The endothelium: physiological functions and role in microcirculatory failure during severe sepsis

被引:198
作者
Ait-Oufella, H. [1 ,2 ,3 ]
Maury, E. [3 ,4 ,5 ]
Lehoux, S. [6 ]
Guidet, B. [3 ,4 ,5 ]
Offenstadt, G. [3 ,4 ,5 ]
机构
[1] Hop St Antoine, Serv Reanimat Med, F-75571 Paris 12, France
[2] PARCC, INSERM, U970, Paris, France
[3] Hop St Antoine, Serv Reanimat Med, AP HP, F-75012 Paris, France
[4] Univ Paris 06, UMR S707, F-75012 Paris, France
[5] INSERM, U707, F-75012 Paris, France
[6] McGill Univ, Lady Davis Inst Med Res, Montreal, PQ, Canada
基金
加拿大健康研究院;
关键词
Endothelium; Sepsis; Coagulation; Cytokines; NITRIC-OXIDE SYNTHASE; DISSEMINATED INTRAVASCULAR COAGULATION; PLATELET-ACTIVATING-FACTOR; HUMAN VASCULAR ENDOTHELIUM; FACTOR PATHWAY INHIBITOR; TISSUE FACTOR; PROTEIN-C; L-ARGININE; E-SELECTIN; PROCOAGULANT ACTIVITY;
D O I
10.1007/s00134-010-1893-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The endothelium is a highly dynamic cell layer that is involved in a multitude of physiological functions, including the control of vascular tone, the movement of cells and nutrients, the maintenance of blood fluidity and the growth of new vessels. During severe sepsis, the endothelium becomes proadhesive, procoagulant, antifibrinolytic and is characterized by alterations of vasomotor regulation. Most of these functions have been discovered using in vitro and animal models, but in vivo exploration of endothelium in patients remains difficult. New tools to analyze endothelial dysfunction at bedside have to be developed.
引用
收藏
页码:1286 / 1298
页数:13
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