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Situating the Endothelin System in the Pathotrajectory of TBI-Induced Changes in Hemodynamics

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Abstract

Traumatic brain injury is characterized by several pathologies, including hypoperfusion of the brain’s parenchyma. This hypoperfusion is caused, in part, by disruption of autoregulatory mechanisms which control vascular tone. A chief instigator of this dysfunctional regulation is endothelin-1, acting through its receptors, A and B. This chapter will outline the endothelin system in the context of both normal and pathological states and will set the groundwork for Chap. 7 which will outline the use of the endothelin system in clinical trials to mitigate the deleterious effects of head trauma.

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Kropinski, A., Dore-Duffy, P., Kreipke, C.W. (2013). Situating the Endothelin System in the Pathotrajectory of TBI-Induced Changes in Hemodynamics. In: Kreipke, C., Rafols, J. (eds) Cerebral Blood Flow, Metabolism, and Head Trauma. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4148-9_5

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