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Updated: Jul 18, 2026

Extracellular Glucose Depletion as an Indirect Measure of Glucose Uptake in Cells and Tissues Ex Vivo
Published on: April 6, 2022
Regulation of vascular genes by glucose
1Department of Molecular Cardiology, Joseph J. Jacobs Center for Thrombosis and Vascular Biology, Cleveland Clinic Foundation, OH 44195, USA. stenino@ccf.org
High blood glucose damages blood vessels early in diabetes. This review explores how elevated glucose affects vascular gene expression and molecular changes, focusing on insulin-independent glucose uptake in vascular cells.
Area of Science:
- Vascular Biology
- Endocrinology
- Molecular Medicine
Background:
- Endothelial dysfunction is an early indicator of diabetic vascular disease.
- Endothelial cells (EC) are crucial sensors of systemic changes, influencing vascular health.
- Hyperglycemia is a key risk factor for micro- and macrovascular complications in diabetes.
Purpose of the Study:
- To review the effects of hyperglycemia on vascular gene expression.
- To explore molecular mechanisms regulating glucose-induced changes in vascular cells.
- To highlight differences between insulin-dependent and insulin-independent glucose uptake in cellular models.
Main Methods:
- Literature review of studies on hyperglycemia and vascular gene expression.
- Analysis of in vitro studies using endothelial cells and other vascular cells.
- Examination of transcriptional and post-transcriptional regulatory mechanisms.
Main Results:
- Elevated glucose levels alter gene expression related to atherogenesis and angiogenesis.
- Molecular mechanisms in vascular cells differ from those in insulin-dependent cells.
- Hyperglycemia impacts vascular cell dynamics, tone, and permeability.
Conclusions:
- Understanding glucose-induced molecular changes in vascular cells is critical for addressing diabetic vascular complications.
- Further research into insulin-independent glucose transport mechanisms is needed.
- Targeting these pathways may offer new therapeutic strategies for diabetic vascular disease.
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