Modulation of endothelial hemostatic properties: An active role in the host response

H. Gerlach, C. Esposito, D. M. Stern

Research output: Contribution to journalReview articlepeer-review


As the cells forming the luminal vascular surface, endothelium regulates both barrier function, and pro- and anticoagulant reactions. Endothelial cells can do this by controlling the expression of cell surface molecules, such as receptors that regulate the hemostatic balance and those that affect permeability across the endothelial monolayer. This regulation occurs in response to enviromental stimuli, such as cytokines, which have a central role in inflammation, or glucose-modified proteins, which accumulate in the vasculature in aging and diabetes and are associated with vascular complications. The endothelial cell emerges as a dynamic regulator maintaining homeostasis in the quiescent state and contributing to the pathogenesis of vascular lesions in the stimulated state.

Original languageEnglish
Pages (from-to)15-24
Number of pages10
JournalAnnual Review of Medicine
Publication statusPublished - 1990


  • coagulation
  • cytokine
  • thrombosis
  • vascular permeability

ASJC Scopus subject areas

  • Cell Biology
  • Medicine(all)


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