Vascular Calcification in Diabetic Kidney Disease

The pathogenesis of vascular calcification (VC) in diabetes mellitus (DM) has not been completely elucidated. VC often occur in patients with DM and chronic kidney disease (CKD). The incidence of VC in diabetic patients is more frequent than in nondiabetic patients, which is an important cause of ca...

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Main Authors: Olivier Phan, Nobuhiko Joki
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Kidney and Dialysis
Subjects:
Online Access:https://www.mdpi.com/2673-8236/2/4/54
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author Olivier Phan
Nobuhiko Joki
author_facet Olivier Phan
Nobuhiko Joki
author_sort Olivier Phan
collection DOAJ
description The pathogenesis of vascular calcification (VC) in diabetes mellitus (DM) has not been completely elucidated. VC often occur in patients with DM and chronic kidney disease (CKD). The incidence of VC in diabetic patients is more frequent than in nondiabetic patients, which is an important cause of cardiovascular (CV) morbidity and mortality. VC is a progressive transformation of the vascular wall; it results from an active and complex phenomenon affecting particularly the vascular smooth muscle cells (VSMCs). It leads to a change in the phenotype of the VSMCs towards an osteoblastic-like phenotype. DM is associated with specific risk factors in addition to hyperglycemia, such as increased oxidative stress, proinflammatory state, hypertension, and chronic kidney disease (CKD) promoting endothelial dysfunction. This article provides an overview and update of the pathophysiological data on the role of DM in VC progression.
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spelling doaj.art-191b9eb370a54c23b816e77e6c1cade62023-11-24T16:05:09ZengMDPI AGKidney and Dialysis2673-82362022-12-012459560610.3390/kidneydial2040054Vascular Calcification in Diabetic Kidney DiseaseOlivier Phan0Nobuhiko Joki1Service of Nephrology and Hypertension, University Hospital of Lausanne, 1011 Lausanne, SwitzerlandDivision of Nephrology, TOHO University Ohashi Medical Center, Tokyo 153-8515, JapanThe pathogenesis of vascular calcification (VC) in diabetes mellitus (DM) has not been completely elucidated. VC often occur in patients with DM and chronic kidney disease (CKD). The incidence of VC in diabetic patients is more frequent than in nondiabetic patients, which is an important cause of cardiovascular (CV) morbidity and mortality. VC is a progressive transformation of the vascular wall; it results from an active and complex phenomenon affecting particularly the vascular smooth muscle cells (VSMCs). It leads to a change in the phenotype of the VSMCs towards an osteoblastic-like phenotype. DM is associated with specific risk factors in addition to hyperglycemia, such as increased oxidative stress, proinflammatory state, hypertension, and chronic kidney disease (CKD) promoting endothelial dysfunction. This article provides an overview and update of the pathophysiological data on the role of DM in VC progression.https://www.mdpi.com/2673-8236/2/4/54vascular calcificationdiabeteschronic kidney disease
spellingShingle Olivier Phan
Nobuhiko Joki
Vascular Calcification in Diabetic Kidney Disease
Kidney and Dialysis
vascular calcification
diabetes
chronic kidney disease
title Vascular Calcification in Diabetic Kidney Disease
title_full Vascular Calcification in Diabetic Kidney Disease
title_fullStr Vascular Calcification in Diabetic Kidney Disease
title_full_unstemmed Vascular Calcification in Diabetic Kidney Disease
title_short Vascular Calcification in Diabetic Kidney Disease
title_sort vascular calcification in diabetic kidney disease
topic vascular calcification
diabetes
chronic kidney disease
url https://www.mdpi.com/2673-8236/2/4/54
work_keys_str_mv AT olivierphan vascularcalcificationindiabetickidneydisease
AT nobuhikojoki vascularcalcificationindiabetickidneydisease