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Contents, Vol. 60, 2023. 内容,第 60 卷,2023 年。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-12-18 DOI: 10.1159/000535661
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引用次数: 0
Assessments of Perfusion, Blood Flow, and Vascular Structure in Ambulatory Subjects: Guidance for Translational Research Scientists. 流动受试者灌注、血流和血管结构的评估:转化研究科学家指南。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 DOI: 10.1159/000527765
Zachariah G Schonberger, Sophie J Y Huang, Radhika N Thakkar, Amar A Mamone, Daniyal I Khan, Natalie L Y Chow, Moeiz Ahmed, Namashi Sivaram, Yuki Bao, Vihirthan Kesavan, Jordan Côté, Clara Sun, Jashnoor Chhina, Brayden D Halvorson, Gabrielle H Alimorad, Nithin J Menon, Daniel Goldman, Stephanie J Frisbee

Research involving human subjects in ambulatory settings is a critical link in the chain comprising translational research, spanning preclinical research to human subject and patient cohort studies. There are presently a wide array of techniques and approaches available to investigators wishing to study blood flow, perfusion, and vascular structure and function in human subjects. In this multi-sectioned review, we discuss capillaroscopy, carotid intima-media thickness, flow-mediated dilation, laser Doppler flowmetry, near-infrared spectroscopy, peripheral arterial tonometry, pulse wave velocity, retinal fundus imaging, and vascular plethysmography. Each section contains a general overview and the physical basis of the technique followed by a discussion of the procedures involved and the necessary equipment, with attention paid to specific requirements or limitations. Subsequently, we detail which aspects of vascular function can be studied with a given technique, the analytical approach to the collected data, and the appropriate application and limitation(s) to the interpretation of the data collected. Finally, a modified scoping review provides a summary of how each assessment technique has been applied in previous studies. It is anticipated that this review will provide an efficient source of information and insight for preclinical investigators seeking to add translational aspects to their research programs.

在门诊环境中涉及人类受试者的研究是包括转化研究链的关键环节,从临床前研究到人类受试者和患者队列研究。目前有大量的技术和方法可供研究者研究人体的血流、灌注和血管结构和功能。在这篇多部分的综述中,我们讨论了毛细血管镜检查、颈动脉内膜-中膜厚度、血流介导扩张、激光多普勒血流测量、近红外光谱、外周动脉血压计、脉搏波速度、视网膜眼底成像和血管体积描记术。每一部分都包含一个总体概述和技术的物理基础,然后讨论所涉及的程序和必要的设备,并注意具体的要求或限制。随后,我们详细介绍了血管功能的哪些方面可以用给定的技术来研究,收集到的数据的分析方法,以及对收集到的数据进行解释的适当应用和限制。最后,修改范围审查提供了如何在以前的研究中应用每个评估技术的总结。预计这篇综述将为临床前研究人员寻求在他们的研究项目中增加翻译方面的信息和见解提供有效的来源。
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引用次数: 0
What Is Next for Connexin and Pannexin? 康乃馨和潘乃馨的下一步是什么?
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-08-16 DOI: 10.1159/000533281
Timothy M Sveeggen, Anna Kosmach, Pooneh Bagher
Signaling across membranes is vital for tissue and organ function throughout the body. This is achieved through careful regulation of transmembrane channels allowing for passage of ions and second messengers to and from the cytosol and intracellular compartments, which can generate electrical impulses and trigger signaling cascades. Connexins and pannexins are among the most versatile transmembrane channel proteins, which shape cell behavior and tissue function with extraordinary finesse. In this volume, pannexins and connexins 37, 40, and 43 are reviewed [1–4], with special consideration for tissue specificity of expression, cell type-specific functions, and their roles in development and disease.
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引用次数: 0
Methyl Palmitate Modulated NMDA-Induced Cerebral Hyperemia in Hypertensive Rats. 棕榈酸甲酯调节NMDA诱导的高血压大鼠脑高脂血症。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-06-07 DOI: 10.1159/000529916
Chun-Kai Hsu, Shang-Jen Chang, Li-Yi Lim, Hsi-Hsien Chang, Stephen Shei-Dei Yang

