早期动脉粥样硬化中局部与整体主动脉脉搏波速度:一项使用超高场磁共振成像对载脂蛋白E基因敲除小鼠进行的动物研究
Local versus global aortic pulse wave velocity in early atherosclerosis: An animal study in ApoE-/--mice using ultrahigh field MRI.
作者信息
Gotschy Alexander, Bauer Wolfgang R, Winter Patrick, Nordbeck Peter, Rommel Eberhard, Jakob Peter M, Herold Volker
机构信息
Department of Experimental Physics V, University of Würzburg, Würzburg, Germany.
Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
出版信息
PLoS One. 2017 Feb 16;12(2):e0171603. doi: 10.1371/journal.pone.0171603. eCollection 2017.
Increased aortic stiffness is known to be associated with atherosclerosis and has a predictive value for cardiovascular events. This study aims to investigate the local distribution of early arterial stiffening due to initial atherosclerotic lesions. Therefore, global and local pulse wave velocity (PWV) were measured in ApoE-/- and wild type (WT) mice using ultrahigh field MRI. For quantification of global aortic stiffness, a new multi-point transit-time (TT) method was implemented and validated to determine the global PWV in the murine aorta. Local aortic stiffness was measured by assessing the local PWV in the upper abdominal aorta, using the flow/area (QA) method. Significant differences between age matched ApoE-/- and WT mice were determined for global and local PWV measurements (global PWV: ApoE-/-: 2.7±0.2m/s vs WT: 2.1±0.2m/s, P<0.03; local PWV: ApoE-/-: 2.9±0.2m/s vs WT: 2.2±0.2m/s, P<0.03). Within the WT mouse group, the global PWV correlated well with the local PWV in the upper abdominal aorta (R2 = 0.75, P<0.01), implying a widely uniform arterial elasticity. In ApoE-/- animals, however, no significant correlation between individual local and global PWV was present (R2 = 0.07, P = 0.53), implying a heterogeneous distribution of vascular stiffening in early atherosclerosis. The assessment of global PWV using the new multi-point TT measurement technique was validated against a pressure wire measurement in a vessel phantom and showed excellent agreement. The experimental results demonstrate that vascular stiffening caused by early atherosclerosis is unequally distributed over the length of large vessels. This finding implies that assessing heterogeneity of arterial stiffness by multiple local measurements of PWV might be more sensitive than global PWV to identify early atherosclerotic lesions.
主动脉僵硬度增加与动脉粥样硬化相关,且对心血管事件具有预测价值。本研究旨在探究早期动脉粥样硬化病变所致早期动脉僵硬度的局部分布情况。因此,使用超高场磁共振成像(MRI)测量了载脂蛋白E基因敲除(ApoE-/-)小鼠和野生型(WT)小鼠的整体和局部脉搏波速度(PWV)。为了量化主动脉整体僵硬度,实施并验证了一种新的多点渡越时间(TT)方法来测定小鼠主动脉的整体PWV。通过使用流量/面积(QA)方法评估上腹部主动脉的局部PWV来测量局部主动脉僵硬度。在年龄匹配的ApoE-/-小鼠和WT小鼠之间,整体和局部PWV测量存在显著差异(整体PWV:ApoE-/-:2.7±0.2m/s,WT:2.1±0.2m/s,P<0.03;局部PWV:ApoE-/-:2.9±0.2m/s,WT:2.2±0.2m/s,P<0.03)。在WT小鼠组中,整体PWV与上腹部主动脉的局部PWV具有良好的相关性(R2 = 0.75,P<0.01),这意味着动脉弹性广泛均匀。然而,在ApoE-/-动物中,个体局部和整体PWV之间不存在显著相关性(R2 = 0.07,P = 0.53),这意味着早期动脉粥样硬化中血管僵硬度分布不均一。使用新的多点TT测量技术评估整体PWV,并与血管模型中的压力导丝测量结果进行了验证,结果显示一致性良好。实验结果表明,早期动脉粥样硬化引起的血管僵硬度在大血管长度上分布不均。这一发现意味着,通过多次局部测量PWV来评估动脉僵硬度的异质性可能比整体PWV对识别早期动脉粥样硬化病变更敏感。
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