“…The Na ϩ -dependent uptake mechanisms for MI and taurine (72,73) and their efflux via volume-sensitive organic osmolyte channels are critically regulated by signal transduction pathways. Depletion of intracellular MI may impair activation of protein kinase C (PKC) in some diabetic tissues, including the neuron (6), whereas depletion of taurine in diabetes (17,18,45) may contribute to oxidative stress (18,45), intracellular calcium overload, and activation of PKC (74). Regulation of nerve organic osmolytes is more complex than originally proposed, since levels of both MI and taurine in the nerve have been shown to be altered by ALC (33), oxidative stress (64), and now COX-pathway activity, in addition to the osmotic consequences of sorbitol accumulation (17).…”