ABSTRACT

The first step in addressing the role of oxidative stress (OxS) in diabetic com­ plications is to define OxS. It is often defined as a shift in the pro-oxidantantioxidant balance in the pro-oxidant direction. This definition of OxS is more descriptive than quantitative and chemical in nature. Philosophically, it implies a null point, a balance point at which there is no OxS-OxS occurs only when the balance is shifted toward the pro-oxidant direction. There is a conceptual flaw in this definition because it fails to recognize that OxS is a constant feature of biological systems. Peroxides, superoxide, hydroxyl radicals, and other re­ active oxygen species (ROS), the mediators of OxS, are being formed continu­ ously in the body and always exist at some steady-state concentration. The resulting oxidative damage to protein, DNA, and other biomolecules is a ubiq­ uitous and universal consequence of life under aerobic conditions.