Diabetes Mellitus · Pathology

In the polyol pathway, glucose is converted to sorbitol by which enzyme, contributing to osmotic stress in the lens of the eye?

  1. Sorbitol dehydrogenase
  2. Aldose reductase
  3. Glucokinase
  4. Hexokinase
Show answer and explanation

Correct answer: Aldose reductase

In hyperglycemic states, aldose reductase converts excess glucose into sorbitol. Sorbitol is osmotically active and poorly metabolized, leading to water influx that causes cataracts in the lens and peripheral nerve damage.

Difficulty: Medium Question 5 of 20

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