“…interleukin-6, tumor factor necrosis-alpha, leptin, and vistafin, may directly influence structure of endothelial cells and trigger a secretion of apoptotic EMPs (Berezin, 2016b;Rautou et al, 2011 process is attenuation of endothelial cell repair and recovery of vascular function (Jansen et al, 2015). Unfortunately, co-existing IR affects endothelial progenitor cells and they are not able to differentiate into functionally mature endothelial cells even after stimulation by apoptotic EMPs (Martinez and Andriantsitohaina, 2011;Tetta et al, 2011). As a result, apoptotic EMP-induced endothelial dysfunction and IR may become an early predictor of shaping Met-UHO.…”