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Overstretch causes lipid accumulation in vascular smooth muscle cells dependent on NADPH oxidase 1 过度拉伸引起血管平滑肌细胞依赖于NADPH氧化酶1的脂质积累
Pub Date : 2025-03-26 DOI: 10.1016/j.mbm.2025.100129
Jiazhen Zhang , Qinfen Li , Suoqi Ding , Wei Xu , Jilei Su , Jingang Cui , Yongsheng Ding
At the bend and bifurcation of arteries prone to atherosclerosis, pulsatile blood retention may cause overstretch on the tube wall. It has been reported that more than half of the foam cells found in atherosclerotic plaques are derived from vascular smooth muscle cells (VSMCs), but the mechanism is not adequately understood. In this work, we used a microfluidic device to apply a cyclic stretch (15 ​% and 0.05 ​Hz) on the VSMC for 24 ​h. The stretch caused a significant increase in the intracellular lipid accumulation, accompanying with the increased NOX1 and CD36 protein expression. On the other hand, inhibition of NOX1 activity, elimination of reactive oxygen species (ROS), or knockdown of NOX1 expression could significantly inhibit intracellular lipid accumulation. In addition, the NOX1 upregulation caused by 15 ​% stretch was related to the JAK/STAT signaling pathway. Our results reveal a novel mechanism of VSMC foam cell formation caused by the upregulation of NOX1.
在动脉易发生动脉粥样硬化的弯曲和分叉处,搏动性血液潴留可能导致管壁过度拉伸。据报道,在动脉粥样硬化斑块中发现的泡沫细胞中有一半以上来自血管平滑肌细胞(VSMCs),但其机制尚不清楚。在这项工作中,我们使用微流体装置在VSMC上施加循环拉伸(15%和0.05 Hz) 24小时。拉伸引起细胞内脂质积累显著增加,并伴有NOX1和CD36蛋白表达增加。另一方面,抑制NOX1活性、消除活性氧(ROS)或敲低NOX1表达可显著抑制细胞内脂质积累。此外,15%拉伸引起的NOX1上调与JAK/STAT信号通路有关。我们的研究结果揭示了一种由NOX1上调引起的VSMC泡沫细胞形成的新机制。
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引用次数: 0
Multidimensional excavation of the current status and trends of mechanobiology in cardiovascular homeostasis and remodeling within 20 years 近20年来心血管稳态与重构的力学生物学研究现状与趋势的多维挖掘
Pub Date : 2025-03-19 DOI: 10.1016/j.mbm.2025.100127
Wei Liao , Yuxi Huang , Xiangxiu Wang , Ziqiu Hu , Chuanrong Zhao , Guixue Wang
Mechanobiology is essential for cardiovascular structure and function and regulates the normal physiological and pathological processes of the cardiovascular system. Cells in the cardiovascular system are extremely sensitive to their mechanical environment, and once mechanical stimulation is abnormal, the homeostasis mechanism is damaged or lost, leading to the occurrence of pathological remodeling diseases. In the past 20 years, many articles concerning the mechanobiology of cardiovascular homeostasis and remodeling have been published. To better understand the current development status, research hotspots and future development trends in the field, this paper uses CiteSpace software for bibliometric analysis, quantifies and visualizes the articles published in this field in the past 20 years, and reviews the research hotspots and emerging trends. The regulatory effects of mechanical stimulation on the biological behavior of endothelial cells, smooth muscle cells and the extracellular matrix, as well as the mechanical-related remodeling mechanism in heart failure, have always been research hotspots in this field. This paper reviews the research advances of these research hotspots in detail. This paper also introduces the research status of emerging hotspots, such as those related to cardiac fibrosis, homeostasis, mechanosensitive transcription factors and mechanosensitive ion channels. We hope to provide a systematic framework and new ideas for follow-up research on mechanobiology in the field of cardiovascular homeostasis and remodeling and promote the discovery of more therapeutic targets and novel markers of mechanobiology in the cardiovascular system.
