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Nutritional Atherosclerosis Control: Arterial Endothelial Injury
The status of cardiovascular health is regulated by endothelium - the innermost lining (layer) of arteries. The endothelial cells control the elasticity - relaxation and tightening - of blood vessels (the more elastic the arteries, the better). However, subsequent dysfunction of the endothelium plays a central role in the process of arterial fatty plaque formation, leading to the development of atherosclerosis. The endothelial function can be measured now. A relatively new test, called FMD - flow mediated dilation, can be done by stopping blood flow to the lower arm with a blood pressure cuff, releasing it, and measuring the blood vessel diameter of an artery with ultrasound. In the processs of atherosclerosis then, arterial walls - especially the aorta and the coronary arteries serving the heart - become covered with fatty plaques, called atheromas that keep on enlarging.
Although arterial plaque formation my be triggered by many factors, they all relate to:
The injury to endothelial cells - the innermost lining (or layer) of an artery, triggers the response of blood cells called platelets to accumulate at the site of injury, in an effort to plug the damaged area. The sticking together platelets secrete a growth factor that stimulates the outgrowth of underlaying endothelial cells. These cells then begin to protrude into the arterial wall. Through specific receptors, the outgrown endothelial cells:
Finally, connective tissue penetrates the plaque, which in advanced situations can become calcified and, consequently, add rigidity to the blockage (occlusion). Atherosclerotic plaque formation is an overly aggressive homeostatic process in order to correct and balance the condition triggered by the arterial endothelial injury. This process occurs as long as there is a presence of platelet accumulation function. There is one kind of harmful, oxidative agents of significant importance that initiate the endothelial injury leading to atherial plaque formation, called free radicals.
As our cardiosvascular system is highly susceptible to free radical damage, antioxidants are of incredible help here. By neutralizing and "mopping up" free radicals in the body, antioxidants play a key role in slowing down the process of atheromatous plaque formation.
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