Review Article

内皮作为糖尿病的治疗靶点:从基本机制到临床实践

卷 27, 期 7, 2020

页: [1089 - 1131] 页: 43

弟呕挨: 10.2174/0929867326666190119154152

价格: $65

摘要

内皮通过调节动脉血压,分配营养素和激素以及提供调节凝血,纤维蛋白溶解和炎症的光滑表面,在人类体内平衡中起着至关重要的作用。血管内皮功能障碍存在于糖尿病(DM)中,并有助于大血管疾病的发展和进展,同时也与大多数微血管并发症(如糖尿病性视网膜病,肾病和神经病)有关。高血糖,胰岛素抵抗,高胰岛素血症和血脂异常是内皮功能障碍发病机理中的主要因素。关于抗糖尿病药物,二甲双胍,格列齐特,吡格列酮,艾塞那肽和达格列净对血管内皮功能(EF)产生有益作用;格列美脲和格列本脲,二肽基肽酶-4抑制剂和利拉鲁肽具有中性作用,而研究胰岛素类似物,依帕列净和卡那列净对EF影响的研究有限。在降脂药物方面,他汀类药物可改善DM患者的EF,而短期试验的数据表明非诺贝特可改善EF。依折麦布也可以改善EF,但需要对DM患者进行进一步的研究。乙酰水杨酸对EF的作用是剂量依赖性的,较低的剂量可以改善EF,而较高的剂量则不能。氯吡格雷可改善EF,但需要在DM受试者中进行更多研究。此外,血管紧张素转化酶抑制剂/血管紧张素II受体阻滞剂可改善EF。 5型磷酸二酯酶抑制剂可改善海绵体中的EF。最后,西洛他唑对EF有良好的作用,但是,DM患者还需要更多数据。

关键词: 内皮,糖尿病,糖尿病并发症,抗糖尿病药,降脂药,抗血小板药,降压药。

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