Abstract
Diabetes and its complications impose a global health problem of enormous proportion1. One of the most challenging problems during the last few decades has involved the elucidation of the pathogenetic mechanisms responsible for chronic diabetic complications, in an attempt to develop targeted treatment strategies. The establishment of hyperglycemia as the key initiating factor for the development of chronic diabetic complications is a milestone in diabetes research2. However the mechanisms, at the cellular level, by which hyperglycemia affects tissue structures and functions leading to diabetic complications remain poorly understood. Exploration of these mechanisms are challenging due to their complex nature and are of vital importance as they will form the backbone for the development of adjuvant treatment strategies. Chronic complications affects multiple organ systems in diabetes. In this article we will address some of the pathogenetic mechanisms of diabetic heart disease as well as diabetic retinopathy where microvascular affection is of major pathogenetic importance.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
International Diabetes Federation Triennial Report 1991–1994, IDF, Brussels, 1994
The Diabetes Control and Complications Trial Research Group, The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes ellitus, N Engl J Merl 329:977 (1993).
National Society to prevent blindness; Vision problems in US. New York, 1980
J.R. Williamson, K. Chang, M. Frangos, K.S. Hasan, Y. Ido, T. Kawamura, J.R. Nyengaard, M. van den Enden, C. Kilo, R.G. Tilton, Hyperglycemic pseudohypoxia and diabetic complications. Diabetes. 42:801 (1993).
M. Brownlee, A. Cerami, and H. Vlassara, Advanced products of nonenzymatic glycosylation and the pathogenesis of diabetic vascular disease. Diabetes Metab Rev. 4:437 (1988).
D.A. Greene, S.A. Lattimer, A.A. Sima, Sorbitol, phosphoinositides, and sodium-potassium-ATPase in the pathogenesis of diabetic complications. N Engl JMed. 316:599 (1987).
G.L. King, F.J. Oliver, T. Inoguchi, T. Shiba, N.K. Banskota, Abnormalities of vascular endothelium in diabetesin: Diabetes Annual, S.M. Marshall, P.D. Home, K.G.M.M. Alberti, L.P. Krall, eds., Elsevier Publication, Amsterdam pp107 (1993).
D. Koya, G.L. King, Protein kinase C activation and the development of diabetic complications. Diabetes. 47:859 (1998).
NIH Publication # 96: 3926 (1995).
A. Shehadeh, T.J. Regan, Cardiac consequences of diabetes mellitus. Clin Cardiol. 18:301 (1995).
D.S. Bell, Diabetic cardiomyopathy. A unique entity or a complication of coronary artery disease? Diabetes Care. 18:708 (1995).
M.M. LeWinter, Diabetic cardiomyopathy: an overview. Coron Artery Dis. 7:95 (1996).
C.D. Furberg, H.P. Adams Jr W B Applegate, R.P. Byington, M.A. Espeland, T. Hartwell, D.B. Hunninghake, D.S. Lefkowitz, J. Probstfield, W.A. Riley, B. Young, Effect of Iovastatin on early carotid atherosclerosis and cardiovascular events. Asymptomatic Carotid Artery Progression Study (ACAPS) Research Group. Circulation. 90:1679 (1994).
K. Pyorala, M. Laakso, M. Uusitupa, Diabetes and atherosclerosis: an epidemiologic view. Diabetes Metab Rev. 3:463 (1987).
J. Stamler, O. Vaccaro, J.D. Neaton, D. Wentworth, Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care. 16:434 (1993).
M. Laakso, T. Ronnemaa, S. Lehto, P. Puukka, V. Kallio, K. Pyorala, Does NIDDM increase the risk for coronary heart disease similarly in both low-and high-risk populations? Diabetologia. 38:487 (1995).
M.P. Savage, A.S. Krolewski, G.G. Kenien, M.P. Lebeis, A.R. Christlieb, S.M. Lewis, Acute myocardial infarction in diabetes mellitus and significance of congestive heart failure as a prognostic factor. Am J Cardiol. 62:665 (1988).
A.S. Jaffe, J.J. Spadaro, K. Schechtman, R. Roberts, E.M. Geltman, B.E. Sobel, Increased congestive heart failure after myocardial infarction of modest extent in patients with diabetes mellitus. Am Heart J. 108:31 (1984).
