在上升的胸前大动脉动脉瘤中,媒体的超级可塑性细胞重塑
Paul C Y Tang1, Michael A Coady, Constantinos Lovoulos
1Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Circulation
|August 24, 2005
概括
上升胸前动脉动脉瘤涉及中间扩张与保存的血管光滑肌细胞 (VSMC) 密度,与腹部动脉瘤不同. 这表明涉及矩阵退化和细胞增生而不是缩的不同机制.
科学领域:
- 心血管研究研究心血管研究
- 大动脉疾病病理生理学
- 血管生物学 血管生物学
背景情况:
- 上升胸前动脉动脉瘤 (aTA) 经常与中间性退行有关.
- 在腹腔大动脉动脉瘤 (aAAs) 中观察到广泛的血管光滑肌细胞 (VSMC) 亡.
- 在aTA中VSMC损失的作用仍然不清楚.
研究的目的:
- 为了调查中部缩是否发生在初级上升胸前大动脉动脉瘤中.
- 为了比较非神经瘤和神经瘤上升胸前动脉中介质的细胞和矩阵组成.
主要方法:
- 对28个非动脉瘤和29个动脉瘤上升胸前动脉的形态分析.
- 测量血管层厚度和计算血管区面积.
- 在结构,蛋白质和转录层面评估中介细胞和矩阵组成.
主要成果:
- 尽管媒介由于扩张而变薄,但动脉瘤的总体介质面积增加.
- 血管光滑肌细胞 (VSMC) 密度保持不变,表明细胞增生.
- 观察到矩阵蛋白表达的减少和矩阵降解的增加,重塑在较小的动脉瘤中最明显.
结论:
- 胸腔和腹腔大动脉动脉瘤之间,光线扩大的机制在VSMC存活率和中间缩方面有所不同.
- 这两种动脉瘤类型都将矩阵变性作为一种共同的病理生理特征.
- 在aTA中介质的超塑性细胞重塑可能是对增加壁面应激的适应性反应.
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