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Published on: June 3, 2019
The Relationship between Vascular Function and the Autonomic Nervous System
Eisuke Amiya1, Masafumi Watanabe1, Issei Komuro1
1Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Insights
Vascular and autonomic nervous system dysfunction are linked risk factors for atherosclerosis. Understanding their interrelationship may improve atherosclerosis risk assessment and treatment strategies.
Area of Science:
- Cardiovascular Science
- Neuroscience
- Vascular Biology
Background:
- Endothelial dysfunction and autonomic nervous system dysfunction are established risk factors for atherosclerosis.
- A close interrelationship exists between the vascular endothelium and the autonomic nervous system.
- Existing evidence links endothelial dysfunction to autonomic pathways in hypertension and autonomic neuropathy to vascular function in diabetes.
Purpose of the Study:
- To review and synthesize current experimental and clinical findings on the interrelationship between vascular function and the autonomic nervous system.
- To elucidate the detailed mechanisms underlying the connection between these two systems.
- To highlight the potential implications for atherosclerosis risk stratification and therapeutic development.
Main Methods:
- Comprehensive literature review of experimental and clinical studies.
- Analysis of data linking endothelial and autonomic nervous system function.
- Synthesis of findings related to hypertension and diabetes mellitus models.
Main Results:
- The review consolidates evidence demonstrating a significant interplay between endothelial dysfunction and autonomic nervous system alterations.
- Specific pathways and mechanisms, though not fully detailed, are implicated in conditions like hypertension and diabetes.
- The interrelationship impacts the pathological processes contributing to atherosclerosis.
Conclusions:
- Clarifying the mechanisms of vascular and autonomic nervous system interrelationship is crucial.
- A deeper understanding can lead to improved risk stratification for atherosclerosis.
- This knowledge may pave the way for novel therapeutic strategies targeting this connection to combat atherosclerosis.
Abstract:
Endothelial dysfunction and autonomic nervous system dysfunction are both risk factors for atherosclerosis. There is evidence demonstrating that there is a close interrelationship between these two systems. In hypertension, endothelial dysfunction affects the pathologic process through autonomic nervous pathways, and the pathophysiological process of autonomic neuropathy in diabetes mellitus is closely related with vascular function. However, detailed mechanisms of this interrelationship have not been clearly explained. In this review, we summarize findings concerning the interrelationship between vascular function and the autonomic nervous system from both experimental and clinical studies. The clarification of this interrelationship may provide more comprehensive risk stratification and a new effective therapeutic strategy against atherosclerosis.
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