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OBESITY RESEARCH SOLUTIONSTolrestat is an aldose reductase inhibitor (IC50 = 35 nM for the bovine lens enzyme).1 Dietary administration of tolrestat decreases sciatic nerve galactitol accumulation in a rat model of galactosemia (ED50 = 7.3 mg/kg per day) and sciatic nerve sorbitol accumulation (ED50 = 4.8 mg/kg per day) in a rat model of diabetes induced by streptozotocin (STZ; Item No. 13104). It also decreases urinary total protein exretion in a rat model of STZ-induced diabetes when administered at a dose of 25 mg/kg per day.2 Topical administration of tolrestat (2 and 3% in 10 μl four times per day) decreases levels of galactitol in the lens of and inhibits cataract formation in rats fed a high-galactose diet.3
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2. Intervention with the aldose reductase inhibitor, tolrestat, in renal and retinal lesions of streptozotocin-
3. A new approach against sugar cataract through aldose reductase inhibitors. Exp. Eye Res. 69(5), 533-538 (1999).