Summary
The endothelial lining contributes in many respects to the patency of the vasculature. The production of heparan sulphate, release of prostacyclin and expression of the membrane cofactor thrombomodulin that is essentially required for the activation of protein C represent important mechanisms that warrant thromboresistance. If the integrity of the vessel wall is lost, the exposed subendothelium that has been built up by the endothelial cells serves as a highly reactive surface for platelets whose adherence is facilitated by another endothelial cell product, the von Willebrand Factor. Induction of tissue factor production after exposure to endotoxin also emphasizes an important role für the endothelium in the pathogenesis of disseminated intravascular coagulation. Once thrombosis has occurred the release of plasminogen activator of tissue-type from the endothelium leads to dissolution of the clot and a functional restoration of the blood vessel.
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Abbreviations
- APC:
-
aktiviertes Protein C
- PF 4:
-
Plättchenfaktor 4
- PGI2 :
-
Prostazyklin
- t-PA:
-
Plasminogenaktivator vom Gewebetyp
- UK:
-
Urokinase
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Herrn Prof. Dr. med. Dr. h.c. Hanns-Gotthard Lasch zum 60. Geburtstag gewidmet
Unterstützt durch die Stiftung Volkswagenwerk, Hannover
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Delvos, U., Müller-Berghaus, G. Die Bedeutung des Endothels der Gefäßwand für die Aufrechterhaltung der Hämostase. Klin Wochenschr 63, 1237–1246 (1985). https://doi.org/10.1007/BF01738448
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DOI: https://doi.org/10.1007/BF01738448