Suppr超能文献

生长因子失调与磷酸酶在糖尿病外周动脉疾病中的新作用

Growth Factor Deregulation and Emerging Role of Phosphatases in Diabetic Peripheral Artery Disease.

作者信息

Mercier Clément, Rousseau Marina, Geraldes Pedro

机构信息

Department of Medicine, Division of Endocrinology, Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada.

出版信息

Front Cardiovasc Med. 2021 Jan 7;7:619612. doi: 10.3389/fcvm.2020.619612. eCollection 2020.

Abstract

Peripheral artery disease is caused by atherosclerosis of lower extremity arteries leading to the loss of blood perfusion and subsequent critical ischemia. The presence of diabetes mellitus is an important risk factor that greatly increases the incidence, the progression and the severity of the disease. In addition to accelerated disease progression, diabetic patients are also more susceptible to develop serious impairment of their walking abilities through an increased risk of lower limb amputation. Hyperglycemia is known to alter the physiological development of collateral arteries in response to ischemia. Deregulation in the production of several critical pro-angiogenic factors has been reported in diabetes along with vascular cell unresponsiveness in initiating angiogenic processes. Among the multiple molecular mechanisms involved in the angiogenic response, protein tyrosine phosphatases are potent regulators by dephosphorylating pro-angiogenic tyrosine kinase receptors. However, evidence has indicated that diabetes-induced deregulation of phosphatases contributes to the progression of several micro and macrovascular complications. This review provides an overview of growth factor alterations in the context of diabetes and peripheral artery disease, as well as a description of the role of phosphatases in the regulation of angiogenic pathways followed by an analysis of the effects of hyperglycemia on the modulation of protein tyrosine phosphatase expression and activity. Knowledge of the role of phosphatases in diabetic peripheral artery disease will help the development of future therapeutics to locally regulate phosphatases and improve angiogenesis.

摘要

外周动脉疾病由下肢动脉粥样硬化引起,导致血液灌注丧失及随后的严重缺血。糖尿病的存在是一个重要的危险因素,会大大增加该疾病的发病率、进展速度和严重程度。除了疾病进展加速外,糖尿病患者还更容易因下肢截肢风险增加而出现严重的行走能力受损。已知高血糖会改变侧支动脉在缺血反应中的生理发育。糖尿病患者体内多种关键促血管生成因子的产生失调,同时血管细胞在启动血管生成过程中也无反应。在血管生成反应涉及的多种分子机制中,蛋白酪氨酸磷酸酶通过使促血管生成酪氨酸激酶受体去磷酸化而成为强有力的调节因子。然而,有证据表明糖尿病导致的磷酸酶失调会促使多种微血管和大血管并发症的进展。本综述概述了糖尿病和外周动脉疾病背景下生长因子的改变,描述了磷酸酶在调节血管生成途径中的作用,随后分析了高血糖对蛋白酪氨酸磷酸酶表达和活性调节的影响。了解磷酸酶在糖尿病外周动脉疾病中的作用将有助于开发未来疗法,以局部调节磷酸酶并改善血管生成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8655/7817696/8335a99df5a8/fcvm-07-619612-g0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验