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Objective To study the expression profile and possible mechanism of long non-coding RNA (lncRNA) of aortic remodeling induced by elevated blood pressure in a murine transverse aortic arch constriction (TAC) model. Methods Sixty 8-week-old male C57BL/6J mice were randomly and averagely divided to receive TAC surgery or sham operation. TAC model mice were included in the experimental group when the ratio of blood flow velocity of right common carotid artery/left common carotid artery (RC/LC) was 5-10 at 1 week after operation, and mice treated with sham operation were included in the control group when RC/LC was less than 1. Twenty four mice for each group met the criteria in the end. HE staining, Weigert staining and Sirius red staining were used to observe the media wall thickness, elastic fiber and collagen fiber deposition of the ascending aorta. Two weeks after the surgery, aortic tissues were harvested for high throughput sequencing to identify differentially expressed lncRNA. Bioinformatics analysis were then performed to analyze the changes of lncRNA expression. Results One week after modeling, the ultrasound results showed that the blood flow velocity increased significantly at the ascending aorta in experimental group, and the blood flow velocity ratio (RC/LC) was higher significantly in experimental group than in control group (P<0.001). Two weeks after modeling and compared to that in control group, the inner diameter of the ascending aorta enlarged in experimental group and the tunica media of ascending aorta developed obvious remodeling, including the thickening of the tunica media, the thinning of media elastic fibers and the deposition of a large amount of collagen fibers. Using the well established cutoffs (fold change ≥2, P<0.05 and false discovery rate (FDR) <0.05), a total of 199 lncRNAs were significantly changed in experimental group and control group at transcription level. Six differentially expressed lncRNAs were randomly selected for verifying the accuracy of sequencing data by using qRT-PCR, which was consistent with the sequencing results. Target genes of differentially expressed lncRNAs were predicted by antisense and/or cis-regulatory module prediction. Predicted target genes were further analyzed by Gene Ontology (GO) and Kyoto Enrichment of Genes and Genomes pathway analysis (KEGG) to find the enriched cellular component, molecular function, biological process, and signaling pathways. The results showed that target genes related to extracellular matrix, cell matrix adhesion, NF-κB pathway and vascular smooth muscle cell contraction were significantly enriched. Conclusions An overview of lncRNA expression changes in aortic remodeling induced by high pressure overload has been provided in present paper. It indicates that lncRNA is involved in the extracellular matrix synthesis process that regulates the arterial remodeling, and may help to clarify the potential molecule mechanism of aortic remodeling caused by elevated blood pressure.
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Objective To evaluate the imaging changes of the arterial wall and lumen at the site of intracranial large artery lesions with high-resolution magnetic resonance imaging (HR-MRI) before and after Wingspan stent implantation.Methods From December 2013 to December 2014,9 patients with symptomatic intracranial arterial stenosis (stenosis rate:70%-99%) admitted to the Department of Interventional Neuroradiology,Xuanwu Hospital,Capital Medical University were enrolled retrospectively.The sites of the lesions included middle cerebral arteries,basilar artery,and intracranial segment of vertebral artery.Head 3D HR-MRI technique was used to analyze and compare the changes of the tube-wall enhancement areas in the lesion sites through image registration and matching.The consistency of stenosis rates measured by HR-MRI and DSA was compared through Pearson correlation analysis and Bland-Altman Plot.Results The success rate of technique was 100% without related complications.(1) After Wingspan stent implantation,the gadolinium enhancement in the vascular walls of the stenosis sites was decreased significantly compared with that before procedure.The area of enhancement decreased was 87±16% after stent implantation compared with before implantation,and the difference was statistically significant (t=2.325,P=0.049).(2) Before stent implantation,the mean stenosis rates of the HR-MRI and DSA measurements were 82±6% and 82±8% respectively,and the difference was not statistically significant (t=0.051,P=0.961);after procedure,the mean stenosis rates of HR-MRI and DSA measurements were 16±12% and 21±12% respectively,and the difference was not statistically significant (t=1.345,P=0.216).(3) The Pearson correlation coefficients of HR-MRI and DSA for stenosis rate measurement before and after stent implantation were 0.347 (P=0.361) and 0.545 (P=0.129) respectively.Bland-Altman statistical images showed that most of the data points were within the consistency limit (x-±1.96 s).Conclusions As an in vivo noninvasive imaging means,HR-MRI can be used to assess the changes of vascular walls of the lesion sites,the vascular lumen,and the original plaques after the intracranial stent release.It can also be used to evaluate the reconstruction of intracranial arterial walls.
