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Updated: Jul 12, 2025

Author Spotlight: A Pharmacodissection Approach to Uncover Mechanisms in Cardiovascular Disease Risk Populations
Published on: July 21, 2023
Common mechanisms underlying diabetic vascular complications: focus on the interaction of metabolic disorders,
Chongxiang Xue1,2, Keyu Chen1,2, Zezheng Gao1,3
1Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, No.5 BeiXianGe Street, Xicheng District, Beijing, 100053, China.
Insights
Diabetic vascular complications (DVCs) stem from endothelial dysfunction caused by hyperglycemia and lipid disorders. Targeting common underlying mechanisms offers new strategies for diabetes mellitus (DM) secondary prevention.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Metabolic Disorders
Background:
- Diabetic vascular complications (DVCs) are a leading cause of mortality in diabetes mellitus (DM).
- Endothelial dysfunction is the primary pathogenic event initiating DVCs.
- Hyperglycemia and dyslipidemia are key metabolic contributors to endothelial dysfunction.
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 and role step for the pathogenesis of DVCs. Hyperglycemia and lipid metabolism disorders contribute to endothelial dysfunction via direct injury of metabolism products, crosstalk between immunity and inflammation, as well as related interaction network. Although physiological and phenotypic differences support their specified changes in different targeted organs, there are still several common mechanisms underlying DVCs. Also, inhibitors of these common mechanisms may decrease the incidence of DVCs effectively. Thus, this review may provide new insights into the possible measures for the secondary prevention of DM. And we discussed the current limitations of those present preventive measures in DVCs research. Video Abstract.
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