2021
DOI: 10.3390/ijms22031031
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Aldose Reductase and the Polyol Pathway in Schwann Cells: Old and New Problems

Abstract: Aldose reductase (AR) is a member of the reduced nicotinamide adenosine dinucleotide phosphate (NADPH)-dependent aldo-keto reductase superfamily. It is also the rate-limiting enzyme of the polyol pathway, catalyzing the conversion of glucose to sorbitol, which is subsequently converted to fructose by sorbitol dehydrogenase. AR is highly expressed by Schwann cells in the peripheral nervous system (PNS). The excess glucose flux through AR of the polyol pathway under hyperglycemic conditions has been suggested to… Show more

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Cited by 42 publications
(32 citation statements)
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“…The concentration of glucose in the hemolymph can change due to the feeding state of an insect or a type of diet. In this case, glucose is converted to other sugars and polyols, e.g., sorbitol in the polyol pathway [ 30 ]. We do not exclude the possibility of disrupting enzymes of these pathways by alkaloids; however, more studies should be conducted.…”
Section: Discussionmentioning
confidence: 99%
“…The concentration of glucose in the hemolymph can change due to the feeding state of an insect or a type of diet. In this case, glucose is converted to other sugars and polyols, e.g., sorbitol in the polyol pathway [ 30 ]. We do not exclude the possibility of disrupting enzymes of these pathways by alkaloids; however, more studies should be conducted.…”
Section: Discussionmentioning
confidence: 99%
“…In view of current knowledge, excess glucose inside the cells is converted to sorbitol by aldose reductase (AR), and sorbitol is further oxidized to fructose by sorbitol dehydrogenase (SDH). 23 When aldose reductase oxidizes NADPH to NADP (+) , SDH uses NAD (+) to form nicotinamide adenine diphosphate hydride (NADH). This activation of the polyol pathway can reduce NADPH and NAD (+) levels, leading to the occurrence of redox in the body.…”
Section: Main Mechanisms Of Drmentioning
confidence: 99%
“…30 Although many ARIs have been successfully developed in in vivo and in vitro experiments, they have failed in most clinical trials due to adverse drug reactions and inadequate efficacy. 31 …”
Section: Discussionmentioning
confidence: 99%