International Journal of Molecular Sciences,
Journal Year:
2019,
Volume and Issue:
20(13), P. 3299 - 3299
Published: July 5, 2019
The
term
diabetic
cardiomyopathy
(DCM)
labels
an
abnormal
cardiac
structure
and
performance
due
to
intrinsic
heart
muscle
malfunction,
independently
of
other
vascular
co-morbidity.
DCM,
accounting
for
50%-80%
deaths
in
patients,
represents
a
worldwide
problem
human
health
related
economics.
Optimal
glycemic
control
is
not
sufficient
prevent
which
derives
from
remodeling
geometrical
changes,
with
both
consequences
critical
events
initially
occurring
at
the
cardiomyocyte
level.
Cardiac
cells,
under
hyperglycemia,
very
early
undergo
metabolic
abnormalities
contribute
T
helper
(Th)-driven
inflammatory
perturbation,
behaving
as
immunoactive
units
capable
releasing
biomediators,
such
cytokines
chemokines.
This
paper
aims
focus
onto
role
cardiomyocytes,
no
longer
considered
"passive"
targets
but
"active"
participating
dialogue
between
local
systemic
counterparts
underlying
DCM
development
maintenance.
Some
main
biomolecular/metabolic/inflammatory
processes
triggered
within
cells
by
high
glucose
are
overviewed;
particular
attention
addressed
chemokines,
representing
potential
therapeutic
prompt
intervention
when
signs
or
symptoms
manifesting
yet.
clinical
management
still
challenge
further
translational
investigations,
including
studies
female/male
cell
level,
warranted.
Immunological Reviews,
Journal Year:
2015,
Volume and Issue:
264(1), P. 121 - 137
Published: Feb. 20, 2015
Summary
The
spread
of
human
immunodeficiency
virus
(
HIV
)
infection
within
Africa
led
to
marked
increases
in
numbers
cases
tuberculosis
TB
),
and
although
the
epidemic
peaked
2006,
there
were
still
1.8
million
new
2013,
with
29.2
prevalent
cases.
Half
all
are
those
co‐infection.
A
brief
review
well‐documented
main
immunological
mechanisms
‐associated
increased
susceptibility
is
presented.
However,
a
threat
facing
control,
which
presents
itself
form
rapid
increase
number
people
living
type
II
diabetes
mellitus
(T2
DM
particularly
areas
that
already
hardest
hit
by
epidemic.
T2
threefold,
burden
attributable
15%.
This
addresses
much
smaller
body
research
information
available
on
‐
,
compared
comorbidity.
We
discuss
altered
clinical
presentation
context
comorbidity,
changes
innate
adaptive
immune
responses,
including
lymphocyte
subsets
T‐cell
phenotypes,
effect
treatment
different
comorbidities,
biomarker
expression
genetic
predisposition
respective
morbidities,
other
factors
affecting
Although
significant
gains
have
been
made
improving
our
understanding
underlying
susceptibility,
knowledge
gaps
exist
require
urgent
attention.
Frontiers in Endocrinology,
Journal Year:
2017,
Volume and Issue:
8
Published: Oct. 30, 2017
Sepsis
develops
when
an
infection
surpasses
local
tissue
containment.
A
series
of
dysregulated
physiologic
responses
are
generated,
leading
to
organ
dysfunction
and
a
10%
mortality
risk.
When
patients
with
sepsis
demonstrate
elevated
serum
lactates
require
vasopressor
therapy
maintain
adequate
blood
pressure
in
the
absence
hypovolemia,
they
septic
shock
in-hospital
rate
greater
than
40%.
With
improvements
intensive
care
treatment
strategies,
overall
has
diminished
approximately
20%
at
30
days;
however,
continues
steadily
climb
after
recovery
from
acute
event.
Traditionally,
it
was
thought
that
complex
interplay
between
inflammatory
anti-inflammatory
led
sepsis-induced
mortality.
However,
closer
examination
those
who
die
long
subsides
reveals
many
initial
survivors
succumb
recurrent,
nosocomial,
secondary
infections.
The
co-morbidly
challenged,
physiologically
frail
diabetic
individuals
suffer
highest
rates.
Recent
reports
suggest
even
clinical
"recovery"
sepsis,
persistent
alterations
innate
adaptive
immune
exists
resulting
chronic
inflammation,
suppression,
bacterial
persistence.
As
sepsis-associated
defects
associated
increased
long-term,
potential
for
modulatory
improve
patient
outcomes.
We
propose
diabetes
causes
functional
deficiency
directly
reduces
cell
function.
result,
display
bactericidal
clearance,
infectious
complications,
protracted
Considering
substantial
expansion
elderly
obese
population,
global
adoption
Western
diet
lifestyle,
multidrug
resistant
emergence
persistence,
is
predicted
rise
dramatically
over
next
two
decades.
better
understanding
underlying
diabetic-induced
persist
following
crucial
identify
therapeutic
targets
bolster
function,
prevent
provide
more
durable
survival.
International Journal of Molecular Sciences,
Journal Year:
2019,
Volume and Issue:
20(13), P. 3299 - 3299
Published: July 5, 2019
The
term
diabetic
cardiomyopathy
(DCM)
labels
an
abnormal
cardiac
structure
and
performance
due
to
intrinsic
heart
muscle
malfunction,
independently
of
other
vascular
co-morbidity.
DCM,
accounting
for
50%-80%
deaths
in
patients,
represents
a
worldwide
problem
human
health
related
economics.
Optimal
glycemic
control
is
not
sufficient
prevent
which
derives
from
remodeling
geometrical
changes,
with
both
consequences
critical
events
initially
occurring
at
the
cardiomyocyte
level.
Cardiac
cells,
under
hyperglycemia,
very
early
undergo
metabolic
abnormalities
contribute
T
helper
(Th)-driven
inflammatory
perturbation,
behaving
as
immunoactive
units
capable
releasing
biomediators,
such
cytokines
chemokines.
This
paper
aims
focus
onto
role
cardiomyocytes,
no
longer
considered
"passive"
targets
but
"active"
participating
dialogue
between
local
systemic
counterparts
underlying
DCM
development
maintenance.
Some
main
biomolecular/metabolic/inflammatory
processes
triggered
within
cells
by
high
glucose
are
overviewed;
particular
attention
addressed
chemokines,
representing
potential
therapeutic
prompt
intervention
when
signs
or
symptoms
manifesting
yet.
clinical
management
still
challenge
further
translational
investigations,
including
studies
female/male
cell
level,
warranted.