Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders

Insulin resistance and other risk factors for atherosclerosis, such as hypertension and hypercholesterolemia, promote endothelial dysfunction and lead to development of metabolic syndrome which constitutes an introduction to cardiovascular disease. The insulin resistance and endothelial dysfunction...

Full description

Saved in:
Bibliographic Details
Main Authors: A. Janus, E. Szahidewicz-Krupska, G. Mazur, A. Doroszko
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2016/3634948
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555899993980928
author A. Janus
E. Szahidewicz-Krupska
G. Mazur
A. Doroszko
author_facet A. Janus
E. Szahidewicz-Krupska
G. Mazur
A. Doroszko
author_sort A. Janus
collection DOAJ
description Insulin resistance and other risk factors for atherosclerosis, such as hypertension and hypercholesterolemia, promote endothelial dysfunction and lead to development of metabolic syndrome which constitutes an introduction to cardiovascular disease. The insulin resistance and endothelial dysfunction cross talk between each other by numerous metabolic pathways. Hence, targeting one of these pathologies with pleiotropic treatment exerts beneficial effect on another one. Combined and expletive treatment of hypertension, lipid disorders, and insulin resistance with nonpharmacological interventions and conventional pharmacotherapy may inhibit the transformation of metabolic disturbances to fully developed cardiovascular disease. This paper summarises the common therapeutic targets for insulin resistance, endothelial dysfunction, and vascular inflammatory reaction at molecular level and analyses the potential pleiotropic effects of drugs used currently in management of cardiovascular disease, metabolic syndrome, and diabetes.
format Article
id doaj-art-06e0b338c2e14684aed6448669c1e79c
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-06e0b338c2e14684aed6448669c1e79c2025-02-03T05:46:54ZengWileyMediators of Inflammation0962-93511466-18612016-01-01201610.1155/2016/36349483634948Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic DisordersA. Janus0E. Szahidewicz-Krupska1G. Mazur2A. Doroszko3Department of Internal Medicine, Occupational Diseases Hypertension and Clinical Oncology, Wroclaw Medical University, Ulica Borowska 213, 50-556 Wrocław, PolandDepartment of Internal Medicine, Occupational Diseases Hypertension and Clinical Oncology, Wroclaw Medical University, Ulica Borowska 213, 50-556 Wrocław, PolandDepartment of Internal Medicine, Occupational Diseases Hypertension and Clinical Oncology, Wroclaw Medical University, Ulica Borowska 213, 50-556 Wrocław, PolandDepartment of Internal Medicine, Occupational Diseases Hypertension and Clinical Oncology, Wroclaw Medical University, Ulica Borowska 213, 50-556 Wrocław, PolandInsulin resistance and other risk factors for atherosclerosis, such as hypertension and hypercholesterolemia, promote endothelial dysfunction and lead to development of metabolic syndrome which constitutes an introduction to cardiovascular disease. The insulin resistance and endothelial dysfunction cross talk between each other by numerous metabolic pathways. Hence, targeting one of these pathologies with pleiotropic treatment exerts beneficial effect on another one. Combined and expletive treatment of hypertension, lipid disorders, and insulin resistance with nonpharmacological interventions and conventional pharmacotherapy may inhibit the transformation of metabolic disturbances to fully developed cardiovascular disease. This paper summarises the common therapeutic targets for insulin resistance, endothelial dysfunction, and vascular inflammatory reaction at molecular level and analyses the potential pleiotropic effects of drugs used currently in management of cardiovascular disease, metabolic syndrome, and diabetes.http://dx.doi.org/10.1155/2016/3634948
spellingShingle A. Janus
E. Szahidewicz-Krupska
G. Mazur
A. Doroszko
Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
Mediators of Inflammation
title Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
title_full Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
title_fullStr Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
title_full_unstemmed Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
title_short Insulin Resistance and Endothelial Dysfunction Constitute a Common Therapeutic Target in Cardiometabolic Disorders
title_sort insulin resistance and endothelial dysfunction constitute a common therapeutic target in cardiometabolic disorders
url http://dx.doi.org/10.1155/2016/3634948
work_keys_str_mv AT ajanus insulinresistanceandendothelialdysfunctionconstituteacommontherapeutictargetincardiometabolicdisorders
AT eszahidewiczkrupska insulinresistanceandendothelialdysfunctionconstituteacommontherapeutictargetincardiometabolicdisorders
AT gmazur insulinresistanceandendothelialdysfunctionconstituteacommontherapeutictargetincardiometabolicdisorders
AT adoroszko insulinresistanceandendothelialdysfunctionconstituteacommontherapeutictargetincardiometabolicdisorders