J.W. Smith, F.I. Marcus, R. Serokman, Prognosis of patients with diabetes mellitus after acute myocardial infarction. Am J Cardiol. 54:718 (1984).
J. Pirart, Diabetes mellitus and its degenerative complications. A prospective study of 4400 patients observed between 1947 and 1973. Diabetes Care. 1:168 (1978).
G. Suarez, Nonenzymatic browning of proteins and the sorbitol pathway. Prog Clin Biol Res. 304:141 (1989).
G.L. King, M. Kunisaki, Y. Nishio, T. Inoguchi, T. Shiba, P. Xia, Biochemical and molecular mechanisms in the development of diabetic vascular complications. Diabetes, 45 Suppl. 3:S105 (1996).
T. Inoguchi, R. Battan, E. Handler, J.R. Sportsman, W. Heath, G.L. King, Preferential elevation of protein kinase C isoform beta II and diacylglycerol levels in the aorta and heart of diabetic rats: differential reversibility to glycemic control by islet cell transplantation, Proc Nail Acad Sci USA, 89:11059 (1992).
Y. Tanaka, A. Kashiwagi, T. Ogawa, N. Abe, T. Asahina, M. Ikebuchi, Y. Takagi, Y. Shigeta, Effect of verapamil on cardiac protein kinase C activity in diabetic rats, Eur J Pharmacol. 200:353 (1991).
N. Kaiser, S. Sasson. E.P. Feener, N. Boukobza-Vardi, S. Higashi, D.E. Moller, S. Davidheiser, R.J. Przybylski, G.L. King, Differential regulation of glucose transport and transporters by glucose in vascular endothelial and smooth muscle cells. Diabetes, 42:80 (1993).
L.A. Vasilets, W. Schwarz, Structure-function relationships of cation binding in the Ná K’-ATPase, Biochim Biophys Acta. 1154:201 (1993).
Y. Nishio, C.E. Warren, J.A. Buczek-Thomas, J. Rulfs, D. Koya, L.P. Aiello, E.P. Feener, T.B. Miller Jr, J.W. Dennis, G.L. King, Identification and characterization of a gene regulating enzymatic glycosylation which is induced by diabetes and hyperglycemia specifically in rat cardiac tissue, J Clin Invest. 96:1759 (1995).
Y. Nishio, L.P. Aiello, G.L. King, Glucose induced genes in bovine aortic smooth muscle cells identified by mRNA differential display, FASEB J. 8:103 (1994).
L.P. Aiello, G.S. Robinson, Y.W. Lin, Y. Nishio, G.L. King, Identification of multiple genes in bovine retinal pericytes altered by exposure to elevated levels of glucose by using mRNA differential display, Proc Natl Acad Sci USA. 91:6231 (1994).
Y. Nishizuka, Intracellular signaling by hydrolysis of phospholipids and activation of protein kinase C. Science. 258:607 (1992).
T. Shiba, T. Inoguchi, J.R. Sportsman, W.F. Heath, S. Bursell, G.L. King, Correlation of diacylglycerol level and protein kinase C activity in rat retina to retinal circulation, Am J Physiol. 265:E783 (1993).
P.A. Craven, F.R. DeRubertis, Protein kinase C is activated in glomeruli from streptozotocin diabetic rats. Possible mediation by glucose, J Clin Invest. 83:1667 (1989).
H. Ishii, M.R. Jirousek, D. Koya, C. Takagi, P. Xia, A. Clermont, S.E. Bursell, T.S. Kern, L.M. Ballas, W.F. Heath, L.E. Stramm, E.P. Feener, G.L. King, Amelioration of vascular dysfunctions in diabetic rats by an oral PKC beta inhibitor, Science. 272:728 (1996).
P.M. Vanhoutte, Endothelin-1. A matter of life and breath, Nature. 368:693 (1994).
M.S. Simonson, Endothelins: multifunctional renal peptides, Physiol Rev. 73:375 (1993).
E.L. Schiffrin, The endothelium and control of blood vessel function in health and diseaseClin Invest Med, 17:602 (1994).
G.M. Rubanyi, M.A. Polokoff, Endothelins: molecular biology, biochemistry, pharmacology, physiology, and pathophysiology, Pharmacol Rev, 46:325 (1994).
J.P. Huggins, J.T. Pelton, R.C. Miller, The structure and specificity of endothelin receptors: their importance in physiology and medicine, Pharmacol Ther. 59:55 (1993).
