The functional properties of the perivascular matrix facilitate the mo
vement, protection and the nutrition of the blood vessels. At the same
time the matrix deliniates the vessels to the organs. Different vascu
lar diseases of the vascular system implicate the perivascular matrix
consisting of a network of structural and cellular connective tissue c
omponents. Impairment of its structural integrity predominantly occurs
either from primary or secondary affections. Monospecific antibodies
directed against different structural proteins enable detailed histomo
rphological examinations of the inflammatory tissue reaction in the pe
rivascular space. Since myofibroblasts, fibrocytes, endothelial cells,
and macrophages participate in tissue repair mechanisms, in vitro stu
dies on the collagen synthesis may contribute to the understanding of
the perivascular tissue reaction according to injury. The present repo
rt summarizes perivascular diseases and the in vitro synthesis of proc
ollagen, collagen, and fibronectin of endothelial cells, fibroblasts,
smooth muscle cells, and macrophages.