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Perfusion Staining Methods for Visualization of Intact Microvascular Networks in Whole Mount Skeletal Muscle Preparations. 灌注染色法,用于观察整块骨骼肌制备物中完整的微血管网络。
IF 1.8 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2024-11-19 DOI: 10.1159/000542663
Barbara M Hyde-Lay, Mackenzie E Charter, Coral L Murrant

Introduction: Visualization of the intact microvascular network in skeletal muscle requires labeling the entire network in whole mount preparations where muscle fibre length can be set to near optimal but the tools to do this are not clear.

Methods: We intravascularly injected CD-1 mice with different fluorescently labelled lectins (fluorescent isolectin GS-IB4 [ISO], wheat germ agglutinin [WGA], lycopersicon esculentum [LYCO]) or FITC-labelled gel. Soleus, extensor digitorum longus, diaphragm, gluteus maximus and cremaster muscles were excised, pinned at optimal sarcomere length and viewed using fluorescence microscopy.

Results: WGA and LYCO were effective at labeling the entire vascular network with WGA labeling capillaries more brightly. ISO labelled the arteriolar vasculature and early segments of the capillaries but not the full length of the capillaries or the venular network. FITC-labelled gel was effective at labelling the microvascular network but not all small vessels were consistently labelled. The pattern of staining for each labelling method was similar across all muscle fibre-types tested.

Conclusions: WGA was optimal for perfusion labeling and visualization of the intact microvascular network in whole mount skeletal muscle preparations and can be used in combination with ISO to distinguish the arteriolar and venous sides of the network.

Introduction: Visualization of the intact microvascular network in skeletal muscle requires labeling the entire network in whole mount preparations where muscle fibre length can be set to near optimal but the tools to do this are not clear.

Methods: We intravascularly injected CD-1 mice with different fluorescently labelled lectins (fluorescent isolectin GS-IB4 [ISO], wheat germ agglutinin [WGA], lycopersicon esculentum [LYCO]) or FITC-labelled gel. Soleus, extensor digitorum longus, diaphragm, gluteus maximus and cremaster muscles were excised, pinned at optimal sarcomere length and viewed using fluorescence microscopy.

Results: WGA and LYCO were effective at labeling the entire vascular network with WGA labeling capillaries more brightly. ISO labelled the arteriolar vasculature and early segments of the capillaries but not the full length of the capillaries or the venular network. FITC-labelled gel was effective at labelling the microvascular network but not all small vessels were consistently labelled. The pattern of staining for each labelling method was similar across all muscle fibre-types tested.

Conclusions: WGA was optimal for perfusion labeling and visualization of the intact microvascular network in whole mount skeletal muscle preparations and can be used in combination with ISO to distinguish the arteriolar and venous sides of the network.

简介:骨骼肌中完整微血管网络的可视化需要在整个装片制备过程中标记整个网络,在此过程中肌肉纤维长度可设置为接近最佳值,但实现这一目标的工具尚不明确:骨骼肌中完整微血管网络的可视化需要在整体装片制备中标记整个网络,在整体装片制备中,肌肉纤维长度可设置为接近最佳值,但实现这一目标的工具尚不明确:我们向 CD-1 小鼠血管内注射了不同的荧光标记凝集素(荧光异选择素 GS-IB4 (ISO)、小麦胚芽凝集素 (WGA)、番茄凝集素 (LYCO) 或 FITC 标记凝胶)。切除腓肠肌、伸肌、膈肌、臀大肌和绉肌,将其固定在最佳肌节长度处,并使用荧光显微镜观察:结果:WGA 和 LYCO 能有效标记整个血管网络,WGA 标记的毛细血管更亮。ISO 能标记动脉血管和毛细血管的早期部分,但不能标记整个毛细血管或静脉网络。FITC 标记的凝胶能有效标记微血管网,但并非所有小血管都能被一致标记。在测试的所有肌纤维类型中,每种标记方法的染色模式都相似:结论:WGA 是灌注标记和观察整装骨骼肌制备中完整微血管网络的最佳方法,可与 ISO 结合使用,以区分网络的动脉侧和静脉侧。
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引用次数: 0
Functional Adaptations in Coronary Reactivity following Healthy Pregnancy in Swine. 猪健康妊娠后冠状动脉反应的功能适应。
IF 1.8 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2024-12-11 DOI: 10.1159/000543116
Selina M Tucker, Salman I Essajee, Cooper M Warne, Gregory M Dick, Styliani Goulopoulou, Johnathan D Tune

