title: Prognostic value of endothelial dysfunction in type 1 diabetes mellitus.
abstract: Patients with diabetes mellitus are at high risk of developing atherosclerosis, associated with higher rates of micro and macro vascular involvement such as coronary artery disease and renal disease. The role of hyperglycemia to induce synthesis of reactive oxygen species by the oxidation of glucose, leading to an increased production of advanced glycosylation end products, as well as inflammation and oxidative stress has been proposed as a possible mechanism in the pathogenesis of endothelial dysfunction (ED). The interaction between C-peptide - the connecting segment of pro-insulin-and nitric oxide in vasodilation is also discussed. Therefore, endothelial dysfunction has been identified as an early marker of vascular disorder in type 1 and type 2 diabetes mellitus. In some other diseases, ED has been considered an independent predictor of vascular disease, regardless of the method used. Studies have demonstrated the importance of endothelial dysfunction as an useful tool for identifying the risk of vascular complications in patients with type 1 diabetes mellitus, particularly as regards to renal impairment. The aim of this review is to clarify the prognostic value of endothelial dysfunction as a marker of vascular disease in these subjects.
authors.affiliation: Ana Marice Ladeia, Raphael Ribeiro Sampaio, Maiara Costa Hita, Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, FBDC, Salvador, Bahia 40.285-001, Brazil.
authors.forename: Ana Marice
authors.initials: AM
authors.lastname: Ladeia
authors.affiliation: Ana Marice Ladeia, Raphael Ribeiro Sampaio, Maiara Costa Hita, Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, FBDC, Salvador, Bahia 40.285-001, Brazil.
authors.forename: Raphael Ribeiro
authors.initials: RR
authors.lastname: Sampaio
authors.affiliation: Ana Marice Ladeia, Raphael Ribeiro Sampaio, Maiara Costa Hita, Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, FBDC, Salvador, Bahia 40.285-001, Brazil.
authors.forename: Maiara Costa
authors.initials: MC
authors.lastname: Hita
authors.affiliation: Ana Marice Ladeia, Raphael Ribeiro Sampaio, Maiara Costa Hita, Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, FBDC, Salvador, Bahia 40.285-001, Brazil.
authors.forename: Luis F
authors.initials: LF
authors.lastname: Adan
keywords: Cardiovascular disease; Endothelial dysfunction; Pathogenesis; Prognostic; Type1 diabetes