动脉样损伤的大小和脆弱性是由流体剪切应力模式决定的
Caroline Cheng1, Dennie Tempel, Rien van Haperen
1Department of Cardiology, Thoraxcenter, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Circulation
|June 7, 2006
概括
低剪压促进动脉动脉样硬化斑块在动脉中的脆弱形成. 相反,增加的剪切应力可以防止病变的发展,而带有的振荡式剪切应力会导致稳定的病变.
科学领域:
- 心血管生物学 心血管生物学
- 生物医学工程 生物医学工程
- 翻译医学是一种翻译医学.
背景情况:
- 动脉样硬化病变通常在动脉中形成,动脉的剪切应力低或振荡.
- 剪切应力对动脉样硬化斑块脆弱性的直接影响仍然不清楚,因为缺乏合适的体内模型.
研究的目的:
- 调查剪切应力模式与动脉样硬化斑块形成和脆弱性之间的因果关系.
- 在不同的剪切应力条件下描述斑块的组成和重塑.
主要方法:
- 在小鼠动脉中开发了一种新型周血管剪切应力修饰器.
- 诱导局部区域的降低,增加和振荡式 () 切削应力.
- 对动脉样硬化病变的发展,组成和血管改造的分析.
主要成果:
- 动脉样硬化病变仅在降低或振荡式剪切应力区域形成.
- 剪切压力增加的区域被保护免受损伤的发展.
- 降低剪切应力诱导了具有脆弱表型的较大的病变 (较少的光滑肌细胞,较少的原蛋白,更多的脂质,增加外向重塑,较高的炎症介质和矩阵金属蛋白酶活性).
- 甲板内出血只发生在降低的剪切应力区域.
结论:
- 降低和振荡式剪切应力都对斑块形成至关重要.
- 降低剪切应力促进了更大,更脆弱的动脉样硬化斑块的发展.
- 振荡式剪切应力,特别是,有助于形成稳定的病变.
相关概念视频
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Atherosclerosis I: Introduction
Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Atherosclerosis III: Management
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Newtonian Fluid: Problem Solving
Newtonian fluids exhibit a constant viscosity, meaning their shear stress and shear strain rate are directly proportional. This property ensures a predictable and stable response to applied forces, maintaining a linear relationship between force and flow. Examples include water, air, and light oils, consistently demonstrating this proportional behavior regardless of external conditions.
A velocity gradient forms within the fluid when a Newtonian fluid is placed between two parallel plates, with...
A velocity gradient forms within the fluid when a Newtonian fluid is placed between two parallel plates, with...


