Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes

Cardiovascular complications associated with diabetes remain a significant health issue in westernized societies. Overwhelming evidence from clinical and laboratory investigations have demonstrated that these cardiovascular complications are initiated by a dysfunctional vascular endothelium. Indeed,...

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Main Authors: Arpeeta Sharma, Pascal N. Bernatchez, Judy B. de Haan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/750126
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author Arpeeta Sharma
Pascal N. Bernatchez
Judy B. de Haan
author_facet Arpeeta Sharma
Pascal N. Bernatchez
Judy B. de Haan
author_sort Arpeeta Sharma
collection DOAJ
description Cardiovascular complications associated with diabetes remain a significant health issue in westernized societies. Overwhelming evidence from clinical and laboratory investigations have demonstrated that these cardiovascular complications are initiated by a dysfunctional vascular endothelium. Indeed, endothelial dysfunction is one of the key events that occur during diabetes, leading to the acceleration of cardiovascular mortality and morbidity. In a diabetic milieu, endothelial dysfunction occurs as a result of attenuated production of endothelial derived nitric oxide (EDNO) and augmented levels of reactive oxygen species (ROS). Thus, in this review, we discuss novel therapeutic targets that either upregulate EDNO production or increase antioxidant enzyme capacity in an effort to limit oxidative stress and restore endothelial function. In particular, endogenous signaling molecules that positively modulate EDNO synthesis and mimetics of endogenous antioxidant enzymes will be highlighted. Consequently, manipulation of these unique targets, either alone or in combination, may represent a novel strategy to confer vascular protection, with the ultimate goal of improved outcomes for diabetes-associated vascular complications.
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spelling doaj-art-b849a41c54804afe9d0a0aa1c6f31de82025-02-03T06:46:03ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/750126750126Targeting Endothelial Dysfunction in Vascular Complications Associated with DiabetesArpeeta Sharma0Pascal N. Bernatchez1Judy B. de Haan2Oxidative Stress Laboratory, Diabetic Complications Division, Baker IDI Heart and Diabetes Institute, P.O. Box 6492, St. Kilda Road Central, Melbourne, VIC 8008, AustraliaThe James Hogg Research Centre at St. Paul's Hospital and Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC, V6Z 1Y6, CanadaOxidative Stress Laboratory, Diabetic Complications Division, Baker IDI Heart and Diabetes Institute, P.O. Box 6492, St. Kilda Road Central, Melbourne, VIC 8008, AustraliaCardiovascular complications associated with diabetes remain a significant health issue in westernized societies. Overwhelming evidence from clinical and laboratory investigations have demonstrated that these cardiovascular complications are initiated by a dysfunctional vascular endothelium. Indeed, endothelial dysfunction is one of the key events that occur during diabetes, leading to the acceleration of cardiovascular mortality and morbidity. In a diabetic milieu, endothelial dysfunction occurs as a result of attenuated production of endothelial derived nitric oxide (EDNO) and augmented levels of reactive oxygen species (ROS). Thus, in this review, we discuss novel therapeutic targets that either upregulate EDNO production or increase antioxidant enzyme capacity in an effort to limit oxidative stress and restore endothelial function. In particular, endogenous signaling molecules that positively modulate EDNO synthesis and mimetics of endogenous antioxidant enzymes will be highlighted. Consequently, manipulation of these unique targets, either alone or in combination, may represent a novel strategy to confer vascular protection, with the ultimate goal of improved outcomes for diabetes-associated vascular complications.http://dx.doi.org/10.1155/2012/750126
spellingShingle Arpeeta Sharma
Pascal N. Bernatchez
Judy B. de Haan
Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
International Journal of Vascular Medicine
title Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
title_full Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
title_fullStr Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
title_full_unstemmed Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
title_short Targeting Endothelial Dysfunction in Vascular Complications Associated with Diabetes
title_sort targeting endothelial dysfunction in vascular complications associated with diabetes
url http://dx.doi.org/10.1155/2012/750126
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