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OBJECTIVE: The purpose of this study was to investigate the effect of adiponectin and resistin on coronary plaque composition determined by virtual histology (VH) intravascular ultrasound (IVUS) and coronary artery remodeling of target lesion in patients with stable angina. METHODS: We prospectively enrolled 48 patients who underwent coronary angiography and VH IVUS for stable angina (27 men, 61+/-9 years of age). Preintervention grayscale and VH IVUS analysis was done across the target lesion. Planar VH IVUS analysis at the minimum luminal site and volumetric analysis over a 10-mm-long segment centered at the minimum luminal site were performed. The subjects were divided into 2 groups based on remodeling index (RI): positive remodeling (PR) defined as RI>1.0 and non-PR as RI< or =1.0. Blood samples for analysis of adiponectin and resistin were obtained from the femoral artery before coronary angioplasty. RESULTS: Of the 48 patients enrolled, 23 (48%) had PR in their target lesion and 25 (52%) were non-PR group. Clinical and angiographic characteristics, VH IVUS parameters were not different between the PR and the non-PR groups. Adiponectin and resistin levels showed no significant correlations with coronary plaque composition evaluated with VH IVUS. Adiponectin showed no significant difference between the two groups. However, resistin showed trend toward higher level in non-PR group (4.17+/-2.18 ng/mL vs. 6.11+/-4.26 ng/mL, P=0.056) and a significant negative correlation with RI (r=-0.303, P=0.036). CONCLUSION: We found a negative correlation between the resistin level and RI of a de-novo target lesion in patients with stable angina.
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Humans , Male , Adiponectin , Angina, Stable , Coronary Angiography , Coronary Vessels , Femoral Artery , Phenobarbital , Plaque, Atherosclerotic , Prospective Studies , ResistinABSTRACT
Foram avaliadas as repercussões tardias da desnutrição multicarencial imposta no período de aleitamento e os possíveis efeitos e/ou alterações tanto do processo de envelhecimento como do treinamento físico aeróbio moderado sobre o diâmetro luminal e a área da túnica média da parede das artérias carótida comum esquerda, aorta horizontal e aorta torácica de ratos em processo de envelhecimento. Vinte e quatro ratos machos, Wistar, foram separados de acordo com a dieta e o treinamento físico em: GNS - nutrido sedentário, GNT - nutrido treinado, GDS - desnutrido sedentário e GDT - desnutrido treinado. Aos 10 meses, o GNT e o GDT foram submetidos ao treinamento, em meio aquático, durante oito semanas. Em seguida, os ratos foram anestesiados, sacrificados e, posteriormente, foram coletados fragmentos arteriais para o processamento histológico. A área da túnica média foi mensurada através da diferença entre as áreas externa e interna da parede arterial e o diâmetro luminal foi mensurado a partir da média de dois diâmetros medidos a partir de quatro pontos marcados na camada interna do vaso. A área da túnica média apresentou redução na aorta horizontal quando comparamos os grupos GNS x GDS (p = 0,015) e um aumento da artéria carótida comum esquerda entre os grupos GNT e GNS (p < 0,001). A aorta torácica apresentou um aumento do diâmetro luminal ao compararmos o GDS com o GDT (p= 0,041). Tanto a desnutrição multicarencial induziu alterações parciais na parede aorta horizontal, como também o treinamento físico foi capaz de promover mudanças na área da túnica média da artéria carótida comum esquerda e no diâmetro luminal da aorta torácica.
We evaluated the late effects of malnutrition multicarencial imposed during lactation and the possible effects and / or changes to both the aging process as of moderate aerobic training on the luminal diameter and the tunica media area of the left common carotid artery, horizontal aorta and thoracic aorta of rats in the aging process. Twenty-four Wistar rats male were separated according to diet and physical training: GNS - Nourished Sedentary Group, GNT - Trained Nourished Group, GDS - Malnourished Sedentary Group and GDT - Malnourished Trained Group. At 10 months, the GNT and GDT were submitted to TAM, in water for 8 weeks. Then the mice were anesthetized and sacrificed and the arterial fragments were collected for histological processing. The area of the tunica media was measured by the difference between external and internal areas of the arterial wall and luminal diameter was measured from the average of two diameters measured from four points marked on the inner layer of the vessel. The area of tunica media decreased in the horizontal aorta when compared the groups GNS x GDS (p = 0.015) and increased in left common carotid artery between the groups GNS and GNT (p = <0.001). The thoracic aorta showed an increase in luminal diameter when comparing the GDS with the GDT (p = 0.041). Both malnutrition multicarencial induced partial changes in the horizontal aorta wall, as well as the physical training was able to promote changes in the tunica media area of the left common carotid artery and luminal diameter of the thoracic aorta.
