Impaired vascular relaxation in type 2 diabetes : A systematic review and meta-analysis

Abstract: Type 2 diabetes (T2D) significantly increases the risk of vascular complications (12-32 %), which are a major cause of death (over 50 %) in T2D patients. In T2D, both endothelial (ET) and vascular smooth muscle (VSM) cells are impaired, which act as independent risk factors for cardiovascular disease. Thus, the question of this systematic review and meta-analysis is: Do ET-dependent and -independent VSM relaxation impair in T2D? We systematically searched PubMed and Scopus databases until March 2024; 44 eligible clinical trial studies (68, 16, 30, and 50 study arms for acetylcholine (ACh), methacholine (MTH), sodium nitroprusside (SNP), and glyceryl trinitrate (GTN)) published were included. ET-dependent VSM relaxation in response to ACh (overall ES = -28.9 %, 95 % CI: -35.2, -22.7; p<0.001) and MTH (overall ES = -55.3 %, 95 % CI: -63.6, -47.1; p<0.001) decreased in T2D patients compared to controls. ET-independent VSM relaxation in response to SNP (overall ES = -17.2 %, 95 % CI: -.... https://www.excli.de/excli/article/view/7330

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Impaired vascular relaxation in type 2 diabetes ; volume:23 ; year:2024
EXCLI journal ; 23 (2024)

Creator
Jeddi, Sajad
Bahadoran, Zahra
Mirmiran, Parvin
Kashfi, Khosrow
Ghasemi, Asghar

DOI
10.17179/excli2024-7330
URN
urn:nbn:de:101:1-2411080214096.702907303989
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:26 AM CEST

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Associated

  • Jeddi, Sajad
  • Bahadoran, Zahra
  • Mirmiran, Parvin
  • Kashfi, Khosrow
  • Ghasemi, Asghar

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