Cited by 481Diabetes, Cardiovascular Risks, and LipoproteinsAdipokines, Inflammation, and Metabolic DiseasesAtherosclerosis and Cardiovascular Diseases

Insulin resistance and atherosclerosis

Open access
Semenkovich, C. F.·2006·Journal of Clinical Investigation

Abstract

Considerable evidence supports the association between insulin resistance and vascular disease, and this has led to wide acceptance of the clustering of hyperlipidemia, glucose intolerance, hypertension, and obesity as a clinical entity, the metabolic syndrome. While insulin resistance, by promoting dyslipidemia and other metabolic abnormalities, is part of the proatherogenic milieu, it is possible that insulin resistance itself in the vascular wall does not promote atherosclerosis. Recent findings suggest that insulin resistance and atherosclerosis could represent independent and ultimately maladaptive responses to the disruption of cellular homeostasis caused by the excess delivery of fuel.

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Crossref · 10.1172/jci29024

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  • The higher vascular risk linked to insulin resistance may be mediated by associated hypertension, hyperglycemia, hyperinsulinemia, dyslipidemia, endothelial dysfunction, hypercoagulability, inflammation, and increased platelet reactivity.

    “The presence of insulin resistance increases the risk of vascular disease, possibly because of associated hypertension, hyperglycemia, hyperinsulinemia, dyslipidemia, endothelial dysfunction, hypercoagulability, inflammation, and increased platelet reactivity.7–9”

    From Pioglitazone after Ischemic Stroke or Transient Ischemic Attack (2016) · cites this paper as [8]

    The Abstract (page unavailable) associates insulin resistance with vascular disease and describes dyslipidemia and other metabolic abnormalities as part of a proatherogenic milieu. The “Hyperglycemia and hypertension” section (page unavailable) discusses elevated glucose and compensatory hyperinsulinemia, while noting that the relationship with hypertension is less clear. Our copy does not support the full proposed list of mediators, particularly hypercoagulability and increased platelet reactivity. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Insulin resistance raises the risk of vascular disease.

    “The presence of insulin resistance increases the risk of vascular disease, possibly because of associated hypertension, hyperglycemia, hyperinsulinemia, dyslipidemia, endothelial dysfunction, hypercoagulability, inflammation, and increased platelet reactivity.7–9”

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Authors
Semenkovich, C. F.
Affiliations
Washington University in St. Louis (US)
Corresponding author
Semenkovich, C. F.
Venue
Journal of Clinical Investigation
Published
2006-07-03
Volume
116
Issue
7
Pages
1813-1822
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2797870555
Cited by
481
References
141
Citations by year
2026: 15 · 2025: 28 · 2024: 25 · 2023: 18 · 2022: 18 · 2021: 21 · 2020: 14 · 2019: 19 · 2018: 18 · 2017: 14 · 2016: 22 · 2015: 26 · 2014: 25 · 2013: 22 · 2012: 30
FWCI
4.70
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
Funders
  • Pfizer
  • AstraZeneca
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
Keywords
insulin resistance, atherosclerosis, metabolic syndrome, dyslipidemia, impaired glucose tolerance, hypertension, obesity, vascular disease, cellular homeostasis
MeSH terms
Animals, Cell Nucleus, Endoplasmic Reticulum, Humans, Hyperglycemia, Hypertension, Insulin Resistance, Mitochondria, Oxidative Stress, Peroxisome Proliferator-Activated Receptors, Dyslipidemias, Atherosclerosis

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