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Endothelial dysfunction in diabetes: potential application of circulating markers as advanced diagnostic and prognostic tools

机译:糖尿病的内皮功能障碍:循环标记物作为高级诊断和预后工具的潜在应用

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Abstract Endothelial dysfunction is a predisposing factor for vascular disease in diabetes, which contributes significantly to the mortality of diabetic patients. The currently utilized assessment methods of endothelial function/dysfunction in humans are associated with various limitations. Circulating endothelial-derived/associated markers have been proposed as potential alternatives for evaluation of the endothelium in condition of vascular disorders. These indicators include von Willebrand factor, soluble thrombomodulin, soluble E-selectin, asymmetric dimethylarginine, tissue plasminogen activator, endothelial microparticles, circulating endothelial cells and circulating endothelial progenitor cells. While tentative evidence is available for most of these biomarkers to serve as reliable sources of information, their usefulness for routine clinical applications has not yet been established. Thus, circulating endothelial markers are currently the subject of intense research interest and it is anticipated that as more information becomes available their improved quantification will provide a suitable diagnostic and prognostic tool for vascular events in diabetes and related diseases.
机译:摘要内皮功能障碍是糖尿病血管疾病的诱发因素,对糖尿病患者的死亡率起重要作用。当前使用的人类内皮功能/功能障碍评估方法存在多种局限性。已经提出了循环内皮来源/相关标记物作为在血管疾病情况下评估内皮的潜在替代物。这些指标包括血管性血友病因子,可溶性血栓调节蛋白,可溶性E-选择素,不对称二甲基精氨酸,组织纤溶酶原激活物,内皮细胞微粒,循环内皮细胞和循环内皮祖细胞。尽管初步的证据可以使大多数这些生物标志物用作可靠的信息来源,但尚未确定其在常规临床应用中的有用性。因此,循环内皮标记物目前是引起广泛研究兴趣的主题,并且可以预料,随着可获得的更多信息,其改善的定量将为糖尿病和相关疾病中的血管事件提供合适的诊断和预后工具。

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