Introduction: This study was designed to test the hypothesis that coronary artery adaptations during the postpartum period are related to underlying reductions in endothelium-dependent relaxation and/or augmented smooth muscle vasoconstrictor responsiveness.

Methods: In vivo experiments were performed in control (nonpregnant) and postpartum swine 35-45 days of postdelivery, with isometric tension experiments performed in isolated coronary arteries from those animals.

Results: Coronary artery rings demonstrated increases in active tension generation following incremental increases in passive stretch with no differences between groups. Endothelium-dependent relaxation to bradykinin was attenuated in arteries from postpartum swine versus control (p < 0.005). Concentration-dependent contractions to the thromboxane A2 mimetic U46619 (0.1 nm-1 µm) were shifted rightward (EC50 27 ± 10 nm vs. 238 ± 66 nm; p < 0.01) in arteries from postpartum swine, with no changes in maximum contractile responses (p = 0.68). Intracoronary administration of U46619 (1 nm-1 µm) in open-chest swine decreased coronary blood flow ∼45 ± 3% in nonpregnant controls but had no effect on coronary blood flow in postpartum swine. Concentration-dependent contractions to KCl (5-90 mm) showed a rightward shift in arteries from postpartum swine (15.6 ± 1.4 mm vs. 21.8 ± 1.9 mm; p = 0.03), with no change in maximum response. Taken together, the postpartum period is associated with reduced endothelium-dependent relaxation and responsiveness to receptor-dependent and -independent vasoconstrictor stimuli.

Conclusion: These findings indicate that chronic exposure of the coronary circulation to the pregnancy/postpartum milieu results in functional adaptations in sensitivity to paracrine/hormonal compounds that should be further explored.

本研究验证了产后冠状动脉适应与内皮依赖性松弛和/或平滑肌血管收缩反应增强的潜在减少有关的假设。体内实验在分娩后35-45天的对照组(未怀孕)和产后猪中进行,并在这些动物的分离冠状动脉中进行等长张力实验。随着被动拉伸的增加,冠状动脉环的主动张力增加,两组间无差异。与对照组相比,产后仔猪对缓激肽的内皮依赖性松弛减弱(P < 0.005)。血栓素A2模拟物U46619的收缩(0.1 nM - 1µM)右移(EC50 27±10 nM vs. 238±66 nM;P < 0.01),最大反应无变化(P = 0.68)。在开胸猪冠状动脉内注射U46619 (1 nM - 1µM)可使未怀孕猪冠状动脉血流减少~45±3%,但对产后猪冠状动脉血流无影响。产后猪动脉向KCl (5 - 90mm)的收缩显示右移(15.6±1.4 mM vs. 21.8±1.9 mM);P = 0.03),最大反应无变化。综上所述,产后时期与内皮依赖性松弛和对受体依赖性和独立血管收缩刺激的反应性降低有关。
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引用次数: 0
A Novel Preclinical Model of Peripheral Artery Disease in Swine for Investigating Flow-Induced Angiogenesis. 一种用于研究血流诱导血管生成的猪外周动脉疾病的新型临床前模型。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-08-07 DOI: 10.1159/000547455
Grzegorz Jodlowski, May Dvir, Colin Price, Amy Benike, Joanna Jaroch, Jonathan J Morrison

Introduction: Peripheral artery disease (PAD) affects over 200 million people globally and remains a therapeutic challenge, particularly in patients who are not candidates for standard revascularization. While shear stress-induced angiogenesis holds promise as a novel therapeutic strategy, translational platforms to evaluate its efficacy are lacking.

