WILGRAM G F
J Exp Med. 1959 Mar 1;109(3):293-310. doi: 10.1084/jem.109.3.293.
Marked obesity was induced in rats by feeding a high fat, egg yolk-rich diet. The obese rats were hyperlipemic and showed an increased incidence of lipomatous coronary lesions, but did not develop severe atheromatous lesions. Spontaneous vascular lesions of several kinds have been observed in aging rats. Among them, plaques containing a fibrin-like material seem to be conspicuous. However, these lesions differ from the experimentally induced changes, which were more fatty. Atherosclerosis, as it is defined in human pathology, has not been observed to develop spontaneously in rats. Experimental induction of marked hyperlipemia and hypercholesterolemia by feeding a high fat egg yolk-rich diet (supplemented with cholesterol, choleate, and thiouracil), and use of viosterol to cause vascular injury, led to severe atherosclerosis, coronary occlusion, and myocardial infarction. A consideration of all the findings reported here leads to renewed support of the concept that atherosclerosis has a combination of causes (Aschoff, Anitschkow, Page). Of all the etiological factors considered here, elevation of blood lipides and vascular injury are thought to be the most important ones.
通过喂食高脂肪、富含蛋黄的饮食诱导大鼠出现明显肥胖。肥胖大鼠血脂过高,脂肪性冠状动脉病变的发生率增加,但未发展为严重的动脉粥样硬化病变。在老龄大鼠中观察到了几种自发性血管病变。其中,含有纤维蛋白样物质的斑块似乎很明显。然而,这些病变与实验诱导的变化不同,后者脂肪含量更高。在大鼠中尚未观察到人类病理学中定义的动脉粥样硬化自发发展。通过喂食高脂肪富含蛋黄的饮食(补充胆固醇、胆酸盐和硫脲)实验性诱导明显的高脂血症和高胆固醇血症,并使用维生素D2引起血管损伤,导致严重的动脉粥样硬化、冠状动脉闭塞和心肌梗死。对这里报道的所有研究结果的思考再次支持了动脉粥样硬化有多种病因的观点(阿绍夫、阿尼奇科夫、佩奇)。在这里考虑的所有病因因素中,血脂升高和血管损伤被认为是最重要因素。