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. . , , ..


75-80% , ,
,
. 1,2,3
, per se,
.
( , , C,
, stress), , ,

.

.


aldose reductase (. 1).

.
sorbitol, fructose.
sorbitol aldose reductase DPH,
, .

stress. 4,5

AGEs:

.

. H
( Schiff),
( Amadori, Amadori ,
).
(
)
(AGEs).
AGEs
AGEs ( RAGE) ,
RAGEs (. 2).
( ,
IV, , .)
. ,
LDL.
AGEs, (RAGEs)
NF-kB 2 stress.
E, AGEs RAGEs
, .
AGEs RAGEs
interleukin -1, o TNF-a, o PDGF, o IGF -1,
.
AGEs RAGEs
, AGEs
. 4,6,7,8,9,10

C
PKC 11 . PKC .
PKC
PKC, (DAG). DAG
.

PKC
AGEs ,
.
PKC .
m-RNA ().
1 .
NEGF .
transforming growth factor- (TGF-),
.
- 1 NF-kB (
) NAD(P)H
(2). 4,5,6,7

HESOSAMINE
H
(: , Crembs,
glucose-6-phosphate fructose -6-phosphate.
,
GFAT ( glutamine fructose-6- phosphate ammotransferase) glucosanine -6- phosphate
UDP (urinine disphosphate) glucosamine ( hesosamine). glucosamine serine
threonine (
-1, TGF- 1,.) (. 3).4,6

STRESS
To stress 2

.
stress (
), .
stress .

()

, .
Amadori.
(-2)

( 22).
,

.
, ,
C 40-50%
.
stress

.

( , , , V).
. NADH FADH2
. Q C
, , V 2 2.

, Synthase .
, (VCPs)
.
, ,
, ,
.
V
Q 2 ( ) (. 4).

(ROS). ROS DNA
poly- ADP ribose- polymerase (PARP).
PARP NAD+ (
)
GAPDH.

GAPDH .
, GAPDH

(, AGEs, , PKC) (. 5).
stress
( ),
GAPDH.
O Brownlee ( )
GAPDH ADP ribose
(AGEs, Prot. Kinase C, exosamine, polyol).
T stress
.
stress

(FFA).
FFA, 90 -92% .
FFA
( ) FFA .
FFA (NADH FADH2)
2. (ROS).
FFA stress
. 6,11,12,13,14

,
.
, .
. VII,
,

Von Willebrand ,

,
( C).

() .

.
I, , ,
Von Willebrand .
,
C (PKC) .
(Ca),

(,ADP, 2, .) 6,16,17,18,19


.
,
.
,
( )
.
. (AGEs) ,
(PAF, IGF-1, MCF, TGF-)
. AGEs
, .

, .
,
,
.

, ,
.

.
. 6,8,9,20,21


( vasavasorum) ,
. ,
/
.
.

1 2.
1 , 2
. 5,7,15,16


(nitric oxide- NO), ,
, , .
- ( )
.
(.. methacholine) 2- ( 1
2), .
, (NOS) , ().
(, (),
) .
stress
dimethylarginine (ADMA) NOS.

() . -3 ( NOS)
, PKC
.
VLDL.
,
HDL VLDL ( ), LDL
LDL.

LDL ,
, ,
.
, LDL
, . LDL
.
.

NOS -3 Alt .
.
.

.
-3
NOS . ,

-1 (

) .

.
,
, .

.

, .
, , ,
,
.
stress
( AGEs,
. C .).

, ,
.
.

1.

(AGEs)

2.

3.

ROS

4.

10


1)

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2)

. .
, . 2004: 283 -302.

3)

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