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Quantifying the Mechanical Properties of the Endothelial Glycocalyx with Atomic Force Microscopy
Published on: February 21, 2013
Flow-dependent concentration polarization and the endothelial glycocalyx layer: multi-scale aspects of arterial mass
1Department of Aeronautics, Imperial College London, South Kensington, London, SW7 2AZ, UK, p.vincent@imperial.ac.uk.
Insights
Atherosclerosis, a major cause of heart attacks and strokes, is linked to how low-density lipoprotein concentrates on artery walls and the endothelial glycocalyx. Understanding these mass transport processes is key to future research.
Area of Science:
- Biomedical Engineering
- Cardiovascular Science
- Biophysics
Background:
- Atherosclerosis is a leading cause of death, driven by arterial mass transport processes.
- Blood flow and arterial wall properties significantly influence these processes.
- Low-density lipoprotein (LDL) concentration polarization and the endothelial glycocalyx are critical factors.
Purpose of the Study:
- To review vascular-scale and cellular-scale mass transport processes in atherosclerosis.
- To focus on LDL concentration polarization and the endothelial glycocalyx.
- To propose future research directions.
Main Methods:
- Literature review and appraisal of existing research.
- Analysis of vascular-scale mass transport (concentration polarization).
- Analysis of cellular-scale mass transport (endothelial glycocalyx).
Main Results:
- Concentration polarization of LDL at the endothelium is a key vascular-scale process.
- The endothelial glycocalyx is a crucial cellular-scale determinant of arterial wall transport.
- Both factors are areas of significant recent research interest.
Conclusions:
- Mass transport processes, specifically LDL concentration polarization and the endothelial glycocalyx, are vital in atherosclerosis development.
- Further research is needed to fully elucidate these mechanisms.
- This review highlights key areas for future investigation into atherosclerosis prevention and treatment.
Abstract:
Atherosclerosis is the underlying cause of most heart attacks and strokes. It is thereby the leading cause of death in the Western world, and it places a significant financial burden on health care systems. There is evidence that complex, multi-scale arterial mass transport processes play a key role in the development of atherosclerosis. Such processes can be controlled both by blood flow patterns and by properties of the arterial wall. This short review focuses on one vascular-scale, flow-regulated arterial mass transport process, namely concentration polarization of low density lipoprotein at the luminal surface of the arterial endothelium, and on one cellular-scale, structural determinant of arterial wall mass transport, namely the endothelial glycocalyx layer. Both have attracted significant attention in recent years. In addition to reviewing and appraising relevant literature, we propose various directions for future work.
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