PMID- 30170601 OWN - NLM STAT- MEDLINE DCOM- 20190128 LR - 20230928 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 17 IP - 1 DP - 2018 Aug 31 TI - Endothelial dysfunction and platelet hyperactivity in type 2 diabetes mellitus: molecular insights and therapeutic strategies. PG - 121 LID - 10.1186/s12933-018-0763-3 [doi] LID - 121 AB - The incidence and prevalence of diabetes mellitus is rapidly increasing worldwide at an alarming rate. Type 2 diabetes mellitus (T2DM) is the most prevalent form of diabetes, accounting for approximately 90-95% of the total diabetes cases worldwide. Besides affecting the ability of body to use glucose, it is associated with micro-vascular and macro-vascular complications. Augmented atherosclerosis is documented to be the key factor leading to vascular complications in T2DM patients. The metabolic milieu of T2DM, including insulin resistance, hyperglycemia and release of excess free fatty acids, along with other metabolic abnormalities affects vascular wall by a series of events including endothelial dysfunction, platelet hyperactivity, oxidative stress and low-grade inflammation. Activation of these events further enhances vasoconstriction and promotes thrombus formation, ultimately resulting in the development of atherosclerosis. All these evidences are supported by the clinical trials reporting the importance of endothelial dysfunction and platelet hyperactivity in the pathogenesis of atherosclerotic vascular complications. In this review, an attempt has been made to comprehensively compile updated information available in context of endothelial and platelet dysfunction in T2DM. FAU - Kaur, Raminderjit AU - Kaur R AD - Department of Molecular Biology & Biochemistry, Guru Nanak Dev University, Amritsar, Punjab, India. FAU - Kaur, Manpreet AU - Kaur M AD - Department of Human Genetics, Guru Nanak Dev University, Amritsar, Punjab, India. FAU - Singh, Jatinder AU - Singh J AD - Department of Molecular Biology & Biochemistry, Guru Nanak Dev University, Amritsar, Punjab, India. jatinterarora2009@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20180831 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Fibrinolytic Agents) RN - 0 (Hypoglycemic Agents) RN - 0 (Inflammation Mediators) RN - 0 (Platelet Aggregation Inhibitors) SB - IM MH - Animals MH - Atherosclerosis/*blood/drug therapy/epidemiology/physiopathology MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Blood Platelets/drug effects/*metabolism MH - Diabetes Mellitus, Type 2/*blood/drug therapy/epidemiology/physiopathology MH - Diabetic Angiopathies/*blood/drug therapy/epidemiology/physiopathology MH - Endothelium, Vascular/drug effects/*metabolism/physiopathology MH - Fibrinolytic Agents/therapeutic use MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Inflammation Mediators/blood MH - Oxidative Stress MH - *Platelet Activation/drug effects MH - Platelet Aggregation Inhibitors/therapeutic use MH - Thrombosis/*blood/drug therapy/epidemiology/physiopathology MH - *Vasoconstriction/drug effects PMC - PMC6117983 OTO - NOTNLM OT - Hyperglycemia OT - Inflammation OT - Insulin resistance OT - Oxidative stress OT - Vascular complications EDAT- 2018/09/02 06:00 MHDA- 2019/01/29 06:00 PMCR- 2018/08/31 CRDT- 2018/09/02 06:00 PHST- 2018/07/19 00:00 [received] PHST- 2018/08/20 00:00 [accepted] PHST- 2018/09/02 06:00 [entrez] PHST- 2018/09/02 06:00 [pubmed] PHST- 2019/01/29 06:00 [medline] PHST- 2018/08/31 00:00 [pmc-release] AID - 10.1186/s12933-018-0763-3 [pii] AID - 763 [pii] AID - 10.1186/s12933-018-0763-3 [doi] PST - epublish SO - Cardiovasc Diabetol. 2018 Aug 31;17(1):121. doi: 10.1186/s12933-018-0763-3.