2018
DOI: 10.1007/s11906-018-0835-5
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Modulation of Vascular Reactivity by Perivascular Adipose Tissue (PVAT)

Abstract: PVAT possesses a relevant endocrine-paracrine activity, which may be altered in several pathophysiological and clinical conditions. During the last two decades, it has been shown that PVAT may modulate vascular reactivity. It has also been previously demonstrated that inflammation in adipose tissue may be implicated in vascular dysfunction. In particular, adipocytes secrete a number of adipokines with various functions, as well as several vasoactive factors, together with components of the renin-angiotensin sy… Show more

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Cited by 40 publications
(46 citation statements)
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“…This finding reaffirmed the idea that PVAT was anti-contractile. Since this study, investigators have reproduced that the presence of PVAT in healthy tissue is 'anti-contractile' [5][6][7][8][9][10][11] . Gollasch uses the term "adipose-vascular coupling" for the interaction of PVAT with the vessel 12 and, in health, this coupling is beneficial.…”
mentioning
confidence: 75%
“…This finding reaffirmed the idea that PVAT was anti-contractile. Since this study, investigators have reproduced that the presence of PVAT in healthy tissue is 'anti-contractile' [5][6][7][8][9][10][11] . Gollasch uses the term "adipose-vascular coupling" for the interaction of PVAT with the vessel 12 and, in health, this coupling is beneficial.…”
mentioning
confidence: 75%
“…PVAT is a secretory organ involved in the regulation of hemodynamic homeostasis, and a balance between PVAT-derived vasodilator and vasoconstrictor mediators appears to be important to maintain an appropriate vascular tone [ 3 , 4 ]. Even when the volume of PVAT is associated with hypertension and aortic and coronary calcification, it is the function of PVAT, rather than the size of this tissue, which seems to be key for the control of vascular homeostasis [ 5 ].…”
Section: Discussionmentioning
confidence: 99%
“…Apart from the visceral and subcutaneous fat depots, numerous blood vessels are surrounded by a specific type of adipose tissue termed perivascular adipose tissue (PVAT). Increasing evidence demonstrates that PVAT acts as a secretory and endocrine organ with a direct impact on vessel function, structure, and contractility [ 3 ]. In addition to adipocytes, other cell types, such as macrophages, lymphocytes, and fibroblasts, are found in PVAT and may also contribute to its function.…”
Section: Introductionmentioning
confidence: 99%
“…The anti-contractile effect of perivascular adipose tissue (PVAT) is lost in obesity, probably as a consequence of the development of adipocyte hypertrophy, inflammation, and oxidative stress thus contributing to endothelial dysfunction observed inobesity and hypertension. Thus, decreased local adiponectin level, macrophage recruitment and infiltration, and activation of renin-angiotensin-aldosterone system could play an important role in hypertension 30 . The patho-physiological links between obesity mediated diabetes and hypertension is another important mechanism.…”
Section: Obesity and Hypertensionmentioning
confidence: 99%