Molecular Mechanisms Linking Diabetes with Increased Risk of Thrombosis

Batten, Lucy; Sathyapalan, Thozhukat; Palmer, Timothy M.

Abstract

This review will provide an overview of what is currently known about mechanisms linking poor glycaemic control with increased thrombotic risk. The leading causes of death in people with diabetes are strokes and cardiovascular disease. Significant morbidity is associated with an increased risk of thrombosis, resulting in myocardial infarction, ischaemic stroke, and peripheral vascular disease, along with the sequelae of these events, including loss of functional ability, heart failure, and amputations. While the increased platelet activity, pro-coagulability, and endothelial dysfunction directly impact this risk, the molecular mechanisms linking poor glycaemic control with increased thrombotic risk remain unclear. This review highlights the complex mechanisms underlying thrombosis prevalence in individuals with diabetes and hyperglycaemia. Post-translational modifications, such as O-GlcNAcylation, play a crucial role in controlling protein function in diabetes. However, the role of O-GlcNAcylation remains poorly understood due to its intricate regulation and the potential involvement of multiple variables. Further research is needed to determine the precise impact of O-GlcNAcylation on specific disease processes.

Citation

Batten, L., Sathyapalan, T., & Palmer, T. M. (2023). Molecular Mechanisms Linking Diabetes with Increased Risk of Thrombosis. International Journal of Molecular Sciences, 24(24), Article 17465. https://doi.org/10.3390/ijms242417465

• Journal Article Type: Review
• Acceptance Date: Dec 10, 2023
• Online Publication Date: Dec 14, 2023
• Publication Date: Dec 1, 2023
• Deposit Date: Mar 1, 2024
• Publicly Available Date: Mar 5, 2024
• Journal: International Journal of Molecular Sciences
• Electronic ISSN: 1422-0067
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 24
• Issue: 24
• Article Number: 17465
• DOI: https://doi.org/10.3390/ijms242417465
• Keywords: Diabetes; Thrombosis; Platelet; Endothelium; Cardiovascular disease
• Public URL: https://hull-repository.worktribe.com/output/4496200