N-methyl-D-aspartate (NMDA) receptors were found to be dysfunctional in hypertensive rats. Methyl palmitate (MP) has been shown to diminish the nicotine-induced increase in blood flow in the brainstem. The aim of this study was to determine how MP modulated NMDA-induced increased regional cerebral blood flow (rCBF) in normotensive (WKY), spontaneously hypertensive (SHR), and renovascular hypertensive (RHR) rats. The increase in rCBF after the topical application of experimental drugs was measured using laser Doppler flowmetry. Topical NMDA application induced an MK-801-sensitive increase in rCBF in anesthetized WKY rats, which was inhibited by MP pretreatments. This inhibition was prevented by pretreatment with chelerythrine (a PKC inhibitor). The NMDA-induced increase in rCBF was also inhibited by the PKC activator in a concentration-dependent manner. Neither MP nor MK-801 affected the increase in rCBF induced by the topical application of acetylcholine or sodium nitroprusside. Topical application of MP to the parietal cortex of SHRs, on the other hand, increased basal rCBF slightly but significantly. MP enhanced the NMDA-induced increase in rCBF in SHRs and RHRs. These results suggested that MP had a dual effect on the modulation of rCBF. MP appears to play a significant physiological role in CBF regulation.

N-甲基-D-天冬氨酸(NMDA)受体在高血压大鼠中被发现功能失调。棕榈酸甲酯(MP)已被证明可以减少尼古丁诱导的脑干血流量增加。本研究的目的是确定MP调节NMDA如何在正常血压(WKY)、自发性高血压(SHR)和肾血管性高血压(RHR)大鼠中诱导局部脑血流量(rCBF)增加。局部应用实验药物后rCBF的增加是用激光多普勒流量计测量的。局部应用NMDA在麻醉的WKY大鼠中诱导了MK-801敏感性的rCBF增加,这被MP预处理所抑制。这种抑制作用是通过用白屈菜红碱(一种PKC抑制剂)预处理来防止的。NMDA诱导的rCBF增加也受到PKC激活剂的浓度依赖性抑制。MP和MK-801均不影响局部应用乙酰胆碱或硝普钠诱导的rCBF的增加。另一方面,在SHR的顶叶皮层局部应用MP,基础rCBF略有但显著增加。MP增强NMDA诱导的SHR和RHR rCBF的增加。这些结果表明MP对rCBF的调节具有双重作用。MP似乎在CBF调节中起着重要的生理作用。
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引用次数: 0
Potential Implications of Exercise Training on Pannexin Expression and Function. 运动训练对Pannexin表达和功能的潜在影响。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2022-11-10 DOI: 10.1159/000527240
Brent Wakefield, Silvia Penuela

Pannexins (PANX1, 2, 3) are channel-forming glycoproteins that are expressed throughout the cardiovascular and musculoskeletal system. The canonical function of these proteins is to release nucleotides that act as purinergic signalling at the cell membrane or Ca2+ channels at the endoplasmic reticulum membrane. These two forms of signalling are essential for autocrine and paracrine signalling in health, and alterations in this signalling have been implicated in the pathogenesis of many diseases. Many musculoskeletal and cardiovascular diseases are largely the result of a lack of physical activity which causes altered gene expression. Considering exercise training has been shown to alter a wide array of gene expression in musculoskeletal tissues, understanding the interaction between exercise training, gene function and expression in relevant diseases is warranted. With regards to pannexins, multiple publications have shown that exercise training can influence pannexin expression and may influence the significance of its function in certain diseases. This review further discusses the potential interaction between exercise training and pannexin biology in relevant tissues and disease models. We propose that exercise training in relevant animal and human models will provide a more comprehensive understanding of the implications of pannexin biology in disease.

