Cited by 853Nitric Oxide and Endothelin EffectsCardiovascular Health and Disease PreventionAtherosclerosis and Cardiovascular Diseases

Endothelial Function: A Critical Determinant in Atherosclerosis?

Landmesser, Ulf, Hornig, Burkhard, Drexler, Helmut·2004·Circulation

Abstract

Common conditions predisposing to atherosclerosis, such as hypercholesterolemia, hypertension, diabetes, and smoking, are associated with endothelial dysfunction. Endothelial function has largely been assessed as endothelium-dependent vasomotion, at least in part based on the assumption that impaired endothelium-dependent vasodilation also reflects the alteration of other important functions of the endothelium. An important rationale for this approach has been the observation that endothelium-derived nitric oxide (NO), a major mediator of endothelium-dependent vasodilation, has important anti-inflammatory and antithrombotic properties, ie, inhibiting leukocyte adhesion, limiting platelet adhesion and aggregation, and the expression of plasminogen activator inhibitor-1 (PAI-1), a prothrombotic protein. Accumulating data suggest that the degree of impairment of endothelium-dependent vasomotion has profound and independent prognostic implications. A common mechanism underlying endothelial dysfunction relates to increased vascular production of reactive oxygen species. Recent studies also suggest that inflammation per se and C-reactive protein in particular may directly contribute to endothelial dysfunction. These findings raise the question of whether assessment of endothelial function can be used in the clinical setting to identify patients at high risk. New insights into mechanisms of endothelial dysfunction, such as a better understanding of the regulation of important vascular sources of oxygen radicals, may lead to novel therapeutic strategies with the potential to improve prognosis.

Integrity signals

Registry

Crossref · 10.1161/01.cir.0000129501.88485.1f

Cites

79 of 79 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Landmesser, U., Hornig, B., & Drexler, H.
Affiliations
Medizinische Hochschule Hannover (DE)
Venue
Circulation
Published
2004-06
Volume
109
Issue
21_suppl_1
Pages
II27-33
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2163221788
Cited by
851
References
78
Citations by year
2026: 10 · 2025: 10 · 2024: 10 · 2023: 16 · 2022: 11 · 2021: 29 · 2020: 27 · 2019: 20 · 2018: 38 · 2017: 42 · 2016: 47 · 2015: 44 · 2014: 47 · 2013: 59 · 2012: 42
FWCI
35.77
Type
journal article
Language
en
Open access
closed
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
Keywords
endothelial dysfunction, endothelial function, atherosclerosis, endothelium-dependent vasodilation, nitric oxide, reactive oxygen species, inflammation, C-reactive protein, plasminogen activator inhibitor-1, hypertension, hypercholesterolemia, diabetes mellitus, smoking, cardiovascular risk prediction
MeSH terms
Animals, Arteriosclerosis, Endothelium, Vascular, Humans, Inflammation, Models, Cardiovascular, Nitric Oxide, Prognosis, Thrombosis, Reactive Oxygen Species, Mice

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review