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Updated: Sep 23, 2025

Murine Model of Thoracic Aortic Dissection Induced by Oral β-Aminopropionitrile and Subcutaneous Angiotensin II Infusion
Published on: May 16, 2025
Research Progress on the Pathogenesis of Aortic Dissection
Zhi-Qiang Yin1, Hua Han2, Xianchun Yan2
1Department of Cardiovascular Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University); The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China; State Key Laboratory of Cancer Biology, Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, Shanxi, China.
Insights
Aortic dissection, a dangerous cardiovascular condition, is driven by inflammation and macrophage infiltration into the aortic wall. Understanding these mechanisms is key to improving patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Pathology
Background:
- Aortic dissection is a life-threatening cardiovascular disease with high mortality.
- Inflammation of the aortic wall is a known promoter of aortic dissection.
- Monocyte/macrophage infiltration is implicated as a primary pathogenic mechanism.
Purpose of the Study:
- To review the latest research on macrophage infiltration in aortic dissection.
- To explore the role of macrophage plasticity in the pathogenesis of aortic dissection.
Main Methods:
- Literature review of recent studies on aortic dissection.
- Analysis of research focusing on inflammatory pathways and cellular mechanisms.
- Synthesis of findings related to monocyte/macrophage behavior in the aortic wall.
Main Results:
- Inflammation significantly contributes to the development and progression of aortic dissection.
- Macrophage infiltration is a critical factor in the disease's pathogenesis.
- Macrophage plasticity influences the inflammatory cascade within the aortic wall.
Conclusions:
- Macrophage infiltration and plasticity are central to aortic dissection pathogenesis.
- Further research into these mechanisms may reveal novel therapeutic targets.
- Understanding macrophage roles is crucial for improving treatment strategies for aortic dissection.
Abstract:
Aortic dissection is a critical cardiovascular disease due to the separation of media and adventitia caused by the rupture of vascular wall intima. The disease has a high mortality rate of about 1%-3% for each additional hour, since the adventitia of the aorta can rupture and bleed to death at any time. Although great progress has been made in clinical treatment of aortic dissection, and the mortality rate has been significantly reduced, the pathogenesis is still not very clear. At present, related studies have confirmed that inflammation of aortic wall promotes the occurrence and development of Aortic dissection. Although the mechanism of aortic dissection is more complicated, some studies have shown that the infiltration of monocytes/macrophages into the aortic wall is the main pathogenic mechanism of the disease. This review introduces the latest research results on the mechanism of macrophage infiltration and plasticity in aortic dissection.
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