2004
DOI: 10.1093/bja/aeh163
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Physiology of the endothelium

Abstract: In the past, the endothelium was considered to be inert, described as a 'layer of nucleated cellophane', with only non-reactive barrier properties, such as presentation of a non-thrombogenic surface for blood flow and guarding against pro-inflammatory insults. However, it is now becoming clear that endothelial cells actively and reactively participate in haemostasis and immune and inflammatory reactions. They regulate vascular tone via production of nitric oxide, endothelin and prostaglandins and are involved … Show more

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Cited by 591 publications
(375 citation statements)
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“…The endothelium is a multifunctional endocrine organ strategically placed between the vessel wall and the circulating blood, and has a key role in vascular homeostasis. The endothelium is both a target for and a mediator of CVDs such as HTN, diabetes, insulin resistance, obesity and hyperlipidaemia (Galley & Webster, 2004;Khazaei et al, 2008;Günthner et al, 2009;Higashi et al, 2009;Huang, 2009). Through flow-mediated release of vaso-active autacoids, endothelial cells are important participants in scenarios leading to remodelling of resistance vessel structure.…”
Section: The Endotheliummentioning
confidence: 99%
“…The endothelium is a multifunctional endocrine organ strategically placed between the vessel wall and the circulating blood, and has a key role in vascular homeostasis. The endothelium is both a target for and a mediator of CVDs such as HTN, diabetes, insulin resistance, obesity and hyperlipidaemia (Galley & Webster, 2004;Khazaei et al, 2008;Günthner et al, 2009;Higashi et al, 2009;Huang, 2009). Through flow-mediated release of vaso-active autacoids, endothelial cells are important participants in scenarios leading to remodelling of resistance vessel structure.…”
Section: The Endotheliummentioning
confidence: 99%
“…Since both types of synoviocytes produce cytokines, matrix metalloproteinases (MMPs) and other factors, they may influence each other, and thus their combined response in normal synovium may differ from that of the single cell type. Furthermore, cytokines produced by endothelial cells (36) or cytokines and hormones produced by adipocytes present in the subsynovium may also modify the synoviocyte response (37)(38)(39)(40). Thus, studies concerning chosen populations of cells forming the synovial membrane may not be representative of the whole organ.…”
Section: Introductionmentioning
confidence: 99%
“…Endothelial damage and vascular inflammation in the pulmonary circulation are considered to play an important role in development of PAH, especially during the cardiac surgery (11). Activation of endothelial cells and the subsequent rise in surface expression of adhesion molecules are the two main steps of inflammatory reaction in endothelial damage (12). It is very difficult to determine the endothelial damage in patients with L-R shunt with PAH preoperatively.…”
Section: Discussionmentioning
confidence: 99%
“…Increased pulmonary blood flow from the L-R shunt causes both vascular endothelial and endothelial barrier dysfunction (1,12). Recently, Bakouboula et al (2) found that there was a positive correlation between endothelial stimulation, mean PAP, and sVCAM-1 in adult patients.…”
Section: Discussionmentioning
confidence: 99%