Y. Kurihara, H. Kurihara. H. Suzuki, T. Kodama, K. Maemura, R. Nagai, H. Oda, T. Kuwaki, W.H. Cao, N. Kamada, K. Jishage, Y. Ouchi, S. Azuma, Y. Toyoda, T. Ishikawa, M. Kumada, Y. Yazaki, Elevated blood pressure and craniofacial abnormalities in mice deficient in endothelin-1, Nature. 368:703 (1994).
A. Peri, G.B. Vannelli, G. Fantoni, S. Giannini, T. Barni, C. Orlando, M. Serio, M. Maggi, Endothelin in rabbit uterus during pregnancy, Am J Physiol, 263:E158 (1992).
E.A. Woodcock, J.K. Tanner, L.M. Caroccia, P.J. Little, Mechanisms involved in the stimulation of aldosterone production by angiotensin II, vasopressin and endothelin, Clin Exp Pharmacol Physiol. 17:263 (1990).
Y. Kurihara, H. Kurihara, H. Oda, K. Maemura, R. Nagai, T. Ishikawa, Y. Yazaki, Aortic arch malformations and ventricular septal defect in mice deficient in endothelin-1, J Clin Invest, 96:293 (1995).
E.R. Levin, Endothelins as cardiovascular peptides, Am JNephrol, 16:246 (1996).
B.H.L. Chua, C.C. Chua, C.A. Diglio, B.B. Siu, Regulation of endothelin-1 mRNA by angiotensin II in rat heart endothelial cells, Biochim Biophys Acta, 1178:201 (1993).
T. Suzuki, T. Kumazaki, Y. Mitsui, Endothelin-1 is produced and secreted by neontal rat cardiac myocytes in vitro, Biochem Biophys Res Commun, 191:823 (1993).
J.R. Hu, R. Von Harsdorf, R.E. Lang, Endothelin has potent inotropic effects in rat atria, Eur J Pharmacol, 158:275 (1988).
T. Ishikawa, M. Yanagisawa, S. Kimura, K. Goto, T. Masaki, Positive chronotropic effects of endothelin, a novel endothelium-derived vasoconstrictor peptide, Pflugers Arch, 413:108 (1988).
L. Vesci, G.G. Mattera, P. Tobia, N. Corsico, M. Calvani, Cardiac and renal endothelin-1 binding sites in streptozotocin-induced diabetic rats, Pharmacol Res, 32:363 (1995).
Y.W. Lin, E. Duh, Z. Jiang, Expression of preproEndothelin-1 mRNA in Streptozotocin-induced diabetic rats, Diabetes, 45(suppl. 2) 48A (1996).
A.T. Lieu, J.J. Reid, Changes in the responsiveness to endothelin-1 in isolated atria from diabetic rats, Eur J Pharmacol, 261:33 (1994).
T. Nakamura, I. Ebihara, M. Fukui, Y. Tomino, H. Koide, Effect of a specific endothelin receptor A antagonist on mRNA levels for extracellular matrix components and growth factors in diabetic glomeruli, Diabetes, 44:895 (1995).
T.F. Luscher, C. Boulanger, Z. Yang, Y. Dohi, Interaction between endothelin and endothelial derived relaxing factors, in: Endothelin, G.M. Rubanyi, ed., Oxford University Press, New York (1992).
S. Gupta, N.B. Ruderman, E.J. Cragoe Jr, I. Sussman, Endothelin stimulates Na’/K’-ATPase activity by a protein kinase C-dependent pathway in rabbit aorta, Am J Physiol, 261:H38 (1991).
M. Awazu, R.E. Parker, B.R. Harvie, I. Ichikawa, V. Kon, Down-regulation of endothelin-1 receptors by protein kinase C in streptozotocin diabetic rats, J Cardiovasc Pharmacol, 17:5500 (1991).
P. Rosen, T. Ballhausen, W. Bloch, K. Addicks, Endothelial relaxation is disturbed by oxidative stress in the diabetic rat heart: influence of tocopherol as antioxidant, Diabetologia, 38:1157 (1995).
