Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications

The vascular complications of diabetes significantly impact the quality of life and mortality in diabetic patients. Extensive evidence from various human clinical trials has clearly established that a period of poor glycemic control early in the disease process carries negative consequences, such as...

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Main Authors: Poojitha Rajasekar, Christina L. O’Neill, Lydia Eeles, Alan W. Stitt, Reinhold J. Medina
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/436879
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author Poojitha Rajasekar
Christina L. O’Neill
Lydia Eeles
Alan W. Stitt
Reinhold J. Medina
author_facet Poojitha Rajasekar
Christina L. O’Neill
Lydia Eeles
Alan W. Stitt
Reinhold J. Medina
author_sort Poojitha Rajasekar
collection DOAJ
description The vascular complications of diabetes significantly impact the quality of life and mortality in diabetic patients. Extensive evidence from various human clinical trials has clearly established that a period of poor glycemic control early in the disease process carries negative consequences, such as an increase in the development and progression of vascular complications that becomes evident many years later. Importantly, intensive glycemic control established later in the disease process cannot reverse or slow down the onset or progression of diabetic vasculopathy. This has been named the glycemic memory phenomenon. Scientists have successfully modelled glycemic memory using various in vitro and in vivo systems. This review emphasizes that oxidative stress and accumulation of advanced glycation end products are key factors driving glycemic memory in endothelial cells. Furthermore, various epigenetic marks have been proposed to closely associate with vascular glycemic memory. In addition, we comment on the importance of endothelial progenitors and their role as endogenous vasoreparative cells that are negatively impacted by the diabetic milieu and may constitute a “carrier” of glycemic memory. Considering the potential of endothelial progenitor-based cytotherapies, future studies on their glycemic memory are warranted to develop epigenetics-based therapeutics targeting diabetic vascular complications.
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record_format Article
series Journal of Diabetes Research
spelling doaj-art-3d47f9e5e52e44e29d55405218d7795c2025-02-03T01:20:22ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/436879436879Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular ComplicationsPoojitha Rajasekar0Christina L. O’Neill1Lydia Eeles2Alan W. Stitt3Reinhold J. Medina4Centre for Experimental Medicine, School of Medicine, Dentistry, and Biomedical Science, Queen’s University Belfast, Belfast BT12 6BA, UKCentre for Experimental Medicine, School of Medicine, Dentistry, and Biomedical Science, Queen’s University Belfast, Belfast BT12 6BA, UKCentre for Experimental Medicine, School of Medicine, Dentistry, and Biomedical Science, Queen’s University Belfast, Belfast BT12 6BA, UKCentre for Experimental Medicine, School of Medicine, Dentistry, and Biomedical Science, Queen’s University Belfast, Belfast BT12 6BA, UKCentre for Experimental Medicine, School of Medicine, Dentistry, and Biomedical Science, Queen’s University Belfast, Belfast BT12 6BA, UKThe vascular complications of diabetes significantly impact the quality of life and mortality in diabetic patients. Extensive evidence from various human clinical trials has clearly established that a period of poor glycemic control early in the disease process carries negative consequences, such as an increase in the development and progression of vascular complications that becomes evident many years later. Importantly, intensive glycemic control established later in the disease process cannot reverse or slow down the onset or progression of diabetic vasculopathy. This has been named the glycemic memory phenomenon. Scientists have successfully modelled glycemic memory using various in vitro and in vivo systems. This review emphasizes that oxidative stress and accumulation of advanced glycation end products are key factors driving glycemic memory in endothelial cells. Furthermore, various epigenetic marks have been proposed to closely associate with vascular glycemic memory. In addition, we comment on the importance of endothelial progenitors and their role as endogenous vasoreparative cells that are negatively impacted by the diabetic milieu and may constitute a “carrier” of glycemic memory. Considering the potential of endothelial progenitor-based cytotherapies, future studies on their glycemic memory are warranted to develop epigenetics-based therapeutics targeting diabetic vascular complications.http://dx.doi.org/10.1155/2015/436879
spellingShingle Poojitha Rajasekar
Christina L. O’Neill
Lydia Eeles
Alan W. Stitt
Reinhold J. Medina
Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
Journal of Diabetes Research
title Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
title_full Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
title_fullStr Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
title_full_unstemmed Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
title_short Epigenetic Changes in Endothelial Progenitors as a Possible Cellular Basis for Glycemic Memory in Diabetic Vascular Complications
title_sort epigenetic changes in endothelial progenitors as a possible cellular basis for glycemic memory in diabetic vascular complications
url http://dx.doi.org/10.1155/2015/436879
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AT lydiaeeles epigeneticchangesinendothelialprogenitorsasapossiblecellularbasisforglycemicmemoryindiabeticvascularcomplications
AT alanwstitt epigeneticchangesinendothelialprogenitorsasapossiblecellularbasisforglycemicmemoryindiabeticvascularcomplications
AT reinholdjmedina epigeneticchangesinendothelialprogenitorsasapossiblecellularbasisforglycemicmemoryindiabeticvascularcomplications