TY - JOUR
T1 - Novel therapeutic approaches for diabetic nephropathy and retinopathy
AU - Usuelli, Vera
AU - La Rocca, Ennio
PY - 2015/6/12
Y1 - 2015/6/12
N2 - Diabetes mellitus is a chronic disease that in the long-term increases the microvascular and macrovascular degenerative complications thus being responsible for a large part of death associated with diabetes. During the years, while preventive care for diabetic patients has improved, the increase in the prevalence of diabetes worldwide is continuous. The detrimental effects of diabetes mellitus result in microvascular diseases, which recognize hyperglycemia as major determinant. A significant number of potential therapeutic targets for the treatment of diabetic microvascular complications have been proposed, but the encouraging results obtained in preclinical studies, have largely failed in clinical trials. Currently, the most successful strategy to prevent microvascular complications of diabetes is the intensive treatment of hyperglycemia or the normalization of glycometabolic control achieved with pancreatic and islet transplantation. In this review, we focus on the novel therapeutic targets to prevent the development and progression of diabetic nephropathy and retinopathy microvascular complications.
AB - Diabetes mellitus is a chronic disease that in the long-term increases the microvascular and macrovascular degenerative complications thus being responsible for a large part of death associated with diabetes. During the years, while preventive care for diabetic patients has improved, the increase in the prevalence of diabetes worldwide is continuous. The detrimental effects of diabetes mellitus result in microvascular diseases, which recognize hyperglycemia as major determinant. A significant number of potential therapeutic targets for the treatment of diabetic microvascular complications have been proposed, but the encouraging results obtained in preclinical studies, have largely failed in clinical trials. Currently, the most successful strategy to prevent microvascular complications of diabetes is the intensive treatment of hyperglycemia or the normalization of glycometabolic control achieved with pancreatic and islet transplantation. In this review, we focus on the novel therapeutic targets to prevent the development and progression of diabetic nephropathy and retinopathy microvascular complications.
KW - Diabetic nephropathy
KW - Diabetic retinopathy
KW - Hyperglycemia
KW - Microvascular complications
KW - Type 1 diabetes
KW - Type 2 diabetes
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U2 - 10.1016/j.phrs.2014.10.003
DO - 10.1016/j.phrs.2014.10.003
M3 - Article
C2 - 25447794
AN - SCOPUS:84930763554
VL - 98
SP - 39
EP - 44
JO - Pharmacological Research
JF - Pharmacological Research
SN - 1043-6618
ER -