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Endothelial Cell Metabolism in Atherosclerosis
Kosta Theodorou1, Reinier A Boon1,2,3
1Centre of Molecular Medicine, Institute of Cardiovascular Regeneration, Goethe-University, Frankfurt am Main, Germany.
Insights
Metabolic pathways regulate endothelial cell functions crucial for vascular health. This review explores how glucose, fatty acid, and amino acid metabolism impact endothelial cells in atherosclerosis, diabetes, obesity, and aging.
Area of Science:
- Vascular Biology and Medicine
- Metabolic Regulation
- Cardiovascular Disease Pathophysiology
Background:
- Atherosclerosis and its complications are leading global causes of mortality.
- Vascular endothelial cells (ECs) are central to maintaining vascular homeostasis and disease development.
- Endothelial activation and dysfunction characterize atherosclerosis and risk factors like diabetes, obesity, and aging.
Purpose of the Study:
- To review the critical role of metabolic pathways in endothelial cell function.
- To highlight the involvement of glucose, fatty acid, and amino acid metabolism in ECs.
- To examine these metabolic roles in physiological and pathological states, including atherosclerosis, diabetes, obesity, and aging.
Main Methods:
- Literature review synthesizing current research on endothelial cell metabolism.
- Analysis of metabolic pathways influencing EC functions such as angiogenesis, inflammation, and barrier integrity.
- Integration of findings related to atherosclerosis, diabetes, obesity, and aging.
Main Results:
- Metabolic pathways are key regulators of essential EC functions.
- Dysregulation of glucose, fatty acid, and amino acid metabolism contributes to EC dysfunction in disease.
- Specific metabolic alterations are linked to atherogenesis and associated conditions.
Conclusions:
- Metabolic pathways significantly influence endothelial cell function in both health and disease.
- Understanding EC metabolism offers insights into the pathophysiology of atherosclerosis and related conditions.
- Targeting metabolic pathways may present therapeutic strategies for vascular diseases.
Abstract:
Atherosclerosis and its sequelae, such as myocardial infarction and stroke, are the leading cause of death worldwide. Vascular endothelial cells (EC) play a critical role in vascular homeostasis and disease. Atherosclerosis as well as its independent risk factors including diabetes, obesity, and aging, are hallmarked by endothelial activation and dysfunction. Metabolic pathways have emerged as key regulators of many EC functions, including angiogenesis, inflammation, and barrier function, processes which are deregulated during atherogenesis. In this review, we highlight the role of glucose, fatty acid, and amino acid metabolism in EC functions during physiological and pathological states, specifically atherosclerosis, diabetes, obesity and aging.
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