Morphologic effects of pressure changes on canine carotid artery endothelium as observed by scanning electron microscopy

The morphology of internal elastic lamina corrugations in arteries under physiological conditions

BACKGROUND

In elastic and resistance arteries, an elastin-rich membrane, the Internal Elastic Lamina (IEL), separates the tunica intima from the underlying tunica media. The IEL often appears wrinkled or corrugated in histological images. These corrugations are sometimes ascribed to vessel contraction ex vivo, and to fixation artifacts, and therefore regarded as not physiologically relevant. We examine whether the IEL remains corrugated even under physiological conditions.

METHODS

The diameters of carotid arteries of anesthetized pigs were measured by ultrasound. The arteries were then excised, inflated within a conical sleeve, fixed, and imaged by confocal microscopy. The conical sleeve allows fixing each artery across a wide range of diameters, which bracket its ultrasound diameter. Thus the study was designed to quantify how corrugations change with diameter for a single artery, and test whether corrugations exist when the fixed artery matches the ultrasound diameter.

RESULTS

At diameters below the ultrasound diameter (i.e. when the artery was constricted as compared to ultrasound conditions), the IEL corrugations were found to decrease significantly with increasing diameter, but not fully flatten at the ultrasound diameter. The contour length of the IEL was found to be roughly 10% larger than the circumference of the artery measured by ultrasound. The physiological diameter is likely to be even smaller than the ultrasound diameter since ultrasound was conducted with the animal under general anesthesia, which leads to vasodilation, suggesting a higher level of corrugation under physiological conditions. For arterial cross sections constricted below the ultrasound diameter, the IEL contour length decreased roughly with the square root of the diameter.

CONCLUSION

The primary conclusions of this study are: a) the IEL is corrugated when the artery is constricted and flattens as the artery diameter increases; b) the IEL is corrugated under physiological conditions and has a contour length at least 10% more than the physiological arterial diameter; and c) the IEL despite being relatively stiffer than the surrounding arterial layers, does not behave like an inextensible membrane.

Buckling of geometrically confined shells

We study the periodic buckling patterns that emerge when elastic shells are subjected to geometric confinement. Residual swelling provides access to range of shapes (saddles, rolled sheets, cylinders, and spherical sections) which vary in their extrinsic and intrinsic curvatures. Our experimental and numerical data show that when these moderately thick structures are radially confined, a single geometric parameter - the ratio of the total shell radius to the amount of unconstrained material - predicts the number of lobes formed. We present a model that interprets this scaling as the competition between radial and circumferential bending. Next, we show that reducing the transverse confinement of saddles causes the lobe number to decrease with a similar scaling analysis. Hence, one geometric parameter captures the wave number through a wide range of radial and transverse confinement, connecting the shell shape to the shape of the boundary that confines it. We expect these results to be relevant for an expanse of shell shapes, and thus applicable to the design of shape-shifting materials and the swelling and growth of soft structures.

Mechanisms of Action of Acupuncture for Chronic Pain Relief – Polymodal Receptors Are the Key Candidates

Therapeutic benefits of acupuncture for chronic pain patients have been clearly identified in recent clinical trials. Underlying mechanisms of acupuncture action mediated by endogenous opioids have been well demonstrated. The existence of pain inhibitory systems in the central nervous system has also been clarified and acupuncture seems to be a potent stimulus for activating the analgesic systems, although the pain mechanisms in acute and chronic states are essentially different. On the other hand, the exact nature of the acupuncture point still remains unclear. Here, we propose a key role of polymodal receptors (PMR) in acupuncture and moxibustion and offer a rational explanation of the acupuncture point as a sensitised PMR.

Moxibustion (burning of moxa) therapy has been shown by medical historians to predate the use of acupuncture, and the meridian theory developed in association with moxibustion treatment. A variety of sensory receptors are activated by acupuncture and/or moxibustion, but there are very few that can be excited by both stimuli. PMRs are one of the most promising candidates. The functional characteristics of PMRs correspond with those of acupuncture action in the periphery; and tender or trigger points, one of the primitive features of acupuncture points, are assumed to be the sites of sensitised PMRs. Diffuse noxious inhibitory control (DNIC) is proposed as a possible mechanism of immediate action of acupuncture, and inputs for the development of DNIC seem to be the PMRs.

In our experimental model, repeated eccentric contractions of muscle produced local tenderness at the palpable band and induced a typical referred pain pattern on application of pressure. Repeated indomethacin injections inhibited the production of the experimental trigger point.

These lines of evidence suggest that the acupuncture points are the sites where the PMRs are sensitised and that such conditions might be repeatedly produced by various biomechanical stressors, insufficient blood supply and metabolic products.

