Endothelium
The endothelium is the layer of thin, flat cells that lines the interior surface of blood vessels, forming an interface between circulating blood in the lumen and the rest of the vessel wall. Endothelial cells line the entire circulatory system, from the heart to the smallest capillary. In small blood vessels and capillaries, endothelial cells are often the only cell-type present. Endothelial cells are involved in many aspects of vascular biology, including:- vasoconstriction & vasodilation, and hence the control of blood pressure
- blood clotting (thrombosis & fibrinolysis)
- atherosclerosis
- formation of new blood vessels (angiogenesis)
- inflammation and swelling (edema)
The corneal endothelium is a layer of fluid-transport epithelial cells in the eye, responsible for the hydration of the cornea. Despite its name, it has a very different origin, function and appearance from vascular endothelia. It is considered a squamous epithelium, but a distinct structure from the corneal epithelium.
Endothelial dysfunction, or the loss of proper endothelial function, is a hallmark for vascular diseases, and often leads to atherosclerosis. This is very common in patients with diabetes mellitus, hypertension or other chronic pathophysiological conditions.
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