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Event: 2069
Key Event Title
Occurrence, Vascular Remodeling
Short name
Biological Context
Level of Biological Organization |
---|
Organ |
Organ term
Organ term |
---|
blood vessel |
Key Event Components
Process | Object | Action |
---|---|---|
blood vessel remodeling | blood vessel | occurrence |
Key Event Overview
AOPs Including This Key Event
AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
---|---|---|---|---|
Deposition of energy leads to vascular remodeling | AdverseOutcome | Vinita Chauhan (send email) | Open for citation & comment |
Taxonomic Applicability
Life Stages
Life stage | Evidence |
---|---|
Adult | Moderate |
Not Otherwise Specified | Moderate |
Sex Applicability
Term | Evidence |
---|---|
Male | Moderate |
Female | Low |
Unspecific | Moderate |
Key Event Description
The vascular wall is composed of endothelial, smooth muscle and fibroblast cell interactions (Gibbons & Dzau, 1994; Renna, Heras & Miatello, 2013). The vasculature is capable of detecting changes in its surroundings and maintaining homeostasis (Gibbons & Dzau, 1994; Renna, Heras & Miatello, 2013). The functionality of blood vessels is highly dependent on their structure, with changes in arterial morphology being associated with downstream impacts (Gibbons & Dzau, 1994). Vascular remodeling is a term for many histological changes, including increased vascular stiffness, wall shear stress, intima-media thickening (IMT), increased intima-media section area, and increased vessel diameter (Herity et al., 1999). As blood vessels stiffen, this impacts systolic and diastolic pressure and pulse which can be indicators of vascular remodeling. Cellular level changes characterized by processes of growth, death, migration and production or degradation of the extracellular matrix (ECM) result in inflammation (increase in VCAM, ICAM, cytokines, chemokines) and calcification (changes in ratios of collagen and elastin) (Gibbons & Dzau, 1994). Initial tissue injury and resulting remodeling can also lead to turbulent blood flow causing further structural changes like increased vessel fibrosis. Increased vascular remodelling is often associated with a build-up of plaque in the arteries (known as atherosclerosis) due to impaired healing, which forces the vessel walls to attempt to remodel to maintain blood flow (Sylvester et al., 2018).
How It Is Measured or Detected
Assay |
Reference |
Description |
OECD Approved Assay |
Pulse wave velocity (PWV) |
(Soucy et al., 2007; Soucy et al., 2010; Soucy et al., 2011) |
Used to measure blood vessel stiffness. Calculated using measurements from a Doppler probe and electrocardiogram (ECG). |
No |
NIS-Elements image analysis software (Nikon) |
(Soucy et al., 2011) |
Used to measure intraluminal perimeter (which in turn is used to calculate circular luminal diameter) and vessel wall thickness. |
No |
Hematoxylin-eosin (HE) staining |
(Shen et al., 2018; Su et al., 2020; Delp et al., 2000, Cheng et al., 2017, Yu et al., 2011) |
Used to measure aortic wall thickness, intima-media wall thickness (IMT), wall shear stress, outer media perimeter, and media cross section area (CSA). |
No |
Wire myography |
(Tarasova et al., 2020) |
Blood vessels are mounted in wire myograph systems and the relaxed inner diameter is estimated from the passive length-tension relationship between each artery. |
No |
Verhoeff-van Gieson staining |
(Sofronova et al., 2015) |
Measures elastin-collagen content in blood vessels, with Verhoeff stain highlighting elastin and van Gieson highlighting collagen. The higher the ratio of elastin to collagen, the greater the distensibility of the vessel. A higher collagen ratio is associated with increased vascular stiffness. |
No |
Sonography |
(Lee et al., 2020; Sarkozy et al., 2019; Sridharan et al., 2020) |
Uses ultrasound waves to measure IMT and intima-media area, both of which are markers of vascular structure and are used to calculate vascular stiffness. |
No |
Domain of Applicability
Taxonomic applicability: Vascular remodelling is applicable to all species with a closed circulatory system where blood is transported throughout the body via blood vessels with corresponding vessel walls (Renna, Heras & Miatello, 2013). Closed circulatory systems are present in most vertebrates and some invertebrates.
Life stage applicability: This key event is not life stage specific. However, advancing age is a risk factor for vascular remodeling (Harvey, Montezano & Touyz, 2015).
Sex applicability: This key event is not sex specific. However, men are shown to develop vascular remodeling younger than women (Kessler et al., 2019).
Evidence for perturbation by a stressor: Current literature provides ample evidence of vascular remodelling being induced by stressors including ionizing radiation exposure and altered gravity (Shen et al. 2018; Su et al., 2020; Delp et al., 2000, Cheng et al., 2017, Yu et al., 2011; Soucy et al., 2007; Soucy et al., 2010; Soucy et al., 2011).
