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1.
Microsc Microanal ; 26(5): 1024-1034, 2020 10.
Article in English | MEDLINE | ID: mdl-32665042

ABSTRACT

The vascular and perivascular cells, including telocytes (TCs) and immune cells, play an important role in male fertility. The current study intended to describe in detail the microvascular structures harboring special regulatory devices in addition to the interstitial cellular components of the one-humped camel epididymis. The samples were collected from 10 clinically healthy mature camels (Camelus dromedarius). The distribution and characteristics of TCs, peripheral blood vessels of the epididymis, and immune cells were investigated using the light, immunohistochemistry, immunofluorescence, and transmission electron microscopy analyses. Frequent occlusive or throttle arterioles were demonstrated in the epididymal interstitium and their tunica media consisted of glomus cells. In addition, some vein walls consisted of one or two layers of glomus cells. TCs, fibroblasts, muscle cells, and tunica media of the blood vessels, that present in the loose connective tissue surrounding the intertubular interstitium of camel epididymis, showed a positive reaction with vimentin. The endothelium of blood vessels and veins showed positive immunoreactivity for CD34 and vascular endothelial growth factor (VEGF). Furthermore, VEGF, CD34, and S100 proteins were expressed in dendritic cells (DCs) as well as TCs. The current data suggest the involvement of DCs and TCs in angiogenesis and a possible role for the interstitial components in creating an appropriate milieu for the full maturation of sperms.


Subject(s)
Camelus , Epididymis/pathology , Epididymis/ultrastructure , Microvessels/pathology , Microvessels/ultrastructure , Telocytes/pathology , Telocytes/ultrastructure , Animals , Antigens, CD34 , Arterioles/ultrastructure , Blood Vessels/ultrastructure , Camelus/metabolism , Connective Tissue/ultrastructure , Epididymis/metabolism , Fibroblasts , Fluorescent Antibody Technique/methods , Immunohistochemistry/methods , Male , Microscopy, Electron, Transmission/methods , Microvessels/metabolism , Telocytes/metabolism , Vascular Endothelial Growth Factor A
2.
Kidney Blood Press Res ; 43(3): 1042-1052, 2018.
Article in English | MEDLINE | ID: mdl-29940595

ABSTRACT

BACKGROUND/AIMS: Cardiovascular complications are responsible for increased mortality and morbidity in chronic kidney disease (CKD) patients. Functional and structural changes of peritoneal membrane are reported in CKD patients both on conservative treatment and on renal replacement therapy (RRT). The aim of the study was to assess the structure of peritoneal membrane small arteries (precapillary arterioles) in diabetic and non-diabetic CKD stage 5 patients before initiation of peritoneal dialysis (PD) and evaluate its relationship with heart and large arteries abnormalities and with selected biochemical parameters. METHODS: Evaluation of 42 CKD stage 5 patients before starting PD. Diabetic (n=26) and non-diabetic (n=16) patients were compared. Peritoneal membrane samples were taken during Tenckhoff catheter insertion. Histopathological evaluation of peritoneal precapillary arterioles (arteriolar evaluation) with measurement of wall thickness (WT) and calculation of lumen/vessel (L/V) ratio was performed in each patients. Echocardiography, intima media thickness (IMT), pulse wave velocity (PWV), ambulatory blood pressure monitoring (ABPM) and biochemical parameters assessment: serum albumin (SA), total cholesterol (TCH), hemoglobin (Hgb), parathormone (PTH), serum calcium (Ca), serum phosphorus (P), transferrin saturation (TSAT%), C-reactive protein (CRP) were performed in each participant. RESULTS: There were no statistically significant differences in peritoneal membrane arteriolar indices - wall thickness (WT) and L/V ratio between investigated groups. There was statistically significant higher PWV value in diabetic patients. There were no statistically significant differences in echocardiographic indices, IMT, laboratory data in analyzed groups. There were some linear correlations between: PWV vs IMT (R=0,84; p=0,0006); PWV vs PP (R=0,58; p=0,03) in non-diabetic and linear correlation between: PWV vs age (R=0,75; p=0,02); WT vs DP (R=-0,93; p=0,001); WT vs DBP ( R=0,64; p=0,04) in diabetic group. CONCLUSION: Peritoneal membrane arteriolar damage seems to be an integrated part of cardiovascular system damage in CKD stage 5 patients.


Subject(s)
Arterioles/pathology , Cardiovascular Diseases/diagnosis , Membranes/blood supply , Peritoneum/ultrastructure , Renal Insufficiency, Chronic/complications , Adult , Aged , Arterioles/injuries , Arterioles/ultrastructure , Cardiovascular Diseases/mortality , Carotid Intima-Media Thickness , Diabetes Mellitus , Humans , Middle Aged , Pulse Wave Analysis , Renal Insufficiency, Chronic/mortality
3.
Clin Sci (Lond) ; 131(22): 2737-2744, 2017 Nov 15.
Article in English | MEDLINE | ID: mdl-28982724

