Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis

The arterial vasa vasorum is a specialized microvasculature that provides critical perfusion required for the health of the arterial wall, and is increasingly recognized to play a central role in atherogenesis. Cardio-metabolic disease (CMD) (including hypertension, metabolic syndrome, obesity, diab...

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Main Authors: Jeanette Owusu, Eugene Barrett
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/14/7574
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author Jeanette Owusu
Eugene Barrett
author_facet Jeanette Owusu
Eugene Barrett
author_sort Jeanette Owusu
collection DOAJ
description The arterial vasa vasorum is a specialized microvasculature that provides critical perfusion required for the health of the arterial wall, and is increasingly recognized to play a central role in atherogenesis. Cardio-metabolic disease (CMD) (including hypertension, metabolic syndrome, obesity, diabetes, and pre-diabetes) is associated with insulin resistance, and characteristically injures the microvasculature in multiple tissues, (e.g., the eye, kidney, muscle, and heart). CMD also increases the risk for atherosclerotic vascular disease. Despite this, the impact of CMD on vasa vasorum structure and function has been little studied. Here we review emerging information on the early impact of CMD on the microvasculature in multiple tissues and consider the potential impact on atherosclerosis development and progression, if vasa vasorum is similarly affected.
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spelling doaj.art-0b8394fd2b074e5ea573083c052577282023-11-22T04:00:43ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-07-012214757410.3390/ijms22147574Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and AtherosclerosisJeanette Owusu0Eugene Barrett1Department of Medicine, School of Medicine, University of Virginia, Charlottesville, VA 22908, USADepartment of Medicine, School of Medicine, University of Virginia, Charlottesville, VA 22908, USAThe arterial vasa vasorum is a specialized microvasculature that provides critical perfusion required for the health of the arterial wall, and is increasingly recognized to play a central role in atherogenesis. Cardio-metabolic disease (CMD) (including hypertension, metabolic syndrome, obesity, diabetes, and pre-diabetes) is associated with insulin resistance, and characteristically injures the microvasculature in multiple tissues, (e.g., the eye, kidney, muscle, and heart). CMD also increases the risk for atherosclerotic vascular disease. Despite this, the impact of CMD on vasa vasorum structure and function has been little studied. Here we review emerging information on the early impact of CMD on the microvasculature in multiple tissues and consider the potential impact on atherosclerosis development and progression, if vasa vasorum is similarly affected.https://www.mdpi.com/1422-0067/22/14/7574atherosclerosisadventitial vasa vasorummicrovascular insulin resistanceangiogenesis
spellingShingle Jeanette Owusu
Eugene Barrett
Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
International Journal of Molecular Sciences
atherosclerosis
adventitial vasa vasorum
microvascular insulin resistance
angiogenesis
title Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
title_full Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
title_fullStr Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
title_full_unstemmed Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
title_short Early Microvascular Dysfunction: Is the Vasa Vasorum a “Missing Link” in Insulin Resistance and Atherosclerosis
title_sort early microvascular dysfunction is the vasa vasorum a missing link in insulin resistance and atherosclerosis
topic atherosclerosis
adventitial vasa vasorum
microvascular insulin resistance
angiogenesis
url https://www.mdpi.com/1422-0067/22/14/7574
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