Published in:
01-03-2010 | Commentary
Oxidative stress and glucose metabolism—is there a need to revisit effects of insulin treatment?
Author:
P. M. Humpert
Published in:
Diabetologia
|
Issue 3/2010
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Excerpt
Oxidative stress induced by hyperglycaemia and subsequent cellular damage is thought to be one of the major pathophysiological factors causing late complications in diabetes [
1,
2]. Hyperglycaemia-dependent superoxide overproduction by the mitochondrial electron transport chain plays a key role in the cellular activation leading to endothelial damage. The generation of reactive oxygen species also involves an increased polyol and hexosamine pathway flux as well as activation of protein kinase C and excess formation of advanced glycation end-products [
1]. These pathways lead to pro-inflammatory cell activation and subsequent endothelial dysfunction in diabetes [
1,
3]. …