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Endothelial Loss and Repair in the Vascular Complications of Diabetes – Pathogenetic Mechanisms and Therapeutic Implications –

机译:糖尿病血管并发症中的内皮丢失和修复-发病机理和治疗意义-

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Although seemingly diverse, the tissue injury at sites of diabetic complications, whether in the heart, kidneys or eyes, shares the common histopathological feature of endothelial cell loss, a consequence of both increased cell death and deficient regeneration. In medium-sized and larger arteries the loss of the protective lining contributes to the atherosclerotic process, while at sites of microvascular disease endothelial cell loss leads to capillary rarefaction and ischemia. The pathophysiology of these changes and their consequences on organ structure and function in diabetes are reviewed, and the potential for endothelial regenerative strategies to enhance repair and ameliorate the long-term complications of diabetes is explored.??(Circ J?2013; 77: 849–856)
机译:尽管看似多样,但无论是在心脏,肾脏还是眼睛上,糖尿病并发症部位的组织损伤都具有内皮细胞丢失的共同组织病理学特征,这是细胞死亡增加和再生不足的结果。在中型和较大的动脉中,保护性衬里的丢失有助于动脉粥样硬化过程,而在微血管疾病的部位,内皮细胞的丢失导致毛细血管稀疏和局部缺血。综述了这些变化的病理生理及其对糖尿病器官结构和功能的影响,并探讨了通过内皮再生策略增强修复和改善糖尿病长期并发症的潜力。(Circ J?2013; 77: 849–856)

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