ABSTRACT

Dilatation of periarteriolar spaces in MRI of the ageing human brains occurs in white matter (WM), basal ganglia and midbrain but not in cerebral cortex. Perivenous collagenous occurs in periventricular but not in subcortical WM.Here we test the hypotheses that (a) the capacity for dilatation of periarteriolar spaces correlates with the anatomical distribution of leptomeningeal cells coating intracerebral arteries and (b) the regional development of perivenous collagenous in the WM correlates with the population of intramural cells in the walls of veins.The anatomical distribution of leptomeningeal and intramural cells related to cerebral blood vessels is best documented by electron microscopy, requiring perfusion-fixed tissue not available in human material. We therefore analysed perfusion-fixed brain from a 12-year-old Beagle dog as the canine brain represents the anatomical arrangement in the human brain. Results showed regional variation in the arrangement of leptomeningeal cells around blood vessels. Arterioles are enveloped by one complete layer of leptomeninges often with a second incomplete layer in the WM. Venules showed incomplete layers of leptomeningeal cells. Intramural cell expression was higher in the post-capillary venules of the subcortical WM when compared with periventricular WM, suggesting that periventricular collagenosis around venules may be due to a lower resistance in the venular walls. It appears that the regional variation in the capacity for dilatation of arteriolar perivascular spaces in the white WM may be related to the number of perivascular leptomeningeal cells surrounding vessels in different areas of the brain.


Subject(s)
Aging/physiology , Brain/anatomy & histology , Brain/blood supply , Animals , Arterioles/cytology , Arterioles/ultrastructure , Brain/cytology , Dogs , White Matter/anatomy & histology , White Matter/blood supply
4.
Am J Physiol Heart Circ Physiol ; 313(1): H164-H178, 2017 Jul 01.
Article in English | MEDLINE | ID: mdl-28432057

ABSTRACT

The impact of disease-related changes in the extracellular matrix (ECM) on the mechanical properties of human resistance arteries largely remains to be established. Resistance arteries from both pig and human parietal pericardium (PRA) display a different ECM microarchitecture compared with frequently used rodent mesenteric arteries. We hypothesized that the biaxial mechanics of PRA mirror pressure-induced changes in the ECM microarchitecture. This was tested using isolated pig PRA as a model system, integrating vital imaging, pressure myography, and mathematical modeling. Collagenase and elastase digestions were applied to evaluate the load-bearing roles of collagen and elastin, respectively. The incremental elastic modulus linearly related to the straightness of adventitial collagen fibers circumferentially and longitudinally (both R2 ≥ 0.99), whereas there was a nonlinear relationship to the internal elastic lamina elastin fiber branching angles. Mathematical modeling suggested a collagen recruitment strain (means ± SE) of 1.1 ± 0.2 circumferentially and 0.20 ± 0.01 longitudinally, corresponding to a pressure of ~40 mmHg, a finding supported by the vital imaging. The integrated method was tested on human PRA to confirm its validity. These showed limited circumferential distensibility and elongation and a collagen recruitment strain of 0.8 ± 0.1 circumferentially and 0.06 ± 0.02 longitudinally, reached at a distending pressure below 20 mmHg. This was confirmed by vital imaging showing negligible microarchitectural changes of elastin and collagen upon pressurization. In conclusion, we show here, for the first time in resistance arteries, a quantitative relationship between pressure-induced changes in the extracellular matrix and the arterial wall mechanics. The strength of the integrated methods invites for future detailed studies of microvascular pathologies.NEW & NOTEWORTHY This is the first study to quantitatively relate pressure-induced microstructural changes in resistance arteries to the mechanics of their wall. Principal findings using a pig model system were confirmed in human arteries. The combined methods provide a strong tool for future hypothesis-driven studies of microvascular pathologies.


Subject(s)
Arterioles/physiology , Blood Pressure/physiology , Collagen/physiology , Collagen/ultrastructure , Elastin/physiology , Elastin/ultrastructure , Models, Cardiovascular , Animals , Arterioles/diagnostic imaging , Arterioles/ultrastructure , Computer Simulation , Elastic Modulus/physiology , Extracellular Matrix/physiology , Extracellular Matrix/ultrastructure , Mechanotransduction, Cellular/physiology , Stress, Mechanical , Swine , Vascular Resistance/physiology
5.
Microcirculation ; 23(7): 512-522, 2016 10.
Article in English | MEDLINE | ID: mdl-27510444

ABSTRACT

OBJECTIVE: The microvasculature of the CAM in the developing chick embryo is characterized by interdigitating arteriolar and venular trees, connected at multiple points along their lengths to a mesh-like capillary plexus. Theoretical modeling techniques were employed to investigate the resulting hemodynamic characteristics of the CAM. METHODS: Based on previously obtained anatomical data, a model was developed in which the capillary plexus was treated as a porous medium. Supply of blood from arterioles and drainage into venules were represented by distributions of flow sources and sinks. Predicted flow velocities were compared with measurements in arterioles and venules obtained via video microscopy. RESULTS: If it was assumed that blood flowed into and out of the capillary plexus only at the ends of terminal arterioles and venules, the predicted velocities increased with decreasing diameter in vessels below 50 µm in diameter, contrary to the observations. Distributing sources/sinks along arterioles/venules led to velocities consistent with the data. CONCLUSIONS: These results imply that connections to the capillary plexus distributed along the arterioles and venules strongly affect the hemodynamic characteristics of the CAM. The theoretical model provides a basis for quantitative simulations of structural adaptation in CAM networks in response to hemodynamic stimuli.


