SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows

Endothelial activation in infectious diseases plays a crucial role in understanding and predicting the outcomes and future treatments of several clinical conditions. COVID-19 is no exception. Moving from basic principles to novel approaches, an evolving view of endothelial activation provides insigh...

Full description

Bibliographic Details
Main Authors: Antonio Giovanni Solimando, Donatello Marziliano, Domenico Ribatti
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/9/2242
_version_ 1797490861889552384
author Antonio Giovanni Solimando
Donatello Marziliano
Domenico Ribatti
author_facet Antonio Giovanni Solimando
Donatello Marziliano
Domenico Ribatti
author_sort Antonio Giovanni Solimando
collection DOAJ
description Endothelial activation in infectious diseases plays a crucial role in understanding and predicting the outcomes and future treatments of several clinical conditions. COVID-19 is no exception. Moving from basic principles to novel approaches, an evolving view of endothelial activation provides insights into a better knowledge of the upstream actors in COVID-19 as a crucial future direction for managing SARS-CoV-2 and other infections. Assessing the function of resting and damaged endothelial cells in infection, particularly in COVID-19, five critical processes emerged controlling thrombo-resistance: vascular integrity, blood flow regulation, immune cell trafficking, angiogenesis and intussusceptive microvascular growth. Endothelial cell injury is associated with thrombosis, increased vessel contraction and a crucial phenomenon identified as intussusceptive microvascular growth, an unprecedented event of vessel splitting into two lumens through the integration of circulating pro-angiogenic cells. An essential awareness of endothelial cells and their phenotypic changes in COVID-19 inflammation is pivotal to understanding the vascular biology of infections and may offer crucial new therapeutic windows.
first_indexed 2024-03-10T00:38:14Z
format Article
id doaj.art-461c10e3555e4faeba519286befa1dd9
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T00:38:14Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-461c10e3555e4faeba519286befa1dd92023-11-23T15:11:32ZengMDPI AGBiomedicines2227-90592022-09-01109224210.3390/biomedicines10092242SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic WindowsAntonio Giovanni Solimando0Donatello Marziliano1Domenico Ribatti2Guido Baccelli Unit of Internal Medicine, Department of Biomedical Sciences and Human Oncology, School of Medicine, Aldo Moro University of Bari, 70124 Bari, ItalyGuido Baccelli Unit of Internal Medicine, Department of Biomedical Sciences and Human Oncology, School of Medicine, Aldo Moro University of Bari, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neurosciences, and Sensory Organs, University of Bari Medical School, 70124 Bari, ItalyEndothelial activation in infectious diseases plays a crucial role in understanding and predicting the outcomes and future treatments of several clinical conditions. COVID-19 is no exception. Moving from basic principles to novel approaches, an evolving view of endothelial activation provides insights into a better knowledge of the upstream actors in COVID-19 as a crucial future direction for managing SARS-CoV-2 and other infections. Assessing the function of resting and damaged endothelial cells in infection, particularly in COVID-19, five critical processes emerged controlling thrombo-resistance: vascular integrity, blood flow regulation, immune cell trafficking, angiogenesis and intussusceptive microvascular growth. Endothelial cell injury is associated with thrombosis, increased vessel contraction and a crucial phenomenon identified as intussusceptive microvascular growth, an unprecedented event of vessel splitting into two lumens through the integration of circulating pro-angiogenic cells. An essential awareness of endothelial cells and their phenotypic changes in COVID-19 inflammation is pivotal to understanding the vascular biology of infections and may offer crucial new therapeutic windows.https://www.mdpi.com/2227-9059/10/9/2242angiogenesisinfectionsSARS-CoV-2COVID-19intussusceptive microvascular growth
spellingShingle Antonio Giovanni Solimando
Donatello Marziliano
Domenico Ribatti
SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
Biomedicines
angiogenesis
infections
SARS-CoV-2
COVID-19
intussusceptive microvascular growth
title SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
title_full SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
title_fullStr SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
title_full_unstemmed SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
title_short SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
title_sort sars cov 2 and endothelial cells vascular changes intussusceptive microvascular growth and novel therapeutic windows
topic angiogenesis
infections
SARS-CoV-2
COVID-19
intussusceptive microvascular growth
url https://www.mdpi.com/2227-9059/10/9/2242
work_keys_str_mv AT antoniogiovannisolimando sarscov2andendothelialcellsvascularchangesintussusceptivemicrovasculargrowthandnoveltherapeuticwindows
AT donatellomarziliano sarscov2andendothelialcellsvascularchangesintussusceptivemicrovasculargrowthandnoveltherapeuticwindows
AT domenicoribatti sarscov2andendothelialcellsvascularchangesintussusceptivemicrovasculargrowthandnoveltherapeuticwindows