机械生物学对心血管的结构和功能起着至关重要的作用,调节着心血管系统正常的生理和病理过程。心血管系统细胞对其所处的机械环境极为敏感,一旦机械刺激异常,体内平衡机制就会受损或丧失,从而导致病理性重塑疾病的发生。在过去的20年里,关于心血管稳态和重构的机械生物学研究已经发表了许多文章。为了更好地了解该领域的发展现状、研究热点和未来发展趋势,本文利用CiteSpace软件进行文献计量分析,对该领域近20年来发表的文章进行量化和可视化,并对研究热点和新兴趋势进行综述。机械刺激对内皮细胞、平滑肌细胞和细胞外基质生物学行为的调控作用以及心力衰竭中与机械相关的重构机制一直是该领域的研究热点。本文详细综述了这些研究热点的研究进展。本文还介绍了新兴热点的研究现状,如与心脏纤维化、体内平衡、机械敏感转录因子和机械敏感离子通道相关的研究现状。我们希望为心血管稳态与重构领域的后续机械生物学研究提供系统框架和新思路,促进心血管系统中更多机械生物学治疗靶点和新标志物的发现。
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引用次数: 0
Biomechanics of horizontal meniscus tear and healing during knee flexion: Finite element analysis 膝关节屈曲时水平半月板撕裂和愈合的生物力学:有限元分析
Pub Date : 2025-03-13 DOI: 10.1016/j.mbm.2025.100128
Bingtong Yan , Minmin Lin , Yang Liu , Jiawei Li , Linjing Peng , Yifei Yao , Guangheng Li , Chao Liu
Meniscus horizontal tear is a common injury that mostly occurs in middle-aged and elderly people, and the effect of repair surgery directly affects the functional recovery of the knee joint and prevention of degenerative joint diseases. However, the stress concentration in a horizontal tear is not well understood. The primary objective of this study was to examine the reparative mechanisms involved in addressing horizontal tears of the meniscus and to elucidate the alterations in mechanical behavior throughout the subsequent postoperative healing stages. Based on clinical MRI scan data of normal human knee joint, an accurate three-dimensional finite element model of the knee joint was established to simulate the meniscus at different states: including complete, horizontal torn, repaired and at different degrees of healing. An animal model was established to conduct in vitro loading experiments to assist in validating the model. Static standing simulation revealed the phenomenon of stress concentration in the area of horizontal tears. Knee flexion simulations identified the risk of tear propagation at the endpoints of the horizontal tear. Following suture repair and progressive healing, stress concentration was observed at the site of sutures, while the stress levels decreased at the endpoints of the horizontal tear. As healing progressed, the mechanical function of the meniscus gradually recovered. During progressive healing, the changing trends can provide a reference for patients' postoperative recovery activities. This finding has important implications for guiding clinical treatment strategies and rehabilitation plans for meniscal tears.
半月板水平撕裂是一种常见的损伤,多发生于中老年人,修复手术的效果直接影响到膝关节的功能恢复和退行性关节疾病的预防。然而,水平撕裂中的应力集中尚未得到很好的理解。本研究的主要目的是研究解决半月板水平撕裂的修复机制,并阐明在随后的术后愈合阶段力学行为的改变。基于正常人膝关节的临床MRI扫描数据,建立准确的膝关节三维有限元模型,模拟半月板完整、水平撕裂、修复和不同程度愈合的不同状态。建立动物模型进行体外加载实验,以协助验证模型。静态站立模拟揭示了水平撕裂区存在应力集中现象。膝关节屈曲模拟确定了水平撕裂终点撕裂传播的风险。在缝合修复和逐步愈合后,观察到缝合线部位的应力集中,而水平撕裂终点的应力水平下降。随着愈合的进展,半月板的机械功能逐渐恢复。在渐进式愈合过程中,其变化趋势可为患者术后恢复活动提供参考。这一发现对指导半月板撕裂的临床治疗策略和康复计划具有重要意义。
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引用次数: 0
Swimming induces bone loss via regulating mechanical sensing pathways in bone marrow 游泳通过调节骨髓中的机械感应通路诱导骨质流失
Pub Date : 2025-03-12 DOI: 10.1016/j.mbm.2025.100125
Shaotian Fu , Yahong Lu , Wenkun Sun , Wugui Chen , Chengshou Lin , An Qin
Bone is an organ capable of perceiving external mechanical stress in real time and responding dynamically via mechanosensing proteins such as Piezo1 and YAP/TAZ. Upon sensing the mechano-signals, cells within the bone matrix collaborate to coordinate bone formation and resorption, while bone marrow cells are also stimulated and mobilized. High-load exercise stimulates osteoblast differentiation and bone formation. However, the mechanism through which the low-load exercises affect bone homeostasis is still unclear. In this work, we established a long-term swimming training model to unload the mechanical stress in mice. Throughout the training model, we observed a significant loss in trabecular bone mass, as evidenced by microCT scanning and histological staining. Single-cell sequencing of the tibial bone marrow tissue revealed a significant increase in the percentage of bone marrow neutrophils, along with alterations in Integrins and the ERK1/2 signaling pathway. Notably, the changes in both Integrins and the ERK1/2 signaling pathway in macrophages were more pronounced than in other cell types, which suggests a mechanical adaptive response in these cells. Moreover, the involvement of Integrins is also critical for the crosstalk between monocyte precusors and macrophages during swimming. Together, this study provides a resource of the alterations of bone marrow cell gene expression profile after swimming and highlights the importance of Integrins and the ERK1/2 signaling pathway in the bone marrow microenvironment after swimming.
