“…However, the presence of these atypical endothelial cells is unlikely to be solely responsible for the endothelial dysfunction since, they represent a modest percentage (less than 15%) of the total cell population. The morphology of these cultured giant regenerated endothelial cells resembles closely that described for the giant multinucleated cells, observed in vitro and in vivo , with endothelium denudation in the rabbit (Poole et al , 1958), haemodynamic stress in the rabbit (Fallon & Stehbens, 1972), atherosclerosis in rabbits and in man (Efskind, 1941; Sinapius, 1952; Tokunaga et al , 1989; Tashiro et al , 1994), and with senescence in bovines and man (Tokunaga et al , 1989; Augustin‐Voss et al , 1993). The appearance of these giant cells may indicate a change in endothelial cell phenotype involved in the phenomena of endothelial alteration.…”