2011, Number 6
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Rev Med Inst Mex Seguro Soc 2011; 49 (6)
Insulin, renin-angiotensin system, aldosterone and endothelial dysfunction
Rubio-Guerra AF, Durán-Salgado MB
Language: Spanish
References: 19
Page: 581-584
PDF size: 133.88 Kb.
ABSTRACT
Beyond its metabolic effects, insulin has several actions on the vasculature, under normal conditions, insulin
maintains a normal endothelial function, but in the presence of insulin resistance, insulin leads to endothelial
dysfunction. Insulin releases nitric oxide, which promotes an antiatherosclerotic, antiinflamatory and vasodilator
state. However, in presence of high levels of angiotensin II, insulin activates pathways that lead to atherosclerosis,
vasoconstriction and inflammation. We will review the actions of insulin on the vascular system, and
its interactions with other vasoactive mediators as angiotensin II and endothelin-1.
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