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Although biochemically separated from the GSH system, the Trx system shares NADPH as a common reducing cofactor and serves as an alternative pathway for reducing disulfide bonds, making this system especially relevant if the GSH system has been compromised or rendered dysfunctional ( Under oxidative stress these three systems work in concert to detoxify ROS and lipid peroxides, maintain protein structure and function via thiol repair, prevent activation of redox-sensitive inflammatory pathways, and preserve mitochondrial membrane integrity and prevent apoptosis

3 European Journal of EndocrinologyRaun et al

doi:10.3748/wjg.15.5121

10.1016/j.jchromb2016.02.015 J Chromatogr B Analyt Technol Biomed Life Sci

A test in which a person's glucose and sometimes insulin is tested before and at multiple intervals after having consumed a measured dose of glucose