Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: March 6, 2024
Affected
by
aging,
the
elderly
diabetes
patients
have
many
pathological
characteristics
different
from
young
people,
including
more
complications,
vascular
cognitive
impairment,
osteoporosis,
and
sarcopenia.
This
article
will
explore
their
pathogenesis
mechanism
of
Traditional
Chinese
medicine
(TCM)
intervention,
use
method
systematic
review
to
evaluate
clinical
application
TCM
in
diabetes.
EMBO Molecular Medicine,
Journal Year:
2024,
Volume and Issue:
16(2), P. 294 - 318
Published: Jan. 31, 2024
Abstract
Diabetic
retinopathy
(DR)
is
a
leading
cause
of
irreversible
vision
loss
in
working-age
populations.
Fat
mass
and
obesity-associated
protein
(FTO)
an
N
6
-methyladenosine
(m
A)
demethylase
that
demethylates
RNAs
involved
energy
homeostasis,
though
its
influence
on
DR
not
well
studied.
Herein,
we
detected
elevated
FTO
expression
vitreous
fibrovascular
membranes
patients
with
proliferative
DR.
promoted
cell
cycle
progression
tip
formation
endothelial
cells
(ECs)
to
facilitate
angiogenesis
vitro,
mice,
zebrafish.
also
regulated
EC-pericyte
crosstalk
trigger
diabetic
microvascular
leakage,
mediated
EC–microglia
interactions
induce
retinal
inflammation
neurodegeneration
vivo
vitro.
Mechanistically,
affected
EC
features
via
modulating
CDK2
mRNA
stability
m
A-YTHDF2-dependent
manner.
up-regulation
under
conditions
was
driven
by
lactate-mediated
histone
lactylation.
FB23-2,
inhibitor
FTO’s
A
activity,
suppressed
angiogenic
phenotypes
To
allow
for
systemic
administration,
developed
nanoplatform
encapsulating
FB23-2
confirmed
targeting
therapeutic
efficiency
mice.
Collectively,
our
study
demonstrates
important
function
homeostasis
DR,
warrants
further
investigation
as
target
patients.
Journal of Advanced Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 1, 2024
Endothelial
cells
(ECs)
and
pericytes
(PCs)
are
crucial
components
of
the
vascular
system,
with
ECs
lining
inner
layer
blood
vessels
PCs
surrounding
capillaries
to
regulate
flow
angiogenesis.
Intercellular
communication
between
is
vital
for
formation,
stability,
function
vessels.
Various
signaling
pathways,
such
as
endothelial
growth
factor/vascular
factor
receptor
pathway
platelet-derived
factor-B/platelet-derived
receptor-β
pathway,
play
roles
in
PCs.
Dysfunctional
these
associated
various
diseases,
including
central
nervous
system
disorders,
certain
types
cancers.
review:
This
review
aimed
explore
diverse
formation
reshaping
focused
on
essential
pathways
that
facilitate
investigated
how
disruptions
may
contribute
disease.
Additionally,
explored
potential
therapeutic
targets,
future
research
directions,
innovative
approaches,
investigating
impact
EC-PCs
novel
systemic
addressing
resistance
antiangiogenic
drugs,
developing
medications
enhance
efficacy.
Key
scientific
concepts
Disordered
EC-PC
intercellular
plays
a
role
abnormal
vessel
thus
contributing
progression
diseases
development
drugs.
Therefore,
studies
interactions
have
high
clinical
relevance.
Cell Communication and Signaling,
Journal Year:
2023,
Volume and Issue:
21(1)
Published: Oct. 30, 2023
Abstract
Diabetic
vascular
complications
(DVCs),
including
macro-
and
micro-
angiopathy,
account
for
a
high
percentage
of
mortality
in
patients
with
diabetes
mellitus
(DM).
Endothelial
dysfunction
is
the
initial
role
step
pathogenesis
DVCs.
Hyperglycemia
lipid
metabolism
disorders
contribute
to
endothelial
via
direct
injury
products,
crosstalk
between
immunity
inflammation,
as
well
related
interaction
network.
Although
physiological
phenotypic
differences
support
their
specified
changes
different
targeted
organs,
there
are
still
several
common
mechanisms
underlying
Also,
inhibitors
these
may
decrease
incidence
DVCs
effectively.
Thus,
this
review
provide
new
insights
into
possible
measures
secondary
prevention
DM.
And
we
discussed
current
limitations
those
present
preventive
research.
Heliyon,
Journal Year:
2023,
Volume and Issue:
9(6), P. e17166 - e17166
Published: June 1, 2023
The
endothelial
cells
(ECs)
make
up
the
inner
lining
of
blood
vessels,
acting
as
a
barrier
separating
and
tissues
in
several
organs.
