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The antioxidant response as a drug target in diabetic neuropathy
Andrea M Vincent1, James L Edwards, Mahdieh Sadidi
1Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA. andreav@umich.edu
Abstract:
While increasing antioxidant potential is an attractive treatment strategy for diabetic neuropathy, many years of trials using high-dose oral antioxidants have not produced therapeutic results. An increasing understanding of the innate antioxidant response and the pharmacological agents that can regulate this mechanism may open new avenue for drug development. This review describes the current state of antioxidant trials and the potential for targeting the antioxidant response. In combination with antihyperglycemic agents, agents that regulate the antioxidant response may afford superior protection against cellular oxidative injury in diabetes.
Insights
Targeting the body's natural antioxidant response, not just high-dose supplements, may offer new hope for treating diabetic neuropathy. This approach, combined with diabetes control, could better protect against cell damage.
Area of Science:
- Biochemistry
- Pharmacology
- Neurology
Background:
- Diabetic neuropathy treatment remains a challenge.
- High-dose oral antioxidant trials have yielded disappointing results.
- Understanding the body's innate antioxidant mechanisms is crucial.
Purpose of the Study:
- To review current antioxidant trials for diabetic neuropathy.
- To explore the potential of targeting the innate antioxidant response.
- To identify new drug development avenues.
Main Methods:
- Literature review of antioxidant trials.
- Analysis of pharmacological agents modulating antioxidant response.
- Discussion of therapeutic strategies.
Main Results:
- Past antioxidant trials for diabetic neuropathy have largely failed.
- Regulating the innate antioxidant response presents a promising alternative.
- Targeting antioxidant pathways may offer novel therapeutic benefits.
Conclusions:
- Rethinking antioxidant strategies is necessary for diabetic neuropathy.
- Pharmacological regulation of the antioxidant response is a viable approach.
- Combined therapies (antioxidant regulators + antihyperglycemics) may enhance cellular protection in diabetes.
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