Effects of intracellular acidosis on endothelial function: an overview

J Crit Care. 2012 Apr;27(2):108-18. doi: 10.1016/j.jcrc.2011.06.001. Epub 2011 Jul 27.

Abstract

The endothelium represents the largest functional organ in the human body playing an active role in vasoregulation, coagulation, inflammation, and microvascular permeability. Endothelium contributes to maintain vascular integrity, intravascular volume, and tissue oxygenation promoting inflammatory network response for local defense and repair. Acid-basis homeostasis is an important physiologic parameter that controls cell function, and changes in pH can influence vascular tone by regulating endothelium and vascular smooth muscle cells. This review presents a current perspective of the effects of intracellular acidosis on the function and the basic regulatory mechanisms of endothelial cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acidosis / physiopathology*
  • Calcium / metabolism
  • Endothelial Cells / metabolism
  • Endothelial Cells / physiology*
  • Endothelium, Vascular / metabolism
  • Endothelium, Vascular / physiology*
  • Humans
  • Hydrogen-Ion Concentration
  • Sodium-Bicarbonate Symporters / metabolism
  • Sodium-Hydrogen Exchangers / metabolism
  • Vasoconstriction / physiology
  • Vasodilation / physiology

Substances

  • Sodium-Bicarbonate Symporters
  • Sodium-Hydrogen Exchangers
  • Calcium