“…Numerous harmful stimuli can lead to endothelial cell dysfunction (ECD) with consequential increases in the risk of many diseases including cardiovascular diseases (Vykoukal and Davies, 2011;Khaddaj Mallat et al, 2017; Kaplan et al, 2018;Maiuolo et al, 2020a). In MetS patients, the ECD is a specific early pathophysiological indicator of cardiovascular disorders; its recognition and early intervention are of extreme importance in the prevention, treatment, and prognosis of cardiovascular diseases (Wei et al, 2014;Dalal et al, 2020). In particular, many substances secreted by VEC are considered important indicators of the function of endothelial cells, these include: Plasminogen Activator Inhibitor-1 (PAI-1), von Willebrand factor (vWF), vascular endothelial cadherin (VE-cad), Thrombomodulin (TM), and Vascular endothelial growth factor (VEGF).…”