Document Detail


Vascular remodeling: hemodynamic and biochemical mechanisms underlying Glagov's phenomenon.
MedLine Citation:
PMID:  17541029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An important concept for vascular remodeling, termed Glagov's phenomenon, is that arteries remodel to maintain constant flow despite increases in atherosclerotic lesion mass. Although Glagov's phenomenon was originally described only for the case of arterial remodeling in response to growth of atherosclerotic plaques, experimental and clinical observations indicate that blood flow properties influence remodeling after angioplasty, hypertension, and flow diversion as well as atherosclerotic plaque progression. This review attempts to define Glagov's observation in terms of the physical parameters of blood in conduit arteries that must determine the remodeling response. Next we review experiments that have begun to identify specific molecules that influence vascular remodeling and therefore may serve as mediators for the phenomena. More comprehensive analyses of the specific molecular pathways in the vessels that determine constant flow may provide new therapeutic approaches to regulate vascular remodeling.
Authors:
Vyacheslav A Korshunov; Stephen M Schwartz; Bradford C Berk
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2007-05-31
Journal Detail:
Title:  Arteriosclerosis, thrombosis, and vascular biology     Volume:  27     ISSN:  1524-4636     ISO Abbreviation:  Arterioscler. Thromb. Vasc. Biol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-08-07     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9505803     Medline TA:  Arterioscler Thromb Vasc Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1722-8     Citation Subset:  IM    
Affiliation:
Cardiovascular Research Institute and Department of Medicine, University of Rochester, Rochester, NY 14642, USA. Slava_Korshunov@URMC.rochester.edu.
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MeSH Terms
Descriptor/Qualifier:
Animals
Atherosclerosis / pathology,  physiopathology*
Biochemical Phenomena
Biochemistry
Blood Flow Velocity
Cardiovascular Diseases / pathology,  physiopathology*
Disease Models, Animal
Endothelium, Vascular / pathology
Humans
Immunohistochemistry
Mice
Neovascularization, Physiologic / physiology*
Rats
Sensitivity and Specificity
Stress, Mechanical
Vascular Patency
Vascular Resistance / physiology
Grant Support
ID/Acronym/Agency:
HL-62826/HL/NHLBI NIH HHS

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