The Role of the Vascular System in Degenerative Diseases: Mechanisms and Implications

Int J Mol Sci. 2024 Feb 11;25(4):2169. doi: 10.3390/ijms25042169.

Abstract

Degenerative diseases, encompassing a wide range of conditions affecting various organ systems, pose significant challenges to global healthcare systems. This comprehensive review explores the intricate interplay between the vascular system and degenerative diseases, shedding light on the underlying mechanisms and profound implications for disease progression and management. The pivotal role of the vascular system in maintaining tissue homeostasis is highlighted, as it serves as the conduit for oxygen, nutrients, and immune cells to vital organs and tissues. Due to the vital role of the vascular system in maintaining homeostasis, its dysfunction, characterized by impaired blood flow, endothelial dysfunction, and vascular inflammation, emerges as a common denominator of degenerative diseases across multiple systems. In the nervous system, we explored the influence of vascular factors on neurodegenerative diseases such as Alzheimer's and Parkinson's, emphasizing the critical role of cerebral blood flow regulation and the blood-brain barrier. Within the kidney system, the intricate relationship between vascular health and chronic kidney disease is scrutinized, unraveling the mechanisms by which hypertension and other vascular factors contribute to renal dysfunction. Throughout this review, we emphasize the clinical significance of understanding vascular involvement in degenerative diseases and potential therapeutic interventions targeting vascular health, highlighting emerging treatments and prevention strategies. In conclusion, a profound appreciation of the role of the vascular system in degenerative diseases is essential for advancing our understanding of degenerative disease pathogenesis and developing innovative approaches for prevention and treatment. This review provides a comprehensive foundation for researchers, clinicians, and policymakers seeking to address the intricate relationship between vascular health and degenerative diseases in pursuit of improved patient outcomes and enhanced public health.

Keywords: age-related vascular changes; cardiovascular disease; chronic kidney disease; degenerative diseases; endothelial dysfunction; inflammation; neurodegenerative disease; vascular system.

Publication types

  • Review

MeSH terms

  • Biological Transport
  • Blood-Brain Barrier* / pathology
  • Cerebrovascular Circulation
  • Homeostasis
  • Humans
  • Neurodegenerative Diseases* / pathology

Grants and funding

This study did not receive any external funding, and supported by internal funding of the Department of Laboratory Medicine and the department of Neurology.