Background: Fibromascular dysplasia of internal carotid arteries (ICA) leading to their pathological deformities is one of the causes of cerebral vascular insufficiency. The structural changes of the artery wall and their causes remain poorly understood. Materials and Methods: We investigated the expression of elastin, collagen types I and III, smooth muscle cells, gelatinases degrading elastin (matrix metalloproteinases 2 and 9 (MMP2 and MMP9) and tissue inhibitors of matrix metalloproteinases 1 and 2 (TIMP1 and TIMP2) on formalin-fixed surgical samples with the methods of immunohistochemistry and confocal laser scanning microscopy. Results: We revealed the fragmentation of elastic fibers (100% of patients) and some reduction of smooth muscle cells (p <0.05) in the tunica media of ICA. There were no changes in collagen types I and III and TIMP2 expression. The study of the ratio of the expression of MMPs and TIMPs revealed the statistically significant predominance of high MMP2 and -9 and low TIMP1 content in ICA with pathological deformities. With the use of confocal microscopy, we showed the decrease of elastin expression with a high MMP9 activity which correlated with low expression of TIMP-1 in the group of ICA with pathological deformities. While in the control group there was a high level of elastin expression and a low level of MMP9 expression that correlated with the low TIMP-1 amount (p >0.05). Conclusion: Our data demonstrate that the main feature of fibromuscular dysplasia underlying the pathological deformities of ICA –fragmentation of elastic fibers – is caused by the disturbance of balance between gelatinases and their inhibitors.
Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 2, Issue 4) |
DOI | 10.11648/j.ijcems.20160204.11 |
Page(s) | 52-58 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Pathological Deformities of Internal Carotid Artery, Elastin, Collagen, Smooth Muscle Cells, Matrix Metalloproteinase, Tissue Inhibitor of Matrix Metalloproteinases
[1] | Horev NG, Pathological tortuosity of internal carotid artery and its surgical treatment. Dissertation, Barnaul; 2000. |
[2] | Bokeria LA, Sukhanov SG, Katkov AI, Pirtskhalaishvili ZK Surgery of pathological tortuosity of brachiocephalic arteries. Perm: Kursiv; 2006. |
[3] | Illuminati G, Caliо FG, Papaspyropoulos V, Montesano G, D'Urso A Revascularization of the internal carotid artery for isolated, stenotic, and symptomatic kinking. Arch Surg. 2003; 138(2): 192-197. |
[4] | Nikonenko AS, Gubka AV, Masterukhin AN, Gubka VA Estimation of the cerebral hemodynamics in patients with pathological kinking of arteries originated from the aortal arch according to angiography. Klin Khir. 2000; 10:5-7. |
[5] | Smirnova YuV, Al'myasheva LI Etiology of pathological deformation of internal carotid arteries and pathogenesis of cerebral circulation disturbances in this anomaly (review). Klinicheskaya Nevrologiya. 2012; 1: 33-38. |
[6] | Khaimovich G Vascular surgery on Khaimovich in 2 volumes. Under edition E. Asher. Moscow: Binom; 2010. |
[7] | Timina IE, Burtseva EA, Losik IA Modern approach to the complex ultrasound examination of patients with pathological deformation of internal carotid artery. Angiologiya i Sosudistaya Khirurgiya. 2011; 3: 49-57. |
[8] | Aleksic M, Schütz G, Gerth S, Mulch J Surgical approach to kinking and coiling of the internal carotid artery. J Cardiovasc Surg. 2004; 45(1): 43-48. |
[9] | Togay-Işikay C, Kim J, Betterman K et al. Carotid artery tortuosity, kinking, coiling: stroke risk factor, marker, or curiosity? Acta Neurol Belg. 2005; 105(2):68-72. |
[10] | Weibel J, Fields WS Tortuosity, coiling and kinking of the internal carotid artery. I. Etiology and radiographic anatomy. Neurology. 1965; 15: 7-18. |