骨是一种能够实时感知外部机械应力并通过Piezo1和YAP/TAZ等机械传感蛋白动态响应的器官。在感知到机械信号后,骨基质内的细胞协同协调骨的形成和吸收,同时骨髓细胞也受到刺激和动员。高负荷运动刺激成骨细胞分化和骨形成。然而,低负荷运动影响骨稳态的机制尚不清楚。在这项工作中,我们建立了一个长期游泳训练模型来卸载小鼠的机械应力。在整个训练模型中,我们观察到骨小梁骨量的显著减少,这一点可以通过微ct扫描和组织学染色来证明。胫骨骨髓组织的单细胞测序显示骨髓中性粒细胞百分比显著增加,整合素和ERK1/2信号通路也发生改变。值得注意的是,巨噬细胞中整合素和ERK1/2信号通路的变化比其他细胞类型更为明显,这表明巨噬细胞中存在机械适应性反应。此外,整合素的参与也对游泳过程中单核细胞前体和巨噬细胞之间的串扰至关重要。综上所述,本研究为游泳后骨髓细胞基因表达谱的改变提供了资源,并强调了游泳后整合素和ERK1/2信号通路在骨髓微环境中的重要性。
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引用次数: 0
High-rate mechano-stimulation alters proliferation- and maturation-related signaling of oligodendrocyte precursor cells in a 3D hydrogel 高速率机械刺激改变了3D水凝胶中少突胶质前体细胞的增殖和成熟相关信号
Pub Date : 2025-03-11 DOI: 10.1016/j.mbm.2025.100126
Ryosuke Yokosawa , Rachel A. Mazur , Kelsey A. Wilson , Jacob H. Lee , Noah W. Showalter , Kyle J. Lampe , Pamela J. VandeVord
Traumatic brain injury (TBI) leads to neuroinflammation and is associated with chronic neurodegeneration. Many TBI studies aim to understand further the mechanism by which cells in the brain respond to the mechanical forces associated with TBI. In particular, mild TBI is the most common level of injury among TBI patients, and the reactivity of glial cells is a key mechanism in understanding mild TBI. However, there is a lack of studies focusing on oligodendrocyte precursor cells (OPCs). OPCs respond to the injury by migration, proliferation, and differentiation into oligodendrocytes (OL) to assist in post-injury repair. Given their ability to proliferate and differentiate, OPCs are a promising therapeutic target for OL regeneration. Despite their important role in maintaining normal neuronal functions, the response of OPCs to mechanical insult remains poorly understood. Thus, this study aims to elucidate the cellular responses of OPCs using a brain-tissue mimicking in vitro 3D hydrogel platform to identify key signaling pathways driving their response. In this study, we applied a high-rate pressure wave to OPCs to induce mild TBI and assess subsequent cellular and molecular responses by quantifying cell growth, metabolic activity, and gene and protein expression. Although the high-rate mechanical insult did not significantly impact cell survival, it induced transcriptomic and proteomic changes in molecular targets related to OPC proliferation and maturation, including PDGFRA, GALC, CTNNB1, and HSP90AB. These dysregulations and altered molecular profiles provide valuable insights into the OPC injury response and may serve as potential therapeutic targets for treating neurodegeneration.