Subject(s)
Chorioallantoic Membrane/blood supply , Hemodynamics/physiology , Microvessels/physiology , Adaptation, Physiological , Animals , Arterioles/ultrastructure , Chick Embryo , Chickens , Microcirculation , Microscopy, Video , Microvessels/ultrastructure , Models, Biological , Venules/ultrastructure
6.
Fish Physiol Biochem ; 42(3): 995-1004, 2016 Jun.
Article in English | MEDLINE | ID: mdl-26746846

ABSTRACT

Renin immunoreactivity was localized at the light and electron microscopic level in two elasmobranch fish species, the Atlantic stingray, Dasyatis sabina, and river ray, Potamotrygon humerosa. At the light microscopic level, the peroxidase-anti-peroxidase method showed a positive immunoreactivity in modified smooth muscle cells in kidney afferent arterioles as well as in arterioles of several organs: rectal gland, inter-renal gland, conus arteriosus, and gill. Electron microscopic renin-positive immunogold localization was confined to the contents of membrane bound granules in the modified smooth muscle cells of these arterioles. The presence of renin-containing granules in the modified smooth muscle, "granular cells," of the renal glomerular afferent arteriole of these two stingray species adds support to earlier studies which showed the structural components of a complete juxtaglomerular apparatus and some of the biochemical and molecular components of a renin-angiotensin system (RAS) as found in teleost fish, reptiles, birds, and mammals. A notable result, however, was the renin-positive immunoreaction in the arteriolar wall of all other organs studied here. The presence of this "diffuse renin system" in the connective tissue of various organs suggests that in these two stingray species in addition to local organ-specific functions, the RAS may act as a systemic mechanism to regulate blood pressure and blood flow in the body.


Subject(s)
Elasmobranchii/metabolism , Myocytes, Smooth Muscle/metabolism , Renin/metabolism , Animals , Arterioles/anatomy & histology , Arterioles/metabolism , Arterioles/ultrastructure , Elasmobranchii/anatomy & histology , Gastric Mucosa/metabolism , Immunohistochemistry , Kidney/anatomy & histology , Kidney/metabolism , Microscopy, Electron , Myocytes, Smooth Muscle/ultrastructure , Rectum/metabolism , Rectum/ultrastructure , Stomach/anatomy & histology
7.
Biomaterials ; 77: 280-90, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26613543

ABSTRACT

Tissue repair processes are characterized by the biphasic recruitment of distinct subpopulations of blood monocytes, including classical ("inflammatory") monocytes (IMs, Ly6C(hi)Gr1(+)CX3CR1(lo)) and non-classical anti-inflammatory monocytes (AMs, Ly6C(lo)Gr1(-)CX3CR1(hi)). Drug-eluting biomaterial implants can be used to tune the endogenous repair process by the preferential recruitment of pro-regenerative cells. To enhance recruitment of AMs during inflammatory injury, a novel N-desulfated heparin-containing poly(ethylene glycol) diacrylate (PEG-DA) hydrogel was engineered to deliver exogenous stromal derived factor-1α (SDF-1α), utilizing the natural capacity of heparin to sequester and release growth factors. SDF-1α released from the hydrogels maintained its bioactivity and stimulated chemotaxis of bone marrow cells in vitro. Intravital microscopy and flow cytometry demonstrated that SDF-1α hydrogels implanted in a murine dorsal skinfold window chamber promoted spatially-localized recruitment of AMs relative to unloaded internal control hydrogels. SDF-1α delivery stimulated arteriolar remodeling that was correlated with AM enrichment in the injury niche. SDF-1α, but not unloaded control hydrogels, supported sustained arteriogenesis and microvascular network growth through 7 days. The recruitment of AMs correlated with parameters of vascular remodeling suggesting that tuning the innate immune response by biomaterial SDF-1α release is a promising strategy for promoting vascular remodeling in a spatially controlled manner.


Subject(s)
Bone Marrow Cells/drug effects , Chemokine CXCL12/pharmacology , Chemotaxis, Leukocyte/drug effects , Microvessels/physiology , Monocytes/drug effects , Animals , Arterioles/growth & development , Arterioles/ultrastructure , Bone Marrow Cells/physiology , Cells, Cultured , Chemokine CXCL12/administration & dosage , Flow Cytometry , Genes, Reporter , Green Fluorescent Proteins/genetics , Heparin , Hydrogels , Inflammation , Intravital Microscopy , Male , Mice , Mice, Inbred C57BL , Mice, Transgenic , Monocytes/physiology , Neovascularization, Physiologic/drug effects , Neovascularization, Physiologic/physiology , Polyethylene Glycols , Radiation Chimera , Recombinant Proteins/administration & dosage , Recombinant Proteins/pharmacology , Skin Window Technique , Wound Healing/drug effects , Wound Healing/physiology
8.
J Hypertens ; 33(12): 2491-9, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26398851