Subject(s)
Animals , Rats , Aging , Aorta , Malnutrition/complications , Swimming , Rats, WistarABSTRACT
@#Objective To initially evaluate the coronary arterial remodeling of the patients with coronary artery disease by use of intravascular unltrasound(IVUS).Methods 28 consecutive patients with coronary artery disease were randomly divided into the acute coronary syndrome(ACS)group(n=18)and stable angina group(n=10).The area of plaques,the area of extra-elasticity membrane(EEM)of vascellum and plaque burden as well as remodeling index(RI)of coronary arteries were measured by IVUS in two groups.The plasma levels of high sensitivity C-reactive protein(hs-CRP),matrix metalloproteinase(MMP,including MMP-2 and MMP-9),CD40 ligand(CD40L)and pregnancy associated plasma protein-A(PAPP-A)were measured by ELISA.Results The area of plaques(P=0.000),the area of EEM(P=0.003)and plaque burden of "criminal" lesions(P=0.037)in the patients of the ACS group increased more significantly than that of the control group.The incidence of high-risk plaques(P=0.028)and RI(P=0.015)in the ACS group increased more significantly than that of the control group.The positive remodeling was more common in the ACS group(P=0.040),while negative remodeling in the control group(P=0.039).The plasma levels of MMP-2(P=0.011),MMP-9(P=0.001)Pand CD40L(P=0.034)in the high-risk plaques group were significantly higher than those in the non-high-risk plaques group.There were no significant differences of the plasma levels of hs-CRP(P=0.190),MMP-2(P=0.255),MMP-9(P=0.574),CD40L(P=0.342),PPAP-A(P=0.403)and the incidence of high-risk plaques(P=0.566)in the positive and negative as well as none remodeling groups.Regression analysis showed that only the regression coefficient of ACS and stable angina by RI were significant(P<0.05),the Pregression equation was RI=0.179-0.131 group(group stands for ACS group and stable angina group).Conclusion The clinical types of coronary artery disease may be an independent predictor of the coronary arterial remodeling measured by IVUS.
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BACKGROUND: Acute adaptive vascular remodeling occurs in active and unstable inflammatory plaques. It has been suggested that the adaptive coronary vascular remodeling, in patients with acute coronary syndrome (ACS), may be systemic and may show similar vascular remodeling in the carotid arteries. We investigated the ultrasonographic features of the common carotid artery (CCA) to determine whether the arterial expansive remodeling found in the coronary artery occurs in the carotid arteries of patients with ACS. METHODS: We measured lumen diameter (LD), interadventitial diameter (IAD) and intima media thickness (IMT) using a B-mode ultrasound in both common carotid arteries in patients with ACS (N=74) and chronic stable angina (CSA) (N=31). Positive remodeling was arbitrarily defined as an IMTmax >1 mm and IAD >8 mm and negative remodeling as an IMTmax >1 mm and IAD <7 mm. Other values were defined as "no remodeling" RESULTS: There were no significant differences in LD IAD and maximal IMT of the right CCA and the left CCA in comparisons between the ACS and the CSA patient groups. There were no differences for number of cases with no remodeling or differences in positive and negative remodeling in the right common carotid artery and left common carotid artery in comparisons between the ACS and CSA patient groups. . Presence of plaque in both common carotid arteries showed similar frequency in the ACS and CSA patient groups. The characteristics of carotid artery plaques were not different in the two groups. The remodeling index (IAD/LD) was correlated with IMTmax (right CCA r=0.797, p<0.001; left CCA r=0.860, p<0.001). CONCLUSIONS: The common carotid arterial structure of ACS patients was not different from that of CSA patients. Therefore, these results suggest that the expansive arterial remodeling, due to coronary inflammatory plaques, appears to take place locally rather than systemically.
