2007
DOI: 10.2337/db06-1198
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Hyperglycemia Is a Major Determinant of Albumin Permeability in Diabetic Microcirculation

Abstract: Increased permeability to albumin is a well-known feature of diabetic microvasculature and a negative prognostic factor of vascular complications. The mechanisms responsible for loss of the physiological albumin barrier in diabetic organs remain only partially understood. We have recently demonstrated that the protease -calpain is activated in hyperglycemia, which causes endothelial dysfunction and vascular inflammation. In the present study, we investigated whether -calpain is involved in the hyperpermeabilit… Show more

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Cited by 54 publications
(49 citation statements)
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“…Hyperglycemia is recognized as a major factor in the pathogenesis of atherosclerosis in diabetes (Laakso 1999). High glucose had been reported to increase the permeability of ECs of umbilical vein (Dang et al 2005) or micro-vessels (Scalia et al 2007) in human. In the present study, high glucose incubation induced hyperpermeability in monolayer aortic ECs.…”
Section: Discussionmentioning
confidence: 99%
“…Hyperglycemia is recognized as a major factor in the pathogenesis of atherosclerosis in diabetes (Laakso 1999). High glucose had been reported to increase the permeability of ECs of umbilical vein (Dang et al 2005) or micro-vessels (Scalia et al 2007) in human. In the present study, high glucose incubation induced hyperpermeability in monolayer aortic ECs.…”
Section: Discussionmentioning
confidence: 99%
“…associated with asthma (35). For example, high glucose acts directly on endothelial cells to increase endothelial permeability and increase leukocyte adhesion (57). Acute glucose challenge stimulates monocytes to increase expression of proinflammatory cytokines and chemokines (60) and stimulates release of reactive oxygen species (ROS) from leukocytes (46).…”
Section: Discussionmentioning
confidence: 99%
“…36 Microvascular permeability to large molecules such as albumin is increased in diabetes, a process that is linked to hyperglycemia and ROS. 37 Several studies have shown impaired coronary flow reserve in diabetic individuals in the absence of coronary artery stenosis. 38 -41 In people with type 2 diabetes, coronary flow reserve is inversely related to hemoglobin A 1C and fasting plasma glucose levels, 39 which suggests that chronic hyperglycemia is a key factor.…”
Section: Diabetes Mellitusmentioning
confidence: 99%