Methods: We developed a large-animal model of PAD using familial hypercholesterolemic miniature swine fed an atherogenic diet to induce metabolic syndrome. Hindlimb ischemia was surgically induced by excising the right external iliac artery with collateral ligation. After a 3-4 week ischemic phase, targeted retrograde perfusion was delivered via a miniaturized extracorporeal centrifugal pump to generate sustained flow-mediated shear stress. Functional, imaging, and molecular endpoints were assessed throughout the protocol.

Conclusion: This reproducible swine model offers a metabolically relevant platform for investigating perfusion-driven angiogenesis and evaluating novel flow-based revascularization therapies for PAD. It addresses a critical translational gap in preclinical vascular research.

外周动脉疾病(PAD)影响全球超过2亿人,仍然是一个治疗挑战,特别是对于那些不适合标准血运重建术的患者。虽然剪切应力诱导的血管生成有望作为一种新的治疗策略,但缺乏评估其疗效的翻译平台。方法:采用家族性高胆固醇血症的小型猪饲喂致动脉粥样硬化饮食诱导代谢综合征,建立大动物PAD模型。手术切除右髂外动脉并发侧支结扎诱导后肢缺血。缺血3-4周后,通过小型体外离心泵进行定向逆行灌注,以产生持续的血流介导的剪切应力。在整个方案中评估功能、成像和分子终点。结论:这种可重复的猪模型为研究灌注驱动的血管生成和评估新的血流重建治疗PAD提供了一个代谢相关的平台。它解决了临床前血管研究中一个关键的翻译缺口。
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引用次数: 0
The Biennial Meeting of the European Society for Microcirculation (ESM 2025) Szeged, Hungary, May 19-22, 2025. 欧洲微循环学会两年一次的会议(ESM 2025)将于2025年5月19-22日在匈牙利塞格德举行。
IF 1.8 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-05-13 DOI: 10.1159/000545972

This is the collection of abstracts for the Biennial Meeting of the European Society for Microcirculation (ESM 2025), to be held in Szeged, Hungary between May 19-22, 2025.

这是将于2025年5月19日至22日在匈牙利塞格德举行的欧洲微循环学会(ESM 2025)两年一次会议的摘要集。
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引用次数: 0
The Functional Unit of the Lymphatic System: Towards Understanding the Importance of a Well-Rehearsed Interaction of Lymphatic Capillaries, Collecting Vessels, and Lymph Nodes. 淋巴系统的功能单元--了解淋巴毛细血管、收集血管和淋巴结之间预演良好的相互作用的重要性。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-03-18 DOI: 10.1159/000545084
Katrin Sabine Roth, Reinhard Pabst

Introduction: Lymphatic vessels and lymph nodes (LNs) are part of the lymphatic system taking care of interstitial tissue homoeostasis, lipid transport, and immune response. The interposition of LNs in between the lymphatic vasculature allows the filtration of lymph fluid, cell-cell interactions, and also the transfer of lymph fluid into the venous system. An important role of lymphatic flow, which is often underestimated, is the active involvement of lymph flow and the lymphatic vasculature in immunologic function.

Summary: The present review summarizes the current knowledge of the different functional units of the lymphatic transport system trying to create a model of their interplay and options to react to inflammatory conditions. Remodelling of the lymphatic system during inflammation includes lymphangiogenesis, changed fluid transport rates, and modification of LN morphology. Alterations of these processes can aggravate inflammatory processes, leading to an incomplete resolution of the inflammation and often ending in chronic inflammatory condition. Despite the development of histological markers to visualize lymphatic vessels, new imaging methods and increased knowledge about the different parts of the lymphatic system the general overview about the interplay of the different components is missing.

