Endothelial dysfunction and angiogenesis impairment in the ageing vasculature

被引:312
作者
Ungvari, Zoltan [1 ,2 ,3 ,4 ,5 ]
Tarantini, Stefano [1 ,2 ,3 ,4 ]
Kiss, Tamas [1 ,2 ,3 ,4 ]
Wren, Jonathan D. [1 ,6 ]
Giles, Cory B. [1 ,6 ]
Griffin, Courtney T. [7 ]
Murfee, Walter Lee [8 ]
Pacher, Pal [9 ]
Csiszar, Anna [1 ,2 ,3 ,4 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Reynolds Oklahoma Ctr Aging, Oklahoma City, OK 73019 USA
[2] Univ Oklahoma, Hlth Sci Ctr, Dept Geriatr Med, Translat Gerosci Lab, Oklahoma City, OK 73019 USA
[3] Univ Szeged, Fac Med, Dept Med Phys & Informat, Szeged, Hungary
[4] Univ Szeged, Fac Sci & Informat, Szeged, Hungary
[5] Semmelweis Univ, Dept Pulmonol, Budapest, Hungary
[6] Oklahoma Med Res Fdn, Arthritis & Clin Immunol Res Program, 825 NE 13th St, Oklahoma City, OK 73104 USA
[7] Oklahoma Med Res Fdn, Cardiovasc Biol Res Program, Oklahoma City, OK 73104 USA
[8] Univ Florida, J Crayton Pruitt Family Dept Biomed Engn, Gainesville, FL USA
[9] NIAAA, Lab Cardiovasc Physiol & Tissue Injury, NIH, Bethesda, MD USA
关键词
NITRIC-OXIDE SYNTHASE; KAPPA-B ACTIVATION; OXIDATIVE STRESS; PROGENITOR CELLS; GENE-EXPRESSION; GROWTH-FACTOR; POLY(ADP-RIBOSE) POLYMERASE-1; CALORIC RESTRICTION; DEPENDENT DILATION; HYDROGEN-SULFIDE;
D O I
10.1038/s41569-018-0030-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ageing is the main risk factor for the development of cardiovascular diseases. A central mechanism by which ageing promotes vascular pathologies is compromising endothelial health. The age-related attenuation of endothelium-dependent dilator responses (endothelial dysfunction) associated with impairment of angiogenic processes and the subsequent pathological remodelling of the microcirculation contribute to compromised tissue perfusion and exacerbate functional decline in older individuals. This Review focuses on cellular, molecular, and functional changes that occur in the endothelium during ageing. We explore the links between oxidative and nitrative stress and the conserved molecular pathways affecting endothelial dysfunction and impaired angiogenesis during ageing. We also speculate on how these pathological processes could be therapeutically targeted. An improved understanding of endothelial biology in older patients is crucial for all cardiologists because maintenance of a competently functioning endothelium is critical for adequate tissue perfusion and long-term cardiac health.
引用
收藏
页码:555 / 565
页数:11
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