ABSTRACT

BACKGROUND: In hypertension, changes in small arterial structure are characterized by an increased wall-to-lumen ratio (WLR). These adaptive processes are modulated by the rennin-angiotensin system. It is unclear whether direct renin inhibitors exert protective effects on small arteries in hypertensive patients. METHODS: In this double-blind, randomized, placebo-controlled study (http://www.clinicaltrials.gov: NCT01318395), 114 patients with primary hypertension were randomized to additional therapy with either placebo or aliskiren 300 mg for 8 weeks after 4 weeks of standardized open-label treatment with valsartan 320 mg (run-in phase). Parameter of arteriolar remodelling was WLR of retinal arterioles (80 - 140 µm) assessed noninvasively and in vivo by scanning laser Doppler flowmetry (Heidelberg Engineering, Germany). In addition, pulse wave analysis (SphygmoCor, AtCor Medical, Australia) and pulse pressure (PP) amplification were determined. RESULTS: In the whole study population, no clear effect of additional therapy with aliskiren on vascular parameters was documented. When analyses were restricted to patients with vascular remodelling, defined by a median of WLR more than 0.3326 (n = 57), WLR was reduced after 8 weeks by the treatment with aliskiren compared with placebo (-0.044 ±â€Š0.07 versus 0.0043 ±â€Š0.07, P = 0.015). Consistently, after 8 weeks of on-top treatment with aliskiren, there was an improvement of PP amplification compared with placebo (0.025 ±â€Š0.07 versus -0.034 ±â€Š0.08, P = 0.013), indicative of less stiff arteries in the peripheral circulation. CONCLUSION: Thus, our data indicate that treatment with aliskiren, given on top of valsartan therapy, improves altered vascular remodelling in hypertensive patients.


Subject(s)
Amides/therapeutic use , Antihypertensive Agents/therapeutic use , Arterioles/drug effects , Fumarates/therapeutic use , Hypertension/drug therapy , Retinal Vessels/drug effects , Vascular Remodeling/drug effects , Adult , Aged , Arterioles/physiopathology , Arterioles/ultrastructure , Blood Pressure , Double-Blind Method , Essential Hypertension , Female , Humans , Hypertension/physiopathology , Laser-Doppler Flowmetry , Male , Middle Aged , Pulse Wave Analysis , Retinal Vessels/physiopathology , Retinal Vessels/ultrastructure , Valsartan/therapeutic use
9.
Anal Quant Cytopathol Histpathol ; 37(4): 214-20, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26410967

ABSTRACT

OBJECTIVE: To estimate the number of L-type calcium (Ca2+) channels in the afferent and efferent arteriolar renin-positive and renin-negative smooth muscle cells and endothelial cells of the kidney arterioles in order to seek a relationship between the cell functions and the number of ion channels in the cell membranes. STUDY DESIGN: In diabetes the main source of renin/prorenin is the tubules, while the renin granulation of the afferent arterioles is increased relative to the normal. The release of renin is related to the Ca2+ levels of the intracellular and extracellular spaces of the afferent arterioles. The L-type calcium channel blockers have a stimulatory effect on the renin system. The immunohistochemical signal of the antibody against the L-type Ca2+ channels was estimated stereologically. RESULTS: In the diabetic kidney the relative number of L-type Ca2+ channels on the surface of the renin-positive cells of the afferent arterioles was significantly increased. In the normal kidney there was a difference in the relative number of L-type Ca2+ channels on the surface of the endothelial cells between the renin-positive and renin-negative profiles of the afferent arterioles. CONCLUSION: The increment in the number of Ca2+ channels on the renin-positive cell surface in the diabetic kidney could be related to the high renin granularity of the afferent arterioles. In the normal kidney the differences in the number of L-type Ca2+ channels on the endothelial cell surface may play a role in the higher permeability of the renin-positive part of the afferent arterioles.


Subject(s)
Arterioles/metabolism , Calcium Channels, L-Type/biosynthesis , Diabetes Mellitus, Experimental/metabolism , Kidney/metabolism , Myocytes, Smooth Muscle/metabolism , Animals , Arterioles/ultrastructure , Endothelial Cells/metabolism , Endothelial Cells/ultrastructure , Immunohistochemistry , Kidney/ultrastructure , Microscopy, Electron, Transmission , Myocytes, Smooth Muscle/ultrastructure , Rats , Renin/metabolism , Up-Regulation
10.
Mol Med Rep ; 12(5): 6435-44, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26299849

ABSTRACT

The aim of the present study was to investigate the extensive invasion of tumor cells into normal brain tissue, a life­threatening feature of malignant gliomas. How invasive tumor cells migrate into normal brain tissue and form a secondary tumor structure remains to be elucidated. In the present study, the morphological and phenotypic changes of glioma cells during invasion in a C6 glioma model were investigated. C6 glioma cells were stereotactically injected into the right putamen region of adult Sprague­Dawley rats. The brain tissue sections were then subjected to hematoxylin and eosin, immunohistochemical or immunofluorescent staining. High magnification views of the tissue sections revealed that C6 cells formed tumor spheroids following implantation and marked invasion was observed shortly after spheroid formation. In the later stages of invasion, certain tumor cells invaded the perivascular space and formed small tumor clusters. These small tumor clusters exhibited certain common features, including tumor cell multilayers surrounding an arteriole, which occurred up to several millimeters away from the primary tumor mass; a high proliferation rate; and similar gene expression profiles to the primary tumor. In conclusion, the present study revealed that invading tumor cells are capable of forming highly proliferative cell clusters along arterioles near the tumor margin, which may be a possible cause of the recurrence of malignant glioma.


