内皮细胞亡和血液流动方向在人类动脉样硬化斑块之间的关系
1Institut National de la Santé et de la Recherche Médicale, INSERM U541, Institut Fédératif de Recherche "Circulation," Hôpital Lariboisière, Paris, France.
Circulation
|June 1, 2000
概括
人类动脉样硬化中的内皮细胞亡主要发生在血块的下游,血流和剪切应力较低. 这一发现表明剪切应力影响斑块侵蚀和血栓形成.
科学领域:
- 心血管生物学 心血管生物学
- 内皮细胞生物学 内皮细胞生物学
- 动脉样硬化研究 动脉样硬化研究
背景情况:
- 血液流动动力学对内皮细胞亡产生了重大影响.
- 内皮细胞亡在人类动脉样硬化中的特定作用及其与血液流动的相关性在很大程度上仍未被描述.
研究的目的:
- 研究人类动脉样硬化斑块中内皮细胞亡的发生和局部化.
- 确定血液流动特征,特别是剪切应力和动脉样硬化中的内皮细胞亡之间的关系.
主要方法:
- 通过Endarterectomy获得的42个人类动脉动脉样硬化斑块的分析.
- 使用CD31,Ki-67和剪接因子抗体进行免疫组织化学分析.
- 使用终端dUTP末标记和酶试验在现场检测亡.
主要成果:
- 在13个经过处理的斑块中,在8个中观察到内皮细胞亡.
- 亡主要发生在斑块的下游区域 (18.8%),而不是上游区域 (2.7%).
- 在斑块微容器中很少检测到异位性内皮细胞.
结论:
- 在体内,局部剪切应激显著影响光内内皮细胞亡.
- 剪切应力可能是斑块侵蚀和血栓形成的进展的一个关键因素.
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