ECs
maintain
endothelium
integrity
by
controlling
constriction
relaxation
vasculature,
fluidity,
adhesion,
migration.
These
actions
are
efficiently
coordinated
via
an
intricate
signaling
network
connecting
receptors,
wide
range
cellular
macromolecules.
naturally
quiescent
i.e.;
they
not
stimulated
do
proliferate.
Upon
infection
or
disease,
become
activated,
this
alteration
is
pivotal
pathogenesis
spectrum
human
neurological,
cardiovascular,
diabetic,
cancerous,
viral
diseases.
Considering
central
position
that
play
disease
pathogenesis,
therapeutic
options
have
been
targeted
at
improving
integrity,
assembly,
functioning,
health.
dietary
intake
flavonoids
present
citrus
fruits
has
associated
with
reduced
risk
dysfunction.
Naringenin
(NGN)
Naringin
(NAR),
major
grapefruit,
tomatoes,
oranges
possess
anti-inflammatory,
antioxidant
properties,
cell
survival
potentials,
which
improve
health
vascular
endothelium.
In
review,
we
provide
comprehensive
summary
advances
understanding
mechanisms
through
NGN
NAR
modulate
biomarkers
dysfunction
protect
against
unresolved
inflammation,
oxidative
stress,
atherosclerosis,
angiogenesis.
We
also
perspectives
suggest
further
studies
will
help
assess
efficacy
therapeutics
Frontiers in Endocrinology,
Journal Year:
2023,
Volume and Issue:
14
Published: April 18, 2023
Diabetic
nephropathy
(DN)
is
the
leading
cause
of
end-stage
renal
disease
worldwide
and
a
significant
burden
on
healthcare
systems.
α-klotho
(klotho)
protein
known
for
its
anti-aging
properties
has
been
shown
to
delay
onset
age-related
diseases.
Soluble
klotho
produced
by
cleavage
full-length
transmembrane
disintegrin
metalloproteases,
it
exerts
various
physiological
effects
circulating
throughout
body.
In
type
2
diabetes
complications
DN,
decrease
in
expression
observed.
This
reduction
levels
may
indicate
progression
DN
suggest
that
be
involved
multiple
pathological
mechanisms
contribute
development
DN.
article
examines
potential
soluble
as
therapeutic
agent
with
focus
ability
impact
pathways.
These
pathways
include
anti-inflammatory
oxidative
stress,
anti-fibrotic,
endothelial
protection,
prevention
vascular
calcification,
regulation
metabolism,
maintenance
calcium
phosphate
homeostasis,
cell
fate
through
modulation
autophagy,
apoptosis,
pyroptosis
retinopathy
shares
similar
targeting
offer
new
insights
into
treatment
both
conditions.
Finally,
this
review
assesses
drugs
used
clinical
practice
modulate
different
their
improve
impacting
levels.
Science,
Journal Year:
2024,
Volume and Issue:
383(6683)
Published: Feb. 8, 2024
Penile
erection
is
mediated
by
the
corpora
cavernosa,
a
trabecular-like
vascular
bed
that
enlarges
upon
vasodilation,
but
its
regulation
not
completely
understood.
Here,
we
show
perivascular
fibroblasts
in
cavernosa
support
vasodilation
reducing
norepinephrine
availability.
The
effect
on
penile
blood
flow
depends
number
of
fibroblasts,
which
regulated
erectile
activity.
Erection
dynamically
alters
positional
arrangement
temporarily
down-regulating
Notch
signaling.
Inhibition
increases
fibroblast
numbers
and
consequently
raises
flow.
Continuous
activation
lowers
reduces
perfusion.
Recurrent
erections
stimulate
proliferation
limit
vasoconstriction,
whereas
aging
Our
findings
reveal
adaptive,
activity-dependent
modulation
fibroblasts.
Frontiers in Nutrition,
Journal Year:
2025,
Volume and Issue:
11
Published: Jan. 14, 2025
Aim
This
study
aimed
to
explore
the
association
between
ratio
of
4-pyridoxine
(4-PA)
pyridoxal
5′-phosphate
(PLP)
(4-PA/PLP)
and
diabetic
retinopathy
(DR)
further
assess
mediating
effect
Endothelial
Activation
Stress
Index
(EASIX)
on
4-PA/PLP
DR.
Methods
In
this
cross-sectional
study,
1,698
patients
with
diabetes
from
National
Health
Nutrition
Examination
Survey
were
included.
According
median,
was
categorized
into
a
high-level
group
(≥0.89)
low-level
(<0.89).
