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Related Concept Videos

Apoptosis01:30

Apoptosis

Apoptosis is a combination of two Greek words, 'apo' and 'ptosis,' meaning separation and falling off, respectively. Hippocrates used this word to describe gangrene, which was caused due to bandaging of fractured bones. Apoptosis was distinguished from necrosis in 1970 when John Kerr reported observations of morphological changes occurring during apoptosis. During one experiment, he observed that the disruption of blood supply to the liver tissue resulted in a size reduction of the tissue.

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Strategies for Tracking Anastasis, A Cell Survival Phenomenon that Reverses Apoptosis
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Imaging apoptosis for detecting plaque instability: rendering death a brighter facade.

Maarten F Corsten1, Chris P M Reutelingsperger, Leonard Hofstra

  • 1Cardiovascular Research Institute Maastricht, Maastricht University and Maastricht University Hospital, Maastricht, the Netherlands.

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Summary

Detecting apoptotic cells in atherosclerotic plaques is crucial for assessing vulnerability. Imaging apoptosis offers a non-invasive method to identify plaque instability and guide new treatments.

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Area of Science:

  • Cardiovascular Research
  • Molecular Imaging
  • Cell Biology

Background:

  • Atherosclerotic plaque rupture risk poorly correlates with luminal obstruction, necessitating methods to detect plaque destabilization.
  • Apoptosis and inflammation are key indicators of plaque instability, influencing necrotic core size, vascular remodeling, and fibrous cap integrity.

Purpose of the Study:

  • To highlight the importance of in vivo detection of processes underlying atherosclerotic plaque destabilization.
  • To emphasize the role of apoptosis in plaque vulnerability and the potential of imaging apoptotic cells for clinical assessment.

Main Methods:

  • Review of existing literature on atherosclerotic plaque rupture and instability markers.
  • Discussion of apoptosis's role in plaque pathogenesis, including macrophage and smooth muscle cell apoptosis.
  • Exploration of annexin A5 imaging as a tool for non-invasive assessment of cell death in plaques.

Main Results:

  • Apoptotic macrophage death contributes to necrotic core expansion and positive vascular remodeling.
  • Smooth muscle cell apoptosis leads to fibrous cap attenuation, increasing rupture risk.
  • Annexin A5 imaging presents a viable strategy for detecting apoptotic cells in vivo.

Conclusions:

  • Non-invasive clinical detection of apoptosis can significantly enhance the assessment of atherosclerotic plaque vulnerability.
  • Targeting apoptosis may lead to novel therapeutic strategies for preventing plaque rupture and cardiovascular events.