MRI 评估的局部动脉僵硬度先于动脉粥样硬化斑块形成。
Local arterial stiffening assessed by MRI precedes atherosclerotic plaque formation.
机构信息
Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.
出版信息
Circ Cardiovasc Imaging. 2013 Nov;6(6):916-23. doi: 10.1161/CIRCIMAGING.113.000611. Epub 2013 Oct 7.
BACKGROUND
Atherosclerosis is known to impair vascular function and cause vascular stiffening. The aim of this study was to evaluate the potential predictive role of vascular stiffening in the early detection of atherosclerosis. Therefore, we investigated the time course of early functional and morphological alterations of the vessel wall in a murine atherosclerosis model. Because initial lesions are distributed inhomogeneously in early-stage atherosclerosis, MR microscopy was performed to measure vascular elasticity locally, specifically the local pulse wave velocity and the arterial wall thickness.
METHODS AND RESULTS
Local pulse wave velocity and the mean arterial wall thickness were determined in the ascending and the abdominal aortae of ApoE(-/-) and wild-type mice. In vivo MRI revealed that baseline pulse wave velocity and morphology were similar in 6-week-old ApoE(-/-) and WT mice, whereas at the age of 18 weeks, local pulse wave velocity was significantly elevated in ApoE(-/-) mice. Significantly increased vessel wall thickness was not found in ApoE(-/-) mice until the age of 30 weeks. Histological analysis of the aortae of ApoE(-/-) and WT mice showed that increased pulse wave velocity coincided with the fragmentation of the elastic laminae in the arterial wall, which is hypothesized to induce early vascular stiffening and may be promoted by macrophage-mediated matrix degradation.
CONCLUSIONS
We newly report that the assessment of local pulse wave velocity via MRI provides early information about the local progression of atherosclerosis before macroscopic alterations of the vessel wall occur.
背景
动脉粥样硬化已知会损害血管功能并导致血管变硬。本研究旨在评估血管变硬在动脉粥样硬化早期检测中的潜在预测作用。因此,我们研究了动脉粥样硬化模型中小鼠血管壁早期功能和形态变化的时间过程。由于初始病变在动脉粥样硬化早期呈不均匀分布,因此进行了磁共振显微镜检查以局部测量血管弹性,具体为局部脉搏波速度和动脉壁厚度。
方法和结果
在 ApoE(-/-)和野生型小鼠的升主动脉和腹主动脉中确定了局部脉搏波速度和平均动脉壁厚度。体内 MRI 显示,6 周龄的 ApoE(-/-)和 WT 小鼠的脉搏波速度和形态基线相似,而在 18 周龄时,ApoE(-/-)小鼠的局部脉搏波速度明显升高。直到 30 周龄,ApoE(-/-)小鼠才发现血管壁厚度显著增加。ApoE(-/-)和 WT 小鼠主动脉的组织学分析表明,脉搏波速度的增加与动脉壁弹性层的碎裂相吻合,这被假设为诱导早期血管变硬,并可能由巨噬细胞介导的基质降解所促进。
结论
我们新报告称,通过 MRI 评估局部脉搏波速度可在血管壁发生宏观变化之前提供有关局部动脉粥样硬化进展的早期信息。