1997
DOI: 10.1007/s001250051422
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Cytosolic NADH/NAD + , free radicals, and vascular dysfunction in early diabetes mellitus

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Cited by 113 publications
(71 citation statements)
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“…Cardiovascular depression, characterized by depressed mean arterial blood pressure (MABP), heart rate (HR), and attenuated pressor responses to vasoactive agents is one of the most notable manifestations of this derangement, particularly in animal models of Type 1 diabetes. Although the exact mechanisms by which diabetes contributes to cardiovascular depression are currently unknown, it is likely that hyperglycemia may initiate this abnormality through the activation of protein kinase C, increased activity of the polyol pathway, formation of nonenzymatic advanced glycosylation end products, oxidative stress, and/or possibly by induction of nitric oxide (NO) synthase (NOS) (19,42).The role of NO in the regulation of hemodynamics under hyperglycemic conditions has been controversial. Despite an impairment of endothelial function and reduced bioavailability of endothelium-derived NO, streptozotocin (STZ)-induced diabetic rats are not hypertensive but instead are normotensive or hypotensive (9,14,18,20,23,31,39,44).…”
mentioning
confidence: 99%
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“…Cardiovascular depression, characterized by depressed mean arterial blood pressure (MABP), heart rate (HR), and attenuated pressor responses to vasoactive agents is one of the most notable manifestations of this derangement, particularly in animal models of Type 1 diabetes. Although the exact mechanisms by which diabetes contributes to cardiovascular depression are currently unknown, it is likely that hyperglycemia may initiate this abnormality through the activation of protein kinase C, increased activity of the polyol pathway, formation of nonenzymatic advanced glycosylation end products, oxidative stress, and/or possibly by induction of nitric oxide (NO) synthase (NOS) (19,42).The role of NO in the regulation of hemodynamics under hyperglycemic conditions has been controversial. Despite an impairment of endothelial function and reduced bioavailability of endothelium-derived NO, streptozotocin (STZ)-induced diabetic rats are not hypertensive but instead are normotensive or hypotensive (9,14,18,20,23,31,39,44).…”
mentioning
confidence: 99%
“…Cardiovascular depression, characterized by depressed mean arterial blood pressure (MABP), heart rate (HR), and attenuated pressor responses to vasoactive agents is one of the most notable manifestations of this derangement, particularly in animal models of Type 1 diabetes. Although the exact mechanisms by which diabetes contributes to cardiovascular depression are currently unknown, it is likely that hyperglycemia may initiate this abnormality through the activation of protein kinase C, increased activity of the polyol pathway, formation of nonenzymatic advanced glycosylation end products, oxidative stress, and/or possibly by induction of nitric oxide (NO) synthase (NOS) (19,42).…”
mentioning
confidence: 99%
“…It is possible that certain antioxidants therapies indeed promote "reductive stress", a phenomenon that has been largely overlooked, but is appreciated by some to be major perpetrators of injury. Indeed, diseases associated with a lack of oxygen availability (such as hypoxia, ischemia) whilst commonly associated with oxidative stress are indeed subject to reductive stress, evidenced by an enhanced NADH:NAD 1 ratio [7][8][9][10]. Similarly, reductive stress involving elevated reduced GSH levels has been implicated in cardiomyopathies in mice expressing mutant chaperone proteins [11].…”
Section: Introduction: Stress From Altered Cellular Redoxmentioning
confidence: 99%
“…Reductive stress also induces up-regulation of the minor isoforms of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) caused by an excess of NADH [12]. The increase in reducing equivalents, for a variety of reasons renders the tissues susceptible to free radical accumulation [7]. This may also occur with antioxidant therapy, as reduced forms of these molecules are ultimately electron donors.…”
Section: Introduction: Stress From Altered Cellular Redoxmentioning
confidence: 99%
“…Abnormalities in ascorbic acid metabolism (6), impaired GSH synthesis and thiol transport (7), and significant defects of chain-breaking antioxidant blood protection (8) have all been described in patients with both type 1 and type 2 diabetes. Increased cytosolic reductive stress associated with an increased ratio of NADH to NAD ϩ is a candidate mechanism of early diabetes-induced glomerular dysfunction, manifested as increases in blood flow, glomerular filtration rate, and microalbuminuria (9).…”
mentioning
confidence: 99%