Background: Cardiovascular system is directly affected by mechanical loads such as blood pressure. Blood pressure induces tension in the arterial wall tissue which is sensed by the smooth muscle cells and the appropriate action such as deposition or degradation of the extracellular matrix is taken. Coupled with the blood pressure, elasticity of the arterial wall govern the load that is sensed by smooth muscle cells. Also the mechanical behavior of the arterial wall is mostly dependent on its fibrous content and hence the orientation of these fibers is a key factor in arterial tissue mechanics. Objectives: The current study aims to illustrate how the fibers can change the transmural stress distribution which will activate smooth muscle cells to balance the fibrous content. Methods: We proposed four models with different fiber orientations across the arterial media and simulated these models in finite element environment. The respective circumferential stress profile from each model is extracted and compared. Results and Conclusions: Obtained stress profiles delineate some similar and some different behaviors, in the case of constant fiber orientation across the wall resulting stress profile is monotonic while with changing the orientation across the wall, the profile becomes different. Our results indicate that considering different fiber orientations across the wall is necessary for prediction of arterial wall remodeling, growth and aging. This role is such that a specific orientation of collagen fibers (model II) results in totally different circumferential stress profile as the respective profile is ascending despite the other three models. These results indicate that single layer models of the arterial wall cannot demonstrate some major characteristics such as circumferential stress profile.
Read full abstract