Subject(s)
Arterioles/ultrastructure , Biomarkers, Tumor/genetics , Brain Neoplasms/ultrastructure , Carcinogenesis/pathology , Glioma/ultrastructure , Spheroids, Cellular/ultrastructure , Animals , Arterioles/pathology , Biomarkers, Tumor/metabolism , Brain Neoplasms/blood supply , Brain Neoplasms/genetics , Brain Neoplasms/metabolism , Carcinogenesis/genetics , Carcinogenesis/metabolism , Cell Line, Tumor , Cell Proliferation , Eosine Yellowish-(YS) , Epidermal Growth Factor/genetics , Epidermal Growth Factor/metabolism , Gene Expression , Glioma/blood supply , Glioma/genetics , Glioma/metabolism , Hematoxylin , Hypoxia-Inducible Factor 1, alpha Subunit/genetics , Hypoxia-Inducible Factor 1, alpha Subunit/metabolism , Male , Neoplasm Transplantation , Nerve Growth Factor/genetics , Nerve Growth Factor/metabolism , Putamen/blood supply , Putamen/metabolism , Putamen/ultrastructure , Rats , Rats, Sprague-Dawley , Spheroids, Cellular/metabolism , Staining and Labeling/methods , Stereotaxic Techniques , Twist-Related Protein 1/genetics , Twist-Related Protein 1/metabolism , Vascular Endothelial Growth Factor A/genetics , Vascular Endothelial Growth Factor A/metabolism , Vascular Endothelial Growth Factor Receptor-2/genetics , Vascular Endothelial Growth Factor Receptor-2/metabolism
11.
Clin Hemorheol Microcirc ; 61(3): 429-38, 2015.
Article in English | MEDLINE | ID: mdl-25267455

ABSTRACT

The axial blood velocity (Vax) association with microvessel diameter (D) was studied at 104 different postcapillary venules (4 µm <  D <  24 µm) and 30 different precapillary arterioles (6 µm≤D≤12 µm) in the human conjunctiva of normal healthy humans. Venular diameter sizes were classified as "very small" (Group 1, 4.4 µm≤D <  8.9 µm), "small" (Group 2, 8.9 µm≤D <  13.8 µm), "medium" (Group 3, 13.8 µm≤D <  19.1 µm) and "large" (Group 4, 19.1 µm≤D≤23.5). The Spearman's correlation coefficient (rs) in all 4 venular groups was less than 0.36 and not statistically significant (n = 26, p≥0.08). Similar correlation results were observed for the arteriolar group (rs) ≈ 0) for the peak systolic, the average and the end systolic axial velocities. Vax was significantly (p <  0.001) lower in Group 1 in comparison to that in Group 2 and significantly (p <  0.01) lower in Group 2 in comparison to that in Group 3. However, Vax was not significantly lower in Group 3 in comparison to that in Group 4. Average Vax and standard deviation was 0.48 ± 0.13, 0.64 ± 0.16, 0.82 ± 0.25 and 0.88 ± 0.32 mm/s for Groups 1, 2, 3 and 4 respectively. The above results reinforce the importance of measuring D in microvascular hemodynamics. Higher diameters suggest higher axial velocities but Vax does not change significantly within the limits of each of the aforementioned groups.


Subject(s)
Arterioles/ultrastructure , Blood Flow Velocity/immunology , Eye/blood supply , Venules/ultrastructure , Adult , Arterioles/physiology , Female , Humans , Male , Venules/physiology
12.
J Hypertens ; 32(11): 2120-9; discussion 2129, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25275242

ABSTRACT

The evaluation of microvascular structure is, in general, not an easy task. Among the methods that may be applied to humans, plethysmographic evaluation of small arteries and wire or pressure micromyography were extensively used in the last decades. The media-to-lumen ratio of small arteries evaluated by micromyography was demonstrated to possess a strong prognostic significance; however, its extensive evaluation is limited by the local invasiveness of the assessment. Noninvasive approaches were then proposed, including capillaroscopy, which provides information about microvascular rarefaction. Recently, the interest of investigators was focused on the retinal microvascular bed. In particular, a noninvasive measurement of the wall-to-lumen ratio of retinal arterioles using scanning laser Doppler flowmetry has been introduced.Recent data suggest a rather good agreement between this approach and micromyographic measurements, generally considered the gold standard approach. Therefore, the evaluation of microvascular structure is progressively moving from bench to bedside, and it could represent, in the immediate future, an evaluation to be performed in all hypertensive patients, in order to obtain a better stratification of cardiovascular risk.


