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pmid: 18695354
Studied nature of the “blood vessels relaxing factor” derived fromendotheliumthat was identified as nitric oxide caused intensive scientific research on nitric oxide regarding some aspects of its impact on human physiological and pathological processes. The objective of this short review is to discuss widely used (in the clinical practice) direct and indirect donors of nitric oxide and/or other agents, increasing nitric oxide concentration in human body, and their beneficial role for the prevention of atherosclerosis. Under physiological conditions, endotheliumregulates the tone of blood vessels, homeostasis of which is maintained by endotheliumgenerated vasoconstrictors and vasodilators. The most important vasodilator and the main substance produced by the endothelium is nitric oxide. The failure of synthesis and/or the lost of nitric oxide bioavailability is the major feature of endothelial dysfunction and key factor initiating progression of atherosclerosis. The endothelial dysfunction initiates the series of events, which stimulate and aggravate the course of atherosclerosis by increasing endothelial permeability, platelet aggregation, and leukocyte adhesion, and cytokine expression. Further, the review deals with the mechanisms of action of statins, angiotensin-converting enzyme inhibitors, L-arginine, direct nitric oxide donors (nitroglycerin, isosorbide mononitrate and isosorbide dinitrate), and indirect nitric oxide donors (phosphodiesterase-V inhibitors, KATP openers).
endothelium, Vasodilator Agents, endothelium; nitric oxide; angiotensin-converting enzyme inhibitors; nitric oxide donors, Angiotensin-Converting Enzyme Inhibitors, Isosorbide Dinitrate, Atherosclerosis, Nitric Oxide, angiotensin-converting enzyme inhibitors, Nitroglycerin, nitric oxide, nitric oxide donors, Homeostasis, Humans, Nitric Oxide Donors, Endothelium, Vascular, Hypolipidemic Agents
endothelium, Vasodilator Agents, endothelium; nitric oxide; angiotensin-converting enzyme inhibitors; nitric oxide donors, Angiotensin-Converting Enzyme Inhibitors, Isosorbide Dinitrate, Atherosclerosis, Nitric Oxide, angiotensin-converting enzyme inhibitors, Nitroglycerin, nitric oxide, nitric oxide donors, Homeostasis, Humans, Nitric Oxide Donors, Endothelium, Vascular, Hypolipidemic Agents
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influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
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