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Table 6 The manifold toxicities of insulin resistance, metabolic syndrome and T2DM.

From: Is type 2 diabetes mellitus a vascular disease (atheroscleropathy) with hyperglycemia a late manifestation? The role of NOS, NO, and redox stress.

 

A-FLIGHT toxicities

 

A

Amylin (hyperamylinemia)/amyloid toxicity

ROS

 

Ang II (also induces PKC)

ROS

 

AGEs/AFEs (advanced Glycosylation / fructosylation products)

ROS

 

Antioxidant reserve compromised

ROS

 

Absence of antioxidant network

ROS

 

Ageing

ROS

 

Angiogenesis (induced redox stress) Arteriogenesis (impaired PAI-1)

ROS

 

Atherosclerosis – Atheroscleropathy. [ROS beget ROS ]

ROS

F

Free fatty acid toxicity

ROS

L

Lipotoxicity

ROS

I

Insulin toxicity (hyperinsulinemia-hyperproinsulinemia) (endogenous)

ROS

 

Inflammation toxicity

ROS

G

Glucotoxicity (compounds peripheral insulin resistance) reductive stress

ROS plus

 

Sorbitol / 'olyol pathway

PKC

 

Pseudohypoxia (NADH/NAD increased)

 

H

Hypertension toxicity

ROS

 

t homocysteine toxicity

ROS

T

Triglyceride toxicity

ROS

  1. See reference [8, 9]