Subject(s)
Arterioles/ultrastructure , Hypertension/pathology , Laser-Doppler Flowmetry/methods , Retinal Vessels/ultrastructure , Cardiovascular Diseases/pathology , Humans , Microscopic Angioscopy , Myography/methods , Risk Factors
13.
Atherosclerosis ; 236(1): 25-30, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25010900

ABSTRACT

OBJECTIVE: Microvascular mechanisms are increasingly recognized as being involved in a significant proportion of coronary artery disease (CAD) cases, but their exact contribution or role is unclear. We aimed to define the association between retinal microvascular signs and both CAD extent and severity. METHODS: 1120 participants of the Australian Heart Eye Study were included. Retinal vessel caliber was measured from digital retinal images. Extent and severity of CAD was assessed using several approaches. First, a simple scoring classifying participants as having one-vessel, two-vessel, and three-vessel disease was used. Gensini and Extent scores were calculated using angiography findings. RESULTS: After multivariable adjustment, significantly narrower retinal arteriolar caliber in women (comparing lowest versus highest quartile or reference) and wider venular caliber in men (comparing highest versus lowest quartile or reference) were associated with 2-fold and 54% higher odds of having at least one stenosis ≥50% in the epicardial coronary arteries, respectively. Women in the third versus first tertile of retinal venular caliber had 92% and ∼2-fold higher likelihood of having higher Gensini and Extent scores, respectively. Women in the lowest versus highest tertile of retinal arteriolar caliber had greater odds of having higher Extent scores, OR 2.99 (95% CI 1.45-6.16). In men, non-significant associations were observed between retinal vascular caliber and Gensini and Extent scores. CONCLUSIONS: An unhealthy retinal microvascular profile, namely, narrower retinal arterioles and wider venules was associated with more diffuse and severe CAD among women.


Subject(s)
Coronary Disease/pathology , Retinal Vessels/ultrastructure , Aged , Anthropometry , Arterioles/ultrastructure , Cohort Studies , Comorbidity , Coronary Angiography , Coronary Disease/diagnostic imaging , Coronary Disease/epidemiology , Ethnicity , Female , Humans , Male , Middle Aged , New South Wales/epidemiology , Observer Variation , Ophthalmoscopy , Risk Factors , Severity of Illness Index , Sex Characteristics , Surveys and Questionnaires , Venules/ultrastructure
14.
Eur Rev Med Pharmacol Sci ; 18(7): 959-64, 2014.
Article in English | MEDLINE | ID: mdl-24763873

ABSTRACT

AIM: The aim of this study was to investigate the effects of Rho kinase inhibitor-Fasudil on hypoxic pulmonary hypertension (HPH) and pulmonary vascular remodeling in rats. MATERIALS AND METHODS: A total of 24 Sprague Dawley rats were evenly randomized into control, model and Fasudil intervention groups. Light and transmission electron microscopy were utilized to observe pulmonary vascular remodeling as well as ultrastructural changes in pulmonary arteriole endothelial cells. RESULTS: The model group showed apparent pulmonary vascular remodeling, pulmonary arteriole endothelial cell injury, the proliferation and swelling of smooth muscle cells around, and the proliferation of collagen fibers. Fasudil intervention improved pulmonary vascular remodeling as well as relieved pulmonary arteriole endothelial cell injury and the proliferation of smooth muscle cells and collagen fibers. CONCLUSIONS: Fasudil has preventive and reverse effects on HPH, pulmonary vascular remodeling, and pulmonary arteriole endothelial cell injury.


Subject(s)
1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine/analogs & derivatives , Hypertension, Pulmonary/drug therapy , Hypoxia/drug therapy , Protein Kinase Inhibitors/therapeutic use , rho-Associated Kinases/antagonists & inhibitors , 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine/pharmacology , 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine/therapeutic use , Animals , Arterioles/drug effects , Arterioles/pathology , Arterioles/physiopathology , Arterioles/ultrastructure , Blood Pressure/drug effects , Carotid Arteries/drug effects , Carotid Arteries/physiopathology , Hypertension, Pulmonary/pathology , Hypertension, Pulmonary/physiopathology , Hypoxia/pathology , Hypoxia/physiopathology , Lung/drug effects , Lung/pathology , Lung/physiopathology , Lung/ultrastructure , Male , Microscopy, Electron, Transmission , Protein Kinase Inhibitors/pharmacology , Pulmonary Artery/drug effects , Pulmonary Artery/physiopathology , Rats, Sprague-Dawley , Vascular Remodeling/drug effects
15.
Atherosclerosis ; 233(2): 478-484, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24530782

