Related Experiment Video
Updated: Dec 29, 2025

A Method to Study the Correlation Between Local Collagen Structure and Mechanical Properties of Atherosclerotic Plaque Fibrous Tissue
Published on: November 11, 2022
Exploring the role of extracellular matrix proteins to develop biomarkers of plaque vulnerability and outcome
S Holm Nielsen1,2, L Jonasson3, K Kalogeropoulos2
1From the, Biomarkers and Research, Nordic Bioscience, Herlev, Denmark.
Insights
Atherosclerotic plaque vulnerability is influenced by extracellular matrix (ECM) remodelling. ECM biomarkers may predict plaque instability and patient outcomes in cardiovascular disease (CVD).
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Pathology
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality in industrialized nations.
- Atherosclerosis, a primary contributor to CVD, involves the buildup of lipid-rich plaques in arterial walls.
- The composition of atherosclerotic plaques dictates their vulnerability to rupture or erosion, impacting disease progression.
Purpose of the Study:
- To review the role of extracellular matrix (ECM) remodelling in atherosclerotic plaque stability and vulnerability.
- To explore the potential of ECM biomarkers in predicting plaque vulnerability and clinical outcomes.
Main Methods:
- Literature review focusing on ECM remodelling in atherosclerosis.
- Analysis of studies investigating the relationship between ECM composition and plaque phenotype.
- Examination of research on ECM biomarkers for predicting cardiovascular events.
Main Results:
- ECM remodelling significantly influences atherosclerotic plaque stability and vulnerability.
- Specific ECM components and their alterations are associated with higher plaque rupture risk.
- Emerging ECM biomarkers show promise in predicting adverse cardiovascular outcomes.
Conclusions:
- ECM remodelling is a critical factor in determining atherosclerotic plaque vulnerability.
- ECM biomarkers hold potential for improved risk stratification and personalized treatment strategies in CVD.
- Further research into ECM dynamics can enhance our understanding and management of atherosclerosis.
Abstract:
Cardiovascular disease (CVD) is the most common cause of death in industrialized countries. One underlying cause is atherosclerosis, which is a systemic disease characterized by plaques of retained lipids, inflammatory cells, apoptotic cells, calcium and extracellular matrix (ECM) proteins in the arterial wall. The biologic composition of an atherosclerotic plaque determines whether the plaque is more or less vulnerable, that is prone to rupture or erosion. Here, the ECM and tissue repair play an important role in plaque stability, vulnerability and progression. This review will focus on ECM remodelling in atherosclerotic plaques, with focus on how ECM biomarkers might predict plaque vulnerability and outcome.
Related Concept Videos
The Extracellular Matrix
The Extracellular Matrix
In order to maintain tissue organization, many animal cells are surrounded by structural molecules that make up the extracellular matrix (ECM). Together, the molecules in the ECM maintain the structural integrity of tissue as well as the remarkable specific properties of certain tissues.
Composition of the Extracellular Matrix
The extracellular matrix (ECM) is commonly composed of ground substance, a gel-like fluid, fibrous components, and many structurally and functionally diverse...
Role of Matrix Metalloproteases in Degradation of ECM
Extracellular Matrix
Atherosclerosis I: Introduction
Overview of Cell-Matrix Interactions

