Microcirculation in Health and Diseases

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 618

Special Issue Editor


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Guest Editor
Clinical Physiology Unit, Medical Simulation Centre, Medical University of Gdańsk, Gdansk, Poland
Interests: endothelial dysfunction; microcirculation; macrocirculation; diabetes mellitus; cardiovascular diseases

Special Issue Information

Dear Colleagues,

Microcirculation accounts for approximately 99% of all adult human blood vessels, and mediates, both structurally and functionally, between the arterial and venous parts of the cardiovascular system. It encompasses vessels narrower than 150 μm in diameter—i.e., arteries, small veins, lymphatic and arteriovenous vessels, and lymphatic and arteriovenous anastomoses—which constitute the microcirculatory unit. According to a definition based on vessel diameter and vascular muscle response to pressure difference, all vessels that are constricted by increased blood pressure form the microcirculatory unit.

Microcirculation is responsible for the exchange of nutrients and metabolites between blood and tissues, protecting the capillary network from large hydrostatic pressure fluctuations, and reducing peripheral vascular resistance. Capillaries consist of endothelial cells surrounded by pericytes and basement membranes, while arterioles have an additional thick layer of smooth muscle cells (media).

Endothelial cells, as a selective barrier between blood and surrounding tissues, are an important part of the lining of the microcirculation, and any endothelial impairment or dysfunction plays a key role in the development, progression or exacerbation of microvascular dysfunction, affecting various organ systems and their physiological processes.

Microvascular dysfunction is therefore considered to represent a generalized process that plays an important role in cardiovascular and metabolic diseases such as obesity, hypertension and diabetes, sepsis, and even cardiac transplant dysfunction. That is why this Special Issue of Biomedicines entitled “Microcirculation in Health and Diseases” will focus on the latest research on the pathogenesis, early diagnosis, or treatment of microcirculatory disorders, regardless of their location. Original research and review articles covering both conventional and innovative technologies and spanning both in vitro and in vivo studies are all welcome.

Dr. Jolanta Neubauer-Geryk
Guest Editor

Manuscript Submission Information

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Keywords

  • microcirculation
  • skin microcirculation
  • microcirculatory disorders
  • endothelial dysfunction
  • therapies
  • human

Published Papers (1 paper)

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Research

19 pages, 1048 KiB  
Article
The Impact of Disease Duration on Microcirculatory Dysfunction in Young Patients with Uncomplicated Type 1 Diabetes
by Jolanta Neubauer-Geryk, Melanie Wielicka, Magdalena Hoffmann, Małgorzata Myśliwiec and Leszek Bieniaszewski
Biomedicines 2024, 12(5), 1020; https://doi.org/10.3390/biomedicines12051020 - 6 May 2024
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Abstract
This study aimed to evaluate the earliest changes in the structure and function of the peripheral microcirculation using capillaroscopy and transcutaneous oxygen pressure measurement in children and adolescents with type 1 diabetes mellitus at baseline and during post-occlusive reactive hyperemia (PORH) in the [...] Read more.
This study aimed to evaluate the earliest changes in the structure and function of the peripheral microcirculation using capillaroscopy and transcutaneous oxygen pressure measurement in children and adolescents with type 1 diabetes mellitus at baseline and during post-occlusive reactive hyperemia (PORH) in the function of diabetes duration. Sixty-seven patients with type 1 diabetes mellitus (T1D), aged 8 to 18 years, and twenty-eight age- and sex-matched healthy subjects were included in the analysis. Diabetic patients were divided into subgroups based on median disease duration. The subgroups differed in chronological age, lipid levels, and thyroid hormones. Capillaroscopy was performed twice: at baseline and then again after the PORH test. Transcutaneous oxygen pressure also was recorded under baseline conditions during and after the PORH test. Comparison of capillaroscopy and transcutaneous oxygen pressure parameters at rest and after the PORH showed no statistically significant difference between the subgroups. This remained true after adjusting for variables that differentiated the two subgroups. However, in the group of patients with long-standing diabetes, significant negative correlations were observed between the Coverage value after the PORH test and capillary reactivity with TcPO2_zero (biological zero). Significant positive correlations were also found between distance after the PORH test and TcPO2_zero. The results of our study indicate that in patients with a shorter duration of diabetes, the use of multiple tests provides a better characterization of the structure and function of microcirculation because the onset of dysfunction does not occur at the same time in all the tests. Full article
(This article belongs to the Special Issue Microcirculation in Health and Diseases)
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