reviewEuropean Heart JournalMay 2, 2013BRONZE OA

Diabetes and vascular disease: pathophysiology, clinical consequences, and medical therapy: part I

Istituto Neurologico Mediterraneo · University of Zurich · +4 more institutions

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Abstract

Hyperglycemia and insulin resistance are key players in the development of atherosclerosis and its complications. A large body of evidence suggest that metabolic abnormalities cause overproduction of reactive oxygen species (ROS). In turn, ROS, via endothelial dysfunction and inflammation, play a major role in precipitating diabetic vascular disease. A better understanding of ROS-generating pathways may provide the basis to develop novel therapeutic strategies against vascular complications in this setting. Part I of this review will focus on the most current advances in the pathophysiological mechanisms of vascular disease: (i) emerging role of endothelium in obesity-induced insulin resistance; (ii)…

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