2013
DOI: 10.1210/jc.2013-1210
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Hyperinsulinemia Stimulates Angiogenesis of Human Fetoplacental Endothelial Cells: A Possible Role of Insulin in Placental Hypervascularization in Diabetes Mellitus

Abstract: Elevated fetal insulin levels may contribute to the placental hypervascularization in diabetes via the phosphatidylinositol 3-kinase/Akt/eNOS pathway and involve Rac1. However, insulin does not stimulate proliferation and may need to cooperate with other growth factors.

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Cited by 63 publications
(41 citation statements)
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“…Acting through IGF-1 or hybrid IGF1/insulin receptors, insulin and/or IGF-1 could have a direct effect on adipose tissue endothelial cells. Indeed, the effects of insulin to stimulate endothelial cell proliferation (45,46) and VEGF production (47,48) have been reported and are consistent with our findings of activated receptors along the adipose tissue vasculature. Alternatively, insulin and IGF-1 could stimulate other cells in the tissue, including adipocytes, to produce pro-angiogenic factors.…”
Section: Discussionsupporting
confidence: 92%
“…Acting through IGF-1 or hybrid IGF1/insulin receptors, insulin and/or IGF-1 could have a direct effect on adipose tissue endothelial cells. Indeed, the effects of insulin to stimulate endothelial cell proliferation (45,46) and VEGF production (47,48) have been reported and are consistent with our findings of activated receptors along the adipose tissue vasculature. Alternatively, insulin and IGF-1 could stimulate other cells in the tissue, including adipocytes, to produce pro-angiogenic factors.…”
Section: Discussionsupporting
confidence: 92%
“…In mammals, insulin also mediates mitogenic effects in a variety of cell types (Stout, 1991; Qiao et al, 2005; Simó et al, 2006; Shrader et al, 2009; Heidegger et al, 2014). However, other reports have failed to find an insulin-mediated endothelial proliferative response (Liu et al, 2009; Lassance et al, 2013). …”
Section: Insulin and Insulin Receptorsmentioning
confidence: 93%
“…Moreover, insulin, along with glucose, is involved in the regulation of angiogenesis and vasculogenesis in the fetus [20,21], where they bind to fetal endothelial cells [22]. Thus, fetal hyperinsulinemia may also contribute to the hypervascular placenta typical of GDM [23]. Fetal insulin binds to the fetal endothelium IRs and alters the expression of several genes involved in signal transduction, metabolism, and transport [12].…”
Section: Functions Of Insulin Within the Placentamentioning
confidence: 99%