Is inflammation a common retinal-renal-nerve pathogenic link in diabetes?

Curr Diabetes Rev. 2010 Sep;6(5):294-303. doi: 10.2174/157339910793360851.

Abstract

The global diabetes burden is predicted to rise to 380 million by 2025 and would present itself as a major health challenge. However, both Type 1 and Type 2 diabetes increase the risk of developing micro-vascular complications and macro-vascular complications which in turn will have a devastating impact on quality of life of the patients and challenge health services Worldwide. The micro-vascular complications that affect small blood vessels are the leading cause of blindness (diabetic retinopathy) in the people of the working-age, end-stage renal disease (diabetic nephropathy) the most common cause of kidney failure today, and foot amputation (diabetic neuropathy) in patients with Type 1 and Type 2 diabetes. It is accepted that hyperglycemia is a major causative factor for the development of these complications, there is also growing evidence for the role of inflammation. Here we discuss low-grade inflammation as a common retinal-renal-nerve pathogenic link in patients with Type 1 and Type 2 diabetes. This review summarizes evidence showing a link between circulating and locally produced inflammatory biomarkers, such as cell adhesion molecules (vascular adhesion cell molecule-1, VCAM-1; intracellular adhesion molecule-1, ICAM-1), pro-inflammatory cytokines (interleukin-6, IL-6; tumour necrosis factor-alpha, TNF-α; C-reactive protein, CRP) with the development and progression of diabetic micro-vascular complications.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Biomarkers / analysis
  • Biomarkers / blood
  • Biomarkers / metabolism
  • Diabetic Nephropathies / blood
  • Diabetic Nephropathies / etiology
  • Diabetic Nephropathies / metabolism
  • Diabetic Nephropathies / pathology
  • Diabetic Neuropathies / blood
  • Diabetic Neuropathies / etiology*
  • Diabetic Neuropathies / metabolism
  • Diabetic Neuropathies / pathology
  • Diabetic Retinopathy / blood
  • Diabetic Retinopathy / etiology
  • Diabetic Retinopathy / metabolism
  • Diabetic Retinopathy / pathology
  • Humans
  • Inflammation / blood
  • Inflammation / complications*
  • Inflammation / metabolism
  • Inflammation / pathology
  • Kidney / innervation*
  • Kidney / metabolism
  • Kidney / pathology
  • Models, Biological
  • Nephritis / blood
  • Nephritis / complications
  • Nephritis / metabolism
  • Nephritis / pathology
  • Retina / immunology
  • Retina / metabolism
  • Retina / pathology
  • Retinal Neurons / metabolism
  • Retinal Neurons / pathology*
  • Retinitis / blood
  • Retinitis / complications
  • Retinitis / metabolism
  • Retinitis / pathology

Substances

  • Biomarkers