2002
DOI: 10.1002/dmrr.305
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Neurovascular disease, antioxidants and glycation in diabetes

Abstract: People with diabetes are ten to fifteen times more likely to have a lower limb amputation (LLA) than non-diabetic individuals. Fifteen percent of people with diabetes will develop a foot ulcer during their lifetime, the rate of major amputation amongst diabetic individuals continues to rise, foot problems remain the commonest reason for diabetes-related hospitalisation and recurrence rates in patients with previous foot ulcers are 50% or more. Hyperglycaemia-induced oxidative stress has been shown to result in… Show more

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Cited by 61 publications
(41 citation statements)
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References 198 publications
(236 reference statements)
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“…However, little work has been done on the effects of radical traps on AGE chemistry. Ascorbic acid and ␣-tocopherol have been examined to some degree (48,49,50), but both of these bioantioxidants have significant disadvantages for understanding protein glycation chemistry. The lipophilic antioxidant ␣-tocopherol is only sparingly soluble in aqueous protein solutions and is unlikely to be associated with the highly polar protein or glycation residues.…”
Section: Discussionmentioning
confidence: 99%
“…However, little work has been done on the effects of radical traps on AGE chemistry. Ascorbic acid and ␣-tocopherol have been examined to some degree (48,49,50), but both of these bioantioxidants have significant disadvantages for understanding protein glycation chemistry. The lipophilic antioxidant ␣-tocopherol is only sparingly soluble in aqueous protein solutions and is unlikely to be associated with the highly polar protein or glycation residues.…”
Section: Discussionmentioning
confidence: 99%
“…Formation of some AGEs (ie, pentosidine and N ε -[carboxymethyl]-lysine) combines both the glycation and oxidative steps in a process termed "glycooxidation." In the past several years, the role for glycation or glycoxidation in diabetic complications, including diabetic neuropathy, has been extensively reviewed [30,31].…”
Section: Role For Nonenzymatic Glycationmentioning
confidence: 99%
“…The role for methylglyoxal in advanced glycation end product formation is well established (7). Advanced glycation end products, in turn, exacerbate oxidative stress during interaction with their receptors (10), thus creating a "vicious cycle" and contributing to the pathogenesis of PDN via several mechanisms (6,7).…”
Section: Fig 1 Blood Glucose Concentrations In Control (Solid Blackmentioning
confidence: 99%
“…Improved blood glucose control reduces the risk of peripheral diabetic neuropathy (PDN), thereby implicating hyperglycemia as a leading causative factor. Diabetic hyperglycemia causes PDN via several mechanisms, among which increased aldose reductase (AR) activity (2)(3)(4)(5), nonenzymatic glycation/glycoxidation (6,7), and activation of protein kinase C (2,8) are the best studied. All three mechanisms contribute to enhanced oxidative and nitrosative stress (4,5,7,9 -11) resulting from imbalance between production and neutralization of reactive oxygen species.…”
mentioning
confidence: 99%