Alteration of Endothelins: A Common Pathogenetic Mechanism in Chronic Diabetic Complications
2002

Endothelins and Chronic Diabetic Complications

publication 20 minutes Evidence: moderate

Author Information

Author(s): Subrata Chakrabarti, Zia Ali Khan, Mark Cukiernik, Gen Fukuda, Shali Chen, Suranjana Mukherjee

Primary Institution: The University of Western Ontario

Hypothesis

Alteration of endothelins (ETs) plays a significant role in the pathogenesis of chronic diabetic complications.

Conclusion

Endothelins are implicated in the development of various chronic complications of diabetes, and their antagonism may offer therapeutic benefits.

Supporting Evidence

  • Endothelins are altered in various tissues affected by diabetes.
  • ET antagonists can prevent changes induced by diabetes in animal models.
  • Chronic diabetic complications include retinopathy, nephropathy, neuropathy, and cardiomyopathy.
  • Hyperglycemia leads to metabolic changes that affect endothelin levels.
  • Endothelins can cause both vasodilation and vasoconstriction depending on their concentration.
  • Diabetes-induced changes in endothelin levels may contribute to hypertension.
  • Endothelins are involved in the regulation of extracellular matrix protein synthesis.
  • Good metabolic control can normalize endothelin levels in diabetic models.

Takeaway

Endothelins are special proteins that can cause problems in people with diabetes, making their health worse. Blocking these proteins might help treat some of these problems.

Methodology

This is a review article discussing various studies on endothelins and their role in diabetic complications.

Limitations

The review is based on existing literature, which may have varying methodologies and results.

Digital Object Identifier (DOI)

10.1080/15604280290013982

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