Epistemis

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

  1. Endothelial ultrastructure and selective barrier
  2. · Structural heterogeneity of the endothelium
  3. · Endothelial junction complexes
  4. · Transcellular transport (Transcytosis)
  5. Biochemistry of Nitric Oxide (NO): Synthesis and cGMP cascade
  6. · Endothelial Nitric Oxide Synthase (eNOS / NOS3)
  7. · Post-translational Regulation of eNOS
  8. · Mechanism of action: The cGMP cascade
  9. The cyclooxygenase (COX) pathway: Prostacyclin vs Thromboxane
  10. · Prostacyclin Biosynthesis ($PGI_2$)
  11. Endothelium-Derived Hyperpolarizing Factor (EDHF)
  12. · Mechanism of endothelium-myocyte coupling
  13. Endothelin System: Synthesis, receptors and signaling
  14. · Endothelin-1 (ET-1) Biosynthetic Pathway
  15. · Endothelin Receptors and Transducer Mechanism
  16. Surface Renin-Angiotensin-Aldosterone System: ECA and ECA2
  17. · Angiotensin Converting Enzyme (ACE / CD143)
  18. · The counterregulatory pathway: ACE2 and Angiotensin-(1-7)
  19. Regulation of hemostasis and fibrinolysis by the endothelium
  20. · Constitutive Antithrombotic Mechanisms
  21. · Regulation of the Fibrinolytic System
  22. Leukocyte adhesion and endothelial inflammation
  23. · The sequential cascade of leukocyte extravasation
  24. Angiogenesis, lymphangiogenesis and growth factors (VEGF)
  25. · VEGF-R2 receptor signaling
  26. · Hair sprout mechanism: "Tip" cell versus "Stalk" cell
  27. The Endothelial Glycocalyx: Composition and mechanotransduction
  28. · Macromolecular composition of the Glycocalyx
  29. · Mechanotransduction: The Glycocalyx as a shear sensor
  30. Endothelial dysfunction and oxidative stress
  31. · Mechanisms of generation of Vascular Oxidative Stress
  32. · The phenomenon of eNOS Uncoupling (eNOS Uncoupling)
  33. Pathophysiology of Atherosclerosis and lipid recruitment
  34. · Importance of the hemodynamic profile: Laminar vs. Turbulent Flow
  35. · The temporal progression of the atherosclerotic lesion
  36. Thrombotic microangiopathies and sepsis
  37. · Molecular Mechanisms of the main MAT
  38. · Immunoendothelial dysfunction in Sepsis and ARDS
  39. Hypertension, vascular remodeling and preeclampsia
  40. · Mechanism of remodeling and vascular stiffness
  41. · Biochemistry of Preeclampsia: The angiogenic imbalance
  42. Clinical biomarkers of endothelial dysfunction
  43. · Main plasma and urinary biomarkers
  44. Endothelial Pharmacology: Statins, ACEIs and cGMP modulators
  45. · Pleiotropic Effects of Statins
  46. · Modulators of the cGMP and nitric oxide pathway
  47. 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
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