Pickering Raelene J, Rosado Carlos J, Sharma Arpeeta, Buksh Shareefa, Tate Mitchel, de Haan Judy B
Department of Diabetes Central Clinical School Monash University Melbourne VIC Australia.
Oxidative Stress Laboratory Basic Science Domain Baker Heart and Diabetes Institute Melbourne VIC Australia.
Clin Transl Immunology. 2018 Apr 18;7(4):e1016. doi: 10.1002/cti2.1016. eCollection 2018.
Diabetes is considered a major burden on the healthcare system of Western and non-Western societies with the disease reaching epidemic proportions globally. Diabetic patients are highly susceptible to developing micro- and macrovascular complications, which contribute significantly to morbidity and mortality rates. Over the past decade, a plethora of research has demonstrated that oxidative stress and inflammation are intricately linked and significant drivers of these diabetic complications. Thus, the focus now has been towards specific mechanism-based strategies that can target both oxidative stress and inflammatory pathways to improve the outcome of disease burden. This review will focus on the mechanisms that drive these diabetic complications and the feasibility of emerging new therapies to combat oxidative stress and inflammation in the diabetic milieu.
糖尿病被认为是西方和非西方社会医疗系统的重大负担,该疾病在全球范围内已达到流行程度。糖尿病患者极易发生微血管和大血管并发症,这些并发症对发病率和死亡率有显著影响。在过去十年中,大量研究表明氧化应激和炎症相互关联,并且是这些糖尿病并发症的重要驱动因素。因此,目前的重点已转向基于特定机制的策略,这些策略可以针对氧化应激和炎症途径,以改善疾病负担的结果。本综述将重点关注导致这些糖尿病并发症的机制,以及在糖尿病环境中对抗氧化应激和炎症的新兴新疗法的可行性。