Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA 94110, USA.
Hypertension. 2010 May;55(5):1267-74. doi: 10.1161/HYPERTENSIONAHA.109.140558. Epub 2010 Mar 8.
Aortic aneurysms are common among the elderly population. A large majority of aortic aneurysms are located at two distinct aneurysm-prone regions, the abdominal aorta and thoracic aorta involving the ascending aorta. In this study, we combined two factors that are associated with human aortic aneurysms, hypertension and degeneration of elastic lamina, to induce an aortic aneurysm in mice. Roles of hemodynamic conditions in the formation of aortic aneurysms were assessed using two different methods for inducing hypertension and antihypertensive agents. In 9-week-old C57BL/6J male mice, hypertension was induced by angiotensin II or deoxycorticosterone acetate-salt hypertension; degeneration of elastic lamina was induced by infusion of beta-aminopropionitrile, a lysyl oxidase inhibitor. Irrespective of the methods for inducing hypertension, mice developed thoracic and abdominal aortic aneurysms (38% to 50% and 30 to 49%, respectively). Aneurysms were found at the two aneurysm-prone regions with site-specific morphological and histological characteristics. Treatment with an antihypertensive agent, amlodipine, normalized blood pressure and dramatically reduced aneurysm formation in the mice that received angiotensin II and beta-aminopropionitrile. However, treatment with captopril, an angiotensin-converting enzyme inhibitor, did not affect blood pressure or the incidence of aortic aneurysms in the mice that received deoxycorticosterone acetate-salt and beta-aminopropionitrile. In summary, we have shown that a combination of hypertension and pharmacologically induced degeneration of elastic laminas can induce both thoracic and abdominal aortic aneurysms with site-specific characteristics. The aneurysm formation in this model depended on hypertension but not on direct effects of angiotensin II to the vascular wall.
老年人中常见的是主动脉瘤。绝大多数的主动脉瘤位于两个不同的动脉瘤易发区域,即腹主动脉和胸主动脉,包括升主动脉。在这项研究中,我们将与人类主动脉瘤相关的两个因素(高血压和弹性层的变性)结合起来,在小鼠中诱发主动脉瘤。使用两种不同的诱导高血压和抗高血压药物的方法来评估血流动力学条件在主动脉瘤形成中的作用。在 9 周龄的 C57BL/6J 雄性小鼠中,通过血管紧张素 II 或脱氧皮质酮醋酸盐-盐高血压诱导高血压;通过输注赖氨酰氧化酶抑制剂β-氨基丙腈诱导弹性层变性。无论使用何种方法诱导高血压,小鼠均会发生胸主动脉和腹主动脉瘤(分别为 38%至 50%和 30%至 49%)。在两个动脉瘤易发区域都发现了动脉瘤,具有特定部位的形态学和组织学特征。用抗高血压药氨氯地平治疗可使接受血管紧张素 II 和β-氨基丙腈治疗的小鼠的血压正常化,并显著减少动脉瘤的形成。然而,用血管紧张素转换酶抑制剂卡托普利治疗,不能影响接受脱氧皮质酮醋酸盐-盐和β-氨基丙腈治疗的小鼠的血压或主动脉瘤的发生率。总之,我们已经表明,高血压和药理学诱导的弹性层变性的组合可以诱发具有特定部位特征的胸主动脉和腹主动脉瘤。该模型中的动脉瘤形成取决于高血压,而不取决于血管紧张素 II 对血管壁的直接作用。
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