Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Endothelial Function in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1997)
Loot Price: R2,752
Discovery Miles 27 520
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Endothelial Function in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1997)
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In 1980, Furchgott and Zawadzki demonstrated that the ability of a
blood vessel to relax to acetylcholine is entirely dependent upon
the presence of an intact endothelium b1. This startlingly simple
and elegant observation heralded a decade of basic research into
endothelium-derived vasoactive factors (EDRF). Initially, interest
focused on Furchgott's endothelium-derived relaxing factor, which
was later identified as the extremely simple molecule, nitric oxide
[21. However, bioassay systems suggested the presence of other
dilator and constrictor factors. Many of these additional putative
factors remain elusive but one constrictor factor was revealed to
the world in an impres- sively complete piece of science published
in 1988. Yanagisawa, Masaki and colleagues [31 demonstrated the
synthesis of a twenty one amino acid peptide which accounted for
the constrictor activity found in the supernatant of endothelial
cells. They identi- fied its structure, synthesised the peptide,
showed its biological activity in vitro and in vivo, proposed
mechanisms of action and cloned and sequenced the gene. They named
the factor endothelin. The identification of nitric oxide and
endothelin has also rekindled interest in established
endothelium-derived mediators, including the prostanoids and other
arachidonic acid metabolites, and has led to exploration of the
possible roles of oxygen radicals such as superoxide. The vascular
endothelium has become a major focus for research into disease
states or cardiovascular risk factors associated with abnormal
vascular tone or reactivity, alterations in cellular adhesion to
the vessel wall, increased smooth muscle cell growth and the
chronic process of atherogenesis.
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