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Quite remarkably, in those with low POP levels, the typically robust association between diabetes and obesity was not observed in a nested case-controlled study, suggesting that obesity may exaggerate the metabolic disturbances caused by POPs (perhaps because adipose tissue provides a reservoir for fat-soluble toxins), rather than being directly responsible for the altered metabolism

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We hypothesize that the excess GSSG in cytosol were transported to extracellular space where class III peroxidases locate and served as the oxidant either directly or indirectly during ROS production by class III peroxidases (Figure 6)