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Humans , Acute Coronary Syndrome , Angina, Stable , Carotid Arteries , Carotid Artery, Common , Carotid Stenosis , Coronary Vessels , UltrasonographyABSTRACT
BACKGROUND AND OBJECTIVES: The pathophysiology of acute coronary syndrome (ACS) is plaque rupture with thrombus formation, which is different from that of stable angina pectoris (SA). Intravascular ultrasound (IVUS) prior to percutaneous coronary intervention provides information on the plaques and vessel wall itself. The purpose of this study was to evaluate the lesion characteristics of ACS prior to coronary intervention compared to those of SA lesions by IVUS. SUBJECTS AND METHODS: Pre-interventional IVUS was performed on 68 culprit lesions in 41 ACS and 25 SA patients. The plaque morphology, lumen and vessel sizes, and arterial remodeling pattern at the lesion segment were analyzed in both groups. A plaque rupture was defined as a plaque containing a cavity that communicated with the lumen, which was covered with a fibrous cap. RESULTS: Positive remodeling was more frequent in patients with ACS than those with SA (42 vs. 11%), whereas negative remodeling was more frequent in patients with SA (22 vs. 41%) (p=0.023). Plaque rupture/dissection and thrombus was more frequent (51 vs. 19%, p=0.006 and 39 vs. 4%, p=0.001) in patients with ACS. Lesions with ACS had significantly larger EEM CSA, plaque CSA and plaque burden (p<0.05). There were no significant differences in the clinical parameters, angiographic parameters and plaque morphologies. CONCLUSION: Positive remodeling, plaque rupture/dissection and thrombus were more frequently observed in patients with ACS. In addition, lesions with ACS had a larger vessel size and a higher plaque burden. The type of remodeling, plaque rupture or dissection, thrombus and amount of plaques might have an impact on the clinical presentation.
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Humans , Acute Coronary Syndrome , Angina, Stable , Percutaneous Coronary Intervention , Rupture , Thrombosis , UltrasonographyABSTRACT
Objective To invastigate the presence of coronary artery remodeling in acute myocardial infarction(AMI)patients by intracoronary ultrasound(ICUS). Methods Before percutaneous coronary intervention(PCI),sixty five AMI patients were divided into two groups according to two types of arterial remodeling by ICUS.Emergency PCI group had 28 patients and delayed PCI group had 37 patients.Positive remodeling(PR) or negative remodeling(NR)was considered present when the vessel cross sectional area at the lesion site was larger than the proximal cross sectional area or smaller than the distal cross sectional area, respectively. Results Twenty nine patients( 44.6 %) showed PR and 36( 55.4 %)showed NR. Incidence of essential hypertension was higher in NR patients than that in PR ones among risk factors of coronary artery disease.Soft plaques( 83.1 %)(Va+Vb stage lesion in paticular) were main lesions in two type of remodelings and eccentric plaque more common in PR patients( 93.1 % vs 63.8 %,P
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OBJECTIVES:Adaptive arterial remodeling (AAR) is a process to maintain luminal patency despite atherosclerotic plaque accumulation, whereas some of the lesions undergo a negative remodeling (vessel shrinkage), namely inadequate arterial remodeling (IAR). Histopathologic and intravascular ultrasound (IVUS) studies have shown lumen compromise is delayed until the atherosclerotic lesion occupies more than an estimated 40% to 50% of the potential area within the internal elastic lamina and proposed contributors to lumen compromise are medial and adventitial damage, superficial calcification, apoptosis. However the precise mechanisms and factors leading to these two vascular remodeling patterns are still unclear. The aim of this study is to investigate the effect of plaque accumulation on compensatory dilatation in arterial remodeling and their relationship according to their remodeling patterns. METHODS: Preinterventional intravascular ultrasound images of 56 focal, de novo native and nonosteal lesions on coronary angiography were obtained. Cross sectional area of external elastic membrane (LEEM), Minimal lumen (MLA) and plaque plus media (P&M; P&M=EEM- MLA) in the target lesions were measured. Cross sectional area of external elastic membrane (REEM) and lumen (RLA) in proximal reference segments were measured. The lesions were divided into two groups according to their remodeling patterns ; adequate arterial remodeling (LEEM/REEM>0.78) and inadequate arterial remodeling (LEEM/REEM0.05). CONCLUSION: In adaptive arterial remodeling, the amount of plaque accumulation seems to be an important determinant of compensatory arterial dilatation and contribute weakly to stenosis severity. On the contrary, in inadequate arterial remodeling, it seems to contribute greatly to stenosis severity.