创伤性脑损伤(TBI)可导致神经炎症,并与慢性神经变性有关。许多TBI研究旨在进一步了解脑细胞对与TBI相关的机械力作出反应的机制。其中,轻度TBI是TBI患者中最常见的损伤级别,神经胶质细胞的反应性是理解轻度TBI的关键机制。然而,关于少突胶质前体细胞(OPCs)的研究却很少。OPCs通过迁移、增殖和分化成少突胶质细胞(OL)来响应损伤,以协助损伤后的修复。鉴于其增殖和分化的能力,OPCs是OL再生的一个有希望的治疗靶点。尽管OPCs在维持正常神经元功能方面发挥着重要作用,但对机械性损伤的反应仍然知之甚少。因此,本研究旨在利用一个模拟脑组织的体外3D水凝胶平台来阐明OPCs的细胞反应,以确定驱动其反应的关键信号通路。在这项研究中,我们对OPCs施加高速率压力波诱导轻度TBI,并通过量化细胞生长、代谢活性、基因和蛋白质表达来评估随后的细胞和分子反应。尽管高速率机械损伤没有显著影响细胞存活,但它诱导了与OPC增殖和成熟相关的分子靶点的转录组学和蛋白质组学变化,包括PDGFRA、GALC、CTNNB1和HSP90AB。这些失调和改变的分子谱为OPC损伤反应提供了有价值的见解,并可能作为治疗神经退行性疾病的潜在治疗靶点。
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引用次数: 0
Gut microbiota-derived butyrate enhances exercise-induced bone mineral density in humans 肠道微生物来源的丁酸盐增强人体运动诱导的骨密度
Pub Date : 2025-03-05 DOI: 10.1016/j.mbm.2025.100124
Xiangya Dou , Pengyu Fu , Yuting Zhang , Yiwen Zhang , Kaiting Ning , Baoqiang Yang , Xuezhou Yang , Yinbo Niu , Dong-En Wang , Huiyun Xu
Bone Mineral Density (BMD) is one of the primary markers of bone health. Exercise provides constant mechanical stress to bone, which in turn increases BMD. Gut-bone axis is considered to play an important role in the regulation of exercise on bone. Also, the metabolites of gut microbiota (GM), especially short-chain fatty acids (SCFAs), are thought to be involved in the progress. In this study, by analyzing serum and GM from humans with low and high BMD, we found that exercise indeed enhanced BMD, and butyrate secreted from GM was involved in the regulation.
骨矿物质密度(BMD)是骨骼健康的主要指标之一。运动为骨骼提供持续的机械压力,从而增加骨密度。肠骨轴被认为在运动对骨骼的调节中起着重要作用。此外,肠道微生物群(GM)的代谢物,特别是短链脂肪酸(SCFAs),被认为参与了这一进程。本研究通过分析低骨密度和高骨密度人群的血清和GM,我们发现运动确实能提高骨密度,GM分泌的丁酸盐参与了调节。
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引用次数: 0
Tropomodulin1 regulates the biomechanical changes in macrophages induced by matrix stiffness Tropomodulin1调节基质刚度诱导巨噬细胞的生物力学变化
Pub Date : 2025-02-20 DOI: 10.1016/j.mbm.2025.100117
Yajun Meng , Amannisa Tuersuntuoheti , Siyu Jiang , Jiayi Xie , Zejun Yue , Dingwen Xu , Xueyu Geng , Xiang Lian , Lide Xie , Lanping Amy Sung , Xifu Wang , Jing Zhou , Weijuan Yao
The monocyte/macrophage infiltration plays critical roles in the development of atherosclerosis. Arterial stiffness is a cholesterol-independent risk factor for cardiovascular events. The regulation of arterial stiffness on biomechanics of macrophages and its underlying mechanism remains unclear. We prepared polyacrylamide gels with low and high stiffness that corresponded to healthy and diseased blood vessels, respectively. We found that macrophages cultured on stiff matrix had increased rigidity and migration ability compared to those on soft matrix. An actin capping protein, tropomodulin1 (Tmod1) was upregulated in macrophages by stiff matrix and in arteries with high stiffness. Further analyses showed that deficiency of Tmod1 in macrophages completely or partially prevented the changes in actin polymerization, cell adhesion and cell spreading induced by stiff matrix. Overexpression of Tmod1 in macrophages enhanced actin polymerization, cell adhesion and spreading on stiff matrix. Tmod1 was involved in the regulation of vinculin expression and formation of focal adhesion in macrophages on stiff matrix. Finally, the deficiency of Tmod1 in macrophages retarded the formation of atherosclerotic plaques in blood vessels with high matrix stiffness. The results suggest that Tmod1 was a key regulator in macrophage rigidity and migration on stiff substrate. The present work will help us to understand the biomechanical mechanisms for the development of atherosclerosis.
