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As many cysteine-containing proteins (transporters, receptors and enzymes) at extracellular surfaces or in extracellular fluids are prone to oxidation, their activity might be influenced by the thiol/disulphide redox microenvironment

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However, rate-limiting signalling bottlenecks and negative feedback associated with more distal steps in the pathways have diminished the ability of otherwise promising interventions to mimic or enhance early steps in the insulin signalling pathways