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A review of the anti-inflammatory properties of antidiabetic agents providing protective effects against vascular complications in diabetes
Authors:Habib Yaribeygi  Stephen L Atkin  Matteo Pirro  Amirhossein Sahebkar
Institution:1. Chronic Kidney Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Weill Cornell Medicine Qatar, Doha, Qatar;3. Department of Medicine, Unit of Internal Medicine, Angiology and Arteriosclerosis Diseases, University of Perugia, Perugia, Italy;4. Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:The global prevalence of Type 2 diabetes mellitus and its associated complications are growing rapidly. Although the role of hyperglycemia is well recognized in the pathophysiology of diabetic complications, its exact underlying mechanisms are not fully understood. In this regard, accumulating evidence suggests that the role of inflammation appears pivotal, with studies showing that most diabetic complications are associated with an inflammatory response. Several classes of antidiabetic agents have been introduced for controlling glycemia, with evidence that these pharmacological agents may have modulatory effects on inflammation beyond their glucose-lowering activity. Here we review the latest evidence on the anti-inflammatory effects of commonly used antidiabetic medications and discuss the relevance of these effects on preventing diabetic complications.
Keywords:cytokine  diabetes mellitus (DM)  diabetic complications  diabetic nephropathy (DN)  hypoglycemic agents  inflammation  tumor necrosis factor α (TNF-α)
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