Pannexins(PANX1,2,3)是在整个心血管和肌肉骨骼系统中表达的通道形成糖蛋白。这些蛋白质的典型功能是释放核苷酸,这些核苷酸在细胞膜上充当嘌呤能信号传导或在内质网膜上充当Ca2+通道。这两种形式的信号传导对健康中的自分泌和旁分泌信号传导至关重要,这种信号传导的改变与许多疾病的发病机制有关。许多肌肉骨骼和心血管疾病在很大程度上是由于缺乏体育活动导致基因表达改变的结果。考虑到运动训练已被证明可以改变肌肉骨骼组织中的广泛基因表达,有必要了解运动训练、基因功能和相关疾病中表达之间的相互作用。关于pannexin,多项出版物表明,运动训练可以影响pannexin的表达,并可能影响其在某些疾病中的功能意义。这篇综述进一步讨论了运动训练与相关组织和疾病模型中血管紧张素生物学之间的潜在相互作用。我们提出,在相关动物和人类模型中进行运动训练将使我们更全面地了解pannexin生物学在疾病中的意义。
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引用次数: 1
Vascular Dysfunction in Polycystic Kidney Disease: A Mini-Review. 多囊肾病的血管功能障碍:一项小型综述。
IF 1.8 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-08-03 DOI: 10.1159/000531647
Melissa R Dennis, Paulo W Pires, Christopher T Banek

Polycystic kidney disease (PKD) is one of the most common hereditary kidney diseases, which is characterized by progressive cyst growth and secondary hypertension. In addition to cystogenesis and renal abnormalities, patients with PKD can develop vascular abnormalities and cardiovascular complications. Progressive cyst growth substantially alters renal structure and culminates into end-stage renal disease. There remains no cure beyond renal transplantation, and treatment options remain largely limited to chronic renal replacement therapy. In addition to end-stage renal disease, patients with PKD also present with hypertension and cardiovascular disease, yet the timing and interactions between the cardiovascular and renal effects of PKD progression are understudied. Here, we review the vascular dysfunction found in clinical and preclinical models of PKD, including the clinical manifestations and relationship to hypertension, stroke, and related cardiovascular diseases. Finally, our discussion also highlights the critical questions and emerging areas in vascular research in PKD.

多囊肾病(PKD)是最常见的遗传性肾脏疾病之一,以进行性囊肿生长和继发性高血压为特征。除了膀胱生成和肾脏异常外,PKD患者还可能出现血管异常和心血管并发症。进行性囊肿生长显著改变肾脏结构,最终发展为终末期肾病。除了肾移植之外,目前还没有治愈方法,治疗选择在很大程度上仍局限于慢性肾脏替代疗法。除了终末期肾脏疾病外,PKD患者还存在高血压和心血管疾病,但PKD进展的心血管和肾脏影响之间的时间和相互作用研究不足。在此,我们回顾了PKD临床和临床前模型中发现的血管功能障碍,包括临床表现以及与高血压、中风和相关心血管疾病的关系。最后,我们的讨论还强调了PKD血管研究中的关键问题和新兴领域。
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引用次数: 0
European Society for Microcirculation Conference 2023. 2023年欧洲微循环学会会议。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-11-03 DOI: 10.1159/000533846
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引用次数: 0
Validation of an ex vivo Flow Model Including Magnetic Resonance Imaging to Study the Effects of Endovascular Treatments on the Arterial Wall. 体外血流模型的验证,包括磁共振成像,研究血管内治疗对动脉壁的影响。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 DOI: 10.1159/000529115
Raúl Devia Rodriguez, Eline Huizing, Çağdaş Ünlü, Frank F J Simonis, Reinoud P H Bokkers, Jean-Paul P M de Vries, Richte C L Schuurmann, Dalibor Nakladal, Hendrik Buikema, Jan-Luuk Hillebrands, Henri G D Leuvenink