[11] | Weibel J, Fields WS Tortuosity, coiling and kinking of the internal carotid artery. II. Relationship of morphological variation to cerebrovascular insufficiency. Neurology. 1965; 15: 462-468. |
[12] | Mumoli N, Cei M Asymptomatic carotid kinking. Circ J. 2007; 72: 682-683. |
[13] | Kuzyk YuI Pathological deformations of carotid arteries: etiology, pathogenesis, clinical and pathomorphological changes. Angiologiya i Sosudistaya Khirurgiya. 2014; 20(3): 123-128. |
[14] | La Barbera G, La Marca G, Martino A et al. Kinking, coiling, and tortuosity of extracranial internal carotid artery: is it the effect of a metaplasia? Sur Radiol Anat. 2006; 28(6): 573-580. |
[15] | Minkina SM Morphogenesis of fibro-muscular dysplasia of renal arteries. Dissertation, Moscow; 1980. |
[16] | Ponticos M, Smith B Extracellular matrix synthesis in vascular disease: hypertension, and atherosclerosis. J Biomed Res. 2014; 28(1): 25-39. |
[17] | Bonderman D, Gharehbaghi-Schnell E, Wollenek G, Maurer G, Baumgartner H, Lang IM Mechanisms underlying aortic dilatation in congenital aortic valve malformation. Circulation. 1999; 99: 2138-2143. |
[18] | Goodall S, Porter KE, Bell PR, Thompson MM Enhanced invasive properties exhibited by smooth muscle cells are associated with elevated production of MMP-2 in patients with aortic aneurisms. Eur J Vasc Endovasc Surg. 2002; 24(1): 72-80. |
[19] | Lipp C, Lohoefer F, Reeps C et al. Expression of a disintegrin and metalloprotease in human abdominal aortic aneurysms. J Vasc Res. 2012; 49: 198-206. |
[20] | Wilson WR, Schwalbe EC, Jones JL, Bell PR, Thompson MM Matrix metalloproteinase 8 (neutrophil collagenase) in the pathogenesis of abdominal aortic aneurism. Br J Surg. 2005; 92(7): 828-833. |
APA Style
Ekaterina M. Paltseva, Viktoria O. Polyakova, Svetlana A. Oskolkova, Arsen V. Abramyan, Julia S. Krylova, et al. (2016). Gelatinases Expression Disturbance as a Possible Cause of Fibromuscular Dysplasia of Internal Carotid Arteries: Immunohistochemical Study. International Journal of Clinical and Experimental Medical Sciences, 2(4), 52-58. https://doi.org/10.11648/j.ijcems.20160204.11
ACS Style
Ekaterina M. Paltseva; Viktoria O. Polyakova; Svetlana A. Oskolkova; Arsen V. Abramyan; Julia S. Krylova, et al. Gelatinases Expression Disturbance as a Possible Cause of Fibromuscular Dysplasia of Internal Carotid Arteries: Immunohistochemical Study. Int. J. Clin. Exp. Med. Sci. 2016, 2(4), 52-58. doi: 10.11648/j.ijcems.20160204.11
AMA Style
Ekaterina M. Paltseva, Viktoria O. Polyakova, Svetlana A. Oskolkova, Arsen V. Abramyan, Julia S. Krylova, et al. Gelatinases Expression Disturbance as a Possible Cause of Fibromuscular Dysplasia of Internal Carotid Arteries: Immunohistochemical Study. Int J Clin Exp Med Sci. 2016;2(4):52-58. doi: 10.11648/j.ijcems.20160204.11
@article{10.11648/j.ijcems.20160204.11, author = {Ekaterina M. Paltseva and Viktoria O. Polyakova and Svetlana A. Oskolkova and Arsen V. Abramyan and Julia S. Krylova and Alexandre V. Gavrilenko and Igor M. Kvetnoy}, title = {Gelatinases Expression Disturbance as a Possible Cause of Fibromuscular Dysplasia of Internal Carotid Arteries: Immunohistochemical Study}, journal = {International Journal of Clinical and Experimental Medical Sciences}, volume = {2}, number = {4}, pages = {52-58}, doi = {10.11648/j.ijcems.20160204.11}, url = {https://doi.org/10.11648/j.ijcems.20160204.