Literature DB >> 23948511

Diabetes mellitus-associated vascular impairment: novel circulating biomarkers and therapeutic approaches.

Dimitris Tousoulis1, Nikolaos Papageorgiou, Emmanuel Androulakis, Gerasimos Siasos, George Latsios, Konstantinos Tentolouris, Christodoulos Stefanadis.   

Abstract

It is widely accepted that diabetes mellitus (DM) impairs endothelial nitric oxide synthase activity as well as enhances the production of reactive oxygen species, thus resulting in diminished nitric oxide bioavailability and the consequent pro-atherogenetic alterations. Important biomarkers of the vasculature are related to endothelial dysfunction, to inflammatory and coagulation processes, and to oxidative stress in DM. Several therapeutic strategies might exert favorable effects on the vasculature of diabetic patients, such as insulin analogues, antihypertensive agents, statins, and hypoglycemic agents, whereas in spite of the prominent role of oxidative stress in diabetes, antioxidant therapy remains controversial. The use of specific biomarkers related to vascular function could be a useful therapeutic approach in such patients.
Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  ADMA; BH4; C-reactive protein; CAD; CRP; DM; EMP; EPC; FFAs; FMD; ICAM; IL; LPS; MET; MP; NO; PAI; ROS; T2D; TNF; VCAM; asymmetric dimethylarginine; biomarkers; coronary artery disease; diabetes mellitus; eNOS; endothelial microparticle; endothelial nitric oxide synthase; endothelial progenitor cell; endothelium; flow-mediated dilation; free-fatty acids; high-sensitivity C-reactive protein; hsCRP; intercellular adhesion molecule; interleukin; lipopolysaccharide; metformin; miR; micro-ribonucleic acid; microparticle; nitric oxide; oxLDL; oxidized low-density lipoprotein; plasminogen activator inhibitor; reactive oxygen species; tetrahydrobiopterin; tumor necrosis factor; type 2 diabetes mellitus; vWF; vascular cell adhesion molecule; vascular function; von Willebrand factor

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Year:  2013        PMID: 23948511     DOI: 10.1016/j.jacc.2013.03.089

Source DB:  PubMed          Journal:  J Am Coll Cardiol        ISSN: 0735-1097            Impact factor:   24.094


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