PPT (2 MB) - Institute for Oral Health
PPT (2 MB) - Institute for Oral Health
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