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Summary

Summary endothelial physiology

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An introduction to the role of endothelium in the cardiovascular system

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  • June 28, 2023
  • 8
  • 2022/2023
  • Summary
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roroassady
Endothelium
Lecture Notes



📌 5% of protein in endothelium is actin and myosin → allows contraction
(vasocontraction & vasodilation)
Arterioles → several cells thick
Capillaries → 1 cell thick



Function
Vasal tone control

gives the ability to vasodilate and vasoconstrict vessels
→ BP & flow control through lumen size

Selective barrier

transports H2O, lipids, gases and proteins
→ Passive diffusion / Active transport

Hydrophilic substance diffuse

lipophilic compounds can dissolve and get carried actively/passively

pinocytosis (phagocytosis to transport things)

intracellular pores → allows for molecular & fluid transport

Maintenance of fluidity

anti-thrombosis

monitoring shear stress

Angiogenesis

growth of new capillaries

Inflammatory mediators

Platelet adhesion


Endothelium 1

, Thrombo-resistant layer that repels platelet adhesion

when damaged coagulation cascade activated via platelet activation

Produce
EDRF (endothelial derived relaxing factor) = Nitric oxide

major vasocilator

needed for Angiogenesis

Prostacyclin

inhibitor of platelet aggregation

vasodilator (PGI2)

Endothelins

potent vasoconstrictor

structure

family of 4 related short peptides

ET1

found in vascular smooth muscle endothelial cells

main vasoconstricting peptides

acts on ETa receptors in vascular smooth muscle

ET1 receptros can be blocked with BQ-123 or BMS 182874
← not very good clinically

high in hypertensive patients

ET2

found in kidney, intestine, lung and brain

ET3

found in kidney, intestine, lung and brain

ET4

structurally related to sarafoxins (snake venom)

kills you by inducing a heart attack → vasoconstricts vessels so
much there is no flow



Endothelium 2

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