Key messages: We show the importance of lymphatic flow in the initiation of the immune response and the solution of an inflammation. We speculate that the increase in density and vessel diameter of lymph vessels is necessary to increase the fluid influx, efflux and the migration of cells into the LN. A failure of antigen-tissue clearance leads to chronic inflammation. Remodelling of LN morphology and vasculature is also necessary in this reaction. An overrun of the defending capacity of the LN is prevented by the immune system via control of the lymph vessel transport capacity and LN remodelling.

淋巴管和淋巴结(LNs)是淋巴系统的一部分,负责间质组织的稳态、脂质转运和免疫反应。在淋巴血管系统之间的ln的介入,允许淋巴液的过滤,细胞间的相互作用,以及淋巴液转移到静脉系统。淋巴血管的损伤导致间质液充血,导致组织水肿,如急性炎症或创伤,即慢性皮肤淋巴水肿。炎症期间淋巴系统的重塑包括淋巴管生成、液体运输速率的改变和LN形态的改变。这些过程的改变可加重炎症过程,导致炎症的不完全消退,通常以慢性炎症状态结束。尽管淋巴血管的组织学标记物的发展,新的成像方法和淋巴系统不同部分的知识增加,但对不同成分的相互作用的总体概述是缺失的。本综述总结了目前对淋巴运输系统的不同功能单位的了解,试图建立一个它们相互作用的模型。最后一步是收集开放性问题并讨论可能的答案。
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引用次数: 0
Heat Therapy as a Viable Treatment for Peripheral Artery Disease: A Mini Review. 热疗法是治疗外周动脉疾病的可行方法——综述。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-05-05 DOI: 10.1159/000546163
Min-Hyeok Jang, Song-Young Park, Sun Dong Kim, Sang Ho Lee

Background: Peripheral artery disease (PAD) is a prevalent and debilitating condition characterized by reduced blood flow to the lower limb extremities due to arterial plaque buildup. Traditional exercise/walking therapies have been used to improve vascular function and walking performance but suffer from low adherence rates due to pain and discomfort. Heat therapy has emerged as a promising alternative, showing similar improvements in vascular and cardiovascular function, often with higher adherence rates.

Summary: This review explores various forms of heat therapy, including passive and active modalities, and their effects on patients with PAD. Heat therapies have demonstrated similar or even superior outcomes compared to traditional exercise/walking therapies, with higher adherence rates.

Key messages: Despite promising results, further research is needed to standardize heat therapy protocol and understand the underlying mechanisms. Optimizing heat therapy could offer a viable, patient-friendly alternative to improve vascular function, reduce pain, and enhance quality of life in patients with PAD.

外周动脉疾病(PAD)是一种常见的使人衰弱的疾病,其特征是由于动脉斑块堆积导致下肢血流量减少。传统的运动/步行疗法已被用于改善血管功能和步行性能,但由于疼痛和不适,坚持率较低。热疗已经成为一种很有前途的替代疗法,在血管和心血管功能方面也显示出类似的改善,而且坚持率通常更高。这篇综述探讨了各种形式的热疗法,包括被动和主动模式,并将它们与传统的运动/步行疗法进行了比较。尽管有很好的结果,但需要进一步的研究来规范热治疗方案并了解潜在的机制。优化热疗法可以为改善血管功能、减轻疼痛和提高PAD患者的生活质量提供一种可行的、对患者友好的替代方案。
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引用次数: 0
Mitochondria-Targeted SS31-Conjugated Liposome Attenuates Oxidative Stress in Endothelial and Skeletal Muscle Cells. 线粒体靶向SS-31偶联脂质体减轻内皮细胞和骨骼肌细胞的氧化应激。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-07-17 DOI: 10.1159/000547281
Eun-Mi Kim, Yeon-Hee Han, Phil-Sun Oh, Wang Qi, Seok-Tae Lim, Hwan-Jeong Jeong

