» Articles » PMID: 25328819

Hyperglycemia As a Risk Factor of Ischemic Stroke

Overview
Date 2014 Oct 21
PMID 25328819
Citations 20
Authors
Affiliations
Soon will be listed here.
Abstract

Diabetes is considered a major risk factor for stroke and is associated with worsened stroke outcomes. Here, we discuss and summarize the mechanisms that have been associated with the increased risk of stroke due to the hyperglycemia in diabetes mellitus. In diabetic stroke models, hyperglycemia exaggerates the following damaging processes: acidosis, accumulation of reactive oxygen species/reactive nitrogen, inflammation and mitochondrial dysfunction. Understanding the mechanism of diabetes acting as a stroke risk factor will definitely assist to reveal issues related to drug metabolism and toxicity in diabetic stroke. In addition, it is suggested that future studies may focus on the mechanisms mediating blood-brain barrier and astrocytes dysfunction under hyperglycemic stroke.

Citing Articles

Cerebral Protection in Pediatric Cardiac Surgery.

Shams-Molkara S, Mendes V, Verdy F, Perez M, Di Bernardo S, Kirsch M Pediatr Cardiol. 2025; .

PMID: 39776194 DOI: 10.1007/s00246-024-03748-7.


Diabetes and Stroke: Impact of Novel Therapies for the Treatment of Type 2 Diabetes Mellitus.

Vieira I, Carvalho T, Saraiva J, Gomes L, Paiva I Biomedicines. 2024; 12(5).

PMID: 38791064 PMC: 11117787. DOI: 10.3390/biomedicines12051102.


Exploring the Causality of Type 1 Diabetes and Stroke Risk: A Mendelian Randomization Study and Meta-analysis.

Zou X, Zhang L, Wang L, Wang S, Zeng Y Mol Neurobiol. 2023; 60(12):6814-6825.

PMID: 37493922 DOI: 10.1007/s12035-023-03517-2.


Hot Spots for the Use of Intranasal Insulin: Cerebral Ischemia, Brain Injury, Diabetes Mellitus, Endocrine Disorders and Postoperative Delirium.

Shpakov A, Zorina I, Derkach K Int J Mol Sci. 2023; 24(4).

PMID: 36834685 PMC: 9962062. DOI: 10.3390/ijms24043278.


Brain Energy Metabolism in Ischemic Stroke: Effects of Smoking and Diabetes.

Sifat A, Nozohouri S, Archie S, Chowdhury E, Abbruscato T Int J Mol Sci. 2022; 23(15).

PMID: 35955647 PMC: 9369264. DOI: 10.3390/ijms23158512.


References
1.
Sugiyama S, Miyazaki Y, Kotaka K, Ozawa T . On the mechanism of ischemia-induced mitochondrial dysfunction. Jpn Circ J. 1982; 46(3):296-302. DOI: 10.1253/jcj.46.296. View

2.
Cheng X, Siow R, Mann G . Impaired redox signaling and antioxidant gene expression in endothelial cells in diabetes: a role for mitochondria and the nuclear factor-E2-related factor 2-Kelch-like ECH-associated protein 1 defense pathway. Antioxid Redox Signal. 2010; 14(3):469-87. DOI: 10.1089/ars.2010.3283. View

3.
Savino A, Pelliccia P, Schiavone C, Primavera A, Tumini S, Mohn A . Serum and urinary nitrites and nitrates and Doppler sonography in children with diabetes. Diabetes Care. 2006; 29(12):2676-81. DOI: 10.2337/dc06-0346. View

4.
Fatehi-Hassanabad Z, Chan C, Furman B . Reactive oxygen species and endothelial function in diabetes. Eur J Pharmacol. 2010; 636(1-3):8-17. DOI: 10.1016/j.ejphar.2010.03.048. View

5.
Hoshiyama M, Li B, Yao J, Harada T, Morioka T, Oite T . Effect of high glucose on nitric oxide production and endothelial nitric oxide synthase protein expression in human glomerular endothelial cells. Nephron Exp Nephrol. 2003; 95(2):e62-8. DOI: 10.1159/000073673. View