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Female , Humans , Male , Apoptosis , Constriction, Pathologic , Coronary Angiography , Diabetes Mellitus , Diagnosis , Dilatation , Hypertension , Membranes , Phenobarbital , Plaque, Atherosclerotic , Risk Factors , Smoke , Smoking , UltrasonographyABSTRACT
BACKGROUND: Adaptive remodeling of the wall of diseased arterial segments occurs to compensate for the accumulation of atherosclerotic plaque. Histopathologic studies and intraoperative high-frequency epicardial coronary ultrasound imaging as well as intracoronary ultrasound imaging have shown that human coronary arteries enlarge in parallel with the formation of atherosclerotic plaque. Therefore, the lumen area is preserved until the progressive accumulation of plaque exceeds the compensatory mechanisms of the vessel. In 1995, however, Pastercamp et al. reported that arterial wall constriction (shrinkage) or inadequate enlargement may be a different mechanism associated with the development of severe arterial lumen narrowing in addition to plaque proliferation. The aim of this study is to examine what extent of de novo native coronary arterial stenosis is accompanied by compensatory enlargement and to find the predictors of inadequate remodeling with intravascualr ultrasound. METHODS: Fifty eight patients were enrolled from February 1997 through October 1997. Patients who had the lesion of more than 50% stenosis of minimal luminal diameter in coronary angiography were indicated. The lesion which was located in the ostium or was very tortuous or angulated was excluded. The lesion which had the history of balloon angioplasty or stent insertion was also excluded. We used 20 MHz endosonic intravascular ultrasound catheter. We measured EEM area (External Elastic Membrane area), lumen area and plaque plus media area and analysed plaque characteristics. RESULTS: 1) Fifty-eight consecutive patients (43 men, 15 women; mean age 55.4 years, range 33 to 78) who had not undergone previous catheter intervention were studied with a single intravascular ultrasound system. 2) Among 58 patients, 20 patients (35%) had acute myocardial infarction, 30 patients (52%) unstable angina, 6 patients (10%) stable angina and 2 patients (3%) old myocardial infarction. Lesions were located at the left anterior descending arteries in 29 patients (50%), right coronary arteries in 21 patients (36%) and left circumflex coronary artery in 8 patients (14%). 3) Compensatory enlargement was observed in 19 (32%) of 58 lesions and inadequate compensatory enlargement in 39 (68%). 4) EEM and plaque areas at lesion site of compensatory enlargement group were significantly larger than those of inadequate enlargement group (p240 mg/dl), smokings and plaque characteristics were not statistically related with inadequate enlargement. Although there was no statistical significance, there was a tendency of inadequate enlargement in patients with diabetes mellitus and calcified plaque. 6) The only predictor of inadequate remodeling was the postmenopausal female (p<0.05). CONCLUSION: Adaptive compensatory coronary arterial remodeling was occured less frequently in patients with acute coronary syndromes than in patients with stable angina. The only statistically significant predictor of adaptive compensatory coronary arterial remodeling was postmenopausal women. Inadequate compensatory coronary arterial remodeling was occured more frequently in patients with diabetes mellitus or calcified plaque but without statistical significance.
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Female , Humans , Male , Acute Coronary Syndrome , Angina, Stable , Angina, Unstable , Angioplasty, Balloon , Arteries , Catheters , Constriction , Constriction, Pathologic , Coronary Angiography , Coronary Vessels , Diabetes Mellitus , Hypercholesterolemia , Hypertension , Membranes , Myocardial Infarction , Phenobarbital , Plaque, Atherosclerotic , Risk Factors , Smoke , Stents , Ultrasonics , UltrasonographyABSTRACT
Objective To observe the effect of elevated local sheer stress of abdominal aota on its caliber and wall expression of MMP-9,and analyse the action of high shear stress on arterial remodling.Methods Forty-eight SD rats were randomly divided into 4 experiment and 4 comparison groups.An infra-renal aortocaval fistula was constructed by needle puncture using a 0.4mm needle in the experiment groups.The aorta proximal to the fistula was harvested after 1 d,7 d,14 d and 28 d respectively,while sham operation was done in the comparison groups.The diameter and wall thickness of the aorta were measured after fistula was made and before harvest.The level of change of MMP-9 was observed by immunohistochemistry.Results The diameter of aorta proxinal to the fistula was enlarged in the 1d group(P