Introduction: Mitochondria play a pivotal role as therapeutic targets in a range of disorders, including metabolic and neurodegenerative diseases. SS31, a peptide engineered to target mitochondria, offers potent antioxidant activity, positioning it as a promising therapeutic option. Nevertheless, the hydrophilic profile of SS31 poses challenges such as reduced stability, suboptimal delivery, and poor mitochondrial localization in clinical applications. This study was designed to develop a mitochondria-targeted liposomal carrier by conjugating SS31KRKC to the liposome surface (SS31-LP) and to investigate its biological effects in vitro.

Methods: A lysine-arginine-lysine-cysteine (KRKC) linker was incorporated with SS31 to facilitate surface conjugation to liposomes via thiol-based coupling. The hydrodynamic diameter and zeta potential of the resulting formulations were quantified to determine the optimal lipid-to-peptide ratio for mitochondrial targeting. The in vitro mitochondrial localization, cytotoxicity, antioxidant potential, and anti-apoptotic efficacy of SS31-LP were evaluated in HUVECs and C2C12 cells.

Results: SS31-LP demonstrated pronounced mitochondrial localization and showed variable cellular internalization based on zeta potential. Pretreatment with SS31-LP enhanced cellular viability, mitigated oxidative damage, and reduced apoptosis in response to oxidative stress caused by H2O2 or blue LEDs.

Conclusion: Overall, SS31-LP presents a valuable therapeutic strategy for cellular protection against oxidative injury and may be an advantageous platform for targeted drug-delivery applications.

背景:线粒体在包括代谢性和神经退行性疾病在内的一系列疾病中作为治疗靶点发挥着关键作用。SS31是一种针对线粒体的肽,具有强大的抗氧化活性,使其成为一种有前景的治疗选择。然而,在临床应用中,SS31的亲水特性带来了一些挑战,如稳定性降低、递送不理想和线粒体定位不良。目的:将SS31KRKC偶联至脂质体表面,制备线粒体靶向脂质体载体(SS31-LP),并研究其体外生物学效应。方法:将赖氨酸-精氨酸-赖氨酸-半胱氨酸(KRKC)连接体与SS31结合,通过巯基偶联促进与脂质体的表面偶联。对所得配方的流体动力学直径和zeta电位进行量化,以确定线粒体靶向的最佳脂质与肽比。在HUVEC和C2C12细胞中评价SS31-LP的体外线粒体定位、细胞毒性、抗氧化潜能和抗凋亡作用。结果:SS31-LP显示出明显的线粒体定位,并显示出基于zeta电位的可变细胞内化。SS31-LP预处理可提高细胞活力,减轻氧化损伤,减少h2o2或蓝色led引起的氧化应激引起的细胞凋亡。结论:总的来说,SS31-LP是一种有价值的细胞氧化损伤治疗策略,可能是靶向给药应用的有利平台。
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引用次数: 0
Noninvasive Bedside Approaches for Assessing Microvascular Dysfunction. 评估微血管功能障碍的无创床边方法。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-07-28 DOI: 10.1159/000547636
Jacob Widaeus, Ingemar Fredriksson, Sara Tehrani

Background: Microvascular dysfunction is implicated in a range of acute and chronic conditions, ranging from cardiovascular disease to sepsis, often preceding organ damage and clinical symptoms. Within conditions such as diabetes or septic shock, microvascular compromise frequently correlates with disease severity and outcomes, emphasizing the importance of timely, targeted assessment. Noninvasive bedside methods for evaluating microvascular function have rapidly evolved, driven by advances in computational power, artificial intelligence, and novel imaging hardware.

