Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)

The lung endothelium is vulnerable to both exogenous and endogenous insults, so a properly coordinated efficient repair system is essential for the timely recovery of the lung after injury. The agents that cause endothelial injury and dysfunction fall into a broad range from mechanical forces such a...

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Main Authors: Konstantin G. Birukov, Pratap Karki
Format: Article
Language:English
Published: Wiley 2018-02-01
Series:Pulmonary Circulation
Online Access:https://doi.org/10.1177/2045893217752660
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author Konstantin G. Birukov
Pratap Karki
author_facet Konstantin G. Birukov
Pratap Karki
author_sort Konstantin G. Birukov
collection DOAJ
description The lung endothelium is vulnerable to both exogenous and endogenous insults, so a properly coordinated efficient repair system is essential for the timely recovery of the lung after injury. The agents that cause endothelial injury and dysfunction fall into a broad range from mechanical forces such as pathological cyclic stretch and shear stress to bacterial pathogens and their virulent components, vasoactive agonists including thrombin and histamine, metabolic causes including high glucose and oxidized low-density lipoprotein (OxLDL), circulating microparticles, and inflammatory cytokines. The repair mechanisms employed by endothelial cells (EC) can be broadly categorized into three groups: (1) intrinsic mechanism of recovery regulated by the cross-talk between small GTPases as exemplified by Rap1-mediated EC barrier recovery from Rho-mediated thrombin-induced EC hyperpermeability; (2) agonist-assisted recovery facilitated by the activation of Rac and Rap1 with subsequent inhibition of Rho signaling as observed with many barrier protective agonists including oxidized phospholipids, sphingosine 1-phosphate, prostacyclins, and hepatocyte growth factor; and (3) self-recovery of EC by the secretion of growth factors and other pro-survival bioactive compounds including anti-inflammatory molecules such as lipoxins during the resolution of inflammation. In this review, we will discuss the molecular and cellular mechanisms of pulmonary endothelium repair that is critical for the recovery from various forms of lung injuries.
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spelling doaj.art-cc58e9d8d94c4c8692f025d0ebca934f2022-12-22T03:37:43ZengWileyPulmonary Circulation2045-89402018-02-01810.1177/2045893217752660Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)Konstantin G. Birukov0Pratap Karki1Department of Anesthesiology, University of Maryland Baltimore, School of Medicine, Baltimore, MD, USADivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland Baltimore, School of Medicine, Baltimore, MD, USAThe lung endothelium is vulnerable to both exogenous and endogenous insults, so a properly coordinated efficient repair system is essential for the timely recovery of the lung after injury. The agents that cause endothelial injury and dysfunction fall into a broad range from mechanical forces such as pathological cyclic stretch and shear stress to bacterial pathogens and their virulent components, vasoactive agonists including thrombin and histamine, metabolic causes including high glucose and oxidized low-density lipoprotein (OxLDL), circulating microparticles, and inflammatory cytokines. The repair mechanisms employed by endothelial cells (EC) can be broadly categorized into three groups: (1) intrinsic mechanism of recovery regulated by the cross-talk between small GTPases as exemplified by Rap1-mediated EC barrier recovery from Rho-mediated thrombin-induced EC hyperpermeability; (2) agonist-assisted recovery facilitated by the activation of Rac and Rap1 with subsequent inhibition of Rho signaling as observed with many barrier protective agonists including oxidized phospholipids, sphingosine 1-phosphate, prostacyclins, and hepatocyte growth factor; and (3) self-recovery of EC by the secretion of growth factors and other pro-survival bioactive compounds including anti-inflammatory molecules such as lipoxins during the resolution of inflammation. In this review, we will discuss the molecular and cellular mechanisms of pulmonary endothelium repair that is critical for the recovery from various forms of lung injuries.https://doi.org/10.1177/2045893217752660
spellingShingle Konstantin G. Birukov
Pratap Karki
Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
Pulmonary Circulation
title Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
title_full Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
title_fullStr Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
title_full_unstemmed Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
title_short Injured lung endothelium: mechanisms of self-repair and agonist-assisted recovery (2017 Grover Conference Series)
title_sort injured lung endothelium mechanisms of self repair and agonist assisted recovery 2017 grover conference series
url https://doi.org/10.1177/2045893217752660
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