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Related Concept Videos

Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

Type 1 diabetes mellitus arises from an immune-mediated destruction of pancreatic β-cells, resulting in an absolute deficiency of insulin. This process develops in genetically susceptible individuals when autoimmunity, environmental exposures, and immunologic dysregulation converge to trigger a targeted attack on the insulin-producing cells of the pancreas. The β-cells are located within the islets of Langerhans and are essential for regulating blood glucose by facilitating cellular uptake of...
Type II Diabetes II: Pathophysiology01:24

Type II Diabetes II: Pathophysiology

PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Diabetic Neuropathy01:22

Diabetic Neuropathy

DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...

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Updated: May 9, 2026

Isolation of Murine Coronary Vascular Smooth Muscle Cells
08:24

Isolation of Murine Coronary Vascular Smooth Muscle Cells

Published on: May 30, 2016

Vascular smooth muscle function: defining the diabetic vascular phenotype.

Rosa Maria Bruno1, Lorenzo Ghiadoni

  • 1Institute of Clinical Physiology - CNR, Via G Moruzzi 1, 56124 Pisa, Italy. rosam.bruno@gmail.com

Diabetologia
|August 3, 2013
PubMed
Summary

Vascular smooth muscle (VSM) dysfunction is significantly impaired in type 2 diabetes, amplifying endothelial dysfunction. This highlights VSM cells as key players in diabetic vascular complications, warranting further investigation.

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Isolation of Murine Coronary Vascular Smooth Muscle Cells
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Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
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08:28

Isolation of Primary Patient-specific Aortic Smooth Muscle Cells and Semiquantitative Real-time Contraction Measurements In Vitro

Published on: February 15, 2022

Area of Science:

  • Vascular Biology
  • Endocrinology
  • Cardiovascular Research

Background:

  • Type 2 diabetes mellitus is associated with endothelial dysfunction.
  • The role of vascular smooth muscle (VSM) cells in this dysfunction is not fully understood.
  • Reduced nitric oxide (NO) availability is a known factor in diabetic vascular complications.

Purpose of the Study:

  • To investigate the function of vascular smooth muscle (VSM) cells in individuals with type 2 diabetes compared to healthy individuals.
  • To determine the association between endothelial function and VSM function, particularly in the microcirculation.
  • To explore the potential role of VSM cells in amplifying the consequences of reduced NO availability in type 2 diabetes.

Main Methods:

  • Meta-analysis of existing studies comparing VSM function in type 2 diabetic patients and healthy individuals.
  • Assessment of endothelial function and VSM function, with a focus on microcirculatory parameters.
  • Analysis of the relationship between VSM cell responsiveness to NO and endothelial dysfunction.

Main Results:

  • Significant impairment of vascular smooth muscle (VSM) function was observed in type 2 diabetic patients.
  • A strong association between endothelial function and VSM function was found, especially in the microcirculation.
  • Unresponsiveness of VSM cells to NO was confirmed as a factor amplifying the effects of reduced NO availability.

Conclusions:

  • Vascular smooth muscle (VSM) cells are key players in endothelial dysfunction observed in type 2 diabetes.
  • VSM dysfunction appears to be an integral feature of the vascular phenotype in type 2 diabetes mellitus.
  • Further research is needed to explore causative mechanisms and the prognostic significance of VSM dysfunction in diabetes and high cardiovascular risk conditions.