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C-Peptide A New Mediator of Atherosclerosis in Diabetes英文文献资料
HindawiPublishingCorporation
MediatorsofIn?ammation
Volume2012,ArticleID858692,8pages
doi:10.1155/2012/858692
ReviewArticle
C-Peptide:ANewMediatorofAtherosclerosisinDiabetes
DusicaVasicandDanielWalcher
DepartmentofInternalMedicineII-Cardiology,UniversityofUlm,Albert-Einstein-Allee11,89081Ulm,Germany
CorrespondenceshouldbeaddressedtoDanielWalcher,daniel.walcher@uniklinik-ulm.de
Received30November2011;Revised11January2012;Accepted11January2012
AcademicEditor:FabrizioMontecucco
Copyright?2012D.VasicandD.Walcher.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Diabetestype2andinsulinresistancearetheriskfactorsforcardiovasculardisease.Itisalreadyknownthatatherosclerosisisan
in?ammatorydisease,andalotofdi?erentfactorsareinvolvedinitsonset.C-peptideisacleavageproductofproinsulin,anactive
substancewithanumberofe?ectswithindi?erentcomplicationsofdiabetes.InthispaperwediscusstheroleofC-peptideand
itse?ectsinthedevelopmentofatherosclerosisintype2diabeticpatients.
1.Introduction
canbesignallingstationinthecell,thoughC-peptidemight
achieveitscellulare?ects[10].
C-peptideisasmall31-aminoacidpeptide,anditiscleaved
from proinsulin in the synthesis of insulin [1]. Proinsulin
consists of A and B chain and connecting peptide in the
middle,calledC-peptide.Cleavageofproinsulintakesplace
inendoplasmaticreticulumofbetapancreaticcells.Inad-
dition,C-peptideisstoredinGolgisecretorygranulesand
is cosecreted in equimolar amounts into the blood stream
together with insulin in response to the glucose stimu-
lation [1, 2]. Amino acid sequences of C-peptide are in
di?erentspeciesrelativelyvariable.Nevertheless,C-peptide
has several conserved sequences, for example, N terminal
acidicregion,glycine-richcentralsegment,andC-terminal
pentapeptide[3].Despitethe?rstreportsdescribingC-pep-
tideasapeptidewithlittleornobiologicalactivity,recent
data reports binding of
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