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Updated: Apr 27, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Circulating endothelial cells and chronic kidney disease
Kunying Zhang1, Fang Yin1, Lin Lin1
1Department of Nephrology, Weifang People's Hospital, No. 151 Guangwen Street, Kuiwen District, Weifang, Shandong 261041, China.
Insights
Circulating endothelial cells (CEC) offer a novel way to detect endothelial damage. Measuring CEC levels can help diagnose vascular dysfunction and predict patient outcomes.
Area of Science:
- Vascular Biology
- Cardiovascular Research
- Nephrology
Background:
- Endothelial dysfunction is a key factor in vascular disease and atherosclerosis.
- Circulating endothelial cells (CEC) are emerging as a marker for endothelial function.
- Understanding CEC detachment mechanisms is crucial for assessing vascular health.
Purpose of the Study:
- To detail the mechanisms of endothelial dysfunction and CEC detachment.
- To review the correlation between CEC counts, disease severity, and treatment response.
- To explore the clinical utility of CEC in chronic kidney disease (CKD) and kidney transplantation.
Main Methods:
- Detailed review of mechanisms underlying endothelial dysfunction.
- Analysis of CEC detachment processes.
- Literature review on CEC quantification and clinical applications.
Main Results:
- CEC identification and quantification serve as a novel marker for endothelial function.
- CEC levels correlate with disease severity and treatment efficacy.
- CEC measurement shows potential diagnostic and prognostic value in vascular dysfunction.
Conclusions:
- CEC provide a new method for assessing endothelial damage.
- CEC levels are valuable for diagnosing endothelial status and predicting long-term vascular outcomes.
- CEC hold promise for clinical use in CKD and kidney transplantation contexts.
Abstract:
Endothelial dysfunction may play a crucial role in initiation of the pathogenesis of vascular disease and atherosclerosis. The identification and quantification of circulating endothelial cells (CEC) have been developed as a novel marker of endothelial function. We describe, in great detail, mechanisms of endothelial dysfunction and CEC detachment. We also review the relationship between numbers of CEC and disease severity and response to treatment. In addition, we describe the possible clinical use of CEC in chronic kidney disease (CKD) and kidney transplantation. In summary, CEC have been developed as a novel approach to assess the endothelial damage. Measurement of the CEC level would provide an important diagnostic and prognostic value on the endothelium status and the long-term outcome of vascular dysfunction.
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