Vessel Stiffening, Hypertension and Vascular Extracellular Matrix

血管硬化、高血压和血管细胞外基质

• 批准号: 9053512
• 负责人: ROBERT P. MECHAM
• 金额: $ 38.13万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-20 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9053512
• 关键词: Adverse effects; Age; Aging; Animal Model; Aorta; Aortic coarctation; Arteries; Blood; Blood Pressure; Blood Vessels; Blood flow; Cardiac; Cardiovascular Diseases; Cell Proliferation; Cessation of life; Collagen; Collagen Fiber; Complex; Coronary; Data; Development; Diastole; Disease; Distal; Elastic Fiber; Elastin; Elastin Fiber; Elderly; Extracellular Matrix; Extracellular Matrix Proteins; Geometry; Growth; Health; Heart; Heart Diseases; Hypertension; Individual; Investigation; Lead; Left; Location; Marfan Syndrome; Measures; Mechanics; Mus; Mutation; Organism; Pathology; Physiological; Process; Production; Property; Protein Deficiency; Proteins; Pulse Pressure; Regulation; Relaxation; Risk; Smooth Muscle Myocytes; Stress; Stretching; Supravalvular aortic stenosis; Syndrome; Systole; Testing; Time; Transforming Growth Factor beta; Ventricular; Work; arterial stiffness; ascending aorta; design; heart function; hemodynamics; human disease; improved; mathematical model; mechanical behavior; middle age; mouse model; novel; postnatal; pressure; prevent; pulse pressure wave; systolic hypertension

DESCRIPTION (provided by applicant): The large arteries function as elastic reservoirs for blood ejected by the heart. They distend during systole and relax during diastole, pushing blood to distal vessels and dampening the pressure pulse wave. This "windkessel" function also reduces left ventricular (LV) afterload and improves coronary blood flow and LV relaxation. In disease and aging, arterial compliance is reduced, which compromises the arterial windkessel function and increases the risk of death from heart disease. Recent evidence suggests that local decreases in compliance of the ascending aorta alone, rather than global decreases in arterial compliance, can cause adverse effects on cardiac function. The aortic compliance depends on the applied blood pressure, geometry, and material properties of the wall. The passive material properties are determined mostly by the amount and organization of extracellular matrix (ECM) proteins, including elastin and collagen. One way useful way to quantify the aortic material properties is to calculate the slope, or modulus, of the circumferential stretch-stress curve at physiologic pressure. Experimental evidence shows that this modulus is constant across different developmental ages, mouse models of human disease, and organisms, suggesting a "universal elastic modulus" that is a physiological design constraint. We hypothesize that the need to maintain a constant elastic modulus directs the construction of the ascending aorta to minimize LV afterload and the work done by the heart. We propose that smooth muscle cells (SMCs) orchestrate this process by directed growth and proliferation, and production of ECM proteins in the right amount, location, and organization to create an aortic wall with specific material properties and that this process is regulated through TGF-ß activity. We postulate that mathematical models incorporating hemodynamic forces, mechanical behavior, and physiological constants, can be used to better understand and predict this growth and remodeling process. We will test our hypothesis using novel mouse models in which elastin amounts and timing can be modulated. By understanding how SMCs create and maintain the aortic wall with a universal elastic modulus, and the extreme conditions in which the modulus cannot be maintained, we can gain information that will be useful in treating cardiovascular diseases related to decrease aortic compliance. These diseases include genetic defects that specifically alter the available ECM proteins for wall construction (i.e. supravalvular aortic stenosis, Marfan Syndrome, and vascular tortuosity syndromes), as well as those related to general decreases in compliance, such as coarctation of the aorta and systolic hypertension. Our specific aims are to: 1) Determine how the need to maintain a universal elastic modulus directs aortic wall growth through regulation of TGF-ß activity; 2) Quantify how elastin and collagen amounts and organization interact to maintain a universal elastic modulus; 3) Integrate mechanical and physiological data into a mathematical model of aortic growth and remodeling.

描述（由申请人提供）：大动脉充当心脏喷射的血液的弹性储存器，它们在收缩期间扩张，在舒张期间放松，将血液推向远端血管并抑制压力脉搏波。心室 (LV) 后负荷并改善冠状动脉血流和左心室舒张。在疾病和衰老过程中，动脉顺应性会降低，从而损害动脉风管功能并增加风险。最近的证据表明，仅升主动脉顺应性的局部降低，而不是动脉顺应性的整体降低，可能会对心脏功能造成不利影响。主动脉顺应性取决于所施加的血压、几何形状和材料。被动材料特性主要由细胞外基质（ECM）蛋白（包括弹性蛋白和胶原蛋白）的数量和组织决定，量化主动脉材料特性的一种有用方法是计算主动脉壁的斜率或模量。这实验证据表明，该模量在不同的发育年龄、人类疾病的小鼠模型和生物体中是恒定的，这表明“通用弹性模量”是一种生理设计约束。保持恒定的弹性模量指导升主动脉的构建，以最大限度地减少左心室后负荷和心脏所做的工作，我们建议平滑肌细胞（SMC）通过定向生长、增殖和生产来协调这一过程。正确数量、位置和组织的 ECM 蛋白可形成具有特定材料特性的主动脉壁，并且该过程通过 TGF-β 活性进行调节。我们假设结合血流动力学、机械行为和生理常数的数学模型可以实现这一过程。我们将使用新的小鼠模型来测试我们的假设，其中弹性蛋白的数量和时间可以通过了解 SMC 如何创建和维持具有通用弹性模量的主动脉壁来实现。在无法维持模量的极端条件下，我们可以获得可用于治疗与主动脉顺应性降低相关的心血管疾病的信息，这些疾病包括专门改变壁结构可用 ECM 蛋白的遗传缺陷（即瓣膜上主动脉瓣狭窄）。 、马凡氏综合症和血管迂曲综合症），以及与顺应性普遍降低相关的疾病，例如主动脉缩窄和收缩期高血压。 1) 确定维持通用弹性模量的需要如何通过调节 TGF-β 活性来指导主动脉壁生长；2) 量化弹性蛋白和胶原蛋白的量以及组织如何相互作用以维持通用弹性模量；3) 整合机械和生理学；将数据转化为主动脉生长和重塑的数学模型。