Evidence mapPaperPMID 41511372Full record

ArticleCells2026

The Role of Aldosterone in Vascular Permeability in Diabetes.

Michal Aleksiejczuk, Natalia Bielicka, Magdalena Bruzgo-Grzybko, Izabela Suwda Kalita, Adam Jan Olichwier, Paulina Mierzejewska, Joanna Stelmaszewska, Janusz Dzieciol, Ewa Chabielska, Anna Gromotowicz-Poplawska

Abstract read
In one paragraph

Article in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michal AleksiejczukDepartment of Biopharmacy and Radiopharmacy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0000-0002-4525-6363
Natalia BielickaDepartment of Biopharmacy and Radiopharmacy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0000-0003-1454-647X
Magdalena Bruzgo-GrzybkoDepartment of Biopharmacy and Radiopharmacy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0009-0004-7614-8957
Izabela Suwda KalitaRadiopharmacy Centre, Medical University of Bialystok, 15-569 Bialystok, Poland.ORCID 0000-0003-2705-5872
Adam Jan OlichwierRadiopharmacy Centre, Medical University of Bialystok, 15-569 Bialystok, Poland.ORCID 0000-0002-7989-0207
Paulina MierzejewskaDepartment of Biochemistry, Medical University of Gdansk, 80-211 Gdansk, Poland.ORCID 0000-0003-1363-7951
Joanna StelmaszewskaDepartment of Pharmaceutical and Biopharmaceutical Analysis, Medical University of Bialystok, 15-222 Bialystok, Poland.
Janusz DzieciolDepartment of Human Anatomy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0000-0002-7193-5693
Ewa ChabielskaDepartment of Biopharmacy and Radiopharmacy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0000-0002-8195-488X
Anna Gromotowicz-PoplawskaDepartment of Biopharmacy and Radiopharmacy, Medical University of Bialystok, 15-222 Bialystok, Poland.ORCID 0000-0001-6742-3356

Funding

Medical University of Bialystok B.SUB.23.414.
6 · The paper itself

Abstract

More than 30% of diabetic patients develop dermatopathies linked to inflammation and increased vascular permeability. Considering the role of the renin-angiotensin-aldosterone system (RAAS) in diabetic complications, this study examined whether aldosterone (ALDO) and the mineralocorticoid receptor (MR) contribute to diabetes-related skin microangiopathy. Vascular permeability was measured in normoglycemic rats and insulin-dependent (streptozotocin-induced) diabetic rats. The expression of MR, 11β-hydroxysteroid dehydrogenase type 2 (HSD11β2), vascular endothelial growth factor (VEGF), von Willebrand factor (vWF), and the tight junction protein ZO-1 was determined by PCR and immunohistochemistry. Diabetic rats received the MR antagonist eplerenone (EPL, 100 mg/kg) for 10 days. Additionally, the effects of ALDO and EPL on endothelial permeability were evaluated in human dermal microvascular endothelial cells (HMEC-1) using a Transwell system. Diabetic rats showed skin atrophy, collagen damage, elevated ALDO levels, reduced MR and HSD11β2 expression, and increased vascular permeability, along with upregulation of VEGF and vWF. EPL markedly reduced these abnormalities. In vitro, ALDO increased endothelial permeability under hyperglycemia, and EPL counteracted this effect. These findings indicate that activation of the ALDO/MR pathway promotes skin vascular permeability in diabetes through VEGF- and vWF-dependent mechanisms. MR blockade limits these changes, suggesting therapeutic potential in preventing diabetes-associated skin complications.

Indexed as

AldosteroneCapillary PermeabilityDiabetes Mellitus, Experimental11-beta-Hydroxysteroid Dehydrogenase Type 2AnimalsEndothelial CellsEplerenoneHumansMaleRatsReceptors, MineralocorticoidSkinVascular Endothelial Growth Factor Avon Willebrand Factor11-beta-Hydroxysteroid Dehydrogenase Type 2AldosteroneEplerenoneReceptors, MineralocorticoidVascular Endothelial Growth Factor Avon Willebrand Factoraldosteronediabeteseplerenonemineralocorticoid receptorvascular permeabilityVEGFvWF

Identifiers

PMID41511372
PMCPMC12785615

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.