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20160204.11}, abstract = {Background: Fibromascular dysplasia of internal carotid arteries (ICA) leading to their pathological deformities is one of the causes of cerebral vascular insufficiency. The structural changes of the artery wall and their causes remain poorly understood. Materials and Methods: We investigated the expression of elastin, collagen types I and III, smooth muscle cells, gelatinases degrading elastin (matrix metalloproteinases 2 and 9 (MMP2 and MMP9) and tissue inhibitors of matrix metalloproteinases 1 and 2 (TIMP1 and TIMP2) on formalin-fixed surgical samples with the methods of immunohistochemistry and confocal laser scanning microscopy. Results: We revealed the fragmentation of elastic fibers (100% of patients) and some reduction of smooth muscle cells (p <0.05) in the tunica media of ICA. There were no changes in collagen types I and III and TIMP2 expression. The study of the ratio of the expression of MMPs and TIMPs revealed the statistically significant predominance of high MMP2 and -9 and low TIMP1 content in ICA with pathological deformities. With the use of confocal microscopy, we showed the decrease of elastin expression with a high MMP9 activity which correlated with low expression of TIMP-1 in the group of ICA with pathological deformities. While in the control group there was a high level of elastin expression and a low level of MMP9 expression that correlated with the low TIMP-1 amount (p >0.05). Conclusion: Our data demonstrate that the main feature of fibromuscular dysplasia underlying the pathological deformities of ICA –fragmentation of elastic fibers – is caused by the disturbance of balance between gelatinases and their inhibitors.}, year = {2016} }
TY - JOUR T1 - Gelatinases Expression Disturbance as a Possible Cause of Fibromuscular Dysplasia of Internal Carotid Arteries: Immunohistochemical Study AU - Ekaterina M. Paltseva AU - Viktoria O. Polyakova AU - Svetlana A. Oskolkova AU - Arsen V. Abramyan AU - Julia S. Krylova AU - Alexandre V. Gavrilenko AU - Igor M. Kvetnoy Y1 - 2016/07/05 PY - 2016 N1 - https://doi.org/10.11648/j.ijcems.20160204.11 DO - 10.11648/j.ijcems.20160204.11 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 52 EP - 58 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20160204.11 AB - Background: Fibromascular dysplasia of internal carotid arteries (ICA) leading to their pathological deformities is one of the causes of cerebral vascular insufficiency. The structural changes of the artery wall and their causes remain poorly understood. Materials and Methods: We investigated the expression of elastin, collagen types I and III, smooth muscle cells, gelatinases degrading elastin (matrix metalloproteinases 2 and 9 (MMP2 and MMP9) and tissue inhibitors of matrix metalloproteinases 1 and 2 (TIMP1 and TIMP2) on formalin-fixed surgical samples with the methods of immunohistochemistry and confocal laser scanning microscopy. Results: We revealed the fragmentation of elastic fibers (100% of patients) and some reduction of smooth muscle cells (p <0.05) in the tunica media of ICA. There were no changes in collagen types I and III and TIMP2 expression. The study of the ratio of the expression of MMPs and TIMPs revealed the statistically significant predominance of high MMP2 and -9 and low TIMP1 content in ICA with pathological deformities. With the use of confocal microscopy, we showed the decrease of elastin expression with a high MMP9 activity which correlated with low expression of TIMP-1 in the group of ICA with pathological deformities. While in the control group there was a high level of elastin expression and a low level of MMP9 expression that correlated with the low TIMP-1 amount (p >0.05). Conclusion: Our data demonstrate that the main feature of fibromuscular dysplasia underlying the pathological deformities of ICA –fragmentation of elastic fibers – is caused by the disturbance of balance between gelatinases and their inhibitors. VL - 2 IS - 4 ER -