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PMID: 7065119 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Hydrodynamic injury of the endothelium in acute aortic stenosis.

The American journal of pathology ·Vol. 106 ·No. 3 ·1982-03-00 ·Pages 394-408

Joris I, Zand T, Majno G

Abstract

The acute effects of increased shear stress on the endothelium were studied by reducing the lumen of the rat aorta to 20-25% of normal by means of metal clips. Intimal damage in the stenotic area was assessed by light microscopy after perfusion with AgNo3 and study of the endothelium en face. Most of the endothelium was lost within 3 minutes; the extent of the damage was not increased after 1 hour. Electron-microscopic examination showed that some endothelial cells became permeable to tracers (thorium dioxide and horseradish peroxidase); platelets adhered to the exposed internal elastic membrane. Focal endothelial changes were represented by myelin figures of various kinds arising from the luminal surface and by "cellular ulcers," superficial erosions of the endothelial cells accompanied by localized cytoplasmic changes. These "ulcers" occurred more frequently over the nucleus and near junctions; they have not been described in other forms of arterial injury.

MeSH Terms
Animals Aorta, Abdominal/pathology,ultrastructure Aortic Valve Stenosis/pathology,physiopathology Blood Pressure Contrast Media/administration & dosage Endothelium/pathology,ultrastructure Hemodynamics Horseradish Peroxidase/administration & dosage Male Microscopy, Electron Rats Rats, Inbred Strains Silver Nitrate/administration & dosage Stress, Mechanical
Chemicals
Contrast Media Silver Nitrate Horseradish Peroxidase
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Joris I
Zand T
Majno G
References (27)
27 references, click to expand
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Article Info
Journal
The American journal of pathology
Abbr.
Am J Pathol
ISSN
0002-9440
Published
1982-03-00
Pages
394-408
Language
English
Region
United States
NLM ID
0370502
PMCID
PMC1916227
Subset
IM
Grants
NHLBI NIH HHS · HL-16952 · United States
NHLBI NIH HHS · HL-25973 · United States
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