Various stem cells in acupuncture meridians and points and their putative roles

Traditional Chinese and Korean medicine uses various manipulations on acupuncture points/acupoints that are located along imaginary lines on the surface of a human body, which are called 'meridians'. Acupuncture has been used from the ancient time till now to cure various diseases, including for the purpose of regenerative medicine. In various studies, meridians are alternatively called as Bong-Han ducts, primo vessels, or hyaluronic-acid rich ducts, while acupoints are called Bong-Han corpuscles, primo nodes, or hyaluronic-acid rich nodes. Meridians and acupuncture points form a system that is now called primo vascular system (PVS), which is claimed to contain various kinds of stem cells. The stem cell size is between 1-5 microns. The smallest is the primo microcells that have a putative role in regeneration. Other stem cells are adult pluripotent and hematopoietic stem cells that play a role in extra bone marrow hematopoiesis. The presence of PVS has been reproduced by many studies. However, the various stem cells need further studies to prove their existence and function, and harvesting PVS to isolate the stem cells might harm the health of the donor.

Capillary flow and mechanical buckling in a growing annular bacterial colony

A growing bacterial colony is a dense suspension of an increasing number of cells capable of individual as well as collective motion. After inoculating Pseudomonas aeruginosa over an annular area on an agar plate, we observe the growth and spread of the bacterial population, and model the process by considering the physical effects that account for the features observed. Over a course of 10-12 hours, the majority of bacteria migrate to and accumulate at the edges. We model the capillary flow induced by imbalanced evaporation flux as the cause for the accumulation, much like the well-known coffee stain phenomenon. Simultaneously, periodic buckles or protrusions occur at the inner edge. These buckles indicate that the crowding bacteria produce a jam, transforming the densely packed population at the inner edge to a solid state. The continued bacterial growth produces buckles. Subsequently, a ring of packed bacteria behind the inner edge detach from it and break into pieces, forming bacterial droplets. These droplets slowly coalesce while they continually grow and collectively surf on the agar surface in the region where the colony had previously spread over. Our study shows a clear example of how fluid dynamics and elasto-mechanics together govern the bacterial colony pattern evolution.

Primo Vascular System: A Unique Biological System Shifting a Medical Paradigm

The primo vascular system has a specific anatomical and immunohistochemical signature that sets it apart from the arteriovenous and lymphatic systems. With immune and endocrine functions, the primo vascular system has been found to play a large role in biological processes, including tissue regeneration, inflammation, and cancer metastases. Although scientifically confirmed in 2002, the original discovery was made in the early 1960s by Bong-Han Kim, a North Korean scientist. It would take nearly 40 years after that discovery for scientists to revisit Kim's research to confirm the early findings. The presence of primo vessels in and around blood and lymph vessels, nerves, viscera, and fascia, as well as in the brain and spinal cord, reveals a common link that could potentially open novel possibilities of integration with cranial, lymphatic, visceral, and fascial approaches in manual medicine.

On the mechanics of continua with boundary energies and growing surfaces

Many biological systems are coated by thin films for protection, selective absorption, or transmembrane transport. A typical example is the mucous membrane covering the airways, the esophagus, and the intestine. Biological surfaces typically display a distinct mechanical behavior from the bulk; in particular, they may grow at different rates. Growth, morphological instabilities, and buckling of biological surfaces have been studied intensely by approximating the surface as a layer of finite thickness; however, growth has never been attributed to the surface itself. Here, we establish a theory of continua with boundary energies and growing surfaces of zero thickness in which the surface is equipped with its own potential energy and is allowed to grow independently of the bulk. In complete analogy to the kinematic equations, the balance equations, and the constitutive equations of a growing solid body, we derive the governing equations for a growing surface. We illustrate their spatial discretization using the finite element method, and discuss their consistent algorithmic linearization. To demonstrate the conceptual differences between volume and surface growth, we simulate the constrained growth of the inner layer of a cylindrical tube. Our novel approach towards continua with growing surfaces is capable of predicting extreme growth of the inner cylindrical surface, which more than doubles its initial area. The underlying algorithmic framework is robust and stable; it allows to predict morphological changes due to surface growth during the onset of buckling and beyond. The modeling of surface growth has immediate biomedical applications in the diagnosis and treatment of asthma, gastritis, obstructive sleep apnoea, and tumor invasion. Beyond biomedical applications, the scientific understanding of growth-induced morphological instabilities and surface wrinkling has important implications in material sciences, manufacturing, and microfabrication, with applications in soft lithography, metrology, and flexible electronics.