Endovascular revascularization is the preferred treatment for peripheral arterial disease. Restenosis often occurs as a response to procedure-induced arterial damage. Reducing vascular injury during endovascular revascularization may improve its success rate. This study developed and validated an ex vivo flow model using porcine iliac arteries, obtained from a local abattoir. Twenty arteries (of 10 pigs) were equally allocated to two groups: a mock-treated control group and an endovascular intervention group. Arteries of both groups were perfused with porcine blood for 9 min, including 3 min of balloon angioplasty in the intervention group. Vessel injury was assessed by calculating the presence of endothelial cell denudation, vasomotor function, and histopathological analysis. MR imaging displayed balloon positioning and inflation. Endothelial cell staining showed 76% of denudation after ballooning compared to 6% in the control group (p < 0.001). This was confirmed by histopathological analysis, showing a significantly reduced endothelial nuclei count after ballooning compared to the controls (median: 22 vs. 37 nuclei/mm, p = 0.022). In the intervention group, vasoconstriction and endothelium-dependent relaxation were significantly reduced (p < 0.05).We present an ex vivo flow model to test the effects of endovascular therapy on the vessel's wall morphology, endothelial denudation, and endothelial-dependent vasomotor function under physiological conditions. Additionally, it allows the future testing of human arterial tissue.

血管内血管重建术是治疗外周动脉疾病的首选方法。再狭窄通常是对手术引起的动脉损伤的反应。减少血管损伤可提高血管内重建术的成功率。本研究利用从当地屠宰场获得的猪髂动脉建立并验证了离体血流模型。将10头猪的20条动脉平均分为两组:模拟治疗组和血管内干预组。两组动脉灌注猪血9 min,干预组行球囊血管成形术3 min。通过计算内皮细胞脱落、血管舒缩功能和组织病理学分析来评估血管损伤。磁共振成像显示气球定位和膨胀。内皮细胞染色显示球囊后76%的脱落,而对照组为6% (p < 0.001)。组织病理学分析证实了这一点,与对照组相比,肿胀后内皮细胞核计数明显减少(中位数:22 vs 37个细胞核/mm, p = 0.022)。干预组血管收缩和内皮依赖性舒张明显降低(p < 0.05)。我们提出了一个体外血流模型来测试生理条件下血管内治疗对血管壁形态、内皮脱落和内皮依赖性血管舒缩功能的影响。此外,它还允许未来对人体动脉组织进行测试。
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引用次数: 0
Isolation and Cultivation of Vascular Smooth Muscle Cells from the Mouse Circle of Willis. Willis小鼠血管平滑肌细胞的分离和培养。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-08-29 DOI: 10.1159/000532033
Wei Chang, Yajuan Li, Fengzhou Liu, Kehai Zang, Peiran Zhang, Shuai Qu, Jingyu Zhao, Junhui Xue

Introduction: Culturing cerebrovascular smooth muscle cells (CVSMCs) in vitro can provide a model for studying many cerebrovascular diseases. This study describes a convenient and efficient method to obtain mouse CVSMCs by enzyme digestion.

Methods: Mouse circle of Willis was isolated, digested, and cultured with platelet-derived growth factor-BB (PDGF-BB) to promote CVSMC growth, and CVSMCs were identified by morphology, immunofluorescence analysis, and flow cytometry. The effect of PDGF-BB on vascular smooth muscle cell (VSMC) proliferation was evaluated by cell counting kit (CCK)-8 assay, morphological observations, Western blotting, and flow cytometry.

Results: CVSMCs cultured in a PDGF-BB-free culture medium had a typical peak-to-valley growth pattern after approximately 14 days. Immunofluorescence staining and flow cytometry detected strong positive expression of the cell type-specific markers alpha-smooth muscle actin (α-SMA), smooth muscle myosin heavy chain 11 (SMMHC), smooth muscle protein 22 (SM22), calponin, and desmin. In the CCK-8 assay and Western blotting, cells incubated with PDGF-BB had significantly enhanced proliferation compared to those without PDGF-BB.

Conclusion: We obtained highly purified VSMCs from the mouse circle of Willis using simple methods, providing experimental materials for studying the pathogenesis and treatment of neurovascular diseases in vitro. Moreover, the experimental efficiency improved with PDGF-BB, shortening the cell cultivation period.

