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OS modulates critical signaling pathways, induces inflammation, impairs mitochondrial function, alters metabolic homeostasis, and dysregulates autophagy, contributing to disease progression. While prior research has largely focused on OS within single\u2010organ diseases (e.g., neurodegenerative, cardiovascular, and oncological disorders), the systemic role of OS in pan\u2010organ diseases and interorgan communication remains insufficiently explored. This review integrates multidisciplinary evidence to elucidate the biological functions of OS in cellular signaling, homeostasis, and cross\u2010organ crosstalk. It systematically dissects OS\u2010driven molecular mechanisms and pathophysiological networks across 10 major organ systems, including the nervous, cardiovascular, oncological, hepatic, and renal systems. Furthermore, it critically examines OS\u2010related therapeutic targets, including antioxidant and ROS\u2010generating enzymes, and explores synergistic redox\u2010based therapeutic strategies. By moving beyond traditional single\u2010organ paradigms, this review constructs a holistic framework to decode the systemic impact of OS, offering novel insights into disease mechanisms and therapeutic innovations. Ultimately, it lays the foundation for precision medicine approaches aimed at mitigating OS\u2010driven diseases and improving multiorgan health outcomes.<\/jats:p>","DOI":"10.1002\/mco2.70268","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T03:12:12Z","timestamp":1751339532000},"source":"Crossref","is-referenced-by-count":402,"title":["Oxidative Stress: Signaling Pathways, Biological Functions, and Disease"],"prefix":"10.1002","volume":"6","author":[{"given":"Sixuan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Urology The Second Xiangya Hospital of Central South University Changsha Hunan China"},{"name":"Xiangya School of Medicine Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiachen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Urology The Second Xiangya Hospital of Central South University Changsha Hunan 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