Elsevier

Biochimie

Volume 94, Issue 9, September 2012, Pages 1837-1848
Biochimie

Review
Cell oxidant stress delivery and cell dysfunction onset in type 2 diabetes

https://doi.org/10.1016/j.biochi.2012.01.020Get rights and content

Abstract

Most known pathways of diabetic complications involve oxidative stress. The mitochondria electron transport chain is a significant source of reactive oxygen species (ROS) in insulin secretory cells, insulin peripheral sensitive cells and endothelial cells. Elevated intracellular glucose level induces tricarboxylic acid cycle electron donor overproduction and mitochondrial proton gradient increase leading to an increase in electron transporter lifetime. Subsequently, the electrons leaked combine with respiratory oxygen (O2) resulting in superoxide anion (O2) production. Advanced glycation end products derive ROS via interaction with their receptors. Elevated diacylglycerol and ROS activate the protein kinase C pathway which, in turn, activates NADPH oxidases. A vicious circle of pathway derived ROS installs. Pathologic pathways induced ROS are activated and persistent though glycemia returns to normal due to hyperglycemia memory. Endothelial nitric oxide synthase may produce both superoxide anion (O2) and nitric oxide (NO) leading to peroxynitrite (ONOO) generation. Homocysteine is also implicated in oxidative stress pathogenesis. In this paper we have highlighted the pathologic mechanisms of ROS on atherosclerosis, renal dysfunction, retina dysfunction and nerve dysfunction in type 2 diabetes. Cell oxidant stress delivery have pivotal role in cell dysfunction onset and progression of angiopathies but an early introduction of good glycemic control may protect cells more efficiently than antioxidants.

Highlights

► In type 2 diabetes tricarboxylic acid cycle electron donor are overproduced. ► Mitochondrial proton gradient increases. ► Mitochondrial electron transporter lifetime increases. ► Leaked electrons combine with respiratory oxygen resulting in superoxide anion production. ► A vicious circle of pathway derived ROS installs activating pathologic pathways.

Introduction

In type 2 diabetes, intricate physiopathologic pathways are activated mediating reactive oxygen species (ROS) production. A unifying hypothesis suggests that the initiator of hyperglycemia-induced damage in type 2 diabetes is excess generation of mitochondrial superoxide anion (O2) [1], which then leads to activation of several hyperglycemia-induced oxidant events, including increased advanced glycation end products formation [2], activation of protein kinase C (PKC) isoforms [3], activation of NAD(P)H oxidase [4], nitric oxide synthase (NOS) uncoupling and increased flux through the polyol and hexosamine pathways [5]. Each of these pathways contributes to type 2 diabetes pathogenesis through cellular as ROS generation[6]. Other enzymatic pathways are considered as ROS sources when excessively activated such as in the case of fatty acid peroxisomal beta oxidation [7], xanthine oxidase, arachidonic acid metabolism [5], microsomal P-450 enzymes [8] and myeloperoxidase [9].

In this paper, we have provided panorama information for mitochondrial ROS formation in type 2 diabetes and its effect on both pancreatic beta cells and insulin sensitive cells. We underlined the pathogenic mechanisms linking mitochondria beta cell dysfunction (impaired insulin release and insulin sensitivity) and endothelial cell impairment with oxidant stress. Cell oxidant stress delivery have pivotal role in cell dysfunction onset and progression of angiopathies but an early introduction of good glycemic control may protect cells more efficiently than antioxidants.

Section snippets

Mitochondrial ROS generation under physiological conditions

Following glucose cell entry via glucose transporters family 1–5 translocation, it is firstly phosphorylated and then converted to fructose-6-phosphate and next to glyceraldehyde 3-phosphate. The fructose-6-phosphate is also converted to glucosamine-6-phosphate by glutamine:fructose-6-phosphate-aminotransferase. Through the effect of various transferases and phosphatases, glyceraldehyde 3-phosphate is transformed into glycerol phosphate, a precursor of diacylglycerol, which is a signaling

ROS generation mechanisms in type 2 diabetes

When the cell is exposed to chronic hyperglycemia, many pathogenic pathways are activated ensuing in ROS generation. The major ROS source in type 2 diabetes is recently believed to be the mitochondria [1]. Other metabolic pathways such as increased protein glycation, increased sorbitol production, increased hexosamine production, ketoglycerate auto-oxidation, PKC activation, NAD(P)H oxidase activation and nitric oxide synthase (NOS) uncoupling are also involved in ROS generation [5]. Fig. 2

ROS associated cell damage in type 2 diabetes

Though cells have a number of antioxidant mechanisms available, elevated ROS in type 2 diabetes evade antioxidant defense mechanisms, resulting in a slow accumulation of chronic damage. Both the mitochondrion and nucleus contain a variety of DNA repair enzymes to correct oxidant-induced modifications [80], but damage most likely occurs when the endogenous antioxidant network and repair systems are overwhelmed. Oxidative damage to islet beta cells has been observed in human type 2 diabetes by

ROS derived pathogenesis in type 2 diabetes

Arguably, when cells are exposed to chronic hyperglycemia, they react differently to diminish glucose overload. Cells are able to decrease the transport of glucose across the plasma membrane into the cytosol when exposed to hyperglycemia in order to maintain intracellular glucose homeostasis. Consequently ROS generation rate varies within cell types and inter-individually. Thus the most important factor in the excessive intracellular generation of ROS by hyperglycemia is the ability of

Conclusion

The mitochondria electron transport chain represents an important source of ROS in insulin secretory cells, insulin peripheral sensitive cells and endothelial cells. In type 2 diabetes, increased intracellular glucose induces an overproduction of electron donors from the tricarboxylic acid cycle, the mitochondrial proton gradient increases, leading to an increase of the lifetime of electron transporters. Subsequently, electrons leak combine to molecular oxygen (O2) resulting in superoxide anion

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