Irradiation in Two Types of Malaysian Honey , 2011, Molecules.

[53]  S. Gan,et al.  The antibacterial properties of Malaysian tualang honey against wound and enteric microorganisms in comparison to manuka honey , 2009, BMC complementary and alternative medicine.

[54]  T. Rosenthal,et al.  Oxidative stress in hypertensive,diabetic, and diabetic hypertensive rats. , 2003, American journal of hypertension.

[55]  A. Prakash,et al.  Effect of Manuka honey and sulfasalazine in combination to promote antioxidant defense system in experimentally induced ulcerative colitis model in rats. , 2008, Indian journal of experimental biology.

[56]  Joseph L Evans,et al.  Are oxidative stress-activated signaling pathways mediators of insulin resistance and beta-cell dysfunction? , 2003, Diabetes.

[57]  A. Stern,et al.  Free radical-triggered hepatic injury of experimental obstructive jaundice of rats involves overproduction of proinflammatory cytokines and enhanced activation of nuclear factor kappaB. , 2001, Annals of clinical and laboratory science.

[58]  J. Jankauskiene,et al.  Using 20% honey solution eye drops in patients with dry eye syndrome , 2007 .

[59]  A. Martí,et al.  A 3 years follow-up of a Mediterranean diet rich in virgin olive oil is associated with high plasma antioxidant capacity and reduced body weight gain , 2009, European Journal of Clinical Nutrition.

[60]  A. Ali,et al.  Inhibitory effect of natural honey on Helicobacter pylori. , 1991, Tropical gastroenterology : official journal of the Digestive Diseases Foundation.

[61]  A. Franke,et al.  Gamma-tocopherol detoxification of nitrogen dioxide: superiority to alpha-tocopherol. , 1993, Proceedings of the National Academy of Sciences of the United States of America.

[62]  A. Ali,et al.  Prevention of ammonia-induced gastric lesions in rats by natural honey , 2003 .

[63]  N. Al-Waili Intrapulmonary administration of natural honey solution, hyperosmolar dextrose or hypoosmolar distill water to normal individuals and to patients with type-2 diabetes mellitus or hypertension: their effects on blood glucose level, plasma insulin and C-peptide, blood pressure and peaked expiratory fl , 2003, European journal of medical research.

[64]  F. Autschbach,et al.  Prevalence of silent gastric ulcer, erosions or severe acute gastritis in patients with type 2 diabetes mellitus--a cross-sectional study. , 2007, Hepato-gastroenterology.

[65]  J. Vinson,et al.  Inhibition of protein glycation and advanced glycation end products by ascorbic acid and other vitamins and nutrients , 1996 .

[66]  J L Witztum,et al.  Oxidative stress. Introduction. , 2001, Trends in cardiovascular medicine.

[67]  Smain Amira,et al.  Protective effect of mannitol, glucose-fructose-sucrose-maltose mixture, and natural honey hyperosmolar solutions against ethanol-induced gastric mucosal damage in rats. , 2001, Experimental and toxicologic pathology : official journal of the Gesellschaft fur Toxikologische Pathologie.

[68]  C. Dhabuwala,et al.  Chronic cigarette smoking induces an oxidantantioxidant imbalance in the testis. , 2000, Journal of Environmental Pathology And Toxicology.

[69]  S. Sulaiman,et al.  Phenolic acid composition and antioxidant properties of Malaysian honeys. , 2011, Journal of food science.

[70]  R. Tandon,et al.  Oxidative stress and antioxidants status in peptic ulcer and gastric carcinoma. , 2004, Indian journal of physiology and pharmacology.

[71]  M. Mansor,et al.  The inhibitory effects of Gelam honey and its extracts on nitric oxide and prostaglandin E(2) in inflammatory tissues. , 2010, Fitoterapia.

[72]  Smain Amira,et al.  Gastroprotective effects of honey and glucose-fructose-sucrose-maltose mixture against ethanol-, indomethacin-, and acidified aspirin-induced lesions in the rat. , 2002, Experimental and Toxicological Pathology.

[73]  N. Gheldof,et al.  Buckwheat honey increases serum antioxidant capacity in humans. , 2003, Journal of agricultural and food chemistry.

[74]  M. Orioli,et al.  Antioxidant and Radical Scavenging Activity of Honey in Endothelial Cell Cultures (EA.hy926) , 2007, Planta medica.

