Bilirubin and Endothelial Function.

Abstract:

:Bilirubin is a fundamental metabolic end product of heme degradation. Despite acting as a cytotoxic metabolite at high concentrations, bilirubin at physiological concentrations has antioxidant effects, such as scavenging reactive oxygen species, leading to a decrease in oxidative stress. Endothelial dysfunction is an early feature of and plays an important role in the development and progression of atherosclerosis, leading to cardiovascular complications. One mechanism of endothelial dysfunction is an increase in oxidative stress, by which the bioavailability of nitric oxide is decreased. Therefore, bilirubin is expected to improve endothelial function, to inhibit the progression of atherosclerosis, and to reduce cardiovascular complications by inactivating oxidative stress through its antioxidant effects. In this review, we will focus on the clinical associations of the antioxidant bilirubin with endothelial function and cardiovascular complications.

journal_name

J Atheroscler Thromb

authors

Maruhashi T,Kihara Y,Higashi Y

doi

10.5551/jat.RV17035

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

688-696

issue

8

eissn

1340-3478

issn

1880-3873

journal_volume

26

pub_type

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