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Augmented Flow-Induced Outward Remodelling Occurs with Ageing in Mice
Bethan Brown1, Helen Williams1, Samson Egbulonu1
1Translational Health Sciences, Bristol Medical School, University of Bristol, Level 7 Bristol Royal Infirmary, Bristol BS2 8HW, UK.
International Journal of Molecular Sciences
|November 13, 2025
Summary
Aging enhances arterial positive remodeling, increasing lumen size and reducing medial resilience in carotid arteries. This age-related remodeling may promote cardiovascular diseases like atherosclerosis and aneurysm.
Area of Science:
- Vascular biology and aging research
- Cardiovascular pathology and disease mechanisms
- Arterial remodeling processes
Background:
- Arterial outward remodeling is implicated in cardiovascular diseases such as atherosclerosis and aneurysm.
- Aging is a significant risk factor for atherosclerosis and aneurysmal disease.
- Understanding age-related arterial remodeling is crucial for developing effective therapies.
Purpose of the Study:
- To investigate the impact of aging on carotid artery remodeling in response to increased blood flow.
- To compare the extent and characteristics of arterial remodeling between young and old mice.
Main Methods:
- Comparison of right carotid artery remodeling in young (2 months) and old (18-20 months) mice after left carotid artery ligation.
- Analysis of media area, thickness, collagen content, and α-SM-actin content per cell.
- Assessment of matrix metalloproteinase-2 (MMP-2) protein levels.
Main Results:
- Older mice exhibited greater baseline media area, thickness, and collagen content in carotid arteries compared to younger mice.
- Augmented positive arterial remodeling was observed in old mice, characterized by a larger increase in lumen size and reduction in media area and thickness.
- While young mice showed increased MMP-2 during remodeling, old mice did not, suggesting altered matrix degradation pathways.
Conclusions:
- The extent of positive carotid artery remodeling is significantly greater in aged mice compared to young mice.
- Aging leads to a less resilient medial layer with reduced α-SM-actin content per cell, elastin, and collagen, potentially predisposing to atherosclerosis and aneurysm.
- Age-related changes in arterial remodeling pathways, including MMP-2 activity, may contribute to the increased risk of cardiovascular pathologies in older individuals.

