2003
DOI: 10.1007/s00134-002-1629-3
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Hyperglycemia and oxidative stress: complex relationships with attractive prospects

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Cited by 46 publications
(31 citation statements)
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“…Although free fatty acids are generally kept at low micromolar concentrations in plasma (20), their concentration increases up to millimolar range in diabetic patients (29). Excessive influx of acetylCoA, both derived from glycolysis of glucose and ␤-oxidation of free fatty acids, in the tricarboxylic acid cycle can generate an accumulation of mitochondrial NADH in excess of electron transport capacity (3,21). This condition may lead to an overproduction of ROS at the mitochondrial level, which in turn stimulates NAD(P)H oxidase and other enzymes associated with amplification of oxidative stress and inflammation (15,26).…”
Section: Discussionmentioning
confidence: 99%
“…Although free fatty acids are generally kept at low micromolar concentrations in plasma (20), their concentration increases up to millimolar range in diabetic patients (29). Excessive influx of acetylCoA, both derived from glycolysis of glucose and ␤-oxidation of free fatty acids, in the tricarboxylic acid cycle can generate an accumulation of mitochondrial NADH in excess of electron transport capacity (3,21). This condition may lead to an overproduction of ROS at the mitochondrial level, which in turn stimulates NAD(P)H oxidase and other enzymes associated with amplification of oxidative stress and inflammation (15,26).…”
Section: Discussionmentioning
confidence: 99%
“…It has been suggested that insulin resistance may be a response to protect the cell against damage caused by an increased activities of ROS by limiting nutrient entry into the cell (Fridlyand and Philipson 2006). It has also been reported that once insulin resistance is established in skeletal muscle, this may lead to a vicious cycle of increased blood glucose levels resulting in further oxidative stress and ineffective increases in circulating insulin concentration propagating the catabolic effects on the muscle (Leverve 2003).…”
mentioning
confidence: 99%
“…The source of reduced NADP within the cell is the pentose phosphate shuttle, an alternate metabolic pathway of glucose sharing its first step with glycolysis 9 . The next step of the pentose phosphate shuttle is catalysed by specific enzyme glucose-6-phosphodehydrogenase which is notably inhibited by high glucose concentrations 10 . This is why high concentrations of glucose lead to increased glycolysis, mitochondrial metabolic activity and subsequently ROS production but at the same time they block production of NADP, thus attenuating the antioxidant protection of the cell.…”
Section: Discussionmentioning
confidence: 99%