Kratzberg Jarin A, Walker Patricia J, Rikkers Elizabeth, Raghavan Madhavan L
Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USA.
J Mech Behav Biomed Mater. 2009 Jan;2(1):65-72. doi: 10.1016/j.jmbbm.2008.04.001. Epub 2008 Apr 23.
The objective of this work was to assess whether selective proteolysis of elastin and/or collagen in a porcine aorta followed by mechanical creep loading would result in an aneurysm-like permanent tissue stretch. The underlying motivations were to (1) test the feasibility of developing an in vitro abdominal aortic aneurysm (AAA) model, and (2) understand what role, if any, that passive creep-induced stretching plays in aneurysmal dilation. Multiple circumferentially oriented flat specimen strips were cut from the porcine thoracic aorta of ten adult pigs. Specimens were subjected to one of six treatment protocols: Untreated controls (UC;N=23), complete elastin degradation (E;N=10), partial elastin degradation (E(p);N=10), partial collagen degradation (C(p);N=22), and partial degradation of both elastin and collagen (E(p)+C(p);N=3). All specimens were then subjected to cyclic creep (10 min/cycle) with increasing load amplitude until failure. The zero-load strain prior to the creep cycle where failure occurred was defined as load-induced plastic strain. The plastic strain induced by treatment alone, creep loading alone and the total was determined for all specimens. The total plastic strain was significantly greater for E (mean +/- SD = 48.2 +/-17.6,p<0.005), E(p)(41.6+/-11.1,p<0.0005), but not for E(p)+C(p)(48.9+/-21.6,p=0.17) and C(p)(22.2+/-12.8,p=0.14) compared to UC (17.7+/-6.1). Of the total plastic strain, treatment-induced plastic strain was high for those specimens subjected to partial or total elastin degradation (E,E(p),E(p)+C(p)), but not for those where elastin was intact (C(p)). However, load-induced plastic strain in the treated specimens was not different in any of the treated groups compared to controls. Maximum total plastic strain of 78.6% was induced in one porcine aortic tissue from the E group. Even this is far lower than what would be needed for creating a realistic in vitro AAA model. Our findings do not support the feasibility of developing an in vitro AAA by enzymolysis followed by passive stretching of the aorta. The findings also suggest that AAA formation is unlikely to be a passive creep-induced stretching of a proteolytically degraded aortic wall as conventional thinking may suggest, but rather may be predominantly due to growth and remodeling of the aortic wall.
这项工作的目的是评估在猪主动脉中对弹性蛋白和/或胶原蛋白进行选择性蛋白水解,然后进行机械蠕变加载,是否会导致类似动脉瘤的永久性组织拉伸。其潜在动机是:(1)测试开发体外腹主动脉瘤(AAA)模型的可行性;(2)了解被动蠕变诱导的拉伸在动脉瘤扩张中所起的作用(如果有)。从十头成年猪的猪胸主动脉上切下多个周向取向的扁平标本条。标本接受六种处理方案之一:未处理的对照组(UC;N = 23)、弹性蛋白完全降解组(E;N = 10)、弹性蛋白部分降解组(E(p);N = 10)、胶原蛋白部分降解组(C(p);N = 22)以及弹性蛋白和胶原蛋白均部分降解组(E(p)+C(p);N = 3)。然后对所有标本施加循环蠕变(10分钟/周期),并增加载荷幅度直至失效。将失效发生时蠕变循环之前的零载荷应变定义为载荷诱导的塑性应变。确定所有标本单独由处理、单独由蠕变加载以及两者共同诱导产生的塑性应变。与UC组(17.7±6.1)相比,E组(平均值±标准差 = 48.2±17.6,p<0.005)、E(p)组(41.6±11.1,p<0.0005)的总塑性应变显著更大,但E(p)+C(p)组(48.9±21.6,p = 0.17)和C(p)组(22.2±12.8,p = 0.14)并非如此。在总塑性应变中,对于经历部分或全部弹性蛋白降解的标本(E、E(p)、E(p)+C(p)),处理诱导的塑性应变较高,但对于弹性蛋白完整的标本(C(p))则不然。然而,与对照组相比,处理后标本中载荷诱导的塑性应变在任何处理组中均无差异。E组的一个猪主动脉组织中诱导出了78.6%的最大总塑性应变。即便如此,这仍远低于创建一个逼真体外AAA模型所需的应变。我们的研究结果不支持通过酶解然后对主动脉进行被动拉伸来开发体外AAA模型的可行性。研究结果还表明,AAA的形成不太可能如传统观点所认为的那样,是蛋白水解降解的主动脉壁被动蠕变诱导的拉伸,而更可能主要是由于主动脉壁的生长和重塑。