ABSTRACT

OBJECTIVE: Retinal microvascular signs are markers of cardiovascular disease risk. There are limited data, on relationships between retinal microvascular signs and retinal microvascular endothelial function. We sought to determine the relationship of retinal vascular signs with retinal microvascular endothelial function in patients with or at high risk of coronary artery disease. METHODS: Participants with atherosclerosis risk factors and coronary disease (n=258; mean age 57±11 years) were recruited to have static and dynamic retinal vascular assessment. Retinal arteriolar dilatation in response to flicker light (FI-RAD) was measured using the Digital Vessel Analyser and expressed as percentage increase over baseline diameter. Static retinal photographs were acquired utilising a digital fundus camera for measurement of central retinal artery and vein equivalent (CRAE and CRVE), arteriovenous nicking (AVN) and focal arteriolar narrowing (FAN). RESULTS: Intra-class correlation coefficient was 0.82 for flicker-light induced retinal arteriolar dilatation. There were modest associations in retinal vascular measurements between eyes. For each 10 µm decrease in retinal arteriolar diameter, the absolute increase in FI-RAD was 0.28% (95% CI 0.11, 0.45; p=0.002) independent of age, gender and atherosclerosis risk factors. AVN and FAN were associated with attenuated FI-RAD (ß=-0.67%; 95% CI -1.20, -0.15; p=0.012) and (ß=-0.83%; 95% CI -1.44, -0.23; p=0.007) respectively after adjustment for age and gender. CONCLUSION: Assessment of retinal microvascular endothelial function is reproducible and correlated with retinal microvascular structure and signs, independent of atherosclerosis risk factors. Assessment of retinal vascular structure and function may provide insights into atherosclerotic disease.


Subject(s)
Atherosclerosis/epidemiology , Coronary Artery Disease/epidemiology , Retinal Vessels/ultrastructure , Aged , Arterioles/physiopathology , Arterioles/ultrastructure , Endothelium, Vascular/physiopathology , Feasibility Studies , Female , Humans , Male , Microcirculation , Middle Aged , Reproducibility of Results , Retinal Artery/ultrastructure , Retinal Vein/ultrastructure , Risk Factors , Vasodilation , Venules/ultrastructure
16.
J Renin Angiotensin Aldosterone Syst ; 15(4): 440-9, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24222655

ABSTRACT

INTRODUCTION: Our previous study of angiotensin II receptor blocker (ARB) administration in rats induced unusual proliferative changes of smooth muscle cells in renal arteriolar walls. The present study examined if the incidence of the changes depended on the rats' age, and how long it would take to find changes. MATERIALS AND METHODS: Six-week-old (juvenile spontaneous hypertensive rats (SHRs)+ARB group, n=15) and 20-week-old (adult SHRs+ARB group, n=10) male SHRs were fed a standard diet (0.4% NaCl) containing valsartan (10 mg/kg/day; Novartis Co.). Fifteen age-matched SHRs were studied as controls. After 4, 8, and 12 weeks, the rat kidneys were examined under light and electron microscopes and through immunohistochemical studies. RESULTS: Extremely concentric proliferative changes in afferent arteriolar walls were frequently observed in the juvenile SHR+ARB group compared to the adult SHR+ARB group (48.7±6.8% vs 19.3±6.9%; p=0.0307) at the 12(th) week. Increased renin expression and arteriolar changes were found from the 4(th) week in the juvenile SHR+ARB group. CONCLUSION: This study indicates that ARB administration induces unusual proliferative changes and a marked renin-producing cell increase in afferent arterioles more frequently in juveniles than adult rats. It is suggested that the treatment of ARB in juveniles might have a higher risk of changes in renal afferent arterioles.


Subject(s)
Angiotensin II Type 1 Receptor Blockers/administration & dosage , Angiotensin II Type 1 Receptor Blockers/pharmacology , Arterioles/cytology , Kidney/blood supply , Animals , Arterioles/drug effects , Arterioles/ultrastructure , Cell Proliferation/drug effects , Immunohistochemistry , Kidney/drug effects , Male , Myocytes, Smooth Muscle/drug effects , Rats, Inbred SHR , Renin/metabolism
17.
Histochem Cell Biol ; 141(5): 507-18, 2014 May.
Article in English | MEDLINE | ID: mdl-24337546

ABSTRACT

The microvasculature of human spleens is still incompletely understood. Two enigmatic types of red pulp microvessels, penicillar arterioles and sheathed capillaries, have already been described in the nineteenth century without gaining much attention afterwards. We performed a detailed analysis of sheathed capillaries to clarify the cellular composition of their sheaths by immunohistological double-staining experiments. Capillary sheaths comprise three different cell types, namely specialized cuboidal CD271(++) inner sheath cells surrounded by CD271(-) macrophages and accumulations of B lymphocytes. The CD271(++) inner sheath cells express the chemokine CXCL13 in a unique single dot pattern. Sheath-associated B lymphocytes consist of IgM(+), IgD(++), and of "switched" cells. T lymphocytes do not accumulate in pericapillary sheaths. The predominant sheath-associated macrophage population is CD163(-)CD68(+) and thus differs from the majority of red pulp macrophages. The sheath-associated macrophages strongly express CD169 only in perifollicular sheaths, but not in sheaths located deeper in the red pulp. IgM(+), IgD(++), and "switched" B cells are also closely associated with red pulp arterioles characterized by the expression of smooth muscle actin in muscle cells and in branched periarteriolar stromal cells. Capillary sheaths are observed in a post-arteriolar position and appear to be of limited length. We suggest to change the term "Vagina periarteriolaris makrophagocytica" of the international histological and embryological terminologies to "Vagina pericapillaris."