单核细胞/巨噬细胞浸润在动脉粥样硬化的发生发展中起关键作用。动脉僵硬是心血管事件的一个不依赖胆固醇的危险因素。动脉硬度对巨噬细胞生物力学的调节及其潜在机制尚不清楚。我们分别制备了与健康血管和病变血管相对应的低刚度和高刚度聚丙烯酰胺凝胶。我们发现在硬基质上培养的巨噬细胞比在软基质上培养的巨噬细胞具有更高的刚性和迁移能力。一种肌动蛋白封盖蛋白,tropomodulin1 (Tmod1)在巨噬细胞和高硬度动脉中被僵硬基质上调。进一步分析表明,巨噬细胞中Tmod1的缺失完全或部分阻止了硬基质诱导的肌动蛋白聚合、细胞粘附和细胞扩散的变化。巨噬细胞中过表达Tmod1可增强肌动蛋白聚合、细胞黏附和在坚硬基质上的扩散。Tmod1参与了巨噬细胞在刚性基质上表达和局灶黏附形成的调控。最后,巨噬细胞中缺乏Tmod1延缓了高基质刚度血管中动脉粥样硬化斑块的形成。结果表明,Tmod1是巨噬细胞刚性和在刚性底物上迁移的关键调节因子。本研究将有助于我们了解动脉粥样硬化发生的生物力学机制。
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引用次数: 0
Ultrasound imaging and regulated mechanotransduction for characteristics, regeneration, and therapeutics of bone 骨的特征、再生和治疗的超声成像和调节机械转导
Pub Date : 2025-02-19 DOI: 10.1016/j.mbm.2025.100116
Yi-Xian Qin
Ultrasound imaging has been widely used in clinical diagnoses, such as B-mode and M-mode ultrasound imaging for cardiovascular, abdomen, OB-Gyn, and other soft tissue and organs in clinical diagnoses. Ultrasound imaging has traditionally been limited in its application to bone because of the high acoustic impedance and density of trabecular and cortical bone structure and density alterations, high wave reflection, absorption, scattering, and low penetration, which result in significant reflection and attenuation of ultrasonic energy in such mineral tissues. Recent advancements in quantitative ultrasound technology have opened new possibilities for noninvasive characteristics of bone quality through transmitted or backscattered signals, offering a radiation-free alternative to traditional imaging modalities like dual-energy X-ray absorptiometry (DEX), X-rays, and CT scans. In addition, low-intensity ultrasound (LIUS) has been studied and applied to promote bone regeneration and fracture healing through induced mechanotransduction in tissue and cells. The field of bone ultrasound encompasses fundamental research on the interaction of elastic waves with cortical and trabecular bone microstructures, the development of innovative imaging methodologies and medical applications such as bone health assessment for osteoporosis diagnosis, therapeutic use of LIUS, and phase aberration correction inside the skull. This work has highlighted recent developments and advancements in ultrasound diagnosis and therapeutics, induced cellular and molecular pathways, and future directions using ultrasound as a promising imaging tool and treatment method.
超声成像在临床诊断中得到了广泛的应用,如心血管、腹部、妇产科等软组织器官的b、m型超声成像在临床诊断中的应用。传统上,超声成像在骨中的应用受到限制,因为骨小梁和骨皮质结构的高声阻抗和密度以及密度改变,高波反射、吸收、散射和低穿透,导致超声能量在这类矿物组织中的反射和衰减明显。定量超声技术的最新进展为通过传输或后向散射信号检测骨质量的无创特征开辟了新的可能性,为双能x射线吸收仪(DEX)、x射线和CT扫描等传统成像方式提供了一种无辐射的替代方案。此外,低强度超声(LIUS)已被研究并应用于通过诱导组织和细胞的机械转导来促进骨再生和骨折愈合。骨超声领域包括弹性波与骨皮质和骨小梁微结构相互作用的基础研究,创新成像方法的发展和医学应用,如骨质疏松症诊断的骨健康评估,LIUS的治疗用途,以及颅骨内的相位像差校正。本文重点介绍了超声诊断和治疗、诱导细胞和分子途径的最新进展,以及超声作为一种有前途的成像工具和治疗方法的未来方向。
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引用次数: 0
Toward a clear relationship between mechanical signals and bone adaptation 研究机械信号与骨适应之间的关系
Pub Date : 2025-02-01 DOI: 10.1016/j.mbm.2025.100115
Chenlu Wang, Ruisen Fu, Haisheng Yang
Bone adapts according to the mechanical environment, and this adaptation can be visualized by altering its shape, size, and microarchitecture. Bone adaptation was recognized more than a century ago, with a description presented in The Law of Bone Remodeling. Furthermore, the conceptual model of “The Mechanostat” provides a quantitative relationship between the magnitude of bone tissue deformation (strain) and bone adaptive responses. However, upon maintaining a constant strain magnitude, various bone responses were observed experimentally under different loading parameters (e.g., frequency, rate, number of load cycles, rest insertion, and waveform). Nevertheless, the precise relationship between mechanical signals and bone adaptation remains unclear. Accordingly, we reviewed in vivo loading studies to determine the quantitative relationships between various mechanical signals and bone adaptive responses in various animal loading models. Additionally, we explored how these relationships are influenced by pathophysiological factors, such as age, sex, and estrogen deficiency. Moreover, mechanistic studies that consider cellular mechanical microenvironments to explain these quantitative relationships are discussed. A general formula that considers the bone adaptive response as a function of different loading parameters was proposed. This review may enhance our understanding of bone adaptation and offer guidance for clinicians to develop effective mechanotherapies to prevent bone loss.
