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Journal Article Review Research Support, Non-U.S. Gov't Epublish 14 citations

PubMed: 37441493 DOI: 10.3389/fendo.2023.1191426

Physiological and pathological characteristics of vascular endothelial injury in diabetes and the regulatory mechanism of autophagy.

Front Endocrinol (Lausanne) 14:1191426

Authors: Hanyu Liu, Xueru Wang, Hong Gao, Chan Yang, Chunguang Xie

Affiliations

  • Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
  • Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province, Chengdu, China.
  • Division of Endocrinology and Metabolism, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, China.

Abstract

Vascular endothelial injury in diabetes mellitus (DM) is the major cause of vascular disease, which is closely related to the occurrence and development of a series of vascular complications and has a serious negative impact on a patient's health and quality of life. The primary function of normal vascular endothelium is to function as a barrier function. However, in the presence of DM, glucose and lipid metabolism disorders, insulin resistance, inflammatory reactions, oxidative stress, and other factors cause vascular endothelial injury, leading to vascular endothelial lesions from morphology to function. Recently, numerous studies have found that autophagy plays a vital role in regulating the progression of vascular endothelial injury. Therefore, this article compares the morphology and function of normal and diabetic vascular endothelium and focuses on the current regulatory mechanisms and the important role of autophagy in diabetic vascular endothelial injury caused by different signal pathways. We aim to provide some references for future research on the mechanism of vascular endothelial injury in DM, investigate autophagy's protective or injurious effect, and study potential drugs using autophagy as a target.

MeSH

Diabetes Mellitus, Endothelium, Vascular, Autophagy, Endothelial Cells, Endothelium, Endocrine System Diseases

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