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Cited by 249

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Diabetic complications and dysregulated innate immunity

Open access
Graves, Dana, T·2008·Frontiers in Bioscience

Abstract

Diabetes mellitus is a metabolic disorder that leads to the development of a number of complications. The etiology of each diabetic complication is undoubtedly multifactorial. We will focus on one potential component that may be common in many diabetic complications, dysregulation of innate immunity associated with an increased inflammatory response. High glucose levels lead to shunting through the polyol pathway, an increase in diacylglycerol which activates protein kinase C, an increase in the release of electrons that react with oxygen molecules to form superoxides, and the non-enzymatic glycosylation of proteins that result in greater formation of advanced glycation end products. Each of these can lead to aberrant cell signalling that affects innate immunity for example, by activating the MAP kinase pathway or inducing activation of transcription factors such as NF-kappaB. This may be a common feature of several complications including periodontal disease, atherosclerosis, nephropathy, impaired healing and retinopathy. These complications are frequently associated with increased expression of inflammatory cytokines such as TNF-alpha, IL-1beta and IL-6 and enhanced generation of reactive oxygen species. Cause and effect relationship between dysregulation of key components of innate immunity and diabetic complications in many instances have been demonstrated with the use of cytokine blockers and antioxidants.

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Metadata

Authors
Graves, D.
Venue
Frontiers in Bioscience
Publisher
IMR Press
Published
2008
Volume
13
Issue
13
Pages
1227
ISSN
  • 1093-4715 (ISSN-L)
  • 1093-9946
OpenAlex
W1536052747
Cited by
249
References
10
FWCI
3.20
Type
journal article
Language
en
Open access
bronze

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Graves, D. (2008). Diabetic complications and dysregulated innate immunity. Frontiers in Bioscience. https://doi.org/10.2741/2757

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