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Overall, data from STZ, db/db and HFD+STZ models demonstrate that (i) structured exercise training can mitigate DR-like changes at histologic, functional (ERG) and molecular levels, and (ii) direct manipulation of exerkine pathways (apelin, irisin, adiponectin, clusterin, BDNF) modulates pericyte survival, vascular leakage, neovascularization, apoptosis and inflammatory signaling in the diabetic or ischemic retina

In aging, ROS activate the p53/p16 pathway via telomere shortening and DNA damage response (DDR), leading to cell cycle arrest 98,99,100,101

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