Evidence map›Paper›PMID 35770665›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2022

Evolving Mural Defects, Dilatation, and Biomechanical Dysfunction in Angiotensin II-Induced Thoracic Aortopathies.

Dar Weiss, Aaron S Long, George Tellides, Stéphane Avril, Jay D Humphrey, Matthew R Bersi

Open access · bronzeAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Hypertension drives thoracic aortic aneurysm and dissection in male, but not female, Marfan mice.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
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  8. Article
  9. Segmenting mechanically heterogeneous domains via unsupervised learning.Biomechanics and modeling in mechanobiology · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Dar WeissDepartment of Biomedical Engineering (D.W., A.S.L., J.D.H., M.R.B.), Yale University, New Haven, CT.ORCID 0000-0001-6097-6038
Aaron S LongDepartment of Biomedical Engineering (D.W., A.S.L., J.D.H., M.R.B.), Yale University, New Haven, CT.
George TellidesDepartment of Surgery (G.T.), Yale University, New Haven, CT.
Stéphane AvrilMines Saint-Etienne, University of Lyon, University Jean Monnet, INSERM, France (S.A.).
Jay D HumphreyDepartment of Biomedical Engineering (D.W., A.S.L., J.D.H., M.R.B.), Yale University, New Haven, CT.ORCID 0000-0003-1011-2025
Matthew R BersiDepartment of Biomedical Engineering (D.W., A.S.L., J.D.H., M.R.B.), Yale University, New Haven, CT.ORCID 0000-0003-1848-4165
Yale University · USUniversité Claude Bernard Lyon 1 · FRWashington University in St. Louis · US

Funding

TGFB-Dependent Mechanoresponses by Aortic Smooth Muscle Cells Govern AneurysmsP01HL134605 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HUMPHREY, JAY D. · 2018 to 2022
$12.1M
Smooth Muscle Cell Proliferation and Degradative Phenotype in Thoracic Aorta Aneurysm and DissectionR01HL146723 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., TELLIDES, GEORGE · 2019 to 2022
$2.9M
Multimodality imaging-driven multifidelity modeling of aortic dissectionU01HL142518 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., KARNIADAKIS, GEORGE · 2018 to 2022
$2.8M
Identification of immunotherapeutic targets in cardiovascular diseaseR00HL146951 · NHLBI · WASHINGTON UNIVERSITY · PI BERSI, MATTHEW RYAN · 2020 to 2022
$747k
NHLBI NIH HHS P01 HL134605NHLBI NIH HHS R00 HL146951NHLBI NIH HHS R01 HL146723NHLBI NIH HHS U01 HL142518
6 · The paper itself

Abstract

backgroundThoracic aortopathy associates with extracellular matrix remodeling and altered biomechanical properties. We sought to quantify the natural history of thoracic aortopathy in a common mouse model and to correlate measures of wall remodeling such as aortic dilatation or localized mural defects with evolving microstructural composition and biomechanical properties of the wall.

methodsWe combined a high-resolution multimodality imaging approach (panoramic digital image correlation and optical coherence tomography) with histopathologic examinations and biaxial mechanical testing to correlate spatially, for the first time, macroscopic mural defects and medial degeneration within the ascending aorta with local changes in aortic wall composition and mechanical properties.

resultsFindings revealed strong correlations between local decreases in elastic energy storage and increases in circumferential material stiffness with increasing proximal aortic diameter and especially mural defect size. Mural defects tended to exhibit a pronounced biomechanical dysfunction that is driven by an altered organization of collagen and elastic fibers.

conclusionsWhile aneurysmal dilatation is often observed within particular segments of the aorta, dissection and rupture initiate as highly localized mechanical failures. We show that wall composition and material properties are compromised in regions of local mural defects, which further increases the dilatation and overall structural vulnerability of the wall. Identification of therapies focused on promoting robust collagen accumulation may protect the wall from these vulnerabilities and limit the incidence of dissection and rupture.

Indexed as

Angiotensin IIAortic Aneurysm, ThoracicAnimalsAorta, ThoracicBiomechanical PhenomenaCollagenDilatationDilatation, PathologicMiceAngiotensin IICollagenaneurysmangiotensindilatationdissectionextracellular matrix

Identifiers

PMID35770665
PMCPMC9339505
OpenAlexW4283734890

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.