L.P. Aiello, S.E. Bursell, A. Clermont, E. Duh, H. Ishii, C. Takagi, F. Mori, T.A. Ciulla, K. Ways, M. Jirousek, L.E. Smith, G.L. King, Vascular endothelial growth factor-induced retinal permeability is mediated by protein kinase C in vivo and suppressed by an orally effective beta-isofotm-selective inhibitor, Diabetes, 46:1473 (1997).
A. Pedram, M. Razandi, R.M. Hu, E.R. Levin, Vasoactive peptides modulate vascular endothelial cell growth factor production and endothelial cell proliferation and invasion, J Biol Chem, 272:17097 (1997).
A. Ladoux, C. Frelin, Hypoxia is a strong inducer of vascular endothelial growth factor mRNA expression in the heart, Biochem Biophys Res Commun, 195:1005 (1993).
E.M. Kohner, V. Patel, S.M. Rassam, Role of blood flow and impaired autoregulation in the pathogenesis of diabetic retinopathy, Diabetes, 44:603 (1995).
R.G. Tilton, K. Chang, K.S. Hasan, S.R. Smith, J.M. Petrash, T.P. Misko, W.M. Moore, M.G. Currie, J.A. Corbett, M.J. McDaniel, J.R. Williamson, Prevention of diabetic vascular dysfunction by guanidines. Inhibition of nitric oxide synthase versus advanced glycation end-product formation, Diabetes, 42:221 (1993).
D.X. Deng, T. Evans, K. Mukherjee, D. Downey, S. Chakrabarti, Diabetes induced vascular dysfunction in the retina: role of endothelins, Diabetologia, 42:1228 (1999).
T. Evans, D.X. Deng, D. Downey, S. Chakrabarti, Endothelins, their receptors, and retinal vascular dysfunction in galactose-fed rats, Diabetes Res Clin Pract Canad, 48:75(2000).
K. Takahashi, R.A. Brooks, S.M. Kanse, M.A. Ghatei, E.M. Kohner, S.R. Bloom, Production of endothelin 1 by cultured bovine retinal endothelial cells and presence of endothelin receptors on associated pericytes, Diabetes, 38:1200 (1989).
M.W. MacCumber, H.D. Jampel, S.H. Snyder, Ocular effects of the endothelins. Abundant peptides in the eye, Arch Ophthalmol, 109:705 (1991)
M.W. MacCumber, C.A. Ross, B.M. Glaser, S.H. Snyder, Endothelin: visualization of mRNAs by in situ hybridization provides evidence for local action, Proc Natl Acad Sci USA, 86:7285 (1989).
D. McDonald, J. Bailie, D. Archer, U. Chakravarthy, Molecular characterization of endothelin receptors and the effect of insulin on their expression in retinal microvascular pericytes, J Cardiovasc Pharmacol, 26 Suppl 3:S287 (1995).
S. Chakrabarti, X.T. Gan, A. Merry, M. Karmazyn, A.A. Sima, Augmented retinal endothelin-1, endothelin-3, endothelinA and endothelinB gene expression in chronic diabetes, Curr Eye Res, 17:301 (1998).
U. Chakravarthy, A.J. Douglas, J.R. Bailie, B. McKibben, D.B. Archer, Immunoreactive endothelin distribution in ocular tissues, Invest Ophthalmol Vis Sci, 35:2448 (1994).
S. Chakrabarti, A.A. Sima, Endothelin-1 and endothelin-3-like immunoreactivity in the eyes of diabetic and non-diabetic BB/W rats, Diabetes Res Clin Pract, 37:109 (1997).
G.L. King, M. Brownlee, The cellular and molecular mechanisms of diabetic complications, Endocrinol Metab Clin North Am, 25:255 (1996).
D. Pribnow, L.L. Muldoon, M. Fajardo, L. Theodor, L.Y. Chen, B.E. Magun, Endothelin induces transcription of fos/jun family genes: a prominent role for calcium ion, Mol Endocrinol, 6:1003 (1992).
L.L. Muldoon, D. Pribnow, K.D. Rodland, B.E. Magun, Endothelin-1 stimulates DNA synthesis and anchorage-independent growth of Rat-1 fibroblasts through a protein kinase C-dependent mechanismCell Regul, 1:379 (1990).
L.L. Muldoon, K.D. Rodland, M.L. Forsythe, B.E. Magun, Stimulation of phosphatidylinositol hydrolysis, diacylglycerol release, and gene expression in response to endothelin, a potent new agonist for fibroblasts and smooth muscle cells, JBiol Chem, 264:8529 (1989).
