» Articles » PMID: 22632267

Aldose Reductase, Oxidative Stress and Diabetic Cardiovascular Complications

Overview
Authors
Affiliations
Soon will be listed here.
Abstract

Cardiovascular disease represents the major cause of morbidity and mortality in patients with diabetes mellitus. Studies by us and others have implicated increased flux via aldose reductase (AR) as a key player in mediating diabetic complications, including cardiovascular complications. Data suggest that increased flux via AR in diabetics perpetuates increased injury after myocardial infarction, accelerates atherosclerotic lesion formation, and promotes restenosis via multiple mechanisms. Most importantly, studies have shown that increased generation of reactive oxygen species due to flux via AR has been a common feature in animal models of diabetic cardiovascular disease. Taken together, these considerations place AR in the center of biochemical and molecular stresses that characterize the cardiovascular complications of diabetes. Stopping AR-dependent signaling may hold the key to interrupting cycles of cellular perturbation and tissue damage in diabetic cardiovascular complications.

Citing Articles

Diabetic Cardiomyopathy: Pathophysiology and Novel Therapies.

Laksono S, Hosea G, Nurusshofa Z Brown J Hosp Med. 2025; 1(3):37850.

PMID: 40046584 PMC: 11878873. DOI: 10.56305/001c.37850.


The aldose reductase inhibitors AT-001, AT-003 and AT-007 attenuate human keratinocyte senescence.

Yepuri G, Kancharla K, Perfetti R, Shendelman S, Wasmuth A, Ramasamy R Front Aging. 2025; 5:1466281.

PMID: 39741583 PMC: 11685203. DOI: 10.3389/fragi.2024.1466281.


Exploring potent aldose reductase inhibitors for anti-diabetic (anti-hyperglycemic) therapy: integrating structure-based drug design, and MMGBSA approaches.

Shahab M, Zheng G, Alshabrmi F, Bourhia M, Wondmie G, Salamatullah A Front Mol Biosci. 2023; 10:1271569.

PMID: 38053577 PMC: 10694256. DOI: 10.3389/fmolb.2023.1271569.


The role of autophagy in the treatment of type II diabetes and its complications: a review.

Zhao X, Bie L, Pang D, Li X, Yang L, Chen D Front Endocrinol (Lausanne). 2023; 14:1228045.

PMID: 37810881 PMC: 10551182. DOI: 10.3389/fendo.2023.1228045.


The role of oxidative stress in diabetes mellitus-induced vascular endothelial dysfunction.

An Y, Xu B, Wan S, Ma X, Long Y, Xu Y Cardiovasc Diabetol. 2023; 22(1):237.

PMID: 37660030 PMC: 10475205. DOI: 10.1186/s12933-023-01965-7.


References
1.
Ido Y, Chang K, Woolsey T, Williamson J . NADH: sensor of blood flow need in brain, muscle, and other tissues. FASEB J. 2001; 15(8):1419-21. DOI: 10.1096/fj.00-0652fje. View

2.
Nishikawa T, Edelstein D, Du X, Yamagishi S, Matsumura T, Kaneda Y . Normalizing mitochondrial superoxide production blocks three pathways of hyperglycaemic damage. Nature. 2000; 404(6779):787-90. DOI: 10.1038/35008121. View

3.
Csiszar A, Ungvari Z, Edwards J, Kaminski P, Wolin M, Koller A . Aging-induced phenotypic changes and oxidative stress impair coronary arteriolar function. Circ Res. 2002; 90(11):1159-66. DOI: 10.1161/01.res.0000020401.61826.ea. View

4.
Tang W, Wu S, Wong T, Chung S, Chung S . Polyol pathway mediates iron-induced oxidative injury in ischemic-reperfused rat heart. Free Radic Biol Med. 2008; 45(5):602-10. DOI: 10.1016/j.freeradbiomed.2008.05.003. View

5.
Didangelos T, Athyros V, Karamitsos D, Papageorgiou A, Kourtoglou G, Kontopoulos A . Effect of aldose reductase inhibition on heart rate variability in patients with severe or moderate diabetic autonomic neuropathy. Clin Drug Investig. 2008; 15(2):111-21. DOI: 10.2165/00044011-199815020-00005. View