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SHR Neuro Cancer Cardio Lipid Metab Microb

Borek, I; Birnhuber, A; Voelkel, NF; Marsh, LM; Kwapiszewska, G.
The vascular perspective on acute and chronic lung disease.
J Clin Invest. 2023; 133(16): Doi: 10.1172/JCI170502 [OPEN ACCESS]
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Leading authors Med Uni Graz

Birnhuber Anna

Borek Izabela Malgorzata

Kwapiszewska-Marsh Grazyna

Co-authors Med Uni Graz

Marsh Leigh

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Abstract:

The pulmonary vasculature has been frequently overlooked in acute and chronic lung diseases, such as acute respiratory distress syndrome (ARDS), pulmonary fibrosis (PF), and chronic obstructive pulmonary disease (COPD). The primary emphasis in the management of these parenchymal disorders has largely revolved around the injury and aberrant repair of epithelial cells. However, there is increasing evidence that the vascular endothelium plays an active role in the development of acute and chronic lung diseases. The endothelial cell network in the capillary bed and the arterial and venous vessels provides a metabolically highly active barrier that controls the migration of immune cells, regulates vascular tone and permeability, and participates in the remodeling processes. Phenotypically and functionally altered endothelial cells, and remodeled vessels, can be found in acute and chronic lung diseases, although to different degrees, likely because of disease-specific mechanisms. Since vascular remodeling is associated with pulmonary hypertension, which worsens patient outcomes and survival, it is crucial to understand the underlying vascular alterations. In this Review, we describe the current knowledge regarding the role of the pulmonary vasculature in the development and progression of ARDS, PF, and COPD; we also outline future research directions with the hope of facilitating the development of mechanism-based therapies.

Find related publications in this database (using NLM MeSH Indexing)

Humans - administration & dosage

Lung - pathology

Endothelial Cells - administration & dosage

Pulmonary Disease, Chronic Obstructive - pathology

Respiratory Distress Syndrome - therapy, pathology

Pulmonary Fibrosis - pathology

Endothelium, Vascular - administration & dosage

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