2004
DOI: 10.1152/ajpheart.00026.2004
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Insulin resistance and hypertension

Abstract: Diminished insulin (Ins) sensitivity is a characteristic feature of various pathological conditions such as the cardiometabolic syndrome, Type 2 diabetes, and hypertension. Persons with essential hypertension are more prone than normotensive persons to develop diabetes, and this propensity may reflect decreased ability of Ins to promote relaxation and glucose transport in vascular and skeletal muscle tissue, respectively. There are increasing data suggesting that ANG II acting through its ANG type 1 receptor i… Show more

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Cited by 397 publications
(430 citation statements)
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References 84 publications
(120 reference statements)
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“…23 Insulin resistance is believed to be a key underlying metabolic abnormality in the syndrome. 24,25 Our hypertensive and age-and sex-matched normotensive subjects differed not just in blood pressure, but also in the other aspects of the metabolic syndrome. We believe that obesity, particularly central obesity, is an early abnormality in the cardiovascular continuum.…”
Section: Discussionmentioning
confidence: 96%
“…23 Insulin resistance is believed to be a key underlying metabolic abnormality in the syndrome. 24,25 Our hypertensive and age-and sex-matched normotensive subjects differed not just in blood pressure, but also in the other aspects of the metabolic syndrome. We believe that obesity, particularly central obesity, is an early abnormality in the cardiovascular continuum.…”
Section: Discussionmentioning
confidence: 96%
“…Delivery of insulin to skeletal muscle cells via blood vessels plays a key role in the regulation of whole-body glucose utilization 46) . Both β2-AR in blood vessels 47) and insulin 48) induce vascular relaxation. Our finding that orexin injection into the VMH enhanced the insulin-induced tyrosine-phosphorylation of IR in skeletal muscle suggests that orexin might promote insulin delivery to muscle cells by inducing the activation of β2-AR in blood vessels.…”
Section: Orexin Increases Glucose Uptake and Insulin Sensitivity In Smentioning
confidence: 99%
“…Ion transport in the renal proximal tubule (RPT) is increased in essential hypertension, which is regulated by numerous hormones and humoral factors, including insulin and dopamine 2, 3. Activation of dopamine receptor inhibits sodium reabsorption, whereas activation of insulin receptor increases sodium reabsorption in RPTs 3, 4. Insulin has various effects.…”
Section: Introductionmentioning
confidence: 99%