2014
DOI: 10.1016/j.jcjd.2013.07.021
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Association of Diabetic Autonomic Neuropathy with Red Blood Cell Aldose Reductase Activity

Abstract: High aldose reductase activity is associated with the presence of autonomic neuropathy in subjects of type 2 DM.

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Cited by 7 publications
(6 citation statements)
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“…Accumulation of sorbitol has been shown to increase the formation of advanced glycation end products, which may increase oxidative stress and impair function 161,162 . For instance, in patients with diabetes, accumulation of sorbitol due to increased activity of the enzyme aldose reductase has been associated with the development of diabetic autonomic neuropathy 163 …”
Section: The Map Of Erythrocyte Metabolismmentioning
confidence: 99%
“…Accumulation of sorbitol has been shown to increase the formation of advanced glycation end products, which may increase oxidative stress and impair function 161,162 . For instance, in patients with diabetes, accumulation of sorbitol due to increased activity of the enzyme aldose reductase has been associated with the development of diabetic autonomic neuropathy 163 …”
Section: The Map Of Erythrocyte Metabolismmentioning
confidence: 99%
“…High glucose concentration in plasma, also called hyperglycemia, as can be observed in diabetes, can have many effects on erythrocytes [17]. For instance, glucose can be metabolized in the erythrocyte by aldose reductase leading to sorbitol or fructose production through the polyol pathway, which can lead to complications like diabetic neuropathy [18]. Hyperglycemia also leads to glycation of hemoglobin.…”
Section: Communication Between Erythrocytes and Other Cells Takes Pla...mentioning
confidence: 99%
“…In the polyol pathway, glucose is reduced to sorbitol by AR and then oxidized to fructose by sorbitol dehydrogenase, resulting in the accumulation of sorbitol and fructose [72]. Gupta [73] showed that high AR activity and sorbitol concentration played important roles in the pathogenesis of autonomic neuropathy in patients with T2DM. Nitric oxide (NO) produced by erythrocytes is involved in the cell deformation in the microcirculation, and the decreased NO bioavailability in erythrocytes leads to their decreased deformability and increased adhesion, resulting in microcirculation disorders [74,75].…”
Section: Fluiditymentioning
confidence: 99%