[75]  S. Silici,et al.  Beneficial effect of pine honey on trichlorfon induced some biochemical alterations in mice. , 2010, Ecotoxicology and environmental safety.

[76]  G. Paganetto,et al.  Ecuadorian stingless bee (Meliponinae) honey: A chemical and functional profile of an ancient health product , 2009 .

[77]  Y. Bilsel,et al.  Could Honey Have a Place in Colitis Therapy? Effects of Honey, Prednisolone, and Disulfiram on Inflammation, Nitric Oxide, and Free Radical Formation , 2002, Digestive Surgery.

[78]  V. Sathiyapriya,et al.  Effect of lipid peroxides and antioxidants on glycation of hemoglobin: an in vitro study on human erythrocytes. , 2006, Clinica chimica acta; international journal of clinical chemistry.

[79]  C. De Lorenzo,et al.  Amino acid composition and antioxidant capacity of Spanish honeys. , 2007, Journal of agricultural and food chemistry.

[80]  Biological and social exposures in youth set the stage for premature chronic diseases. , 2008, Journal of the American Dietetic Association.

[81]  S. A. Sulaiman,et al.  Comparison of Antioxidant Effects of Honey, Glibenclamide, Metformin, and Their Combinations in the Kidneys of Streptozotocin-Induced Diabetic Rats , 2011, International journal of molecular sciences.

[82]  K. Kısmet,et al.  The ultrastructural research of liver in experimental obstructive jaundice and effect of honey. , 2008, American journal of surgery.

[83]  B. Ames,et al.  γ-Tocopherol traps mutagenic electrophiles such as NOx and complements α-tocopherol: Physiological implications , 1997 .

[84]  B. Turan Role of antioxidants in redox regulation of diabetic cardiovascular complications. , 2010, Current pharmaceutical biotechnology.

[85]  B. Ames,et al.  gamma-tocopherol traps mutagenic electrophiles such as NO(X) and complements alpha-tocopherol: physiological implications. , 1997, Proceedings of the National Academy of Sciences of the United States of America.

[86]  O. O. Erejuwa Management of Diabetes Mellitus: Could Simultaneous Targeting of Hyperglycemia and Oxidative Stress Be a Better Panacea? , 2012, International journal of molecular sciences.

[87]  M. El-Shahawi,et al.  Antioxidant and antibacterial characteristics of phenolic extracts of locally produced honey in Saudi Arabia , 2011, International journal of food sciences and nutrition.

[88]  M. Mancuso,et al.  Oxidative stress treatment for clinical trials in neurodegenerative diseases. , 2011, Journal of Alzheimer's disease : JAD.

[89]  I. Jerković,et al.  Oak (Quercus frainetto Ten.) Honeydew Honey—Approach to Screening of Volatile Organic Composition and Antioxidant Capacity (DPPH and FRAP Assay) , 2010, Molecules.

[90]  L. P. Oddo,et al.  Composition and antioxidant activity of Trigona carbonaria honey from Australia. , 2008, Journal of medicinal food.

[91]  H. F. Köhler,et al.  Enteral antioxidants in ischemia/reperfusion injuries in rats. , 2011, Revista do Colegio Brasileiro de Cirurgioes.

[92]  T. Hedner,et al.  Risk factor Identification and Assessment in Hypertension and Diabetes (RIAHD) study , 2006, Blood pressure.

[93]  N. Al-Waili Identification of nitric oxide metabolites in various honeys: effects of intravenous honey on plasma and urinary nitric oxide metabolites concentrations. , 2003, Journal of medicinal food.

[94]  A. Agarwal,et al.  Prevention of oxidative stress injury to sperm. , 2005, Journal of andrology.

[95]  K. Kısmet,et al.  Honey prevents hepatic damage induced by obstruction of the common bile duct. , 2008, World journal of gastroenterology.

[96]  M. Gail,et al.  Fifteen-year effects of Helicobacter pylori, garlic, and vitamin treatments on gastric cancer incidence and mortality. , 2012, Journal of the National Cancer Institute.

[97]  S. Subramanian,et al.  Ameliorative potential of resveratrol on proinflammatory cytokines, hyperglycemia mediated oxidative stress, and pancreatic β‐cell dysfunction in streptozotocin‐nicotinamide‐induced diabetic rats , 2010, Journal of cellular physiology.

[98]  N. Al-Waili Intravenous and intrapulmonary administration of honey solution to healthy sheep: effects on blood sugar, renal and liver function tests, bone marrow function, lipid profile, and carbon tetrachloride-induced liver injury. , 2003, Journal of medicinal food.

