“…Increased ROS generation causes activation of transcriptional factors, growth factors, and secondary mediators. Through direct tissue injury or via activation of these secondary mediators, hyperglycemia-induced oxidative stress causes cell and tissue injury (58,59,62,70,72,74,80,(121)(122)(123)(124)(125)(126)(127). In all cases studied, abnormalities were reversed by antioxidants or by restoring euglycemia (58,59,70,72,80,122,127).…”