Adventitial vasa vasorum arteriosclerosis in abdominal aortic aneurysm

Abdominal aortic aneurysm (AAA) is a common disease among elderly individuals. However, the precise pathophysiology of AAA remains unknown. In AAA, an intraluminal thrombus prevents luminal perfusion of oxygen, allowing only the adventitial vaso vasorum (VV) to deliver oxygen and nutrients to the ao...

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Veröffentlicht in:PloS one 2013-02, Vol.8 (2), p.e57398-e57398
Hauptverfasser: Tanaka, Hiroki, Zaima, Nobuhiro, Sasaki, Takeshi, Hayasaka, Takahiro, Goto-Inoue, Naoko, Onoue, Kenji, Ikegami, Koji, Morita, Yoshifumi, Yamamoto, Naoto, Mano, Yuuki, Sano, Masaki, Saito, Takaaki, Sato, Kohji, Konno, Hiroyuki, Setou, Mitsutoshi, Unno, Naoki
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container_title PloS one
container_volume 8
creator Tanaka, Hiroki
Zaima, Nobuhiro
Sasaki, Takeshi
Hayasaka, Takahiro
Goto-Inoue, Naoko
Onoue, Kenji
Ikegami, Koji
Morita, Yoshifumi
Yamamoto, Naoto
Mano, Yuuki
Sano, Masaki
Saito, Takaaki
Sato, Kohji
Konno, Hiroyuki
Setou, Mitsutoshi
Unno, Naoki
description Abdominal aortic aneurysm (AAA) is a common disease among elderly individuals. However, the precise pathophysiology of AAA remains unknown. In AAA, an intraluminal thrombus prevents luminal perfusion of oxygen, allowing only the adventitial vaso vasorum (VV) to deliver oxygen and nutrients to the aortic wall. In this study, we examined changes in the adventitial VV wall in AAA to clarify the histopathological mechanisms underlying AAA. We found marked intimal hyperplasia of the adventitial VV in the AAA sac; further, immunohistological studies revealed proliferation of smooth muscle cells, which caused luminal stenosis of the VV. We also found decreased HemeB signals in the aortic wall of the sac as compared with those in the aortic wall of the neck region in AAA. The stenosis of adventitial VV in the AAA sac and the malperfusion of the aortic wall observed in the present study are new aspects of AAA pathology that are expected to enhance our understanding of this disease.
doi_str_mv 10.1371/journal.pone.0057398
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However, the precise pathophysiology of AAA remains unknown. In AAA, an intraluminal thrombus prevents luminal perfusion of oxygen, allowing only the adventitial vaso vasorum (VV) to deliver oxygen and nutrients to the aortic wall. In this study, we examined changes in the adventitial VV wall in AAA to clarify the histopathological mechanisms underlying AAA. We found marked intimal hyperplasia of the adventitial VV in the AAA sac; further, immunohistological studies revealed proliferation of smooth muscle cells, which caused luminal stenosis of the VV. We also found decreased HemeB signals in the aortic wall of the sac as compared with those in the aortic wall of the neck region in AAA. 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However, the precise pathophysiology of AAA remains unknown. In AAA, an intraluminal thrombus prevents luminal perfusion of oxygen, allowing only the adventitial vaso vasorum (VV) to deliver oxygen and nutrients to the aortic wall. In this study, we examined changes in the adventitial VV wall in AAA to clarify the histopathological mechanisms underlying AAA. We found marked intimal hyperplasia of the adventitial VV in the AAA sac; further, immunohistological studies revealed proliferation of smooth muscle cells, which caused luminal stenosis of the VV. We also found decreased HemeB signals in the aortic wall of the sac as compared with those in the aortic wall of the neck region in AAA. 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subjects Abdomen
Adventitia - pathology
Aged
Aged, 80 and over
Aneurysm
Aneurysms
Aorta
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - pathology
Aortic aneurysms
Arteriosclerosis
Arteriosclerosis - complications
Arteriosclerosis - pathology
Atherosclerosis
Biology
Cell proliferation
Coronary vessels
Female
Geriatrics
Growth factors
Heme - metabolism
Humans
Hyperplasia
Hypoxia
Immunohistochemistry
Lipids - chemistry
Male
Mass spectrometry
Medical imaging
Medicine
Middle Aged
Muscles
Neck
Neurosciences
Nutrients
Older people
Oxygen
Pathogenesis
Patients
Perfusion
Rodents
Scientific imaging
Smooth muscle
Stenosis
Surgery
Thrombosis
Vasa Vasorum - pathology
title Adventitial vasa vasorum arteriosclerosis in abdominal aortic aneurysm
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