Possible role of differential growth in airway wall remodeling in asthma

Airway remodeling in patients with chronic asthma is characterized by a thickening of the airway walls. It has been demonstrated in previous theoretical models that this change in thickness can have an important mechanical effect on the properties of the wall, in particular on the phenomenon of mucosal folding induced by smooth muscle contraction. In this paper, we present a model for mucosal folding of the airway in the context of growth. The airway is modeled as a bilayered cylindrical tube, with both geometric and material nonlinearities accounted for via the theory of finite elasticity. Growth is incorporated into the model through the theory of morphoelasticity. We explore a range of growth possibilities, allowing for anisotropic growth as well as different growth rates in each layer. Such nonuniform growth, referred to as differential growth, can change the properties of the material beyond geometrical changes through the generation of residual stresses. We demonstrate that differential growth can have a dramatic impact on mucosal folding, in particular on the critical pressure needed to induce folding, the buckling pattern, as well as airway narrowing. We conclude that growth may be an important component in airway remodeling.

Mucosal folding in biologic vessels

A two-layer model is used to simulate the mechanical behavior of an airway or other biological vessel under external compressive stress or smooth muscle constriction sufficient to cause longitudinal mucosal buckling. Analytic andfinite element numerical methods are used to examine the onset of buckling. Post-buckling solutions are obtained by finite element analysis, then verified with large-scale physical model experiments. The two-layer model provides insight into how the stiffness of a vessel wall changes due to changes in the geometry and intrinsic material stiffnesses of the wall components. Specifically, it predicts that the number of mucosal folds in the buckled state is diminished most by increased thickness of the inner collagen-rich layer, and relatively little by increased thickness of the outer submucosal layer. An increase in the ratio of the inner to outer material stiffnesses causes an intermediate reduction in the number of folds. Results are cast in a simple form that can easily be used to predict buckling in a variety of vessels. The model quantitatively confirms that an increase in the thickness of the inner layer leads to a reduction in the number of mucosal folds, and further, that this can lead to increased vessel collapse at high levels of smooth muscle constriction.

Structural changes in rat aortic intima due to transmural pressure

Huang et al. (1997) propose a new hypothesis and develop a mathematical model to explain rationally the in vitro and in situ measured changes (Tedgui and Lever, 1984; Baldwin and Wilson, 1993) in the hydraulic conductivity of the artery wall of rabbit aorta with transmural pressure. The model leads to the intriguing prediction that this hydraulic conductivity would decrease by one half if the thin intimal layer between the endothelium and the internal elastic lamina volume-compresses approximately fivefold. This paper presents the first measurements of the effect of transmural pressure on intimal layer thickness and shows that the intimal matrix is, indeed, surprisingly compressible. We perfusion-fixed rat thoracic aortas in situ with 2 percent glutaraldehyde solution at 0, 50, 100, or 150 mm Hg lumen pressure and sectioned for light and electron microscopic observations. Electron micrographs show a dramatic, nonlinear decrease in average intimal thickness, i.e., 0.62 +/- 0.26, 0.27 +/- 0.14, 0.15 +/- 0.10, and 0.12 +/- 0.07 (SD) micron for 0, 50, 100, and 150 mm Hg lumen pressure, respectively. The volume strain of the intima is more than 20 times greater than the radial strain of the artery wall due to hoop tension and two orders of magnitude greater than the consolidation of the artery wall as a whole assuming constant medial density (Chuong and Fung, 1984). Moreover, in both light and electron microscopic observations, it is easy to find numerous sites where the endothelium puckers into the fenestral pores at high lumen pressure, as predicted by the theory in Huang et al. (1997). In contrast, the average diameter of a fenestral pore increases only 10 percent as the lumen pressure is increased from 0 to 150 mm Hg. These results indicate that the thin intimal layer comprising less than 1 percent of the wall thickness can have a profound effect on the filtration properties of the wall due to the large change in Darcy permeability of the layer and the large reduction in the entrance area of the flow entering the fenestral pores, though the pores themselves experience only a minor enlargement due to hoop tension.

The luminal aspect of intrarenal arteries and veins in the rat as revealed by scanning electron microscopy

The luminal aspect of intrarenal arteries and veins in the rat has been investigated by scanning electron microscopy (SEM). The endothelium of the intrarenal arteries consists of spindle-shaped cells and forms longitudinally running ridges which correlate with the folding pattern of the underlying internal elastic lamina. Intraarterial "cushions" were found at the origins of afferent arterioles from arcuate arteries and along the entire course of interlobular arteries. The intrarenal veins are made up of a thin, extensively fenestrated epithelium equal to that of peritubular capillaries. The outer aspect of the endothelium contacts adjacent tubules as closely as the capillaries proper. Thereby, the luminal aspect of the veins exhibits a striking "tubule relief" created by the underlying tubules. This wall structure of the intrarenal veins suggest that diameter and shape of the veins are probably highly dependent on the surrounding interstitial pressure.

