剪切应力对家兔血管内膜增生及动脉粥样硬化斑块形成的影响
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教育部科学技术研究重点项目(1041580);;重庆市教委科技项目(030001);;“111计划”(B06023)


The Effect of Feature of Wall Shear Stress on Intimal Hyperplasia and Atherogenesis
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    摘要:

    目的设计局部狭窄而导致血流动力学改变的实验模型,探讨剪切应力对血管内膜增生以及动脉粥样硬化斑块形成的影响。方法兔颈总动脉平直段套环形成狭窄度为40%的局部狭窄,饲以正常饮食4周;数值计算的方法模拟血流流场和剪切应力分布及其特征;HE染色检测颈总动脉病理改变;Verhoeff法染色观察血管弹力纤维分布;油红O染色观察斑块内的脂质沉积;高效液相色谱检测血管壁脂质含量。结果套环形成局部狭窄后,颈总动脉血流流场发生显著的扰动,狭窄远心端有涡流以及二次流形成;狭窄近心端形成局部高剪切应力区域(6Pa),而在远心端形成振荡的低剪切应力区域(0~0.3Pa);HE染色显示颈总动脉狭窄的近心端和远心端均有明显的内膜增生以及动脉粥样硬化斑块形成,近心端比远心端病变更严重,近心端增生内膜厚度为165.6±28.3μm,远心端增生内膜厚度为38.5±12.7μm,并且近心端增生内膜的细胞成分主要为圆形的泡沫细胞而远心端增生内膜的细胞成分主要为梭形平滑肌细胞;Verhoeff染色显示病变处弹力纤维排列紊乱,部分内弹力板断裂;油红O染色发现增生的斑块中有大量的脂质沉积;高效液相色谱检测也表明狭窄近心端胆固醇含量(7.6±2.1mg/g)以及远心端胆固醇含量(5.6±1.8mg/g)较对照侧(1.3±0.5mg/g)明显增加。结论高剪切应力以及低振荡剪切应力均引发动脉粥样硬化病变的形成,但不同的剪切应力对斑块的组成和特性有着不同的作用。

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    Aim To create an animal model for local change of shear stress to analyze the arterial wall response to different shear stress.Methods A stenosis is modeled by a ring attached to the wall of the left common carotid artery to change flow condition.Numerical simulation of blood flow in the stenosis aorta was performed to obtain the distribution of flow field and wall shear stress.Rabbits were fed normal food,which were sacrificed and arteries were obtained after 4 weeks.The pathological slides were prepared and stained for optical microscopic observation.The content of cholesterol in arteries wall was assayed with High Performance Liquid Chromatography(HPLC).The lipid in plaque was detected with oil red O.Results Blood flow was disturbed significantly at immediate proximal and distal vicinity of stenosis.The shear stress in proximal part of ringer was obviously increased(6 Pa),while the shear stress in distal of ring decreased(0~0.3 Pa).At the end of 4 weeks,rabbits had obviously plaque in proximal part and backend of ringer,while the lesion in proximal part is more severity than distal of ringer.Plaque mainly composed with macrophage derived foam cells at proximal of stenosis,while plaque of distal of stenosis mainly composed with smooth muscle cells.Oil red O shows that there were a great deal of lipid deposited in proximal of stenosis and distal of stenosis.The content of cholesterol in proximal of stenosis(7.6±2.1 mg/g) and distal of stenosis(5.6±1.8 mg/g) was more than control(1.3±0.5 mg/g).Conclusions Shear stress attributed to the neointimal and atherosclerosis,while the high or low shear stress may play different roles to the formation and development of plaque.

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危当恒,,王贵学,王佐,,杨力,邓林红,刘录山,,唐朝克,.剪切应力对家兔血管内膜增生及动脉粥样硬化斑块形成的影响[J].中国动脉硬化杂志,2007,15(6):410~414.

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  • 收稿日期:2007-05-12
  • 最后修改日期:2007-06-02
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