Quantifying the Evolution of Vascular Barrier Disruption in Advanced Atherosclerosis with Semipermeant Nanoparticle Contrast Agents 英文参考文献.docVIP
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Quantifying the Evolution of Vascular Barrier Disruption in Advanced Atherosclerosis with Semipermeant Nanoparticle Contrast Agents 英文参考文献
QuantifyingtheEvolutionofVascularBarrierDisruption
inAdvancedAtherosclerosiswithSemipermeant
NanoparticleContrastAgents
HuiyingZhang1,LeiZhang1,JacobMyerson1,2,KristinBibee1,3,MichaelScott1,JohnAllen1 ,Gregorio
Sicard4,GregoryLanza1,2,SamuelWickline1,2,3
*
1DepartmentofMedicine,WashingtonUniversity,StLouis,Missouri,UnitedStatesofAmerica,2DepartmentofBiomedicalEngineering,WashingtonUniversity,StLouis,
Missouri, United States of America, 3Department of Cellular Biology, Washington University, St Louis, Missouri, United States of America, 4Department of Surgery,
WashingtonUniversity,StLouis,Missouri,UnitedStatesofAmerica
Abstract
Rationale:Acuteatherothromboticocclusioninheartattackandstrokeimpliesdisruptionofthevascularendothelialbarrier
thatexposesahighlyprocoagulantintimalmilieu.However,theevolution,severity,andpathophysiologicalconsequences
of vascular barrier damage in atherosclerotic plaque remain unknown, in part because quantifiable methods and
experimentalmodelsarelackingforitsinvivoassessment.
Objective:Todevelopquantitativenondestructivemethodologiesandmodelsfordetectingvascularbarrierdisruptionin
advancedplaques.
MethodsandResults:SustainedhypercholesterolemiainNewZealandWhite(NZW)rabbitsfor.7–14monthsengendered
endothelial barrier disruption that was evident from massive and rapid passive penetration and intimal trapping of
perfluorocarbon-corenanoparticles(PFC-NP:,250nmdiameter)afterinvivocirculationforaslittleas1hour.Onlyolder
plaques(.7mo),butnotyoungerplaques(,3mo)demonstratedthemarkedenhancementofendothelialpermeabilityto
these particles. Electron microscopy revealed a complex of subintimal spongiform channels associated with endothelial
apoptosis,superficialerosions,andsurface-penetratingcholesterolcrystals.Fluorine(19F)magneticresonanceimagingand
spectroscopy (MRI/MRS) enabled absolute quantification (in nanoMolar) of the passive permeation of PFC-NP into the
disruptedvascularlesionsbysensingtheuniquespectralsignaturesfromthefluorinecoreofplaque-bou
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