Distribution of plasmalemmal vesicles on arterial endothelial surface as determined by freeze cleavage

The freeze-fracture technique was used to study the density and distribution of plasmalemmal vesicles at the endothelial surface of canine carotid arteries. The fractured surface of the endothelium can be divided into areas with vesicles (Aves) and areas without vesicles (Anves), the latter being located at the parajunctional zone. With morphometric analysis, Aves and Anves were found to be 75% and 25% of the endothelial surface, respectively. The average width of Anves (distance from the intercellular cleft) is approximately 0.4 micron. In Aves, the density of vesicles is 120 micron-2, and approximately 16% of Aves is covered by the vesicle orifices. The tight junctions appear as long and straight strands, 8-9 nm in width. The number of the strands varies from one to five. The gap junctions consist of closely packed particles 9-10 nm in size which form patches or plaques from 80 to 800 nm in size. These findings provide the quantitative information needed for the theoretical modeling of transendothelial vesicular transport of macromolecules.

Scanning electron microscopic study of arterial cushions in rats: a novel application of the corrosion-replication technique

The morphology and organ distribution of arterial cushions were studied in adult rats (body weight ranging from 200 to 500 gm) by scanning electron microscopic (SEM) observation of corrosion casts. Scanning electron microscopic observations of renal vascular casts were correlated with SEM views of the luminal surfaces of similarly fixed vessels; there was a striking similarity in shape, organ distribution, and dimensions between fixed arterial cushions and indentations at the surfaces of casts. Application of this technique to 11 different organs, some of which had never been studied by SEM before, revealed the occurrence of indentations at branching sites similar to those found in kidneys (and hence they were termed "cushions"). Our findings are in generally good agreement with previous light and transmission electron microscopic studies on rats. Our results support the view that arterial cushions are present throughout the vasculatures of the rat. A quantitative morphologic study of replicated branching sites related to "cushions" showed a great variability of the parent-to-daughter luminal diameter ratio (range 0.87-16.38) and of branching angles. A fruitful application of this technique to other laboratory animals may be anticipated.

Effects of oscillatory mechanical disturbance on macromolecular uptake by arterial wall

Transport of 125I-albumin by isolated segments of canine common carotid arteries was studied in vitro at zero transmural pressure. Sinusoidal oscillatory variations in length (peak change 4%) for 15 minutes at frequencies of 5 and 10 Hz caused 40% increase in 125I-albumin uptake, and also a 30% increase in the apparent luminal surface area. Changes in the duration and frequency of oscillation indicate that the total number of oscillations (= frequency X duration) was the critical parameter in causing these effects. The increase in apparent luminal surface area was correlated with regional flattening of the internal elastic lamina and the overlying endothelial cells, as demonstrated by transmission and scanning electron microscopy. Endothelial vesicles were counted with the aid of ruthenium red as a postfixation extracellular marker. The ratio of unstained free vesicles to total vesicles averaged 0.083 in the control state and decreased slightly to 0.070 after oscillation. Although the decrease in free vesicle population indicated an acceleration of vesicle diffusion, our theoretical computations showed that the resulting increase in vesicle flux was negligible. The increase in 125I-albumin uptake by the artery following mechanical oscillation is mainly attributable to the increase in apparent luminal surface area.

Oxidation of ruthenium red for use as an intercellular tracer

When ruthenium red (RR) is combined with OsO4, an electron-opaque complex forms which readily binds to the cell surface coat. However, the RR-OsO4 complex is often excluded from intercellular spaces in many cell types, and thus is not dependable as a tracer of regions continuous with the extracellular space. Postfixation of erythrocytes agglutinated by the lectin helix (Helix promatia) and intact carotid artery endothelium with a freshly prepared mixture of 1% OsO4 containing 0.1% ruthenium red (RR) resulted in a dense surface deposit of these cells, but intercellular regions were penetrated to a minimal degree by the stain. When a similar mixture of RR-OsO4 was allowed to stand 3 h before use, RR is oxidized by OsO4 to yield a ruthenium compound that has a spectrophotometric absorbance maximum at 365 nm. This RR molecule has a reduced number of cationic sites due to binding with osmium dioxide OsO2=. Postfixation of agglutinated RBCs and carotid artery endothelium with this oxidized ruthenium-OsO4 mixture resulted in a 50-80% decrease in surface deposition but markedly enhanced penetration into intercellular regions. The enhanced penetration is attributed to decreased binding affinity of the oxidized ruthenium for anionic surface membrane components, permitting effective stain penetration of cell-to-cell contact rather than extensive surface deposition. These studies indicate that the ruthenium compound formed by OsO4 oxidation of ruthenium red may be a useful tracer for ultrastructural visualization of intercellular spaces and junctions.