Clinical relevance of endothelium-derived relaxing factor (EDRF).

Clinical relevance of endothelium-derived relaxing factor (EDRF).
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内皮源性舒张因子 (EDRF) 的临床相关性。

DOI:
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发表时间:
1992
影响因子:
3.4
通讯作者:
E. Bassenge
E. Bassenge
中科院分区:
医学3区
文献类型:
--
作者:
E. Bassenge

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1.除了代谢和神经体液因子外,内皮源性自分泌激素如一氧化氮自由基、NO和前列环素也是血管张力和组织灌注的有效调节剂。NO在内皮细胞中由L-精氨酸通过Ca 2 +/钙调蛋白依赖性酶NO合酶产生。此外,NO自由基最终从所有硝基血管扩张剂中裂解出来,类似于它们的血管活性和抗聚集原理,在病理条件下用作内皮功能受损和自体生成的替代疗法。在高胆固醇血症、动脉粥样硬化、糖尿病、高血压和再灌注损伤中,已经记录了内皮依赖性血管收缩控制受损。L-精氨酸补充剂在少数情况下有效。
1. In addition to metabolic and neurohumoral factors endothelium-derived autacoids like the nitric oxide radical NO and prostacyclin are effective regulators of vascular tone and thus tissue perfusion. NO is produced in endothelial cells from L-arginine by a Ca2+/calmodulin-dependent enzyme NO synthase. In addition, the NO radical is ultimately cleaved from all nitrovasodilators and resembles their vasoactive and antiaggregatory principle, which is used under pathological conditions as substitution therapy for impaired endothelial function and autacoid production. Impaired endothelium-dependent vasomotor control has been documented in hypercholesterolaemia, atheromatosis, diabetes, hypertension, and in reperfusion damage. L-arginine supplementation is effective in a few instances.
DOI: 10.1056/nejm198904203201601
发表时间: 1989-04-20
影响因子: 158.5
作者:
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影响因子: 20.1
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影响因子: 24
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