Endothelial vasomotor regulation in health and disease
The purpose of this review is to provide the anaesthetists with a comprehensive update on the endothelial-cell control of local blood flow. This single cell layer was originally thought to represent only a passive barrier. It is now evident that it plays an active role in a broad variety of biologic...
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Published in | Canadian journal of anesthesia Vol. 39; no. 8; pp. 838 - 857 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Toronto, ON
Canadian Anesthesiologists' Society
01.10.1992
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Subjects | |
Online Access | Get full text |
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Abstract | The purpose of this review is to provide the anaesthetists with a comprehensive update on the endothelial-cell control of local blood flow. This single cell layer was originally thought to represent only a passive barrier. It is now evident that it plays an active role in a broad variety of biological functions. Since the discovery of the endothelial-derived relaxing factor (EDRF), it has been the subject of a considerable amount of research. It is established that EDRF is secreted continuously at a basal state and that many physical stimuli as well as vasoactive substances can modulate its secretion. Evidence presented indicates that the endogenous vasodilatation produced by EDRF is similar to that of the exogenous nitrovasodilator nitroglycerin and nitroprusside (i.e., nitric oxide). Aside from EDRF, the endothelium produces other vasodilating as well as vasoconstricting factors. A review of the physiology of the endothelium regarding the local control of blood flow is provided along with its influence upon several pathophysiological states. Also included is an overview of the influence of anaesthetic agents on endothelial function. These findings linking vasomotor control to endothelial function will help to explain pathophysiological process and may lead to new therapeutic modalities. |
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AbstractList | The purpose of this review is to provide the anaesthetists with a comprehensive update on the endothelial-cell control of local blood flow. This single cell layer was originally thought to represent only a passive barrier. It is now evident that it plays an active role in a broad variety of biological functions. Since the discovery of the endothelial-derived relaxing factor (EDRF), it has been the subject of a considerable amount of research. It is established that EDRF is secreted continuously at a basal state and that many physical stimuli as well as vasoactive substances can modulate its secretion. Evidence presented indicates that the endogenous vasodilatation produced by EDRF is similar to that of the exogenous nitrovasodilator nitroglycerin and nitroprusside (i.e., nitric oxide). Aside from EDRF, the endothelium produces other vasodilating as well as vasoconstricting factors. A review of the physiology of the endothelium regarding the local control of blood flow is provided along with its influence upon several pathophysiological states. Also included is an overview of the influence of anaesthetic agents on endothelial function. These findings linking vasomotor control to endothelial function will help to explain pathophysiological process and may lead to new therapeutic modalities. |
Author | SEARLE, N. R SAHAB |
Author_xml | – sequence: 1 givenname: N. R surname: SEARLE fullname: SEARLE, N. R organization: Inst. cardiologie Montréal, dép. anesthésie-réanimation, Montréal PQ H1T 1C8, Canada – sequence: 2 surname: SAHAB fullname: SAHAB organization: Inst. cardiologie Montréal, dép. anesthésie-réanimation, Montréal PQ H1T 1C8, Canada |
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Keywords | Vasomotricity General anesthetic Pathophysiology Blood vessel Nitrogen monoxide Circulatory system Review Endothelium derived relaxing factor Hemodynamics Endothelium |
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D Diederich (BF03008296_CR160) 1990; 258 E Bassenge (BF03008296_CR3) 1988; 30 DS Houston (BF03008296_CR79) 1987; 244 GM Pieper (BF03008296_CR168) 1988; 255 A Petros (BF03008296_CR175) 1991; 338 JH Lombard (BF03008296_CR59) 1988 RF Furchgott (BF03008296_CR9) 1983; 53 BF03008296_CR65 U Pohl (BF03008296_CR106) 1990; II SG Shimada (BF03008296_CR62) 1984; 83 JH Chesebro (BF03008296_CR140) 1982; 307 A Inoue (BF03008296_CR104) 1989; 86 R Bhardwaj (BF03008296_CR43) 1988; 95 I Marshall (BF03008296_CR91) 1988 J Collier (BF03008296_CR34) 1989; 97 CA Tozzi (BF03008296_CR68) 1985; 19 U Forstermann (BF03008296_CR72) 1986; 87 GA Blaise (BF03008296_CR123) 1990; 72 PR Myers (BF03008296_CR24) 1990; 345 DD Heistad (BF03008296_CR150) 1984; 54 JG Mey De (BF03008296_CR86) 1988 |
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SubjectTerms | Anesthetics - pharmacology Biological and medical sciences Blood vessels and receptors Disease Endothelium, Vascular - physiology Fundamental and applied biological sciences. Psychology Health Humans Nitric Oxide - pharmacology Nitric Oxide - physiology Vasomotor System - physiology Vertebrates: cardiovascular system |
Title | Endothelial vasomotor regulation in health and disease |
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