Figure 1.
Proposed paradigm of the mechanisms inducing neurotoxicity in diabetic patients with CKD.
Abbreviations: AGE, advanced glycation endproducts; CKD, chronic kidney disease; NF-κB: Nuclear factor kappa B; PARP: poly(ADP-ribose) polymerase; PKC: protein kinase C; PTH, parathyroid hormone; RNS: Reactive nitrogen species; ROS: Reactive oxygen species, GSH: glutathione; GSSG: oxidized glutathione; TCA, tetracylic antidepressant; VEGF: Vascular endothelial growth factor; NADP, nicotinamide adenine dinucleotide phosphate; NADPH, reduced NADP; SDH, sorbitol dehygrogenase; PAI 1, plasminogen activator inhibitor 1.
Adapted and reproduced from Edwards et al22 with permission of Elsevier.