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Cited by 458

The DOI matches its Crossref record; 92 of the 92 references it cites were found in a registry or an index.

Aldose Reductase, Oxidative Stress, and Diabetic Mellitus

Open access
Tang, Wai Ho, Martin, Kathleen A., Hwa, John·2012·Frontiers in Pharmacology

Abstract

Diabetes mellitus (DM) is a complex metabolic disorder arising from lack of insulin production or insulin resistance (Diagnosis and classification of diabetes mellitus, 2007). DM is a leading cause of morbidity and mortality in the developed world, particularly from vascular complications such as atherothrombosis in the coronary vessels. Aldose reductase (AR; ALR2; EC 1.1.1.21), a key enzyme in the polyol pathway, catalyzes nicotinamide adenosine dinucleotide phosphate-dependent reduction of glucose to sorbitol, leading to excessive accumulation of intracellular reactive oxygen species (ROS) in various tissues of DM including the heart, vasculature, neurons, eyes, and kidneys. As an example, hyperglycemia through such polyol pathway induced oxidative stress, may have dual heart actions, on coronary blood vessel (atherothrombosis) and myocardium (heart failure) leading to severe morbidity and mortality (reviewed in Heather and Clarke, 2011). In cells cultured under high glucose conditions, many studies have demonstrated similar AR-dependent increases in ROS production, confirming AR as an important factor for the pathogenesis of many diabetic complications. Moreover, recent studies have shown that AR inhibitors may be able to prevent or delay the onset of cardiovascular complications such as ischemia/reperfusion injury, atherosclerosis, and atherothrombosis. In this review, we will focus on describing pivotal roles of AR in the pathogenesis of cardiovascular diseases as well as other diabetic complications, and the potential use of AR inhibitors as an emerging therapeutic strategy in preventing DM complications.

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Metadata

Authors
Tang, W. H., Martin, K. A., & Hwa, J.
Venue
Frontiers in Pharmacology
Published
2012
Volume
3
Pages
87-87
ISSN
1663-9812 (ISSN-L)
OpenAlex
W2066746672
Cited by
458
References
92
FWCI
6.85
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Aldose Reductase, Oxidative Stress, and Diabetic Mellitus. https://app.cochat.ai/papers/10.3389/fphar.2012.00087
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Tang, W. H., Martin, K. A., & Hwa, J. (2012). Aldose Reductase, Oxidative Stress, and Diabetic Mellitus. Frontiers in Pharmacology. https://doi.org/10.3389/fphar.2012.00087

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