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Antioxidants and Diabetes

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Systems Biology of Free Radicals and Antioxidants

Abstract

Diabetes has emerged as a major threat to worldwide health. The mechanisms underlying the disease are unknown; however, there is growing evidence that excess generation of reactive oxygen species, largely due to hyperglycemia, causes oxidative stress in a variety of tissues. Oxidative stress results either from an increase in free radical production or a decrease in endogenous antioxidant defenses, or both. Reactive oxygen species (ROS) and reactive nitrogen species (RNS) are products of normal cellular metabolism. ROS and RNS are well recognized for playing a dual role as both deleterious and beneficial species. In type 2 diabetic patients, oxidative stress is closely associated with chronic inflammation leading to potential tissue damage. This chapter considers the therapeutic opportunities presented by currently used pharmacological agents which possess direct and indirect antioxidant properties as well as new potential antioxidant substances. There are many endogenous factors (antioxidants, vitamins, antioxidant enzymes, chelators of metal ions) that can serve as endogenous modulators of the production and action of endogenous reactive species. Clinical trials with antioxidant vitamins investigating the progression of diabetic complications produced negative or inconclusive results. This lack of efficacy might also result from the fact that we are acting much too late in the signaling cascade, at a time at which initiation of the alterations in the redox status are already further engaged. Another strategy for modulating oxidative stress in humans is via exploitation of the pleiotropic properties of drugs directed primarily at other pathologies, these drugs being indirect antioxidants. The ideal approach to antioxidant therapy requires, for vascular disease, stimulation of nitric oxide production and simultaneous inhibition of superoxide production. It is important to develop new compounds that target key vascular ROS-producing enzymes and mimic endogenous antioxidant. This strategy might prove clinically relevant in preventing the development and/or retarding the progression of diabetes-associated vascular complications.

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Rochette, L., Vergely, C. (2014). Antioxidants and Diabetes. In: Laher, I. (eds) Systems Biology of Free Radicals and Antioxidants. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30018-9_156

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