Interactions between autonomic nervous system activity and endothelial function: a model for the development of cardiovascular disease
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Updated: Aug 25, 2026

Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
Published on: June 3, 2019
Kelly F Harris1, Karen A Matthews
1Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Insights
Psychosocial factors may influence cardiovascular disease (CVD) risk by affecting the autonomic nervous system (ANS) and endothelial function. Further research is needed to confirm this link and its mechanisms.
Area of Science:
- Cardiovascular Science
- Neuroscience
- Psychology
Background:
- Endothelial dysfunction is an emerging pathway in cardiovascular disease (CVD) development.
- The role of psychosocial factors in endothelial function, potentially via the autonomic nervous system (ANS), is understudied.
- Understanding these interactions may reveal new CVD risk pathways.
Purpose of the Study:
- To propose a model linking psychosocial factors to CVD development.
- To explore the interaction between the autonomic nervous system (ANS) and vascular endothelium.
- To investigate the potential role of these interactions in CVD pathogenesis.
Main Methods:
- Literature review of studies on ANS-endothelium interactions in health and disease.
- Exploration of potential mechanisms connecting the ANS and vascular endothelium.
- Analysis of existing data on endothelial dysfunction and ANS regulation in CVD.
Main Results:
- Endothelial dysfunction and impaired cardiovascular ANS regulation are established CVD risk markers.
- In healthy states, sympathetic nerves and endothelial cells maintain a functional antagonism.
- Early CVD development shows alterations in both sympathetic activity and endothelial function, potentially disrupting this balance.
Conclusions:
- Interactions between cardiovascular ANS regulation and endothelial function are likely implicated in CVD development.
- Further research is required to validate the proposed pathway linking psychosocial factors, ANS, and endothelial function to CVD risk.
Objectives:
Endothelial dysfunction is a new pathway in cardiovascular disease (CVD) development. Psychosocial factors have been little studied in relation to endothelial function, although they may interact via associations with the autonomic nervous system (ANS). The purpose of this review is to propose a model by which psychosocial factors are related to CVD development through interactions between the ANS and vascular endothelium.
Methods:
The literature supporting an interaction between the ANS and endothelium in healthy and disease states is reviewed. Potential mechanisms linking the two systems are explored as a pathway for CVD development.
Results:
Endothelial dysfunction and impaired cardiovascular ANS regulation are both markers for increased CVD risk. Sympathetic nerves and vascular endothelial cells share a functional antagonism in healthy states to maintain appropriate blood vessel tone. Alterations in sympathetic activity and endothelial cell function are both observed early in the development of CVD and may result from an inability to maintain the functional antagonism. Impairments in either ANS regulation or endothelial function may contribute to further disease development by evoking maladaptive changes in the opposing system.
Conclusions:
Although interactions between cardiovascular ANS regulation and endothelial function are likely involved in CVD development, further research is needed to determine whether ANS and endothelium interactions are a plausible pathway linking psychosocial factors with increased CVD risk.
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