Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers

Insulin resistance syndrome (IRS) is a configuration of cardiovascular risk factors involved in the development of metabolic disorders including type 2 diabetes mellitus. In addition to diet, age, socioeconomic, and environmental factors, genetic factors that impair insulin signaling are centrally i...

Full description

Saved in:
Bibliographic Details
Main Authors: Li Lai, Yohannes T. Ghebremariam
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/1982096
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549693078372352
author Li Lai
Yohannes T. Ghebremariam
author_facet Li Lai
Yohannes T. Ghebremariam
author_sort Li Lai
collection DOAJ
description Insulin resistance syndrome (IRS) is a configuration of cardiovascular risk factors involved in the development of metabolic disorders including type 2 diabetes mellitus. In addition to diet, age, socioeconomic, and environmental factors, genetic factors that impair insulin signaling are centrally involved in the development and exacerbation of IRS. Genetic and pharmacological studies have demonstrated that the nitric oxide (NO) synthase (NOS) genes are critically involved in the regulation of insulin-mediated glucose disposal. The generation of NO by the NOS enzymes is known to contribute to vascular homeostasis including insulin-mediated skeletal muscle vasodilation and insulin sensitivity. By contrast, excessive inhibition of NOS enzymes by exogenous or endogenous factors is associated with insulin resistance (IR). Asymmetric dimethylarginine (ADMA) is an endogenous molecule that competitively inhibits all the NOS enzymes and contributes to metabolic perturbations including IR. The concentration of ADMA in plasma and tissue is enzymatically regulated by dimethylarginine dimethylaminohydrolase (DDAH), a widely expressed enzyme in the cardiovascular system. In preclinical studies, overexpression of DDAH has been shown to reduce ADMA levels, improve vascular compliance, and increase insulin sensitivity. This review discusses the feasibility of the NOS/DDAH pathway as a novel target to develop vasoprotective insulin sensitizers.
format Article
id doaj-art-f2a68f2ec0be46c084287a2f7d13c1b4
institution Kabale University
issn 2314-6745
2314-6753
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-f2a68f2ec0be46c084287a2f7d13c1b42025-02-03T06:10:50ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/19820961982096Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin SensitizersLi Lai0Yohannes T. Ghebremariam1Department of Cardiovascular Sciences, Center for Cardiovascular Regeneration, Houston Methodist Research Institute, 6670 Bertner Avenue, Houston, TX 77030, USADepartment of Cardiovascular Sciences, Center for Cardiovascular Regeneration, Houston Methodist Research Institute, 6670 Bertner Avenue, Houston, TX 77030, USAInsulin resistance syndrome (IRS) is a configuration of cardiovascular risk factors involved in the development of metabolic disorders including type 2 diabetes mellitus. In addition to diet, age, socioeconomic, and environmental factors, genetic factors that impair insulin signaling are centrally involved in the development and exacerbation of IRS. Genetic and pharmacological studies have demonstrated that the nitric oxide (NO) synthase (NOS) genes are critically involved in the regulation of insulin-mediated glucose disposal. The generation of NO by the NOS enzymes is known to contribute to vascular homeostasis including insulin-mediated skeletal muscle vasodilation and insulin sensitivity. By contrast, excessive inhibition of NOS enzymes by exogenous or endogenous factors is associated with insulin resistance (IR). Asymmetric dimethylarginine (ADMA) is an endogenous molecule that competitively inhibits all the NOS enzymes and contributes to metabolic perturbations including IR. The concentration of ADMA in plasma and tissue is enzymatically regulated by dimethylarginine dimethylaminohydrolase (DDAH), a widely expressed enzyme in the cardiovascular system. In preclinical studies, overexpression of DDAH has been shown to reduce ADMA levels, improve vascular compliance, and increase insulin sensitivity. This review discusses the feasibility of the NOS/DDAH pathway as a novel target to develop vasoprotective insulin sensitizers.http://dx.doi.org/10.1155/2016/1982096
spellingShingle Li Lai
Yohannes T. Ghebremariam
Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
Journal of Diabetes Research
title Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
title_full Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
title_fullStr Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
title_full_unstemmed Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
title_short Modulating DDAH/NOS Pathway to Discover Vasoprotective Insulin Sensitizers
title_sort modulating ddah nos pathway to discover vasoprotective insulin sensitizers
url http://dx.doi.org/10.1155/2016/1982096
work_keys_str_mv AT lilai modulatingddahnospathwaytodiscovervasoprotectiveinsulinsensitizers
AT yohannestghebremariam modulatingddahnospathwaytodiscovervasoprotectiveinsulinsensitizers