Oxidative stress, link between basic sciences and clinical practice

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Cardiovascular complications, characterized by endothelial dysfunction and accelerated atherosclerosis, are the leading cause of diabetes-associated morbidity and mortality. There is growing evidence that excess generation of highly reactive free radicals, largely due to hyperglycemia, causes oxidat...

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Detalles Bibliográficos
Autores: Crespo Retes, Isaac, Crespo Pereda, Julissa, Crespo Pereda, M, Baiocci, M
Formato: artículo
Fecha de Publicación:2015
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/236
Enlace del recurso:http://51.222.106.123/index.php/RPGO/article/view/236
Nivel de acceso:acceso abierto
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spelling Oxidative stress, link between basic sciences and clinical practiceEstrés oxidativo, vinculación entre la ciencia básica y la práctica clínicaCrespo Retes, IsaacCrespo Pereda, JulissaCrespo Pereda, MBaiocci, MCardiovascular complications, characterized by endothelial dysfunction and accelerated atherosclerosis, are the leading cause of diabetes-associated morbidity and mortality. There is growing evidence that excess generation of highly reactive free radicals, largely due to hyperglycemia, causes oxidative stress, which further exacerbates the development and progression of diabetes and its complications. Overproduction and/or insufficient removal of these free radicals result in vascular dysfunction and damage to cellular proteins, membrane lipids and nucleic acids. Despite overwhelming evidence on the damaging consequences of oxidative stress and its role in experimental diabetes, large scale clinical trials with classic antioxidants failed to demonstrate any benefit for diabetic patients. As our understanding of the mechanisms of free radical generation evolves, it is becoming clear that rather than merely scavenging reactive radicals, a more comprehensive approach aimed at preventing the generation of these reactive species as well as scavenging may prove more beneficial. Therefore, new strategies with classic as well as new antioxidants should be implemented in the treatment of diabetes.Las complicaciones cardiovasculares, que se caracterizan por la disfunción endotelial y aterosclerosis acelerada, son la principal causa de morbilidad y mortalidad asociadas con la diabetes, enfermedades cardiovasculares e inflamatorias. Cada vez hay más evidencia de que la generación de exceso de radicales libres altamente reactivos -debido en gran parte a la hiperglucemia-, conduce al estrés oxidativo, que exacerba aún más el desarrollo y progresión de la diabetes y sus complicaciones. La sobreproducción y/o eliminación insuficiente de estos radicales libres da como resultado la disfunción vascular, el daño a las proteínas celulares, los lípidos de membrana y los ácidos nucleicos. A pesar de la abrumadora evidencia sobre las consecuencias perjudiciales del estrés oxidativo y su papel en la diabetes experimental, los grandes ensayos clínicos con los antioxidantes clásicos no han demostrado beneficio alguno para los pacientes diabéticos. A medida que nuestra comprensión de los mecanismos de generación de radicales libres se desarrolla, va quedando claro que, en lugar de limitarse a eliminar los radicales reactivos de oxígeno, un enfoque más amplio se encamina a prevenir la generación de estas especies reactivas. Por lo tanto, se debe aplicar nuevas estrategias con antioxidantes, tanto clásicos como nuevos, en el tratamiento de la diabetes.Sociedad Peruana de Obstetricia y Ginecología2015-04-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://51.222.106.123/index.php/RPGO/article/view/236The Peruvian Journal of Gynecology and Obstetrics ; Vol. 56 No. 2 (2010); 92-100Revista Peruana de Ginecología y Obstetricia; Vol. 56 Núm. 2 (2010); 92-1002304-51322304-5124reponame:Revista Peruana de Ginecología y Obstetriciainstname:Sociedad Peruana de Obstetricia y Ginecologíainstacron:SPOGspahttp://51.222.106.123/index.php/RPGO/article/view/236/212info:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/2362015-08-04T23:20:46Z
dc.title.none.fl_str_mv Oxidative stress, link between basic sciences and clinical practice
Estrés oxidativo, vinculación entre la ciencia básica y la práctica clínica
title Oxidative stress, link between basic sciences and clinical practice
spellingShingle Oxidative stress, link between basic sciences and clinical practice
Crespo Retes, Isaac
title_short Oxidative stress, link between basic sciences and clinical practice
title_full Oxidative stress, link between basic sciences and clinical practice
title_fullStr Oxidative stress, link between basic sciences and clinical practice
title_full_unstemmed Oxidative stress, link between basic sciences and clinical practice
title_sort Oxidative stress, link between basic sciences and clinical practice
dc.creator.none.fl_str_mv Crespo Retes, Isaac
Crespo Pereda, Julissa
Crespo Pereda, M
Baiocci, M
author Crespo Retes, Isaac
author_facet Crespo Retes, Isaac
Crespo Pereda, Julissa
Crespo Pereda, M
Baiocci, M
author_role author
author2 Crespo Pereda, Julissa
Crespo Pereda, M
Baiocci, M
author2_role author
author
author
description Cardiovascular complications, characterized by endothelial dysfunction and accelerated atherosclerosis, are the leading cause of diabetes-associated morbidity and mortality. There is growing evidence that excess generation of highly reactive free radicals, largely due to hyperglycemia, causes oxidative stress, which further exacerbates the development and progression of diabetes and its complications. Overproduction and/or insufficient removal of these free radicals result in vascular dysfunction and damage to cellular proteins, membrane lipids and nucleic acids. Despite overwhelming evidence on the damaging consequences of oxidative stress and its role in experimental diabetes, large scale clinical trials with classic antioxidants failed to demonstrate any benefit for diabetic patients. As our understanding of the mechanisms of free radical generation evolves, it is becoming clear that rather than merely scavenging reactive radicals, a more comprehensive approach aimed at preventing the generation of these reactive species as well as scavenging may prove more beneficial. Therefore, new strategies with classic as well as new antioxidants should be implemented in the treatment of diabetes.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-24
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://51.222.106.123/index.php/RPGO/article/view/236
url http://51.222.106.123/index.php/RPGO/article/view/236
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv http://51.222.106.123/index.php/RPGO/article/view/236/212
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
publisher.none.fl_str_mv Sociedad Peruana de Obstetricia y Ginecología
dc.source.none.fl_str_mv The Peruvian Journal of Gynecology and Obstetrics ; Vol. 56 No. 2 (2010); 92-100
Revista Peruana de Ginecología y Obstetricia; Vol. 56 Núm. 2 (2010); 92-100
2304-5132
2304-5124
reponame:Revista Peruana de Ginecología y Obstetricia
instname:Sociedad Peruana de Obstetricia y Ginecología
instacron:SPOG
instname_str Sociedad Peruana de Obstetricia y Ginecología
instacron_str SPOG
institution SPOG
reponame_str Revista Peruana de Ginecología y Obstetricia
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