首页> 外文期刊>Expert opinion on therapeutic targets >The role of IGF-1 resistance in obesity and type 2 diabetes-mellitus-related insulin resistance and vascular disease.
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The role of IGF-1 resistance in obesity and type 2 diabetes-mellitus-related insulin resistance and vascular disease.

机译:IGF-1抵抗在肥胖和2型糖尿病相关胰岛素抵抗和血管疾病中的作用。

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摘要

IMPORTANCE OF THE FIELD: The insulin-resistant conditions of type 2 diabetes mellitus (T2DM) and obesity are a major cause of cardiovascular disease on a global scale. These disorders are not only a cause of ill health but are a huge financial drain on healthcare systems. T2DM leads to an increased risk of cardiovascular mortality equivalent to over 10 years of ageing while obesity independent of T2DM also leads to a substantially increased risk of acute myocardial infarction. Recent trials of therapeutic agents and approaches to preventing the cardiovascular complications of type 2 diabetes have been disappointing. AREAS COVERED IN THIS REVIEW: The role of insulin resistance in the endothelium in the regulation of the anti-atherosclerotic signalling molecule NO and a potential important role for IGF-1 in vascular NO production. WHAT THE READER WILL GAIN: A comprehensive understanding of how insulin and IGF-1 regulate vascular function and the effect of type 2 diabetes on these pathways. TAKE HOME MESSAGE: The roles of insulin and IGF-1 in vascular function are complex and intimately related. Nevertheless IGF-1 signalling in the arterial wall has the potential to be manipulated to protect the vasculature against the development of atherosclerosis and its devastating complications.
机译:领域的重要性:在全球范围内,2型糖尿病(T2DM)和肥胖症的胰岛素抵抗性疾病是心血管疾病的主要原因。这些疾病不仅是造成健康不良的原因,而且是医疗保健系统的巨额财务支出。 T2DM导致心血管死亡的风险增加,等同于超过10年的衰老,而肥胖症独立于T2DM也会导致急性心肌梗塞的风险大大增加。预防2型糖尿病心血管并发症的治疗剂和方法的最新试验令人失望。综述中涉及的领域:胰岛素抵抗在内皮细胞中对抗动脉粥样硬化信号分子NO的调节作用以及IGF-1在血管NO产生中的潜在重要作用。读者的收获:对胰岛素和IGF-1如何调节血管功能以及2型糖尿病对这些途径的影响的全面理解。温馨提示:胰岛素和IGF-1在血管功能中的作用是复杂且密切相关的。然而,动脉壁中的IGF-1信号传导有潜力被操纵来保护脉管系统免受动脉粥样硬化的发展及其破坏性并发症的影响。

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