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Published on: September 16, 2025
Endothelial Surface Glycocalyx in Vascular Functions and Diseases
Ye Zeng1, Bingmei M Fu2, John M Tarbell2
1Institute of Biomedical Engineering, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, China. ye@scu.edu.cn.
The endothelial surface glycocalyx (ESG) is a crucial mechanosensor that converts blood flow forces into signals vital for vascular health. Its degradation drives major diseases, but new diagnostics and therapies show promise.
Area of Science:
- Vascular Biology
- Biophysics
- Cellular Mechanotransduction
Background:
- Endothelial cells (ECs) lining blood vessels sense mechanical forces from blood flow, crucial for vascular homeostasis.
- The endothelial surface glycocalyx (ESG), once seen as a barrier, is now recognized as a key mechanosensor at the blood-endothelium interface.
- The ESG translates hemodynamic forces into biochemical signals essential for maintaining vascular health.
Purpose of the Study:
- To provide a comprehensive review of the endothelial surface glycocalyx (ESG).
- To detail the ESG's role in mechanotransduction, barrier regulation, and its dynamic remodeling in disease.
- To highlight emerging diagnostic and therapeutic strategies for ESG integrity.
Main Methods:
- Advanced imaging techniques including immunolabeling, electron microscopy, and super-resolution microscopy were used to elucidate ESG composition and structure.
- Biomechanical properties and mechanotransduction roles were examined.
- Dynamic remodeling and degradation in response to stimuli were investigated.
Main Results:
- The ESG's molecular composition, ultrastructural organization, and variable thickness were detailed.
- The ESG plays a central role in endothelial mechanotransduction and barrier regulation.
- ESG shedding is a hallmark and causal factor in vascular diseases like atherosclerosis, sepsis, diabetes, cancer metastasis, and COVID-19-associated endotheliopathy.
Conclusions:
- The endothelial surface glycocalyx (ESG) is a critical mechanosensor and regulator of vascular health.
- ESG degradation is a significant contributor to vascular pathophysiology across multiple diseases.
- Emerging tools and therapies offer potential for evaluating and restoring ESG function.
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