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Published on: September 29, 2017
Differential distribution of vasa vasorum in different vascular beds in humans
Heike A Hildebrandt1, Mario Gossl, Dallit Mannheim
1Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Insights
Vasa vasorum (VV) density is higher in coronary arteries than peripheral ones, suggesting a link between VV and atherosclerosis susceptibility in different human vascular beds.
Area of Science:
- Vascular Biology
- Cardiovascular Pathology
- Medical Imaging
Background:
- Vasa vasorum (VV) are small blood vessels supplying the outer wall of large arteries.
- VV are increasingly recognized for their role in the pathogenesis of atherosclerosis.
- Understanding VV distribution is crucial for elucidating arterial disease mechanisms.
Purpose of the Study:
- To quantify and compare vasa vasorum density across different human arterial beds.
- To investigate the relationship between vasa vasorum density and atherosclerosis distribution.
- To explore the association of VV density with inflammatory markers and collagen content.
Main Methods:
- Analysis of 42 human arteries (coronary, renal, femoral) using 3D micro-computed tomography (micro-CT).
- Calculation of VV density, endothelial-surface-fraction, and vascular-area-fraction.
- Histological staining for endothelial cells, macrophages (CD68), VEGF, and collagen.
Main Results:
- Coronary arteries exhibited significantly higher VV density compared to renal and femoral arteries.
- Higher VV density correlated positively with CD68-positive cells and VEGF immunoreactivity.
- VV density showed a negative correlation with collagen I content.
Conclusions:
- Human coronary arteries possess a greater density of vasa vasorum than peripheral arteries.
- This finding supports the hypothesis that VV density influences arterial susceptibility to atherosclerosis.
- VV distribution may be a key factor in the differential vulnerability of arteries to atherosclerotic disease.
Objective:
Vasa vasorum (VV) have been implicated to play a role in the pathogenesis of atherosclerosis. This study was designed to describe the distribution of VV density in different vascular beds in humans and to investigate the association between VV density and the known distribution of atherosclerosis in human arteries.
Methods:
Forty-two human arteries, harvested at autopsy or after explantation, were analyzed by three-dimensional microscopic-computed tomography (micro-CT). VV density, endothelial-surface-fraction (Sigma VV endothelial-surface-area/vessel-wall-volume) and vascular-area-fraction (Sigma VV area/vessel-wall-area) were calculated for coronary, renal and femoral arteries. Representatively five coronary, renal and femoral arteries were stained for endothelial cells (von Willebrand-Factor), macrophages (CD68), vascular endothelial growth factor (VEGF) and collagen (Sirius Red).
Results:
Coronary arteries showed a higher VV density compared to renal and femoral arteries (2.12+/-0.26 n/mm(2) versus 0.61+/-0.06 n/mm(2) and 0.66+/-0.11 n/mm(2); P<0.05 for both) as well as a higher endothelial-surface-fraction and vascular-area-fraction. Histology showed a positive correlation between histologically derived VV density and CD68-positive cells/area (r=0.54, P<0.01), VEGF-immunoreactivity/area (r=0.55, P<0.01) and a negative correlation between VV density and collagen I content (r=0.66, P<0.05).
Conclusion:
This micro-CT study highlights a higher VV density in coronary than in peripheral arteries, supporting the relation between VV density and the susceptibility to atherosclerosis in different vascular beds in humans.
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