2021
DOI: 10.1183/13993003.03957-2020
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Endothelial cells in the pathogenesis of pulmonary arterial hypertension

Abstract: Pulmonary arterial hypertension (PAH) is a devastating disease that involves pulmonary vasoconstriction, small vessel obliteration, large vessel thickening and obstruction, and development of plexiform lesions. PAH vasculopathy leads to progressive increases in pulmonary vascular resistance, right heart failure, and ultimately, premature death. Besides other cell types that are known to be involved in PAH pathogenesis (e.g. smooth muscle cells, fibroblasts, and leukocytes), recent studies demonstrate a crucial… Show more

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Cited by 170 publications
(127 citation statements)
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“…It is an important locus of critical regulatory nodes to retain the homeostasis of the (Gimbrone and García-Cardeña, 2016). Therefore, it is significant to point out that endothelial cell dysfunction is involved in many disease processes, including atherosclerosis, pulmonary arterial hypertension and sepsis (Gimbrone and García-Cardeña, 2016;Joffre et al, 2020;Evans et al, 2021). Here we focus on the involvement of SIRT6 in atherosclerosis and endothelial cell dysfunction.…”
Section: Sirt6 and Endothelial Dysfunctionmentioning
confidence: 99%
“…It is an important locus of critical regulatory nodes to retain the homeostasis of the (Gimbrone and García-Cardeña, 2016). Therefore, it is significant to point out that endothelial cell dysfunction is involved in many disease processes, including atherosclerosis, pulmonary arterial hypertension and sepsis (Gimbrone and García-Cardeña, 2016;Joffre et al, 2020;Evans et al, 2021). Here we focus on the involvement of SIRT6 in atherosclerosis and endothelial cell dysfunction.…”
Section: Sirt6 and Endothelial Dysfunctionmentioning
confidence: 99%
“…Healthy pulmonary vascular endothelial cells (PVECs) maintain vascular hemostasis via preserving vascular integrity, remaining vascular tone, and exhibiting an anti-inflammatory niche. Endothelial injury or dysfunction has been believed to the initial event during the development of PAH [6]. Dysfunctional PVECs produce many kinds of growth factors or angiocrine factors which sustains the pro-proliferative environment.…”
Section: Introductionmentioning
confidence: 99%
“…Both autocrine and paracrine signaling pathways are important to maintain vascular homeostasis and contribute to pathological angiogenesis [6]. PVECs from PAH patients exhibit increased production of growth factors, such as FGF2, IL-6, ET-1, TGF-beta, etc.…”
Section: Introductionmentioning
confidence: 99%
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“…When blood pressure continues to rise, the shear stress on the vessel wall can directly affect the vascular endothelial cells and cause mechanical damage, leading to endothelial cell dysfunction, even necrosis and exfoliation [9]. Hypertension can damage the endothelium, and likewise, damage to the endothelium can exacerbate an increase in blood pressure.…”
Section: Introductionmentioning
confidence: 99%