Endothelial cell function and its role in maintaining vascular health:
Blood vessels play a vital role in maintaining cardiovascular health and atherosclerosis. A single layer of cells called the endothelium lines the walls of every blood vessel and capillary in the body. Along with a layer of elastic tissue, the endothelium comprises what is called the intima. Endothelial cells are also referred to as the “brain" of the vascular system. Healthy endothelial cells play an important role in maintaining blood vessel flexibility, (or compliance} and influences a number of important aspects of vascular health.
Endothelial cells provide a dynamically-controlled structural barrier between the circulating blood and surrounding tissues and organs, they also produce signaling molecules that influence vasodilation and vasoconstriction. Vasodilation causes blood vessels to relax allowing for greater blood flow. This reduces blood pressure. Vasoconstriction causes blood vessels to tighten reducing blood flow and causing blood pressure to increase.
Independent research suggests that endothelial cells are the controlling factor in the regulation of blood pressure. They produce both nitric oxide which is the most potent vasodilator and endothelin-1 the most potent vasoconstrictor.
The proper production of nitric oxide is fundamental to maintaining normal blood pressures because it maintains basal tone by relaxing the vascular smooth muscle cells.
Limitations of current CVD diagnostic tools:
Early identification of thickening of the arteries (atherosclerosis) is a vital part of aiding physicians in the prevention (or regression) of cardiovascular disease.
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Sub-clinical vessel damage starts years before it can be detected with current testing methods (such as blood pressure and lipid panel tests).
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As illustrated in the exhibit below, despite advances in diagnosis and treatment, no diagnostic tool is available for early detection of blood vessel damage.
Limitations of legacy methods of evaluating endothelial function:
Although the clinical value of endothelial testing has been demonstrated as a key biomarker of atherosclerosis and coronary heart disease, current diagnostic testing methods (such as Brachial Artery Ultrasound, ‘BAUI’) are costly, difficult and complex to use.
The BAUI method has major limitations; it requires access to expensive ultrasound equipment, a specialized ultrasound probe and a highly trained technician. Brachial artery ultrasound is highly dependent on the skill of the individual technician and varies greatly from one user to the next. Consequently, the cost, complexity and time required to perform ultrasound based measurement of Flow Mediated Dilation (‘FMD’) of the brachial artery has confined its use to research applications.
To address the limitations of the BAUI technique, Everist Genomics has developed a non-invasive diagnostic device (AngoDefender) for the assessment of Endothelial Dysfunction (‘EDF’) via Flow Mediated Dilation (‘FMD’) of the Brachial Artery (‘BA’).
The procedure is non-invasive and employs neither ultrasound nor Doppler flow analysis. The AngioDefender device uses a novel, proprietary software algorithm to analyze pulse wave data collected before and after BA occlusion by an upper arm sphygmomanometric cuff.
Clinical validation of the AngioDefender device has been completed in 6 clinical studies around the world and has demonstrated a strong correlation to the current gold-standard, BAUI and has demonstrated a strong correlation to the current gold-standard, BAUI.
AngioDefender identifies otherwise asymptomatic patients, presenting within normal blood pressure ranges, which are at risk of developing CVD and atherosclerosis.
AngioDefender Availability
Subject to the required regulatory clearances, Everist Genomics plans for AngioDefender systems to be available to physicians in the following countries, commencing in 2012:
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United States
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EU
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India
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Kuwait
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Bahrain
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Qatar
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United Arab Emirates
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Oman
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Saudi Arabia
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Thailand
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Malaysia
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Brunei
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Malaysia
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Indonesia
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Philippines
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Singapore
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