Book contents
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- 121 Introductory Essay: The Endothelium in Health and Disease
- 122 Hereditary Hemorrhagic Telangiectasia: A Model to Probe the Biology of the Vascular Endothelium
- 123 Blood–Brain Barrier
- 124 Brain Endothelial Cells Bridge Neural and Immune Networks
- 125 The Retina and Related Hyaloid Vasculature: Developmental and Pathological Angiogenesis
- 126 Microheterogeneity of Lung Endothelium
- 127 Bronchial Endothelium
- 128 The Endothelium in Acute Respiratory Distress Syndrome
- 129 The Central Role of Endothelial Cells in Severe Angioproliferative Pulmonary Hypertension
- 130 Emphysema: An Autoimmune Vascular Disease?
- 131 Endothelial Mechanotransduction in Lung: Ischemia in the Pulmonary Vasculature
- 132 Endothelium and the Initiation of Atherosclerosis
- 133 The Hepatic Sinusoidal Endothelial Cell
- 134 Hepatic Macrocirculation: Portal Hypertension As a Disease Paradigm of Endothelial Cell Significance and Heterogeneity
- 135 Inflammatory Bowel Disease
- 136 The Vascular Bed of Spleen in Health and Disease
- 137 Adipose Tissue Endothelium
- 138 Renal Endothelium
- 139 Uremia
- 140 The Influence of Dietary Salt Intake on Endothelial Cell Function
- 141 The Role of the Endothelium in Systemic Inflammatory Response Syndrome and Sepsis
- 142 The Endothelium in Cerebral Malaria: Both a Target Cell and a Major Player
- 143 Hemorrhagic Fevers: Endothelial Cells and Ebola-Virus Hemorrhagic Fever
- 144 Effect of Smoking on Endothelial Function and Cardiovascular Disease
- 145 Disseminated Intravascular Coagulation
- 146 Thrombotic Microangiopathy
- 147 Heparin-Induced Thrombocytopenia
- 148 Sickle Cell Disease Endothelial Activation and Dysfunction
- 149 The Role of Endothelial Cells in the Antiphospholipid Syndrome
- 150 Diabetes
- 151 The Role of the Endothelium in Normal and Pathologic Thyroid Function
- 152 Endothelial Dysfunction and the Link to Age-Related Vascular Disease
- 153 Kawasaki Disease
- 154 Systemic Vasculitis Autoantibodies Targeting Endothelial Cells
- 155 High Endothelial Venule-Like Vessels in Human Chronic Inflammatory Diseases
- 156 Endothelium and Skin
- 157 Angiogenesis
- 158 Tumor Blood Vessels
- 159 Kaposi's Sarcoma
- 160 Endothelial Mimicry of Placental Trophoblast Cells
- 161 Placental Vasculature in Health and Disease
- 162 Endothelialization of Prosthetic Vascular Grafts
- 163 The Endothelium's Diverse Roles Following Acute Burn Injury
- 164 Trauma-Hemorrhage and Its Effects on the Endothelium
- 165 Coagulopathy of Trauma: Implications for Battlefield Hemostasis
- 166 The Effects of Blood Transfusion on Vascular Endothelium
- 167 The Role of Endothelium in Erectile Function and Dysfunction
- 168 Avascular Necrosis: Vascular Bed/Organ Structure and Function in Health and Disease
- 169 Molecular Control of Lymphatic System Development
- 170 High Endothelial Venules
- 171 Hierarchy of Circulating and Vessel Wall–Derived Endothelial Progenitor Cells
- PART IV DIAGNOSIS AND TREATMENT
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
154 - Systemic Vasculitis Autoantibodies Targeting Endothelial Cells
from PART III - VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
Published online by Cambridge University Press: 04 May 2010
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- 121 Introductory Essay: The Endothelium in Health and Disease
- 122 Hereditary Hemorrhagic Telangiectasia: A Model to Probe the Biology of the Vascular Endothelium
- 123 Blood–Brain Barrier
- 124 Brain Endothelial Cells Bridge Neural and Immune Networks
- 125 The Retina and Related Hyaloid Vasculature: Developmental and Pathological Angiogenesis
- 126 Microheterogeneity of Lung Endothelium
- 127 Bronchial Endothelium
- 128 The Endothelium in Acute Respiratory Distress Syndrome
- 129 The Central Role of Endothelial Cells in Severe Angioproliferative Pulmonary Hypertension
- 130 Emphysema: An Autoimmune Vascular Disease?
