The biological process of forming new blood vessels within a tissue, known as angiogenesis, or the maintenance of existing vascular networks, ensuring adequate blood flow and nutrient exchange. Optimal tissue vascularization is crucial for delivering oxygen, hormones, and immune cells, and for removing metabolic waste products, directly supporting tissue health, repair, and endocrine function. Deficient vascularization is a limiting factor in healing and tissue regeneration.
Origin
The term is derived from the Latin vasculum, meaning “small vessel,” and is a foundational concept in anatomy, physiology, and pathology. It is a descriptive term for the density and functional capacity of the microcirculatory network within any given organ or tissue. The study of its regulation is central to cardiovascular and regenerative medicine.
Mechanism
Vascularization is primarily regulated by growth factors, notably Vascular Endothelial Growth Factor (VEGF), which is released by cells experiencing hypoxia or metabolic stress. VEGF binds to receptors on existing endothelial cells, stimulating their proliferation and migration to form new capillary sprouts. Hormones, including testosterone and estrogen, also modulate this process by influencing the expression of pro- and anti-angiogenic factors, thereby supporting the necessary blood supply for tissue anabolism and function.
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