Document Detail


Is inflammation a common retinal-renal-nerve pathogenic link in diabetes?
MedLine Citation:
PMID:  20594163     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The global diabetes burden is predicted to rise to 380 million by 2025 and would present itself as a major health challenge. However, both Type 1 and Type 2 diabetes increase the risk of developing micro-vascular complications and macro-vascular complications which in turn will have a devastating impact on quality of life of the patients and challenge health services Worldwide. The micro-vascular complications that affect small blood vessels are the leading cause of blindness (diabetic retinopathy) in the people of the working-age, end-stage renal disease (diabetic nephropathy) the most common cause of kidney failure today, and foot amputation (diabetic neuropathy) in patients with Type 1 and Type 2 diabetes. It is accepted that hyperglycemia is a major causative factor for the development of these complications, there is also growing evidence for the role of inflammation. Here we discuss low-grade inflammation as a common retinal-renal-nerve pathogenic link in patients with Type 1 and Type 2 diabetes. This review summarizes evidence showing a link between circulating and locally produced inflammatory biomarkers, such as cell adhesion molecules (vascular adhesion cell molecule-1, VCAM-1; intracellular adhesion molecule-1, ICAM-1), pro-inflammatory cytokines (interleukin-6, IL-6; tumour necrosis factor-alpha, TNF-α; C-reactive protein, CRP) with the development and progression of diabetic micro-vascular complications.
Authors:
Kirti Kaul; Andrea Hodgkinson; J M Tarr; Eva M Kohner; Rakesh Chibber
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current diabetes reviews     Volume:  6     ISSN:  1875-6417     ISO Abbreviation:  Curr Diabetes Rev     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2011-01-12     Revised Date:  2011-07-08    
Medline Journal Info:
Nlm Unique ID:  101253260     Medline TA:  Curr Diabetes Rev     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  294-303     Citation Subset:  IM    
Affiliation:
Institute of Biomedical and Clinical Science, Peninsula College of Medicine and Dentistry, University of Exeter & Plymouth, St Luke's Campus, Exeter EX1 2LU, UK.
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MeSH Terms
Descriptor/Qualifier:
Animals
Biological Markers / analysis,  blood,  metabolism
Diabetic Nephropathies / blood,  etiology,  metabolism,  pathology
Diabetic Neuropathies / blood,  etiology*,  metabolism,  pathology
Diabetic Retinopathy / blood,  etiology,  metabolism,  pathology
Humans
Inflammation / blood,  complications*,  metabolism,  pathology
Kidney / innervation*,  metabolism,  pathology
Models, Biological
Nephritis / blood,  complications,  metabolism,  pathology
Retina / immunology,  metabolism,  pathology
Retinal Neurons / metabolism,  pathology*
Retinitis / blood,  complications,  metabolism,  pathology
Chemical
Reg. No./Substance:
0/Biological Markers

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