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Thaning P et al. – The vasodilatatory effect of the purinergic system is severely reduced in type 2 diabetic patients. The potency of nucleotides varies with the following rank order: UTP>ATP>>>ADO. This is not due to alterations in receptor distribution and mRNA expression, but may be due to differences in receptor sensitivity.

Exclusive Author Commentary
Pia Thaning, 11/11/09

The attenuation in purinergic receptor responses could, in part, be implicated in capillary rarefaction and impaired regulation of capillary recruitment in skeletal muscle tissue, known to compromise insulin sensitivity and glucose uptake. The current findings, in combination with existing evidence, provide a basis for further studies addressing the mechanisms underlying the reduced vascular function and exercise capacity in diabetic patients.

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