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The overall redox potential of a cell is primarily determined by oxidizable/reducible chemical pairs, including GSH/GSSH, reduced thioredoxin/oxidized thioredoxin, NAD+/NADH, and NADP+/NADPH, as shown in Fig

DeRosa and Leftin, 2021)

This dual-hit mechanism - combining enhanced oxidative stress with compromised redox regulation - not only establishes a pathological link between diabetic metabolic dysregulation and tissue damage, but also suggests the therapeutic potential of modulating BCAAs metabolism to restore redox homeostasis

Lpez-Cantillo G, Uruea C, Camacho BA, Ramrez-Segura C

The role of GST, GSTK, GSTO dimers, and GPX1 which function in glutathione conjugation, glucuronidation, methylation, and detoxification of reactive oxygen species, respectively, are detailed within Fig 3