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Reactive metabolites and antioxidant gene polymorphisms in Type 2 diabetes mellitus
Monisha Banerjee1, Pushpank Vats1
1Molecular & Human Genetics Laboratory, Department of Zoology, University of Lucknow, Lucknow 226007, India.
Abstract:
Type 2 diabetes mellitus (T2DM), by definition is a heterogeneous, multifactorial, polygenic syndrome which results from insulin receptor dysfunction. It is an outcome of oxidative stress caused by interactions of reactive metabolites (RMs) interactions with lipids, proteins and other mechanisms of human body. Production of RMs mainly superoxide (O2(-)) has been found in a variety of predominating cellular enzyme systems including NAD(P)H oxidase, xanthine oxidase (XO), cyclooxygenase (COX), uncoupled endothelial nitric oxide synthase (eNOS) and myeloperoxidase (MPO). The four main RM related molecular mechanisms are: increased polyol pathway flux; increased advanced glycation end-product (AGE) formation; activation of protein kinase C (PKC) isoforms and increased hexosamine pathway flux which have been implicated in glucose-mediated vascular damage. Superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione-S-transferase (GST), nitric oxide synthase (NOS) are antioxidant enzymes involved in scavenging RMs in normal individuals. Functional polymorphisms of these antioxidant enzymes have been reported to be involved in pathogenesis of T2DM individuals. The low levels of antioxidant enzymes or their non-functionality results in excessive RMs which initiate stress related pathways thereby leading to insulin resistance and T2DM. An attempt has been made to review the role of RMs and antioxidant enzymes in oxidative stress resulting in T2DM.
Insights
Type 2 diabetes involves oxidative stress from reactive metabolites (RMs). Low antioxidant enzyme function exacerbates this, leading to insulin resistance and T2DM.
Area of Science:
- Biochemistry
- Molecular Biology
- Endocrinology
Background:
- Type 2 diabetes mellitus (T2DM) is a complex syndrome linked to insulin receptor dysfunction.
- Oxidative stress, driven by reactive metabolites (RMs), plays a crucial role in T2DM pathogenesis.
- Key cellular enzymes like NAD(P)H oxidase and xanthine oxidase generate RMs.
Purpose of the Study:
- To review the role of reactive metabolites (RMs) in oxidative stress.
- To examine the involvement of antioxidant enzymes in T2DM.
- To understand the link between RMs, antioxidant capacity, and insulin resistance.
Main Methods:
- Literature review of studies on reactive metabolites (RMs) and oxidative stress in T2DM.
- Analysis of the mechanisms of RM production by cellular enzymes.
- Investigation of the function and genetic polymorphisms of antioxidant enzymes.
Main Results:
- RM-related pathways, including polyol flux and AGE formation, contribute to vascular damage.
- Antioxidant enzymes such as superoxide dismutase (SOD) and catalase (CAT) scavenge RMs.
- Functional polymorphisms in antioxidant enzymes are associated with T2DM development.
Conclusions:
- Reduced antioxidant enzyme levels or activity lead to excessive RMs, promoting insulin resistance.
- Oxidative stress mediated by RMs is a significant factor in T2DM.
- Understanding the interplay between RMs and antioxidant enzymes is vital for T2DM research.
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