Abstract

BackgroundThe non-uniform distribution of atherosclerosis within the arterial system is widely attributed to variation in haemodynamic wall shear stress. It may also depend on variation in pressure-induced stresses and strains within the arterial wall; these have been less widely investigated, at least in part because of a lack of suitable techniques.ObjectivesHere we show that local arterial strain can be determined from impressions left by endothelial cells on the surface of vascular corrosion casts made at different pressures, even though only one pressure can be examined in each vessel. The pattern of pits in the cast caused by protruding endothelial nuclei was subject to “retro-deformation” to identify the pattern that would have occurred in the absence of applied stresses.MethodsRetaining the nearest-neighbour pairs found under this condition, changes in nearest-neighbour vectors were calculated for the pattern seen in the cast, and the ratio of mean changes at different pressures determined. This approach removes errors in simple nearest-neighbour analyses caused by the nearest neighbour changing as deformation occurs.ResultsThe accuracy, precision and robustness of the approach were validated using simulations. The method was implemented using confocal microscopy of casts of the rabbit aorta made at systolic and diastolic pressures; results agreed well with the ratio of the macroscopic dimensions of the casts.ConclusionsApplying the new technique to areas around arterial branches could support or refute the hypothesis that the development of atherosclerosis is influenced by mural strain, and the method may be applicable to other tissues.

Highlights

  • Atherosclerosis is characterised by the accumulation of lipids, cells and fibrous proteins within the arterial wall

  • The aorta was cannulated at the level of the diaphragm for the inflow and at the top of the aortic arch, after the 3 main branches, for the outflow, using approximately 20 cm lengths of 3 mmdiameter PVC tubing connected to closed three-way taps, all filled with saline

  • An example 600x600μm ROI maximum projection image is shown in Fig. 8(a); nuclear impressions are readily identified as bright elliptical objects against a darker background

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Summary

Introduction

Atherosclerosis is characterised by the accumulation of lipids, cells and fibrous proteins within the arterial wall. Low and oscillatory wall shear stress (WSS), the frictional force per unit area between the blood and the vessel wall, have been the subject of particular study [1, 2]. Their role is supported by shear-responsive behaviour of the endothelial cells (ECs) that line the arteries [3]. The non-uniform distribution of atherosclerosis within the arterial system is widely attributed to variation in haemodynamic wall shear stress It may depend on variation in pressure-induced stresses and strains within the arterial wall; these have been less widely investigated, at least in part because of a lack of suitable techniques

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