Liu Mengchen, Pan Jichao, Cai Yan, Li Zhiyong
Biomechanics Laboratory, School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Dec 25;37(6):948-955. doi: 10.7507/1001-5515.202008038.
Atherosclerosis is a complex and multi-factorial pathophysiological process. Researches over the past decades have shown that the development of atherosclerotic vulnerable plaque is closely related to its components, morphology, and stress status. Biomechanical models have been developed by combining with medical imaging, biological experiments, and mechanical analysis, to study and analyze the biomechanical factors related to plaque vulnerability. Numerical simulation could quantify the dynamic changes of the microenvironment within the plaque, providing a method to represent the distribution of cellular and acellular components within the plaque microenvironment and to explore the interaction of lipid deposition, inflammation, angiogenesis, and other processes. Studying the pathological mechanism of plaque development would improve our understanding of cardiovascular disease and assist non-invasive inspection and early diagnosis of vulnerable plaques. The biomechanical models and numerical methods may serve as a theoretical support for designing and optimizing treatment strategies for vulnerable atherosclerosis.
动脉粥样硬化是一个复杂的多因素病理生理过程。过去几十年的研究表明,动脉粥样硬化易损斑块的形成与其成分、形态和应力状态密切相关。通过结合医学成像、生物学实验和力学分析,已建立生物力学模型,以研究和分析与斑块易损性相关的生物力学因素。数值模拟可以量化斑块内微环境的动态变化,提供一种方法来表征斑块微环境内细胞和非细胞成分的分布,并探索脂质沉积、炎症、血管生成和其他过程之间的相互作用。研究斑块形成的病理机制将增进我们对心血管疾病的理解,并有助于对易损斑块进行无创检查和早期诊断。生物力学模型和数值方法可为设计和优化易损性动脉粥样硬化的治疗策略提供理论支持。