M.S. Simonson, J.M. Jones, M.I. Dunn, Differential regulation of fos and jun gene expression and AP-1 cis-element activity by endothelin isopeptides. Possible implications for mitogenic signaling by endothelin, JBiol Chem, 267:8643 (1992).
S. Chakrabarti, N. Ma, A.A. Sima, Anionic sites in diabetic basement membranes and their possible role in diffusion barrier abnormalities in the BB-rat, Diabetologia,. 34:301 (1991).
S. Roy, M. Lorenzi, Early biosynthetic changes in the diabetic-like retinopathy of galactose-fed rats, Diabetologia, 39:735 (1996).
T. Evans, D.X. Deng, S. Chen, S. Chakrabarti, Hyperhexosemia induced extracellular matrix protein gene expression and basement membrane thickening in the retinal microvasculature are mediated via augmented endothelin production, Canad. J. Diab. Care, 23(Suppl. 1):A177 (1999).
A. Matsuura, S. Kawashima, W. Yamochi, K. Hirata, T. Yamaguchi, N. Emoto, M. Yokoyama, Vascular endothelial growth factor increases endothelin-converting enzyme expression in vascular endothelial cells, Biochem Biophys Res Commun, 235:713 (1997).
Y. Oyama, H. Kawasaki, Y. Hattori, M. Kanno, Attenuation of endothelium-dependent relaxation in aorta from diabetic rats, Eur J Pharmacol, 132:75 (1986).
P. Rosen, T. Ballhausen, K. Stockklauser, Impairment of endothelium dependent relaxation in the diabetic rat heart: mechanisms and implications, Diabetes Res Clin Pract, 31 Suppl:S143 (1996).
J. Nadler, L. Winer, Free radicals, nitric oxide and diabetic complications, in: Diabetes Mellitus, D. LeRoith, et al. (eds), Lippincott-Raven, Philadelphia (1996).
H.P. Hammes, J. Lin, R.G. Bretzel, M. Brownlee, G. Breier, Upregulation of the vascular endothelial growth factor/vascular endothelial growth factor receptor system in experimental background diabetic retinopathy of the rat, Diabetes, 47:401 (1998).
L.P. Aiello, R.L. Avery, P.G. Arrigg, B.A. Keyt, H.D. Jampel, S.T. Shah, L.R. Pasquale, H. Thieme, M.A. Iwamoto, J.E. Park, et al, Vascular endothelial growth factor in ocular fluid of patients with diabetic retinopathy and other retinal disorders, N Engl J Med, 331:1480 (1994).
J.W. Miller, A.P. Adamis, L.P. Aiello, Vascular endothelial growth factor in ocular neovascularization and proliferative diabetic retinopathy, Diabetes Metab Rev, 13:37 (1997).
K. Cullinan-Bove, R.D. Koos, Vascular endothelial growth factor/vascular permeability factor expression in the rat uterus: rapid stimulation by estrogen correlates with estrogen-induced increases in uterine capillary permeability and growth, Endocrinology, 133:829 (1993).
T. Murata, K. Nakagawa, A. Khalil, T. Ishibashi, H. Inomata, K. Sueishi, The relation between expression of vascular endothelial growth factor and breakdown of the blood-retinal barrier in diabetic rat retinas, Lab Invest, 74:819 (1996).
L.B. Jakeman, J. Winer, G.L. Bennett, C.A. Altar, N. Ferrara, Binding sites for vascular endothelial growth factor are localized on endothelial cells in adult rat tissues, J Clin Invest, 89:244 (1992).
J.P. Liu, Protein kinase C and its substrates, Mol Cell Endocrinol, 116:1 (1996).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer Science+Business Media New York
About this chapter
Cite this chapter
Chakrabarti, S., Chen, S., Evans, T., Karmazyn, M. (2001). Endothelins in the Microvasculature and Heart in Diabetes. In: Angel, A., Dhalla, N., Pierce, G., Singal, P. (eds) Diabetes and Cardiovascular Disease. Advances in Experimental Medicine and Biology, vol 498. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1321-6_13
Download citation
DOI: https://doi.org/10.1007/978-1-4615-1321-6_13
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5496-3
Online ISBN: 978-1-4615-1321-6
eBook Packages: Springer Book Archive