Related Experiment Video
Updated: Sep 27, 2025

Isolation of Endocardial and Coronary Endothelial Cells from the Ventricular Free Wall of the Rat Heart
Published on: April 15, 2020
Angiocrine endothelium: From physiology to atherosclerosis and cardiac repair
1Cardiology Division, Azienda Ospedaliera Universitaria Pisana and University of Pisa, Pisa, Italy.
Insights
Cardiovascular endothelial cells release angiocrine factors influencing tissue repair and disease. Understanding these factors is crucial for treating atherosclerosis, especially in diabetic patients.
Area of Science:
- Cardiovascular biology
- Endothelial cell biology
- Diabetology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of death.
- Diabetic women face higher CVD mortality than men.
- Shared mechanisms between atherosclerosis and diabetes require elucidation.
Purpose of the Study:
- To explore the role of cardiovascular endothelial cells and their angiocrine factors in tissue homeostasis and disease.
- To focus on the impact of endothelial cells and angiocrine factors in atherosclerosis and cardiac repair, particularly in diabetic patients.
Main Methods:
- Review of existing literature integrating basic and translational research.
- Analysis of endothelial cell function and angiocrine factor secretion.
- Investigation of microenvironmental influences on endothelial cell behavior.
Main Results:
- Endothelial cells release angiocrine factors that regulate tissue morphogenesis and repair.
- Specific microvascular endothelial cell subsets act as sensors and effectors of angiocrine signaling.
- These mechanisms are implicated in the pathogenesis of atherosclerosis and its exacerbation in diabetes.
Conclusions:
- Endothelial cells and their angiocrine factors are critical in maintaining tissue homeostasis and disease progression.
- Further research integrating basic and translational findings may reveal endothelial cell-dependent mechanisms driving atherosclerosis prevalence and poor prognosis in diabetics.
- Targeting endothelial cell-derived angiocrine factors presents a potential therapeutic avenue for cardiovascular diseases, especially in diabetic populations.
Abstract:
Cardiovascular diseases are the leading cause of mortality worldwide. In the presence of diabetes, mortality from cardiovascular disease is higher in women than in men. A better perception of the mechanisms common to atherosclerosis and diabetes, which lead to co-morbidities, is an exciting challenge. During embryogenesis, endothelial cells participate in organogenesis before development of the fetal circulation, suggesting that endothelial cells are capable of releasing paracrine trophogens, named angiocrine factors, promoting morphogenesis and repair of the adjacent parenchyma/stroma where the vessels lie. These exclusive specialized microvascular cells likely act through the release of angiocrine factors that possess specific cellular targets and play a pivotal role in atherosclerotic disease. A specific subset of microvascular endothelial cells displays highly sensitive feedbacks elicited by changes within the microenvironmental milieu and serves as powerful spatiotemporal sensor and effector to drive the secretion of specific angiocrine factors under normal and pathological conditions. An integration of basic and translational research may lead to the identification of endothelial cells-dependent mechanisms that may fuel the increased prevalence of atherosclerotic disease and worse prognosis in diabetic patients. In this review, we will discuss the role of cardiovascular endothelial cells and their angiocrine factors in tissue homeostasis and disease, with a special focus on atherosclerotic disease and cardiac repair.
Related Concept Videos
Regulation of Angiogenesis and Blood Supply
Mechanism of Angiogenesis
Atherosclerosis I: Introduction
Coronary Artery Disease II: Pathophysiology

