Endothelins (ETs) are widely distributed in the body and perform several vascular and non-vascular functions. Experimental evidence indicates that abnormalities of the ET system occur in several organs affected in chronic diabetic complications. Furthermore, ET antagonists were found to prevent structural and functional changes in the target organs of chronic diabetic complications in animal models. Abnormalities of plasma ET levels have also been demonstrated in human diabetes. This review discusses the role of ET in the pathogenesis of chronic diabetic complications. The current experimental evidence suggests that ET antagonism may potentially represent an adjuvant therapeutic tool in the treatment of chronic diabetic complications.
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Division of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, ZürichDivision of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, Zürich
Spieker L.E.
Noll G.
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Division of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, ZürichDivision of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, Zürich
Noll G.
Lüscher T.F.
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Division of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, Zürich
Head of Cardiology, University HospitalDivision of Cardiology, University Hospital and Cardiovascular Research, Institute of Physiology, Zürich