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Regardless of reason, endothelial cells hypoxia is a primary source of their dysfunction. The result of hypoxia is a damage of endothelium structure, that leads to neurons damage. Parallel to the hypoxia, the protective mechanisms are activated in order to decrease effect of endothelium and neurons damage.
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This paper discuss importance of the endothelin, present in the plasma and other fluids, on the vascular smooth muscles in physiology and pathology. Endothelin-1 as one of the very strong vasoconstructive peptides influences the vascular tone. We discuss the competitive action of vasoconstrictors and vasodilators in promoting of vasospasm, especially in the states, where endothelial cells are injured.
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