Paul Saladino· MD
So in order for insulin to bind to its receptor, you have to have IRS1 and that that sort of regulates down downstream signaling from when insulin binds to its receptor. And sort of part of the molecular mechanism for insulin resistance quote unquote is sort of in inactivation of IRS1 which can be triggered by oxidative stress. So in states of diabetes, in states of obesity, we see excess reactive oxygen species.