生まれながらの大動脈弁の異常形成における大動脈膨張の基礎となるメカニズム
D Bonderman1, E Gharehbaghi-Schnell, G Wollenek
1departments of Cardiology and Cardiothoracic Surgery (G.W.), University of Vienna; and the Ludwig Boltzmann Institute for Cardiovascular Research, Vienna, Austria.
Circulation
|April 27, 1999
まとめ
大動脈組織における早期の細胞死は,大動脈弁の欠陥と関連しています. この研究は,大動脈の異常形成を有する患者のアポトーシスの増加を明らかにし,大動脈疾患の遺伝的根拠を示唆しています.
科学分野:
- 心血管病理学 心血管病理学
- 細胞生物学 細胞生物学
- 遺伝学 遺伝学とは
背景:
- 膨張,動脈瘤,解剖を含む大動脈疾患は,先天性大動脈弁の変形とともに頻繁に発生します.
- 影響を受けた大動脈の組織学的な発見は,しばしば,滑らかな筋肉の細胞喪失と組織変性によって特徴づけられるエールドハイム・キスティック・メディアルネクロシス (Erdheim cystic medial necrosis, CMN) を示す.
研究 の 目的:
- アポプトーシス (プログラム細胞死) がCMNおよび大動脈中部層の滑らかな筋肉細胞喪失に寄与するかどうかを調査する.
- アポプトーシスの割合と大動脈弁の形態学と大動脈の膨張の存在を相関させるため.
主な方法:
- 心胸外科手術を受けた32人の患者の上昇大動脈壁のサンプルを分析した.
- ヒストキミカル染色と末端デオキシヌクレオチチジルトランスファーゼ媒介型デオキシウリジン三リン酸ニックエンドラベル (TUNEL) でアポトーシスを検出する.
- 患者の分類はエコーカルディオグラフィに基づいて4つのグループに分けられる:双門または三門大動脈弁,大動脈の膨張があるか否か.
主要な成果:
- 大規模な焦点アポトーシスは,弁のタイプ (双頭または三頭) にかかわらず,大動脈膨張の患者の中間層で観察されました.
- 中央の滑らかな筋肉の細胞アポトーシスの比率が,非膨らんだものと比較して,膨らんだ大動脈で著しく高いことが判明しました.
- 二弁と大動脈の膨張を患った患者は,三弁と大動脈の膨張を患った患者よりも若かった.
結論:
- 中央の滑らかな筋肉細胞の早期アポトシスは,大動脈弁の変形を有する個体において大動脈疾患を誘発する遺伝的メカニズムの重要な構成要素である可能性があります.
- アポプトシスは,様々な大動脈弁の異常に関連した大動脈疾患の病原性における一般的な経路を表す可能性があります.
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