Summary: This review provides an overview of clinically feasible noninvasive techniques - including optical coherence tomography angiography, handheld videomicroscopy, laser speckle contrast imaging, reflectance spectroscopy, and related techniques. These methods allow observation under resting conditions and can be combined with functional tests such as post-occlusive reactive hyperemia, heating provocation, or iontophoresis to evaluate microvascular function.

Key messages: Collectively, these methods provide valuable insights into the structural and functional aspects of the microcirculation, but their clinical application is constrained by need for standardized protocols, validation, and evidence linking microvascular metrics to meaningful patient outcomes. Collaborations among academia, industry, and healthcare remain pivotal to transitioning these methods into regulated, accessible devices. As standardization progresses and evidence grows, this integrative approach of evaluating microvascular function may emerge as a mainstay in clinical practice and translational research.

微血管功能障碍涉及一系列急性和慢性疾病,从心血管疾病到败血症,通常在器官损伤和临床症状之前发生。在糖尿病或感染性休克等情况下,微血管损害通常与疾病严重程度和结局相关,因此强调了及时、有针对性评估的重要性。在计算能力、人工智能和新型成像硬件的推动下,评估微血管功能的非侵入性床边方法迅速发展。本文综述了临床可行的非侵入性技术,包括光学相干断层血管造影、手持式视频显微镜、激光散斑对比成像、反射光谱和相关技术。这些方法允许在静息条件下进行观察,并可与功能测试(如闭塞后反应性充血、热激发或离子导入)相结合,以评估微血管功能。总的来说,这些方法为微循环的结构和功能方面提供了有价值的见解,但它们的临床应用受到标准化方案、验证和将微血管指标与有意义的患者预后联系起来的证据的需求的限制。学术界、工业界和医疗保健行业之间的合作对于将这些方法转变为受监管的、可访问的设备仍然至关重要。随着标准化的进展和证据的增加,这种评估微血管功能的综合方法可能成为临床实践和转化研究的支柱。
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引用次数: 0
Transcapillary PO2 Gradients in Contracting Muscle of Rat Model of Sepsis. 脓毒症模型大鼠收缩肌的经毛细血管PO2梯度。
IF 2.3 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-07-24 DOI: 10.1159/000547568
Narumi Fukuzaki, Kazuki Hotta, Kota Izawa, Naoki Hitosugi, Miki Sakamoto, Rin Kataoka, Shuri Arai, Kentaro Kamiya, Atsuhiko Matsunaga

Introduction: This study aimed to evaluate the effect of cecal ligation and puncture (CLP)-induced sepsis on transcapillary PO2 gradients (ΔPO2) in contracting skeletal muscles.

Methods: Male Wistar rats (n = 16, 10 weeks old) were randomly assigned to sham or CLP groups. Seven days after surgery, microvascular (PO2mv) and interstitial (PO2is) PO2 levels in the tibialis anterior muscle were measured using the phosphorescence quenching method during the transition from rest to electrically induced muscle contractions. ΔPO2 was calculated as PO2mv minus PO2is.

Results: At rest, there were no differences in PO2mv, PO2is, and ΔPO2 between the sham and CLP groups. The PO2mv and PO2is decreased during the transition from rest to contractions in both groups. During muscle contractions, the PO2mv and ΔPO2 were significantly lower in the CLP group than in the sham group (PO2mv, 7.79 ± 5.03 vs. 4.43 ± 2.23; ΔPO2, 5.50 ± 4.46 vs. 1.82 ± 2.66 mm Hg; sham vs. CLP; p < 0.05). The ΔPO2 of the rats in the sham group remained unchanged; however, it markedly decreased during muscle contractions in the CLP group.

Conclusion: Sepsis reduced ΔPO2 in contracting skeletal muscles.

