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PPT (2 MB) - Institute for Oral Health

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Possible Mechanisms of<br />

Hyperglycemia’s Adverse Effects<br />

• Sorbitol-myoinositol osmolarity changes (via aldose<br />

reductase pathway) – AR inhibitors have not been effective<br />

in clinical trials<br />

• Oxidative-redox stress – Not effective at usual doses<br />

• Non-enzymatic glycation reactions (AGE) – AGE blocker<br />

trials stopped due to side effects<br />

• • Activation of protein kinase C (PKC) – Diacylglycerol<br />

(DAG) pathway – PKCβ iso<strong>for</strong>m inhibitor trials are in<br />

progress

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