Subject(s)
Arterioles/cytology , B-Lymphocytes/cytology , Capillaries/cytology , Spleen/blood supply , Spleen/cytology , Adolescent , Adult , Aged , Arterioles/metabolism , Arterioles/ultrastructure , B-Lymphocytes/metabolism , Capillaries/metabolism , Capillaries/ultrastructure , Cell Line , Chemokine CXCL13/analysis , Humans , Macrophages/cytology , Macrophages/metabolism , Middle Aged , Nerve Tissue Proteins/analysis , Receptors, Nerve Growth Factor/analysis , Spleen/ultrastructure , Young Adult
18.
PLoS One ; 8(9): e70898, 2013.
Article in English | MEDLINE | ID: mdl-24039709

ABSTRACT

Recent physiological studies in the kidney proposed the existence of a secondary feedback mechanism termed 'crosstalk' localized after the macula densa. This newly discovered crosstalk contact between the nephron tubule and its own afferent arteriole may potentially revolutionize our understanding of renal vascular resistance and electrolyte regulation. However, the nature of such a crosstalk mechanism is still debated due to a lack of direct and comprehensive morphological evidence. Its exact location along the nephron, its prevalence among the different types of nephrons, and the type of cells involved are yet unknown. To address these issues, computer assisted 3-dimensional nephron tracing was applied in combination with direct immunohistochemistry on plastic sections and electron microscopy. 'Random' contacts in the cortex were identified by the tracing and excluded. We investigated a total of 168 nephrons from all cortical regions. The results demonstrated that the crosstalk contact existed, and that it was only present in certain nephrons (90% of the short-looped and 75% of the long-looped nephrons). The crosstalk contacts always occurred at a specific position--the last 10% of the distal convoluted tubule. Importantly, we demonstrated, for the first time, that the cells found in the tubule wall at the contact site were always type nonA-nonB intercalated cells. In conclusion, the present work confirmed the existence of a post macula densa physical crosstalk contact.


Subject(s)
Arterioles/ultrastructure , Kidney Tubules, Distal/ultrastructure , Animals , Anion Transport Proteins/metabolism , Intercellular Junctions/metabolism , Intercellular Junctions/ultrastructure , Kidney Tubules, Distal/metabolism , Male , Mice , Mice, Inbred C57BL , Sulfate Transporters
19.
Cells Tissues Organs ; 198(1): 57-65, 2013.
Article in English | MEDLINE | ID: mdl-23797205

ABSTRACT

A technique for embedding human undecalcified tooth specimens in Technovit® 9100 was developed, which permits immunohistological evaluation of pulp tissue in serial ground sections. Human molars were divided into 14-18 sections of about 23 µm thickness. Immunohistological double staining for S-100 and CD34 revealed unique associations of myelinated nerve fibre bundles with arterioles, which continued through the entire tooth pulp. These arterioles were not only accompanied by, but partially or totally enveloped in longitudinally orientated myelinated nerve fibre bundles. We speculate that this unique arrangement may mechanically support the arterioles and alleviate detection or regulation of their contraction state by sensory nerve cells.


Subject(s)
Dental Pulp/blood supply , Dental Pulp/innervation , Tooth/ultrastructure , Adolescent , Antigens, CD34/analysis , Arterioles/ultrastructure , Dental Pulp/ultrastructure , Humans , Immunohistochemistry/methods , Male , S100 Proteins/analysis , Tissue Embedding/methods , Tissue Fixation/methods
20.
J Morphol ; 274(6): 704-12, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23450700

ABSTRACT

Confocal imaging of Fluo-4, Propidium iodide, and di-8-Anepps loaded ureter were used to study the morphology of terminal arterioles with an inner diameter <50 µm in intact rat ureter. Optical sectioning showed that the muscle coat of the terminal arterioles consisted of a monolayer of highly curved smooth muscle cells which run circumferentially around the endothelium. This technique allowed not only to measure the inner diameter of the terminal arterioles but also to define the orientation and number of revolutions an individual smooth muscle cell made around the endothelium. We measured thickness, width, length, and morphological profile of the myocytes and endothelial cells. Propidium iodide staining showed nuclei of individual cells by continuous imaging at high resolution in serial optical sections. Conventional haematoxylin-eosin, Masson's tri-chrome staining, and transmission electron microscopy were also used in this study to compare the measurements obtained from live confocal imaging with histological standard methods. Parameters obtained from live imaging were significantly different. This technique of live staining allowed measuring the cellular and nuclear dimensions of the terminal arterioles in their natural environment which are important in studying the effects of vascular disease or aging on vascular structure.


Subject(s)
Arterioles/cytology , Ureter/blood supply , Animals , Arterioles/physiology , Arterioles/ultrastructure , Calcium Signaling , Cell Nucleus/ultrastructure , Cell Size , Endothelial Cells/cytology , Female , Intercellular Junctions/ultrastructure , Microscopy, Confocal , Microscopy, Electron, Transmission , Muscle Cells/cytology , Muscle Cells/ultrastructure , Muscle, Smooth, Vascular/cytology , Muscle, Smooth, Vascular/physiology , Muscle, Smooth, Vascular/ultrastructure , Myocytes, Smooth Muscle/cytology , Rats , Rats, Wistar , Staining and Labeling , Tissue Fixation
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