2004
DOI: 10.1161/01.cir.0000129087.81352.7a
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Race-Specific Differences in Endothelial Function

Abstract: Background-The prevalence of the endothelium-impaired function disorders, such as hypertension and diabetes mellitus, and the severity of their complications are considerably greater in blacks than whites. Evidence has accumulated that superoxide (O 2 Ϫ ) production and its interaction with nitric oxide (NO), yielding the strong oxidant peroxynitrite (ONOO Ϫ ), play central roles in vascular pathophysiology. We hypothesized that the differences in endothelial NO/O 2 Ϫ /ONOO Ϫ metabolism may highlight the poten… Show more

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Cited by 290 publications
(118 citation statements)
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References 28 publications
(17 reference statements)
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“…We have no evidence to suggest that differences in the usage of these or other drugs that can modify antioxidant enzymes or dietary factors account for our observations. Data showing that cultured endothelial cells derived from African patients release greater quantities of superoxide and peroxynitrite radicals compared with Caucasians are consistent with our findings and imply an inherent basis for the racial differences in redox metabolism (39). Further studies are needed to explore whether treatments that can potentially alter these antioxidant enzymes will modify the susceptibility to or occurrence of diabetes complications.…”
Section: Statisticssupporting
confidence: 86%
“…We have no evidence to suggest that differences in the usage of these or other drugs that can modify antioxidant enzymes or dietary factors account for our observations. Data showing that cultured endothelial cells derived from African patients release greater quantities of superoxide and peroxynitrite radicals compared with Caucasians are consistent with our findings and imply an inherent basis for the racial differences in redox metabolism (39). Further studies are needed to explore whether treatments that can potentially alter these antioxidant enzymes will modify the susceptibility to or occurrence of diabetes complications.…”
Section: Statisticssupporting
confidence: 86%
“…Furthermore, one might infer that steps to enhance vascular health may also help forestall and perhaps even reverse risks for cognitive decline among elderly cardiovascular patients. Consistently, recent reports highlight the benefits of statin therapy and lifestyle modifications on cerebral perfusion, mitigating injury of ischemic strokes 52,53 and even dementia 54 . Note: Statistically significant associations are reported in bold (p<.05).…”
Section: Discussionmentioning
confidence: 60%
“…The process of increased and prolonged NO production leads to depletion of enzymatic substrates and cofactors, and eventually, uncoupling of eNOS. 30 The uncoupled eNOS can generate superoxide 10 SELP expression and GPIIb/IIIa activation. 12 The activation of GPIIb/IIIa (a change from the low-to high-affinity conformation) and translocation of SELP to the platelet surface membrane is crucial for platelet aggregation to occur.…”
Section: Discussionmentioning
confidence: 99%