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Age-related Impairment of Vascular Structure and Functions
Xianglai Xu1,2, Brian Wang2, Changhong Ren2,3
11Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Insights
Aging significantly impacts vascular health, leading to cardiovascular and cerebrovascular diseases. This review details age-related changes in blood vessels and their functional consequences.
Area of Science:
- Gerontology
- Vascular Biology
- Pathology
Background:
- Cardiovascular and cerebrovascular diseases are leading causes of death globally.
- Vascular dysfunction is a hallmark of aging and a primary risk factor for these diseases.
- Age is an independent and critical determinant of vascular health.
Purpose of the Study:
- To provide an in-depth review of the morphological alterations in aging blood vessels.
- To elucidate the relationship between structural vascular changes and functional decline with age.
- To highlight age-related microvessel loss and changes across all vascular layers.
Main Methods:
- Comprehensive literature review of studies on vascular aging.
- Analysis of morphological changes in microvessels, capillaries, and larger vessels (intima, media, adventitia).
- Examination of functional vascular dysfunctions associated with these structural alterations.
Main Results:
- Significant age-related microvessel loss occurs.
- Structural changes include thickening of the capillary basement membrane and alterations in the intima, media, and adventitia.
- These morphological changes contribute to various vascular dysfunctions.
Conclusions:
- Vascular aging involves complex morphological and functional deteriorations.
- Understanding these changes is crucial for developing interventions against age-related vascular diseases.
- Targeting vascular aging mechanisms may mitigate cardiovascular and cerebrovascular risks.
Abstract:
Among age-related diseases, cardiovascular and cerebrovascular diseases are major causes of death. Vascular dysfunction is a key characteristic of these diseases wherein age is an independent and essential risk factor. The present work will review morphological alterations of aging vessels in-depth, which includes the discussion of age-related microvessel loss and changes to vasculature involving the capillary basement membrane, intima, media, and adventitia as well as the accompanying vascular dysfunctions arising from these alterations.
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