Mechanics-driven mechanobiological mechanisms of arterial tortuosity

[EN] Arterial tortuosity manifests in many conditions, including hypertension, genetic mutations predisposing to thoracic aortopathy, and vascular aging. Despite evidence that tortuosity disrupts efficient blood flow and that it may be an important clinical biomarker, underlying mechanisms remain po...

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Authors: Weiss, Dar; Cavinato, Cristina; Gray, Authia; Ramachandra, Abhay B.; Avril, Stephane; Humphrey, Jay D.; Latorre, Marcos|||0000-0003-4142-0207
Format: Article
Publication date:2020
Country:España
Institution:Universitat Politècnica de València (UPV)
Repository:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Language:English
OAI Identifier:oai:riunet.upv.es:10251/191511
Online Access:https://riunet.upv.es/handle/10251/191511
Access Level:Open access
Keyword:Tortuosity
03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades
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author Weiss, Dar
author2 Cavinato, Cristina
Gray, Authia
Ramachandra, Abhay B.
Avril, Stephane
Humphrey, Jay D.
Latorre, Marcos|||0000-0003-4142-0207
author2_role author
author
author
author
author
author
author_browse Avril, Stephane
Cavinato, Cristina
Gray, Authia
Humphrey, Jay D.
Latorre, Marcos|||0000-0003-4142-0207
Ramachandra, Abhay B.
Weiss, Dar
author_facet Weiss, Dar
Cavinato, Cristina
Gray, Authia
Ramachandra, Abhay B.
Avril, Stephane
Humphrey, Jay D.
Latorre, Marcos|||0000-0003-4142-0207
author_role author
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
description [EN] Arterial tortuosity manifests in many conditions, including hypertension, genetic mutations predisposing to thoracic aortopathy, and vascular aging. Despite evidence that tortuosity disrupts efficient blood flow and that it may be an important clinical biomarker, underlying mechanisms remain poorly understood but are widely appreciated to be largely biomechanical. Many previous studies suggested that tortuosity may arise via an elastic structural buckling instability, but the novel experimental-computational approach used here suggests that tortuosity arises from mechanosensitive, cell-mediated responses to local aberrations in the microstructural integrity of the arterial wall. In particular, computations informed by multimodality imaging show that aberrations in elastic fiber integrity, collagen alignment, and collagen turnover can lead to a progressive loss of structural stability that entrenches during the development of tortuosity. Interpreted in this way, microstructural defects or irregularities of the arterial wall initiate the condition and hypertension is a confounding factor.
eu_rights_str_mv openAccess
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institution Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:riunet.upv.es:10251/191511
publishDate 2020
publishDateSort 2020
publisher American Association for the Advancement of Science
publisherStr American Association for the Advancement of Science
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
spelling Mechanics-driven mechanobiological mechanisms of arterial tortuosity Weiss, Dar Cavinato, Cristina Gray, Authia Ramachandra, Abhay B. Avril, Stephane Humphrey, Jay D. Latorre, Marcos|||0000-0003-4142-0207 Tortuosity 03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades [EN] Arterial tortuosity manifests in many conditions, including hypertension, genetic mutations predisposing to thoracic aortopathy, and vascular aging. Despite evidence that tortuosity disrupts efficient blood flow and that it may be an important clinical biomarker, underlying mechanisms remain poorly understood but are widely appreciated to be largely biomechanical. Many previous studies suggested that tortuosity may arise via an elastic structural buckling instability, but the novel experimental-computational approach used here suggests that tortuosity arises from mechanosensitive, cell-mediated responses to local aberrations in the microstructural integrity of the arterial wall. In particular, computations informed by multimodality imaging show that aberrations in elastic fiber integrity, collagen alignment, and collagen turnover can lead to a progressive loss of structural stability that entrenches during the development of tortuosity. Interpreted in this way, microstructural defects or irregularities of the arterial wall initiate the condition and hypertension is a confounding factor. This work was supported by grants from the U.S. NIH (R01 HL105297, P01 HL134605, and U01 HL142518) American Association for the Advancement of Science https://riunet.upv.es/handle/10251/191511
spellingShingle Mechanics-driven mechanobiological mechanisms of arterial tortuosity
Weiss, Dar
Tortuosity
03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades
title Mechanics-driven mechanobiological mechanisms of arterial tortuosity
title_full Mechanics-driven mechanobiological mechanisms of arterial tortuosity
title_fullStr Mechanics-driven mechanobiological mechanisms of arterial tortuosity
title_full_unstemmed Mechanics-driven mechanobiological mechanisms of arterial tortuosity
title_short Mechanics-driven mechanobiological mechanisms of arterial tortuosity
title_sort Mechanics-driven mechanobiological mechanisms of arterial tortuosity
topic Tortuosity
03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades
topic_facet Tortuosity
03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades
url https://riunet.upv.es/handle/10251/191511