[99]  M. Qazzaz,et al.  Effect of Palestinian honey on spermatogenesis in rats. , 2008, Journal of medicinal food.

[100]  H. Jaafar,et al.  Antioxidant Protective Effect of Honey in Cigarette Smoke-Induced Testicular Damage in Rats , 2011, International journal of molecular sciences.

[101]  M. Abdel-Wahhab,et al.  Dietary honey and ginseng protect against carbon tetrachloride-induced hepatonephrotoxicity in rats. , 2012, Experimental and toxicologic pathology : official journal of the Gesellschaft fur Toxikologische Pathologie.

[102]  R. Stocker,et al.  Vitamin E in human low-density lipoprotein. When and how this antioxidant becomes a pro-oxidant. , 1992, The Biochemical journal.

[103]  R. Robertson,et al.  Minireview: Secondary β-Cell Failure in Type 2 Diabetes-A Convergence of Glucotoxicity and Lipotoxicity. , 2002, Endocrinology.

[104]  S. Hosseini,et al.  Effects of natural honey consumption in diabetic patients: an 8-week randomized clinical trial , 2009, International journal of food sciences and nutrition.

[105]  A. Klip,et al.  Muscle, liver, and pancreas: Three Musketeers fighting to control glycemia. , 2006, American journal of physiology. Endocrinology and metabolism.

[106]  S. A. Sulaiman,et al.  Honey Supplementation in Spontaneously Hypertensive Rats Elicits Antihypertensive Effect via Amelioration of Renal Oxidative Stress , 2012, Oxidative medicine and cellular longevity.

[107]  J. V. van Zanden,et al.  The pro-oxidant chemistry of the natural antioxidants vitamin C, vitamin E, carotenoids and flavonoids. , 2002, Environmental toxicology and pharmacology.

[108]  C. Calhau,et al.  Intestinal oxidative state can alter nutrient and drug bioavailability , 2009, Oxidative Medicine and Cellular Longevity.

[109]  S. A. Sulaiman,et al.  Effect of Glibenclamide alone versus Glibenclamide and Honey on Oxidative Stress in Pancreas of Streptozotocin-Induced Diabetic Rats , 2011 .

[110]  N. Vaziri Causal link between oxidative stress, inflammation, and hypertension. , 2008, Iranian journal of kidney diseases.

[111]  E. Hahn,et al.  Impaired gastric ulcer healing in diabetic rats: role of heat shock protein, growth factors, prostaglandins and proinflammatory cytokines. , 2003, European journal of pharmacology.

[112]  Dhiren P. Shah,et al.  ON OXIDATIVE STRESS AND DIABETIC COMPLICATIONS , 2013 .

[113]  M. Kern,et al.  Honey promotes lower weight gain, adiposity, and triglycerides than sucrose in rats. , 2011, Nutrition research.

[114]  B. Tartibian,et al.  The effects of honey supplementation on seminal plasma cytokines, oxidative stress biomarkers, and antioxidants during 8 weeks of intensive cycling training. , 2012, Journal of andrology.

[115]  B. Halliwell Vitamin C: antioxidant or pro-oxidant in vivo? , 1996, Free radical research.

[116]  I. Young,et al.  The Pro-Oxidant Activity of High-Dose Vitamin E Supplements in Vivo , 2012, BioDrugs.

[117]  G. Ferns,et al.  Natural Honey and Cardiovascular Risk Factors; Effects on Blood Glucose, Cholesterol, Triacylglycerole, CRP, and Body Weight Compared with Sucrose , 2008, TheScientificWorldJournal.

[118]  J. Weiter,et al.  Oral alpha-tocopherol supplements decrease plasma gamma-tocopherol levels in humans. , 1985, The Journal of nutrition.

[119]  C. Dhabuwala,et al.  Cigarette smoking induces apoptosis in rat testis. , 2002, Journal of environmental pathology, toxicology and oncology : official organ of the International Society for Environmental Toxicology and Cancer.

[120]  S. A. Sulaiman,et al.  Oligosaccharides Might Contribute to the Antidiabetic Effect of Honey: A Review of the Literature , 2011, Molecules.

[121]  H. J. Kim,et al.  Contribution of impaired Nrf2-Keap1 pathway to oxidative stress and inflammation in chronic renal failure. , 2010, American journal of physiology. Renal physiology.

