2015
DOI: 10.1002/med.21349
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Postprandial Dysmetabolism and Oxidative Stress in Type 2 Diabetes: Pathogenetic Mechanisms and Therapeutic Strategies

Abstract: Postprandial dysmetabolism in type 2 diabetes (T2D) is known to impact the progression and evolution of this complex disease process. However, the underlying pathogenetic mechanisms still require full elucidation to provide guidance for disease prevention and treatment. This review focuses on the marked redox changes and inflammatory stimuli provoked by the spike in blood glucose and lipids in T2D individuals after meals. All the causes of exacerbated postprandial oxidative stress in T2D were analyzed, also co… Show more

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Cited by 47 publications
(50 citation statements)
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References 502 publications
(890 reference statements)
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“…Although the underlying pathogenic mechanisms are multiple, factors promoting oxidative stress are unanimously considered to contribute significantly to platelet activation. Of particular interest, in T2DM patients a marked oxidative response is induced by the consumption of high-calorie meals, which in these individuals determines an abnormal and sustained elevation of blood glucose and lipid levels, mainly TGs, defined as postprandial dysmetabolism [136]. Since the entry of glucose into platelets does not depend on insulin, intraplatelet glucose concentration mirrors blood glucose levels, and chronic hyperglycemia has been clearly identified as a causal factor leading to platelet hyperreactivity, as indicated by enhanced aggregation, increased fibrinogen binding, and TX production [137].…”
Section: Hyperglycemiamentioning
confidence: 99%
“…Although the underlying pathogenic mechanisms are multiple, factors promoting oxidative stress are unanimously considered to contribute significantly to platelet activation. Of particular interest, in T2DM patients a marked oxidative response is induced by the consumption of high-calorie meals, which in these individuals determines an abnormal and sustained elevation of blood glucose and lipid levels, mainly TGs, defined as postprandial dysmetabolism [136]. Since the entry of glucose into platelets does not depend on insulin, intraplatelet glucose concentration mirrors blood glucose levels, and chronic hyperglycemia has been clearly identified as a causal factor leading to platelet hyperreactivity, as indicated by enhanced aggregation, increased fibrinogen binding, and TX production [137].…”
Section: Hyperglycemiamentioning
confidence: 99%
“…Meal ingestion results in a complex and multifactorial (neuro)endocrine and metabolic response which influences postprandial inflammation via different pathways [22]. Western nutrition, high in calories, fats and refined sugars, results in an exaggerated increase of plasma glucose, triglyceride-rich lipoproteins (VLDLs), chylomicrons and their remnants [23].…”
Section: Three Metabolic Statesmentioning
confidence: 99%
“…Peptides from the macroalga Palmaria palmata were purified and exhibited dipeptidyl peptidase IV inhibitory effects, suggesting their potential as functional food ingredients in the prevention and management of type 2 diabetes (Harnedy et al, 2015). In particular, due to the close relationship between oxidative stress and diabetes (Sottero et al, 2015), one of the effective strategies in the prevention of diabetes is to control oxidative stress. This prompts researchers to search for bioactive peptides with dual functions: antioxidant and antidiabetic functionssuch as yeast hydrolysates (Jung et al, 2011), milk protein-derived hydrolysates and peptides (Nongonierma & FitzGerald, 2013), and peptides from egg-yolk protein hydrolysates (Zambrowicz et al, 2015).…”
Section: Introductionmentioning
confidence: 99%