1998
DOI: 10.1016/s0741-5214(98)70029-1
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The additive effects of glucose and insulin on the proliferation of infragenicular vascular smooth muscle cells

Abstract: Both insulin and glucose stimulate the growth of diabetic infragenicular VSMCs. The mitogenic effects of insulin and glucose are additive and may contribute to the development of atherosclerosis in patients with DM.

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Cited by 35 publications
(26 citation statements)
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“…Our observations are consistent with an earlier study reporting that PDGF-induced VSMC proliferation was similar under low and elevated glucose conditions (39). It is unlikely that the passage number of cells used in our study (P3-P5) could explain either discrepant or comparable results discussed here, since those studies typically used P2-P5 cells (2,11,49). One study did, however, report using cells of higher passage (P6 -P10) (6).…”
Section: Discussionsupporting
confidence: 91%
See 1 more Smart Citation
“…Our observations are consistent with an earlier study reporting that PDGF-induced VSMC proliferation was similar under low and elevated glucose conditions (39). It is unlikely that the passage number of cells used in our study (P3-P5) could explain either discrepant or comparable results discussed here, since those studies typically used P2-P5 cells (2,11,49). One study did, however, report using cells of higher passage (P6 -P10) (6).…”
Section: Discussionsupporting
confidence: 91%
“…However, in response to insulin plus PDGF, there was no difference in proliferation between the two SV-SMC populations. Earlier investigations using human and primate SMC of both nondiabetic (31,38) and diabetic (2,46) origin demonstrated that insulin promoted cell proliferation. Although each of these studies provided evidence that insulin is a potent mitogen for VSMC, ours is the first to directly investigate the effects of insulin on SV-SMC from nondiabetic and diabetic patients in a side-by-side manner.…”
Section: Discussionmentioning
confidence: 99%
“…Insulin is a powerful vasodilator, 19,20 and the insulin-resistant state that commonly accompanies obesity 21 impairs the vasodilatory effect of insulin, linking the insulin resistant state and obesity with vascular endothelial dysfunction. 22 The higher levels of circulating insulin in the insulin resistant state may also be associated with vascular effects, such as proliferation of smooth muscle cells 23 and increases in collagen production. 24 High levels of glucose, as found in the insulin resistant state, have been shown to stimulate collagen synthesis and cross-linking between protein fibers.…”
Section: Discussionmentioning
confidence: 99%
“…Proatherogenic effects of insulin include stimulation of proliferation of vascular smooth muscle cells, as well as production of plasminogen activator inhibitor 1 by these cells (29,30). In contrast, insulin may protect against atherosclerosis by antagonizing inflammatory transcription factors, inhibiting adhesion molecule expression, and promoting nitric oxide production in endothelial cells (31)(32)(33).…”
Section: Discussionmentioning
confidence: 99%