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GLP-1 acts on the GLP-1R, activating multiple intracellular signaling pathways, including the cAMP/PKA pathway, the PI3K/Akt signaling pathway, and pathways related to anti-inflammatory and anti-oxidative stress responses, among others
doi: 10.1038/187067a0
Accumulation of sorbitol results in elevated levels of reactive oxygen species, increased cellular damage and osmotic stress leading to diabetic complications [130]
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