[122]  A. Alter,et al.  Combating Combination of Hypertension and Diabetes in Different Rat Models , 2010, Pharmaceuticals.

[123]  B. Nzeako,et al.  The antibacterial activity of honey on helicobacter pylori. , 2006, Sultan Qaboos University medical journal.

[124]  K. C. Silva,et al.  The contribution of hypertension to diabetic nephropathy and retinopathy: the role of inflammation and oxidative stress , 2011, Hypertension Research.

[125]  D. Kolankaya,et al.  Anzer honey prevents N-ethylmaleimide-induced liver damage in rats. , 2009, Experimental and toxicologic pathology : official journal of the Gesellschaft fur Toxikologische Pathologie.

[126]  D. Giugliano,et al.  Vitamin E Reduction of Protein Glycosylation in Diabetes: New Prospect for Prevention of Diabetic Complications? , 1991, Diabetes Care.

[127]  S. A. Sulaiman,et al.  Differential Responses to Blood Pressure and Oxidative Stress in Streptozotocin-Induced Diabetic Wistar-Kyoto Rats and Spontaneously Hypertensive Rats: Effects of Antioxidant (Honey) Treatment , 2011, International journal of molecular sciences.

[128]  Asiyah Effects of nicotine and Gelam honey on testis parameters and sperm qualities of juvenile rats , 2011 .

[129]  Salleh,et al.  Hepatoprotective effect of tualang honey supplementation in streptozotocin-induced diabetic rats , 2012 .

[130]  M. Houston The role of cellular micronutrient analysis, nutraceuticals, vitamins, antioxidants and minerals in the prevention and treatment of hypertension and cardiovascular disease , 2010, Therapeutic advances in cardiovascular disease.

[131]  A. Halim,et al.  Tualang honey has higher phenolic content and greater radical scavenging activity compared with other honey sources. , 2011, Nutrition research.

[132]  Ermelinda Pereira,et al.  Antioxidant and antimicrobial effects of phenolic compounds extracts of Northeast Portugal honey. , 2008, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[133]  S. Marklund,et al.  CuZn-superoxide dismutase, Mn-superoxide dismutase, catalase and glutathione peroxidase in pancreatic islets and other tissues in the mouse. , 1981, The Biochemical journal.

[134]  J. Weiter,et al.  Oral α-Tocopherol Supplements Decrease Plasma γ-Tocopherol Levels in Humans , 1985 .

[135]  Paola Astolfi,et al.  Antioxidant and antimicrobial capacity of several monofloral Cuban honeys and their correlation with color, polyphenol content and other chemical compounds. , 2010, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[136]  H. Schwartz,et al.  Analysis of flavonoids in honey by HPLC coupled with coulometric electrode array detection and electrospray ionization mass spectrometry , 2011, Analytical and bioanalytical chemistry.

[137]  B. Nieves,et al.  Properties of Honey from Ten species of Peruvian Stingless Bees , 2009, Natural product communications.

[138]  J. Busserolles,et al.  Substituting honey for refined carbohydrates protects rats from hypertriglyceridemic and prooxidative effects of fructose. , 2002, The Journal of nutrition.

[139]  S. Vogt,et al.  Degenerative diseases, oxidative stress and cytochrome c oxidase function. , 2009, Trends in molecular medicine.

[140]  M. Akmal,et al.  Influence of various diet regimens on deterioration of hepatic function and hematological parameters following carbon tetrachloride: a potential protective role of natural honey , 2006, Natural product research.

[141]  S. A. Sulaiman,et al.  Anti-inflammatory and antioxidant effects of Tualang honey in alkali injury on the eyes of rabbits: Experimental animal study , 2011, BMC complementary and alternative medicine.

[142]  R. Robertson,et al.  Minireview: Secondary beta-cell failure in type 2 diabetes--a convergence of glucotoxicity and lipotoxicity. , 2002, Endocrinology.

[143]  Barış Derya Erçal,et al.  Antifungal activity of the honeybee products against Candida spp. and Trichosporon spp. , 2011, Journal of medicinal food.

[144]  Paolo Zamboni,et al.  Oxidative Stress and Neurodegenerative Diseases: A Review of Upstream and Downstream Antioxidant Therapeutic Options , 2009, Current neuropharmacology.

[145]  A. Gumieniczek Oxidative stress in kidney and liver of alloxan-induced diabetic rabbits: effect of repaglinide , 2005, Acta Diabetologica.