引言:体外培养脑血管平滑肌细胞可为研究多种脑血管疾病提供模型。本研究描述了一种通过酶消化获得小鼠CVSMC的方便有效的方法。方法:分离、消化Willis小鼠圆环,用血小板衍生生长因子BB(PDGF-BB)促进CVSMC生长,并通过形态学、免疫荧光分析和流式细胞术鉴定CVSMC。通过细胞计数试剂盒(CCK)-8测定、形态学观察、Western印迹和流式细胞术评估PDGF-BB对血管平滑肌细胞(VSMC)增殖的影响。结果:在不含PDGF BB的培养基中培养的CVSMC在大约14天后具有典型的峰-谷生长模式。免疫荧光染色和流式细胞术检测到细胞类型特异性标记物α-平滑肌肌动蛋白(α-SMA)、平滑肌肌球蛋白重链11(SMMHC)、平滑肌蛋白22(SM22)、钙蛋白酶和结蛋白的强阳性表达。在CCK-8测定和蛋白质印迹中,与没有PDGF-BB的细胞相比,用PDGF-BB孵育的细胞具有显著增强的增殖。结论:我们用简单的方法从Willis小鼠圈中获得了高度纯化的VSMCs,为体外研究神经血管疾病的发病机制和治疗提供了实验材料。此外,PDGF-BB提高了实验效率,缩短了细胞培养期。
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引用次数: 0
A Preliminary Discussion on the Safety of Mild Therapeutic Hypothermia in Target Vessels after Endovascular Intervention in Acute Large Vessel Occlusion Cerebral Infarction. 急性大血管闭塞性脑梗死血管内介入治疗后靶血管亚低温治疗的安全性初探。
IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2023-01-01 Epub Date: 2023-08-28 DOI: 10.1159/000532030
Jiang Li, Shaonian Tang, Juanli Liu, Wenlin He, Jinjin Yan, Zhiyong Huang, Xuesong Li

Introduction: The aim of this study was to discuss the safety of rapid administration of 4°C hypothermic normal saline into the occluded vessels using an intra-arterial catheter to induce mild hypothermia following endovascular thrombectomy in patients with acute large vessel occlusion cerebral infarction.

Methods: We selected 78 patients with acute large vessel occlusion cerebral infarction who underwent endovascular thrombectomy in the Department of Neurology of our hospital from January 2020 to July 2022 and achieved TICI 2b recanalization.

Result: Twenty-five patients were administered 500 mL of 4°C hypothermic normal saline in the occluded vessels at a rate of 25 mL/min to induce mild hypothermia. Twenty pairs of subjects conformed to strict matching and were finally included in the statistical analysis. The two groups of patients differed significantly in white blood cell count and percentage of neutrophils (p < 0.05); however, there were no significant differences in D-dimer, procalcitonin, and BNP levels. The two groups of patients did not differ significantly with respect to the incidence of the following indicators: upper gastrointestinal bleeding; pulmonary infection; venous thrombosis; vasospasms; seizures; and chills (p > 0.05).

Conclusion: Mild therapeutic hypothermia in target vessels plus endovascular thrombectomy was shown to be safe in patients with acute large vessel occlusion cerebral infarction.

引言:本研究的目的是讨论在急性大血管闭塞性脑梗死患者血管内血栓切除术后,使用动脉内导管将4°C低温生理盐水快速注入闭塞血管以诱导亚低温的安全性。方法:选择2020年1月至2022年7月在我院神经内科接受血管内血栓切除术并实现TICI 2b再通的78例急性大血管闭塞性脑梗死患者。结果:25名患者在闭塞血管中以25mL/min的速率给予500mL 4°C低温生理盐水,以诱导亚低温。20对受试者符合严格匹配,最终纳入统计分析。两组患者的白细胞计数和中性粒细胞百分比显著不同(p<0.05);然而,D-二聚体、降钙素原和BNP水平没有显著差异。两组患者在以下指标的发生率方面没有显著差异:上消化道出血;肺部感染;静脉血栓形成;血管痉挛;癫痫发作;结论:靶血管亚低温加血管内血栓切除术治疗急性大血管闭塞性脑梗死是安全的。
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引用次数: 0
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Journal of Vascular Research
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