As
EASIX
had
skewed
distribution,
it
log-transformed
before
analysis.
Weighted
logistic
regression
models
used
investigate
DR
The
distribution-of-product
method
adopted
effect.
Subgroup
analysis
performed
based
age
duration
diabetes.
Results
A
total
362
classified
as
having
After
adjusting
for
all
covariates,
higher
level
associated
an
increased
log
[odds
(OR)
=
1.56,
95%
confidence
interval
(CI):
1.06–2.30].
odds
compared
reference
lower
levels
(OR
1.94,
95%CI:
1.40–2.67).
addition,
we
found
that
may
play
role
in
DR,
CI
distribution
product
0.31
(95%
CI:
0.02–0.67).
proportion
mediation
69.06%.
also
observed
individuals
who
aged≥60
years
(proportion
mediation:
50.63%)
or
≥10
71.83%).
Conclusion
positive
high
risk
relationship
being
partially
mediated
by
EASIX.
Lipids in Health and Disease,
Journal Year:
2025,
Volume and Issue:
24(1)
Published: Jan. 25, 2025
Abstract
Background
Stroke
has
emerged
as
an
escalating
public
health
challenge
among
middle-aged
and
older
individuals
in
China,
closely
linked
to
glycolipid
metabolic
abnormalities.
The
Hemoglobin
A1c/High-Density
Lipoprotein
Cholesterol
(HbA1c/HDL-C)
ratio,
integrated
marker
of
homeostasis,
may
serve
a
novel
predictor
stroke
risk.
Methods
Our
investigation
utilized
data
from
the
China
Health
Retirement
Longitudinal
Study
cohort
(2011–2018).
cases
were
identified
based
on
self-reported,
physician-confirmed
diagnoses.
Logistic
regression
models
established
determine
correlation
between
HbA1c/HDL-C
prevalence
(2011)
well
cumulative
mean
(2011–2015)
new
incidence
(2015–2018).
Additionally,
smoothed
curve
fitting,
subgroup
analyses,
interaction
tests
conducted
ensure
robustness
findings.
Results
In
cross-sectional
analysis,
8,502
participants
enrolled,
whom
189
had
history
stroke.
findings
revealed
significant
positive
linear
relationship
after
adjusting
for
covariates
(OR:
1.26,
95%
CI:
1.09–1.45).
When
was
categorized
into
tertiles,
only
highest
tertile
(T3)
showed
with
compared
lowest
(T1)
(OR:1.71,
1.05–2.77).
longitudinal
analysis
5,165
participants,
336
new-onset
over
follow-up
period
7
years.
Adjusting
confounders,
higher
exhibited
increased
likelihood
1.14,
1.01–1.29).
Using
T1
reference,
fully
adjusted
OR
1.65
(95%
1.21–2.24)
T2
1.54
1.08–2.19)
T3.
predictive
value
risk
assessment
have
been
significantly
improved
traditional
HDL-C
HbA1c.
Consistent
associations
observed
across
most
stratified
subgroups.
Conclusions
Elevated
baseline
levels
are
associated
underscoring
potential
clinical
long-term
prevention
strategies.
Metabolites,
Journal Year:
2025,
Volume and Issue:
15(2), P. 91 - 91
Published: Feb. 3, 2025
Background:
Impaired
endothelial
function
has
been
associated
with
vascular
complications
in
type
2
diabetes
(T2D),
but
its
role
T2D-related
heart
failure
(HF)
remains
indeterminate.
The
aim
of
this
study
was
to
assess
selected
markers
T2D
patients
acute
decompensated
HF.
Methods:
A
pilot
prospective
on
HF
requiring
in-hospital
admission
carried
out.
growth
factor
(VEGF),
intercellular
adhesion
molecule
1
(ICAM-1),
and
cell
(VCAM-1)
were
assessed
at
after
decongestion.
Subsequently,
differences
these
between
non-diabetic
(ND)
studied.
Results:
In
total,
39
(21
18
ND
patients)
enrolled.
Twenty-eight
presented
preserved
ejection
fraction
(EF),
11
reduced
EF.
Looking
the
VEGF
levels
patients,
admission,
a
median
233.0
pg/mL
(1.7–598
pg/mL)
found
compared
106.0
(1.7–888
individuals;
reached
statistical
significance
(p
=
0.04).
There
no
significant
decongestion,
VCAM-1
(2237
±
1195
vs.
2699
1093
ng/mL,
p
0.37)
ICAM-1
(596
268
638
437
0.79)
upon
value
EF
(preserved
or
reduced)
affected
admission.
Conclusions:
This
identified
significantly
higher
due
patients.