PMID- 34489872 OWN - NLM STAT- MEDLINE DCOM- 20220214 LR - 20220214 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 12 DP - 2021 TI - Roles and Mechanisms of Dipeptidyl Peptidase 4 Inhibitors in Vascular Aging. PG - 731273 LID - 10.3389/fendo.2021.731273 [doi] LID - 731273 AB - Vascular aging is characterized by alterations in the constitutive properties and biological functions of the blood vessel wall. Endothelial cells (ECs) and vascular smooth muscle cells (VSMCs) are indispensability elements in the inner layer and the medial layer of the blood vessel wall, respectively. Dipeptidyl peptidase-4 (DPP4) inhibitors, as a hypoglycemic agent, play a protective role in reversing vascular aging regardless of their effects in meliorating glycemic control in humans and animal models of type 2 diabetes mellitus (T2DM) through complex cellular mechanisms, including improving EC dysfunction, promoting EC proliferation and migration, alleviating EC senescence, obstructing EC apoptosis, suppressing the proliferation and migration of VSMCs, increasing circulating endothelial progenitor cell (EPC) levels, and preventing the infiltration of mononuclear macrophages. All of these showed that DPP4 inhibitors may exert a positive effect against vascular aging, thereby preventing vascular aging-related diseases. In the current review, we will summarize the cellular mechanism of DPP4 inhibitors regulating vascular aging; moreover, we also intend to compile the roles and the promising therapeutic application of DPP4 inhibitors in vascular aging-related diseases. CI - Copyright (c) 2021 Cao, Wu, Zhu and Bao. FAU - Cao, Fen AU - Cao F AD - Department of Cardiology, Huaihua First People's Hospital, Huaihua, China. FAU - Wu, Kun AU - Wu K AD - Department of Neurology, Huaihua First People's Hospital, Huaihua, China. FAU - Zhu, Yong-Zhi AU - Zhu YZ AD - Department of Cardiology, Huaihua First People's Hospital, Huaihua, China. FAU - Bao, Zhong-Wu AU - Bao ZW AD - Department of Cardiology, Huaihua First People's Hospital, Huaihua, China. LA - eng PT - Journal Article PT - Review DEP - 20210817 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) SB - IM MH - Aging/drug effects/*pathology MH - Animals MH - Diabetes Mellitus, Type 2/complications/drug therapy/pathology/physiopathology MH - Diabetic Angiopathies/etiology/pathology/physiopathology/prevention & control MH - Dipeptidyl-Peptidase IV Inhibitors/*pharmacology/therapeutic use MH - Endothelial Cells/drug effects/pathology/physiology MH - Humans MH - Signal Transduction/drug effects MH - Vascular Diseases/*drug therapy/*etiology PMC - PMC8416540 OTO - NOTNLM OT - DPP4 inhibitors OT - diseases OT - endothelial cells OT - endothelial progenitor cells OT - mononuclear macrophages OT - vascular aging OT - vascular smooth muscle cells COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/09/08 06:00 MHDA- 2022/02/15 06:00 PMCR- 2021/01/01 CRDT- 2021/09/07 07:43 PHST- 2021/06/26 00:00 [received] PHST- 2021/07/21 00:00 [accepted] PHST- 2021/09/07 07:43 [entrez] PHST- 2021/09/08 06:00 [pubmed] PHST- 2022/02/15 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2021.731273 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2021 Aug 17;12:731273. doi: 10.3389/fendo.2021.731273. eCollection 2021.