Shanghai East Hospital, Institute for Biomedical Engineering and Nano Science, Tongji University School of Medicine, Chifeng Road 67, Shanghai, 200092, People's Republic of China.
Department of Pathology and Pathophysiology, Tongji University School of Medicine, Shanghai, People's Republic of China.
Cardiovasc Eng Technol. 2022 Feb;13(1):69-79. doi: 10.1007/s13239-021-00554-7. Epub 2021 Jun 17.
Diabetes Mellitus (DM) plays an important role in aortic remodeling and alters the wall mechanics. The purpose of this study is to investigate and compare multi-directional failure properties of healthy and diabetic thoracic aortas.
Thirty adult rabbits (1.6-2.2 kg) were collected and type 1 diabetic rabbit model was induced by injection of alloxan. A total of 10 control and 20 diabetic (with different time exposure to diabetic condition) rabbit descending thoracic aortas were harvested. Uniaxial tensile (UT) and radial tension (RT) tests were performed to determine circumferential, axial and radial failure stresses of the control and diabetic aortas, which were further correlated with mass fractions (MFs) of collagen.
Throughout the UT test, there was a clear indication of anisotropic mechanical responses for some diabetic aorta specimens in the high loading domain. There was a trend towards an increase in the mean circumferential and axial failure stresses for the diabetic aortas when compared to the control aortas. However, differences were not statistically significant. The quantified failure stresses in the circumferential direction were, in general, higher than the stress values in the axial direction for both control and diabetic groups. For the RT test, the radial failure stresses of the diabetic aortas (in 8 weeks) were significantly higher than those of the control aortas (95 ± 17 vs. 63 ± 15 kPa, p = 0.01). Strong correlations were identified between the circumferential failure stresses and the MFs of collagen for both control and diabetic aortas. Nevertheless, this correlation was not present in the axial and radial directions.
The results suggest that there is a lower propensity of radial tear occurrence within the diabetic aortic wall. More importantly, time exposure to diabetic condition is not a factor that may change failure properties of the rabbit descending thoracic aortas in the circumferential and axial directions.
糖尿病(DM)在主动脉重塑中起着重要作用,并改变了壁力学。本研究旨在研究和比较健康和糖尿病胸主动脉的多向失效特性。
收集了 30 只成年兔(1.6-2.2kg),并通过注射链脲佐菌素诱导 1 型糖尿病兔模型。共采集了 10 个对照和 20 个糖尿病(有不同时间暴露于糖尿病状态)兔降主动脉。进行了单轴拉伸(UT)和径向拉伸(RT)测试,以确定对照和糖尿病主动脉的周向、轴向和径向失效应力,这些数据进一步与胶原的质量分数(MFs)相关联。
在整个 UT 测试中,一些糖尿病主动脉标本在高载荷域中表现出明显的各向异性力学响应。与对照主动脉相比,糖尿病主动脉的平均周向和轴向失效应力有增加的趋势。然而,差异没有统计学意义。在周向和轴向方向,定量的失效应力一般都高于对照和糖尿病组的轴向方向。对于 RT 测试,8 周时糖尿病主动脉的径向失效应力明显高于对照主动脉(95±17 与 63±15kPa,p=0.01)。在对照和糖尿病主动脉中,周向失效应力与胶原 MFs 之间存在很强的相关性。然而,这种相关性在轴向和径向方向并不存在。
结果表明,糖尿病主动脉壁中径向撕裂的发生倾向较低。更重要的是,暴露于糖尿病状态的时间并不是改变兔降主动脉周向和轴向失效特性的因素。