目的:本研究旨在评估盲肠结扎和穿刺(CLP)诱导脓毒症对收缩骨骼肌经毛细血管PO2梯度(ΔPO2)的影响。方法:雄性Wistar大鼠(n = 16、10周龄)随机分为假手术组和CLP组。术后7天,采用磷光猝灭法测定静息到电致肌肉收缩过渡期间胫骨前肌(TA)微血管(PO2mv)和间质(PO2is) PO2水平。ΔPO2计算为PO2mv - PO2is。结果:静息时,假手术组与CLP组PO2mv、PO2is、ΔPO2均无差异。两组PO2mv和PO2is均在静息期到宫缩期的过渡中下降。在肌肉收缩过程中,CLP组PO2mv和ΔPO2明显低于假手术组(PO2mv, 7.79±5.03 vs 4.43±2.23;ΔPO2, 5.50±4.46 vs. 1.82±2.66 mmHg;sham vs. CLP;P < 0.05)。假手术组大鼠ΔPO2不变;然而,CLP组在肌肉收缩过程中明显降低。结论:脓毒症降低了收缩骨骼肌的经毛细血管PO2梯度。
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引用次数: 0
Evaluation of Metabolism-Associated Proteins in Abdominal Aortic Aneurysm. 腹主动脉瘤代谢相关蛋白的评价。
IF 1.8 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 Epub Date: 2025-02-05 DOI: 10.1159/000543768
Amanda Balboa Ramilo, Nikiforos Chandrinos, Elefantia Tsichlia, Josefin Jönsson, Kevin Mani, Anders Wanhainen, Dick Wågsäter

Introduction: Abdominal aortic aneurysm (AAA) development is inversely associated with diabetes mellitus. Targeting glucose metabolism seems to be a beneficial strategy for preventing AAA growth. Several metabolism-related factors are associated with AAA development. This study aimed to analyse the expression of the so far unstudied proteins irisin, follistatin, activin A, and ghrelin (ligand and receptor) in human and murine aneurysmal tissue, to assess the involvement of these pathways in AAA.

Methods: Gene and protein expression was evaluated in aneurysmal and control tissue samples, by qPCR and immunohistochemistry. Vascular smooth muscle cells (VSMCs) were studied in vitro for expression. Circulating levels of the proteins of interest in human plasma samples were evaluated by ELISA.

Results: In human aneurysmal tissue, the proteins of interest were predominantly expressed by VSMCs in neovessels. Expression by human VSMCs was confirmed in vitro. In human plasma, the concentration of irisin was higher in AAA (+/- diabetes) compared to controls. Patients with AAA and type 2 diabetes treated with metformin had lower levels of follistatin and ghrelin.

Conclusion: This study demonstrates irisin, follistatin, and ghrelin as interesting proteins to be studied in the context of the observed negative association between AAA development and type 2 diabetes.

腹主动脉瘤(AAA)的发展与糖尿病呈负相关。靶向葡萄糖代谢似乎是防止AAA生长的有益策略。一些代谢相关因素与AAA的发生有关。本研究旨在分析鸢尾素(irisin)、滤泡素(follistatin)、激活素A (activin A)和胃饥饿素(ghrelin)等蛋白(配体和受体)在人和鼠动脉瘤组织中的表达情况,以探讨这些途径在动脉瘤和对照组织中的作用。方法:采用qPCR和免疫组化方法检测动脉瘤和对照组织样本中基因和蛋白的表达情况。体外研究了血管平滑肌细胞(VSMC)的表达。用ELISA法测定人血浆样品中相关蛋白的循环水平。结果:在人动脉瘤组织中,相关蛋白主要由新生血管中的VSMCs表达。体外证实了人VSMCs的表达。在人血浆中,与对照组相比,AAA(+/-糖尿病)患者的鸢尾素浓度较高。接受二甲双胍治疗的AAA和2型糖尿病患者的卵泡抑素和胃饥饿素水平较低。结论:本研究表明鸢尾素、卵泡抑素和胃饥饿素是值得研究的有趣蛋白,在观察到AAA发展与2型糖尿病负相关的背景下。
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引用次数: 0
期刊
Journal of Vascular Research
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