Regulatory Significance of the Adverse Outcome
References
Cheng, Y. P. et al. (2017), "Acid sphingomyelinase/ceramide regulates carotid intima-media thickness in simulated weightless rats", Pflugers Archiv European Journal of Physiology, Vol. 469, Springer Nature, London, https://doi.org/10.1007/s00424-017-1969-z
Delp, M.D. et al. (2000), “Structural and functional remodeling of skeletal muscle microvasculature is induced by simulated microgravity”, American Journal of Physiology - Heart and Circulatory Physiology, Vol. 278, American Physiological Society, Rockville, https://doi.org/10.1152/ajpheart.2000.278.6.h1866
Gibbons, G. H., and V. J. Dzau (1994), “The Emerging Concept of Vascular Remodeling”, New England Journal of Medicine, Vol. 330/20, Massachusetts Medical Society, Waltham, https://doi.org/10.1056/NEJM199405193302008
Harvey, A., A. C. Montezano, & R. M. Touyz. (2015), “Vascular biology of ageing-Implications in hypertension”, Journal of molecular and cellular cardiology, Vol. 83, Elsevier, Amsterdam, https://doi.org/10.1016/j.yjmcc.2015.04.011
Herity, N.A. et al. (1999), “Review: Clinical Aspects of Vascular Remodeling”, Journal of Cardiovascular Electrophysiology, Vol.10/7, Wiley, https://doi.org/10.1111/j.1540-8167.1999.tb01273.x
Kessler, E. L. et al. (2019), “Sex-specific influence on cardiac structural remodeling and therapy in cardiovascular disease”, Biology of Sex Differences, Vol. 10, Springer Nature, https://doi.org/10.1186/s13293-019-0223-0
Lee, S. M. C. et al. (2020), “Arterial structure and function during and after long-duration spaceflight”, Journal of Applied Physiology, Vol. 129, American Physiological Society, Rockville, https://doi.org/10.1152/japplphysiol.00550.2019
Patel, S. (2020), "The effects of microgravity and space radiation on cardiovascular health: From low-Earth orbit and beyond", IJC Heart and Vasculature, Vol. 30, Elsevier, Amsterdam, https://doi.org/10.1016/j.ijcha.2020.100595.
Renna, N. F., N. Heras, R. M. Miatello (2013), “Pathophysiology of Vascular Remodeling in Hypertension”, International Journal of Hypertension, Vol. 2013, Hindawi, London, http://doi.org/10.1155/2013/808353
Sárközy, M. et al. (2019), "Selective heart irradiation induces cardiac overexpression of the pro-hypertrophic miR-212", Frontiers in Oncology, Vol. 9, Frontiers Media S.A., Lausanne, https://doi.org/10.3389/FONC.2019.00598/FULL
Shen, Y. et al. (2018), “Transplantation of bone marrow mesenchymal stem cells prevents radiation-induced artery injury by suppressing oxidative stress and inflammation”, Oxidative Medicine and Cellular Longevity, Vol. 2018, Hindawi, London, https://doi.org/10.1155/2018/5942916.
Sofronova, S. I. et al. (2015), “Spaceflight on the Bion-M1 biosatellite alters cerebral artery vasomotor and mechanical properties in mice”, Journal of Applied Physiology, Vol. 118/7, American Physiological Society, Rockville, https://doi.org/10.1152/japplphysiol.00976.2014.
Soucy, K. G. et al. (2011), “HZE 56Fe-ion irradiation induces endothelial dysfunction in rat aorta: Role of xanthine oxidase”, Radiation Research, Vol. 176/4, Radiation Research Society, Bozeman, https://doi.org/10.1667/RR2598.1.
Soucy, K. G. et al. (2010), “Dietary inhibition of xanthine oxidase attenuates radiation-induced endothelial dysfunction in rat aorta”, Journal of Applied Physiology, Vol. 108/5, American Physiological Society, Rockville, https://doi.org/10.1152/japplphysiol.00946.2009.
Soucy, K. G. et al. (2007), “Single exposure gamma-irradiation amplifies xanthine oxidase activity and induces endothelial dysfunction in rat aorta”, Radiation and Environmental Biophysics, Vol. 46, Springer, New York, https://doi.org/10.1007/s00411-006-0090-z.
Sridharan, V. et al. (2020), "Effects of single-dose protons or oxygen ions on function and structure of the cardiovascular system in male Long Evans rats", Life Sciences in Space Research, Vol. 26, Elsevier, Amsterdam, https://doi.org/10.1016/j.lssr.2020.04.002.
Su, Y. T. et al. (2020), "Acid sphingomyelinase/ceramide mediates structural remodeling of cerebral artery and small mesenteric artery in simulated weightless rats", Life Sciences, Vol. 243, Elsevier, Amsterdam, https://doi.org/10.1016/j.lfs.2019.117253.
Sylvester, C. B. et al. (2018), "Radiation-Induced Cardiovascular Disease: Mechanisms and Importance of Linear Energy Transfer", Frontiers in Cardiovascular Medicine, Vol. 5, Frontiers Media SA, Lausanne, https://doi.org/10.3389/fcvm.2018.00005.
Tarasova, O. S. et al. (2020), "Simulated Microgravity Induces Regionally Distinct Neurovascular and Structural Remodeling of Skeletal Muscle and Cutaneous Arteries in the Rat", Frontiers in Physiology, Vol. 1, Frontiers Media SA, Lausanne, https://doi.org/10.3389/fphys.2020.00675.
Yu, T. et al. (2011), "Iron-ion radiation accelerates atherosclerosis in apolipoprotein E-Deficient mice", Radiation Research, Vol. 175/6, Radiation Research Society, Bozeman, https://doi.org/10.1667/RR2482.1.