骨骼根据机械环境进行适应,这种适应可以通过改变其形状、大小和微结构来可视化。骨适应早在一个多世纪前就已被认识到,并在《骨重塑法则》中进行了描述。此外,“the Mechanostat”的概念模型提供了骨组织变形(应变)大小与骨适应性反应之间的定量关系。然而,在保持恒定应变量级的情况下,在不同的加载参数(例如,频率、速率、加载周期数、rest插入和波形)下,实验观察到不同的骨响应。然而,机械信号和骨适应之间的确切关系仍不清楚。因此,我们回顾了体内加载研究,以确定各种动物加载模型中各种机械信号与骨适应反应之间的定量关系。此外,我们探讨了这些关系如何受到病理生理因素的影响,如年龄、性别和雌激素缺乏。此外,还讨论了考虑细胞力学微环境来解释这些定量关系的机制研究。提出了一个考虑骨自适应响应作为不同载荷参数函数的通用公式。这一综述可以提高我们对骨适应的认识,并为临床医生开发有效的机械疗法来预防骨质流失提供指导。
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引用次数: 0
Angiogenesis within atherosclerotic plaques: Mechanical regulation, molecular mechanism and clinical diagnosis 动脉粥样硬化斑块内血管生成:机械调控、分子机制和临床诊断
Pub Date : 2025-02-01 DOI: 10.1016/j.mbm.2025.100114
Hanxiao Chen , Chengxiu Peng , Fei Fang , Yuhao Li , Xiaran Liu , Ying Hu , Guixue Wang , Xiaoheng Liu , Yang Shen
Atherosclerosis (AS) is a disease characterized by focal cholesterol accumulation and insoluble inflammation in arterial intima, leading to the formation of an atherosclerotic plaque consisting of lipids, cells, and fibrous matrix. The presence of plaque can restrict or obstruct blood flow, resulting in arterial stenosis and local mechanical microenvironment changes including flow shear stress, vascular matrix stiffness, and plaque structural stress. Neovascularization within the atherosclerotic plaque plays a crucial role in both plaque growth and destabilization, potentially leading to plaque rupture and fatal embolism. However, the exact interactions between neovessels and plaque remain unclear. In this review, we provide a comprehensive analysis of the origin of intraplaque neovessels, the contributing factors, underlying molecular mechanisms, and associated signaling pathways. We specifically emphasize the role of mechanical factors contributing to angiogenesis in atherosclerotic plaques. Additionally, we summarize the imaging techniques and therapeutic strategies for intraplaque neovessels to enhance our understanding of this field.
动脉粥样硬化(AS)是一种以动脉内膜局灶性胆固醇积累和不溶性炎症为特征的疾病,导致由脂质、细胞和纤维基质组成的动脉粥样硬化斑块的形成。斑块的存在会限制或阻碍血流,导致动脉狭窄和局部机械微环境的改变,包括血流剪切应力、血管基质刚度和斑块结构应力。动脉粥样硬化斑块内的新生血管在斑块生长和不稳定中起着至关重要的作用,可能导致斑块破裂和致命的栓塞。然而,新血管和斑块之间的确切相互作用尚不清楚。在这篇综述中,我们对斑块内新血管的起源、影响因素、潜在的分子机制和相关的信号通路进行了全面的分析。我们特别强调机械因素在动脉粥样硬化斑块血管生成中的作用。此外,我们总结了斑块内新血管的成像技术和治疗策略,以提高我们对这一领域的理解。
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引用次数: 0
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Mechanobiology in Medicine
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