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冠状动脉走行模式是 WHHLMI 兔(一种冠状动脉粥样硬化动物模型)冠状动脉粥样硬化进展个体差异的原因之一。

The Coronary Artery Running Pattern is One of the Causes of Individual Differences in the Progression of Coronary Atherosclerosis in WHHLMI Rabbits, an Animal Model for Coronary Atherosclerosis.

机构信息

Division of Comparative Pathophysiology, Kobe University Graduate School of Medicine.

Institute for Experimental Animals, Kobe University Graduate School of Medicine.

出版信息

J Atheroscler Thromb. 2018 May 1;25(5):393-404. doi: 10.5551/jat.41749. Epub 2017 Nov 1.

DOI:10.5551/jat.41749
PMID:29093277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5945552/
Abstract

AIMS

The relationship between the coronary artery running pattern and development of coronary lesions was re-examined herein using WHHLMI rabbits, an animal model of spontaneous coronary atherosclerosis.

METHODS

The coronary artery running pattern was analyzed using an X-ray computed tomography (CT) apparatus after perfusion. Pathological sections were prepared (Victoria blue-HE staining) at 100 µm intervals from the origin of the left circumflex artery (LCX). The severity of coronary lesions was evaluated based on cross-sectional narrowing (lesion area/inner area of the internal elastic lamina).

RESULTS

In the CT analysis, the angle of the main curvature of the LCX negatively correlated with the percentage of sections with lesions and cross-sectional narrowing. The percentage of sections with lesions was significantly higher in acute angle-type LCX than in obtuse angle-type LCX. Cross-sectional narrowing was also significantly greater in acute angle-type LCX than in obtuse angle-type LCX. The percentage of fibrous lesions was high at the proximal region of LCX, whereas that of lipid-rich lesions was high at the curvature. In 24 months age group, the percentage of sections with calcification in acute angle-type LCX was about twice that in obtuse angle-type LCX.

CONCLUSIONS

Individual differences were observed in the angle of the main curvature of the LCX, which affected the occurrence and extension of atherosclerotic lesions.

摘要

目的

利用自发性冠状动脉粥样硬化 WHHLMI 兔模型,重新研究冠状动脉走行与冠状动脉病变发展之间的关系。

方法

在灌注后使用 X 射线计算机断层扫描(CT)仪分析冠状动脉走行。从左回旋支(LCX)起始处每隔 100μm 制备病理切片(维多利亚蓝-HE 染色)。根据横断面狭窄(病变面积/内弹力膜内面积)评估冠状动脉病变的严重程度。

结果

在 CT 分析中,LCX 的主弯曲角度与病变和横断面狭窄的节段百分比呈负相关。锐角型 LCX 的病变节段百分比明显高于钝角型 LCX。锐角型 LCX 的横断面狭窄也明显大于钝角型 LCX。LCX 近段纤维病变比例较高,而弯曲处富含脂质的病变比例较高。在 24 个月龄组,锐角型 LCX 的钙化节段百分比约为钝角型 LCX 的两倍。

结论

LCX 主弯曲角度存在个体差异,影响动脉粥样硬化病变的发生和进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8c/5945552/a579e6bae046/jat-25-393-g007.jpg
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