Bravo-Reyna Carlos C, Mejía-Cervantes Jacqueline, Verduzco-Vázquez Ana T, Sánchez-Rodríguez Cristopher, Cuervo-Vargas Leonardo, Medina-Velázquez Luis A, Gómez-Vergara Víctor, Hinojosa Carlos A, Anaya-Ayala Javier E
Departamento de Cirugía Experimental, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Sección Angiología, Cirugía Vascular y Endovascular, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Arch Cardiol Mex. 2024 Mar 13;94(3):373-380. doi: 10.24875/ACM.23000180.
Aneurysms are clinical entities that can develop and affect human aorta; and although in most cases they have an asymptomatic course, these pathological dilatations can lead to a lethal outcome when rupture occurs, thus the establishment of predictors is crucial for death prevention. Essential events that take place in the vessel wall have been identified and described, such as inflammation, proteolysis, smooth muscle cell apoptosis, angiogenesis, and vascular remodeling. Porcine and ovine models have been useful for the development and evaluation of endovascular devices of the aorta. However, since the worldwide introduction and adoption of these minimally invasive techniques for aneurysm repair, there is lesser availability of diseased aortic tissue for molecular, cellular, and histopathological analysis, therefore over the last three decades it has been proposed various small species models that have allowed the focal induction of these lesions for the study of physiopathological mechanisms and possible useful biomarkers as diagnostic and therapeutic targets. The present review article presents and discusses the animal models available as their applications, characteristics, advantages, and limitations for the development of preclinical studies, and their importance in the comprehension of this pathology in humans.
动脉瘤是一种可发生并影响人体主动脉的临床病症;尽管在大多数情况下其病程无症状,但这些病理性扩张在破裂时可导致致命后果,因此确定预测指标对于预防死亡至关重要。已识别并描述了血管壁中发生的重要事件,如炎症、蛋白水解、平滑肌细胞凋亡、血管生成和血管重塑。猪和羊模型对于主动脉血管内装置的开发和评估很有用。然而,自从这些微创技术在全球范围内被引入并应用于动脉瘤修复以来,用于分子、细胞和组织病理学分析的病变主动脉组织的可获得性降低,因此在过去三十年里,人们提出了各种小型物种模型,这些模型能够局部诱导这些病变,以研究生理病理机制以及可能有用的生物标志物作为诊断和治疗靶点。本综述文章介绍并讨论了可用于临床前研究开发的动物模型及其应用、特点、优点和局限性,以及它们在理解人类这种病理状况方面的重要性。