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August 18, 2021SHILAP Revista de lepidopterologíaOpen Access

Pathophysiological Association between Diabetes Mellitus and Endothelial Dysfunction

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Authors

TMTatsuya MaruhashiYHYukihito Higashi

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Overview

Review demonstrates mechanisms linking oxidative stress to endothelial dysfunction in diabetes mellitus, highlighting targeted glucose-lowering drugs for vascular protection.

Key Points

  • To review the pathophysiological links between diabetes mellitus, oxidative stress, and endothelial dysfunction, and assess therapeutic strategies to preserve vascular function.
  • Synthesized molecular mechanisms involving chronic hyperglycemia, postprandial glucose fluctuations, and endothelial insulin signaling pathways.
  • Evaluated the vascular effects of multiple glucose-lowering drug classes and antioxidant therapies on endothelial function.
  • Chronic hyperglycemia and postprandial glucose swings amplify oxidative stress, while selective endothelial insulin resistance impairs the PI3K/Akt/eNOS cascade to reduce nitric oxide and increase endothelin-1 production.
  • Antidiabetic agents mitigating glucose variability or enhancing insulin sensitivity, including DPP-4 inhibitors, GLP-1 receptor agonists, metformin, and SGLT2 inhibitors, improve endothelial function via glucose-dependent and independent pathways.
  • Oral antioxidant supplementation demonstrates no verified clinical efficacy against diabetic vascular complications and is not recommended.

Cite This Study

Maruhashi et al. (2021) studied this question.

synapsesocial.com/papers/69e72dce134b79bed866933ahttps://doi.org/10.3390/antiox10081306
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