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Published on: May 12, 2026
G protein-linked cell signaling and cardiovascular functions in diabetes/hyperglycemia
Shehla Hashim1, Yuan Li, Madhu B Anand-Srivastava
1Department of Physiology and Groupe de recherche sur le système nerveux autonome (GRSNA), Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.
Abstract:
Vascular complications, including impaired contractility and increased cell proliferation, are the most common complications with diabetes. Chronic hyperglycemia seems to be an important contributing factor in this process. Various signaling pathways are implicated in diabetes/hyperglycemia-induced impaired vascular functions. Nonenzymatic glycation, enhanced production of diacylglycerol, increased activity of membranous protein kinase C (PKC), and increased oxidative stress have been proposed to explain the adverse effects of hyperglycemia on vascular smooth muscle cells. Hyperglycemia-induced stimulation of L-type Ca2+ channel via G protein-coupled adenylyl cyclase/cAMP and phospholipase C/PKC pathways also has been shown. In addition, hyperglycemia has been reported to decrease the availability of nitric oxide in humans, which may contribute to all the hemodynamic and physiological changes occurring in diabetes. G protein-adenylyl cyclase signaling that plays an important role in the regulation of cardiovascular functions also has been reported to be impaired in diabetes and under hyperglycemic conditions. In this review article, various G protein-linked cell signaling and functions in diabetes and hyperglycemia are discussed.
Insights
Diabetes complications like impaired vascular function stem from chronic hyperglycemia. This review explores how G protein-linked cell signaling pathways are altered, contributing to these vascular issues in diabetes.
Area of Science:
- Cardiovascular Biology
- Endocrinology
- Molecular Signaling
Background:
- Vascular complications, including impaired contractility and increased cell proliferation, are common in diabetes.
- Chronic hyperglycemia is a key contributor to these adverse vascular effects.
Purpose of the Study:
- To review the various G protein-linked cell signaling pathways affected by diabetes and hyperglycemia.
- To discuss the implications of these signaling pathway alterations on vascular function.
Main Methods:
- Literature review of studies investigating cellular and molecular mechanisms in diabetes-induced vascular dysfunction.
- Analysis of signaling pathways including nonenzymatic glycation, protein kinase C (PKC), oxidative stress, and G protein-adenylyl cyclase signaling.
Main Results:
- Hyperglycemia affects vascular smooth muscle cells via pathways like PKC activation and oxidative stress.
- G protein-coupled adenylyl cyclase/cAMP and phospholipase C/PKC pathways are implicated in hyperglycemia-induced L-type Ca2+ channel stimulation.
- Hyperglycemia reduces nitric oxide availability and impairs G protein-adenylyl cyclase signaling.
Conclusions:
- Dysregulation of G protein-linked cell signaling pathways is a significant factor in diabetes-related vascular complications.
- Understanding these pathways is crucial for developing therapeutic strategies to manage diabetic vascular disease.
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