- 131 Endothelial Mechanotransduction in Lung: Ischemia in the Pulmonary Vasculature
- 132 Endothelium and the Initiation of Atherosclerosis
- 133 The Hepatic Sinusoidal Endothelial Cell
- 134 Hepatic Macrocirculation: Portal Hypertension As a Disease Paradigm of Endothelial Cell Significance and Heterogeneity
- 135 Inflammatory Bowel Disease
- 136 The Vascular Bed of Spleen in Health and Disease
- 137 Adipose Tissue Endothelium
- 138 Renal Endothelium
- 139 Uremia
- 140 The Influence of Dietary Salt Intake on Endothelial Cell Function
- 141 The Role of the Endothelium in Systemic Inflammatory Response Syndrome and Sepsis
- 142 The Endothelium in Cerebral Malaria: Both a Target Cell and a Major Player
- 143 Hemorrhagic Fevers: Endothelial Cells and Ebola-Virus Hemorrhagic Fever
- 144 Effect of Smoking on Endothelial Function and Cardiovascular Disease
- 145 Disseminated Intravascular Coagulation
- 146 Thrombotic Microangiopathy
- 147 Heparin-Induced Thrombocytopenia
- 148 Sickle Cell Disease Endothelial Activation and Dysfunction
- 149 The Role of Endothelial Cells in the Antiphospholipid Syndrome
- 150 Diabetes
- 151 The Role of the Endothelium in Normal and Pathologic Thyroid Function
- 152 Endothelial Dysfunction and the Link to Age-Related Vascular Disease
- 153 Kawasaki Disease
- 154 Systemic Vasculitis Autoantibodies Targeting Endothelial Cells
- 155 High Endothelial Venule-Like Vessels in Human Chronic Inflammatory Diseases
- 156 Endothelium and Skin
- 157 Angiogenesis
- 158 Tumor Blood Vessels
- 159 Kaposi's Sarcoma
- 160 Endothelial Mimicry of Placental Trophoblast Cells
- 161 Placental Vasculature in Health and Disease
- 162 Endothelialization of Prosthetic Vascular Grafts
- 163 The Endothelium's Diverse Roles Following Acute Burn Injury
- 164 Trauma-Hemorrhage and Its Effects on the Endothelium
- 165 Coagulopathy of Trauma: Implications for Battlefield Hemostasis
- 166 The Effects of Blood Transfusion on Vascular Endothelium
- 167 The Role of Endothelium in Erectile Function and Dysfunction
- 168 Avascular Necrosis: Vascular Bed/Organ Structure and Function in Health and Disease
- 169 Molecular Control of Lymphatic System Development
- 170 High Endothelial Venules
- 171 Hierarchy of Circulating and Vessel Wall–Derived Endothelial Progenitor Cells
- PART IV DIAGNOSIS AND TREATMENT
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
Summary
The vasculitides are defined by the presence of leukocytes in the vessel wall, producing reactive damage to mural structures. Compromise of the lumen leads to tissue ischemia and necrosis. In general, affected vessels vary in size, type, and location in association with the specific vasculitic disorder. In recent years, substantial progress has been made in identifying the attributes of specific types of vasculitis, thus allowing for accurate diagnosis. One approach to classifying vasculitides categorizes them, in part, on the basis of the predominant type of vessel affected (Table 154–1). Accordingly, vasculitides are classified into large-vessel vasculitis, medium-sized vessel vasculitis, and small-vessel vasculitis. Large-vessel vasculitis primarily affects the aorta and its primary branches, but medium-sized arteries may also be affected. Medium-sized vessel vasculitis is a disease of small and medium-sizedmuscular arteries. Small-vessel vasculitis affects vessels smaller than arteries, such as arterioles, venules, and capillaries. It is important to note that small-vessel vasculitis sometimes also affects arteries, and thus the vascular distribution overlaps.
The exact mechanisms underlying these disorders are unclear. Three different pathogenic models of disease have been advanced to help explain why the lesions of a particular vasculitic syndrome are found only in specific vessels. First, the distribution of the antigen responsible for the vasculitis may be differentially distributed. Second, the recruitment and accumulation of the inflammatory infiltrate is likely to be determined by site-specific properties of the endothelial cell (EC), including the expression of adhesion molecules, the secretion of mediators, peptides and hormones, and the specific interactionwith inflammatory cells. Finally, nonendothelial structures of the vessel wallmay be involved in controlling regional inflammatory processes. All three mechanisms are likely to contribute to the site-specific nature of endothelial injury and vasculitis.
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- Information
- Endothelial Biomedicine , pp. 1411 - 1418Publisher: Cambridge University PressPrint publication year: 2007