• Vanhoutte Paul M.
    Department of Pharmacology, Li Ka Shing Faculty of Medicine, The University of Hong Kong

書誌事項

タイトル別名
  • Endothelial Dysfunction The First Step Toward Coronary Arteriosclerosis
  • The First Step Toward Coronary Arteriosclerosis
公開日
2009
DOI
  • 10.1253/circj.cj-08-1169
公開者
一般社団法人 日本循環器学会

この論文をさがす

説明

The endothelium causes relaxations of the underlying vascular smooth muscle, by releasing nitric oxide (NO). The endothelial cells also can evoke hyperpolarization of the vascular smooth muscle cells (endothelium-dependent hyperpolarizations, endothelium-derived hyperpolarizing factors-mediated responses). Endothelium-dependent relaxations involve both pertussis toxin-sensitive Gi and pertussis toxin-insensitive Gq coupling proteins. The endothelial release of NO is reduced in diabetes and hypertension. Arteries covered with regenerated endothelium lose the pertussis-toxin sensitive pathway for NO-release. This dysfunction favors vasospasm, thrombosis, penetration of macrophages, cellular growth and the inflammatory reaction leading to atherosclerosis. Endothelial cells also release endothelium-derived contracting factors (EDCF). Most endothelium-dependent contractions are mediated by vasoconstrictor prostanoids (endoperoxides and prostacyclin), which activate thromboxane-prostanoid (TP)-receptors of the underlying vascular smooth muscle cells. EDCF-mediated responses are augmented by aging, hypertension and diabetes. Thus, endothelial dysfunction is the first step toward coronary arteriosclerosis. (Circ J 2009; 73: 595 - 601)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 73 (4), 595-601, 2009

    一般社団法人 日本循環器学会

被引用文献 (46)*注記

もっと見る

参考文献 (77)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