1996
DOI: 10.1161/01.cir.94.9.2096
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Increased Immunoreactive Endothelin-1 in Human Transplant Coronary Artery Disease

Abstract: Immunoreactivity for ET-1 is significantly increased in TCAD, possibly as a result of stimulatory cytokines and growth factors that are upregulated in the posttransplant state. The results suggest a role for this mitogenic peptide in the pathogenesis of graft arteriosclerosis.

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Cited by 67 publications
(31 citation statements)
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“…Our data corroborate the relationship between heightened perioperative levels of ET-1 and early myocardial dysfunction. In addition, ET-1 has been suggested to play a role in late CAV, and reduced overall survival [25][26][27][28] in clinical cardiac transplantation. ET-1 antagonists improve systolic function in animal models of cardiac transplantation.…”
Section: Discussionmentioning
confidence: 99%
“…Our data corroborate the relationship between heightened perioperative levels of ET-1 and early myocardial dysfunction. In addition, ET-1 has been suggested to play a role in late CAV, and reduced overall survival [25][26][27][28] in clinical cardiac transplantation. ET-1 antagonists improve systolic function in animal models of cardiac transplantation.…”
Section: Discussionmentioning
confidence: 99%
“…3,[7][8][9][10] Endothelial dysfunction is implicated in the development of coronary vasospasm, unstable angina, myocardial infarction, atherosclerosis, and transplant coronary disease. 4,6,8,13,14,19 The normally functioning endothelium maintains ET-1 and NO in balance. Impairment in NO production and/or increased release of ET-1 are key initiators of endothelial dysfunction and injury.…”
Section: Discussionmentioning
confidence: 99%
“…11,12 Elevated ET-1 levels have also been implicated in the development of transplant coronary disease. 4,8,13,14 It is generally accepted that low levels of ET-1 increase NO production; however, recent evidence suggests that elevated levels of ET-1 (as seen after heart failure and ischemia-reperfusion) may impair NO production. 12,15 However, the mechanisms by which elevated levels of ET-1 reduce NO production in endothelial cells have yet to be determined.…”
mentioning
confidence: 99%
“…Because of this disparity in receptor number, the contribution of the ET B receptor to coronary vasoregulation is limited (25). Importantly, ET-1 expression is elevated in atherosclerotic vessels (18,32), and ET-1-mediated vasoconstriction has been implicated in the pathogenesis of atherosclerotic vascular disease, including coronary heart disease (9,20,26,40).…”
mentioning
confidence: 99%