RT Journal Article T1 The Contribution of Wnt Signaling to Vascular Complications in Type 2 Diabetes Mellitus. A1 Sanabria-de la Torre, Raquel A1 Garcia-Fontana, Cristina A1 Gonzalez-Salvatierra, Sheila A1 Andujar-Vera, Francisco A1 Martinez-Heredia, Luis A1 Garcia-Fontana, Beatriz A1 Muñoz-Torres, Manuel K1 Wnt pathway K1 cardiovascular disease K1 macrovascular disease K1 microvascular disease K1 type 2 diabetes mellitus AB Vascular complications are the leading cause of morbidity and mortality among patients with type 2 diabetes mellitus (T2DM). These vascular abnormalities result in a chronic hyperglycemic state, which influences many signaling molecular pathways that initially lead to increased oxidative stress, increased inflammation, and endothelial dysfunction, leading to both microvascular and macrovascular complications. Endothelial dysfunction represents the initial stage in both types of vascular complications; it represents "mandatory damage" in the development of microvascular complications and only "introductory damage" in the development of macrovascular complications. Increasing scientific evidence has revealed an important role of the Wnt pathway in the pathophysiology of the vascular wall. It is well known that the Wnt pathway is altered in patients with T2DM. This review aims to be an update of the current literature related to the Wnt pathway molecules that are altered in patients with T2DM, which may also be the cause of damage to the vasculature. Both microvascular complications (retinopathy, nephropathy, and neuropathy) and macrovascular complications (coronary artery disease, cerebrovascular disease, and peripheral arterial disease) are analyzed. This review aims to concisely concentrate all the evidence to facilitate the view on the vascular involvement of the Wnt pathway and its components by highlighting the importance of exploring possible therapeutic strategy for patients with T2DM who develop vascular pathologies. PB MDPI AG YR 2022 FD 2022-06-21 LK http://hdl.handle.net/10668/21170 UL http://hdl.handle.net/10668/21170 LA en NO Sanabria-de la Torre R, García-Fontana C, González-Salvatierra S, Andújar-Vera F, Martínez-Heredia L, García-Fontana B, , et al. The Contribution of Wnt Signaling to Vascular Complications in Type 2 Diabetes Mellitus. Int J Mol Sci. 2022 Jun 23;23(13):6995. NO This research was funded by Instituto de Salud Carlos III grants (PI18-00803, PI21-01069,and PI18-01235), co-funded by the European Regional Development Fund (FEDER) and by a Junta deAndalucía grant (PI-0268-2019). In addition, R.S.-T. was funded by the University of Granada withco-funding by FEDER, (grant number 8110), and C.G.-F. and S.G.-S. were funded by a postdoctoralfellowship (CD20/00022) and a predoctoral fellowship (FI19/00118), respectively, from the Institutode Salud Carlos III. DS RISalud RD Apr 11, 2025