Clinical Biochemistry · The Vascular Endothelium
Biochemistry · Basic Sciences
How it begins
El endotelio no es un mero revestimiento inerte, sino el órgano endocrino y paracrino más grande y dinámico del organismo. Este tratado desglosa sus vías bioquímicas , la regulación del tono vascular, la homeostasis hemostática y las implicaciones patológicas de su disfunción molecular .
What it covers
- Endothelial ultrastructure and selective barrier
- · Structural heterogeneity of the endothelium
- · Endothelial junction complexes
- · Transcellular transport (Transcytosis)
- Biochemistry of Nitric Oxide (NO): Synthesis and cGMP cascade
- · Endothelial Nitric Oxide Synthase (eNOS / NOS3)
- · Post-translational Regulation of eNOS
- · Mechanism of action: The cGMP cascade
- The cyclooxygenase (COX) pathway: Prostacyclin vs Thromboxane
- · Prostacyclin Biosynthesis ($PGI_2$)
- Endothelium-Derived Hyperpolarizing Factor (EDHF)
- · Mechanism of endothelium-myocyte coupling
- Endothelin System: Synthesis, receptors and signaling
- · Endothelin-1 (ET-1) Biosynthetic Pathway
- · Endothelin Receptors and Transducer Mechanism
- Surface Renin-Angiotensin-Aldosterone System: ECA and ECA2
- · Angiotensin Converting Enzyme (ACE / CD143)
- · The counterregulatory pathway: ACE2 and Angiotensin-(1-7)
- Regulation of hemostasis and fibrinolysis by the endothelium
- · Constitutive Antithrombotic Mechanisms
- · Regulation of the Fibrinolytic System
- Leukocyte adhesion and endothelial inflammation
- · The sequential cascade of leukocyte extravasation
- Angiogenesis, lymphangiogenesis and growth factors (VEGF)
- · VEGF-R2 receptor signaling
- · Hair sprout mechanism: "Tip" cell versus "Stalk" cell
- The Endothelial Glycocalyx: Composition and mechanotransduction
- · Macromolecular composition of the Glycocalyx
- · Mechanotransduction: The Glycocalyx as a shear sensor
- Endothelial dysfunction and oxidative stress
- · Mechanisms of generation of Vascular Oxidative Stress
- · The phenomenon of eNOS Uncoupling (eNOS Uncoupling)
- Pathophysiology of Atherosclerosis and lipid recruitment
- · Importance of the hemodynamic profile: Laminar vs. Turbulent Flow
- · The temporal progression of the atherosclerotic lesion
- Thrombotic microangiopathies and sepsis
- · Molecular Mechanisms of the main MAT
- · Immunoendothelial dysfunction in Sepsis and ARDS
- Hypertension, vascular remodeling and preeclampsia
- · Mechanism of remodeling and vascular stiffness
- · Biochemistry of Preeclampsia: The angiogenic imbalance
- Clinical biomarkers of endothelial dysfunction
- · Main plasma and urinary biomarkers
- Endothelial Pharmacology: Statins, ACEIs and cGMP modulators
- · Pleiotropic Effects of Statins
- · Modulators of the cGMP and nitric oxide pathway
- Synthesis: Atlas of targets and molecular interactions of the endothelium
The complete study guide is in the app
This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.
- Subject
- Biochemistry
- Category
- Basic Sciences
- Type
- Study Guide
- Sections
- 47
- Reviewed
- 2026-08-02