Table 4.
Select Studies Linking Diabetes Complications With Microvascular Complications in the Brain Through Shared Microvascular Mechanisms
Peripheral Microvascular Complication | Shared Microvascular Mechanisms | Brain Outcomes |
||||
---|---|---|---|---|---|---|
Brain Atrophy | WMH | Infracts | CMBs | Cognitive | ||
Retinopathy | Arteriovenous nicking | Cooper et al. (282) | Qiu et al. (283) | Qiu et al. (284) | ||
Microhemorrhages | Cooper et al. (282) | Qiu et al. (283) | Qiu et al. (284) | |||
Venular dilation | Ikram et al. (285) | Cooper et al.; Ikram et al. (282, 285) | Qiu et al. (284) | |||
Nephropathy | Hypertension | Reviewed Beauchet et al. (286) | Verhaaren et al.; King et al. (287, 288) | Reviewed Loitfelder et al. (289) | Reviewed Beauchet et al. (286) | |
Creatinine | Rajagopalan et al. (290) | Reviewed Vogels et al. (291) | ||||
Cystatin C | Rajagopalan et al. (290) | (292) | Umemura et al. (293) | |||
Glomerular filtration rate | Reviewed Vogels et al. (291) | Kurella Tamura et al. (294) | ||||
Islet amyloid polypeptide | Jackson et al. (295) | |||||
Neuropathy | Hyperglycemia | Manschot et al.; Launer et al.; Ursache et al. (296–298) | Manschot et al. (298) | Crane et al. (299) | ||
AGEs, RAGE | Hudson et al. (300) | Hudson et al. (300) | ||||
Vitamin B12 deficiency | Tangney et al. (301) | Feng et al.; de Lau et al.; Tangney et al. (301–303) | Kealey et al. (304) | Tangney et al. (301) | Smith et al. (303) |
Unexplored common features in humans include the following: pericyte loss, microvascular reactivity, AGEs, ROS, etc.