Abstract:In this paper, a novel chemo-mechanical model is proposed for the description of the stretch-dependent chemical processes known as Bayliss effect and their impact on the active contraction in vascular smooth muscle. These processes are responsible for the adaptive reaction of arterial walls to changing blood pressure by which the blood vessels actively support the heart in providing sufficient blood supply for varying demands in the supplied tissues. The model is designed to describe two different stretch-depe… Show more
“…Two distinct crosswise helically arranged fiber directions are considered, both lying in the longitudinal-circumferential plane and symmetric about the circumferential axis. The active material is modeled using the phenomenological model by Uhlmann and Balzani [63], where the models of Hai and Murphy [20] and Murtada et al [43] are extended to include the effects of stretch on the calcium-dependent and -independent contraction mechanisms.…”
Section: Modeling the Arterial Wallmentioning
confidence: 99%
“…Since antihypertensive drugs primarily work by interacting with SMC activation, it is important to have an SMC model that allows for a meaningful description of drug-tissue interaction. There are several models that describe the active response of arteries [9,43,44,54,63,64,68,69]. The well-accepted cross-bridge phosphorylation model by Hai and Murphy [20] describes the influence of MLCK and MLCP on contraction.…”
Section: Introductionmentioning
confidence: 99%
“…Uhlmann and Balzani [63] extended the model proposed by Murtada et al [43] to include the influence of stretch on the action of MLCP and MLCK. Here, we adopt the active response model by Uhlmann and Balzani [63] and modify it to model the impact of dihydropyridine CCBs. In a previous work [45], we already investigated the effect of CCBs on the activity of MLCK, considering constant MLCP activity.…”
A computational framework is presented to numerically simulate the effects of antihypertensive drugs, in particular calcium channel blockers, on the mechanical response of arterial walls. A stretch‐dependent smooth muscle model by Uhlmann and Balzani is modified to describe the interaction of pharmacological drugs and the inhibition of smooth muscle activation. The coupled deformation‐diffusion problem is then solved using the finite element software FEDDLib and overlapping Schwarz preconditioners from the Trilinos package FROSch. These preconditioners include highly scalable parallel GDSW (generalized Dryja–Smith–Widlund) and RGDSW (reduced GDSW) preconditioners. Simulation results show the expected increase in the lumen diameter of an idealized artery due to the drug‐induced reduction of smooth muscle contraction, as well as a decrease in the rate of arterial contraction in the presence of calcium channel blockers. Strong and weak parallel scalability of the resulting computational implementation are also analyzed.
“…Two distinct crosswise helically arranged fiber directions are considered, both lying in the longitudinal-circumferential plane and symmetric about the circumferential axis. The active material is modeled using the phenomenological model by Uhlmann and Balzani [63], where the models of Hai and Murphy [20] and Murtada et al [43] are extended to include the effects of stretch on the calcium-dependent and -independent contraction mechanisms.…”
Section: Modeling the Arterial Wallmentioning
confidence: 99%
“…Since antihypertensive drugs primarily work by interacting with SMC activation, it is important to have an SMC model that allows for a meaningful description of drug-tissue interaction. There are several models that describe the active response of arteries [9,43,44,54,63,64,68,69]. The well-accepted cross-bridge phosphorylation model by Hai and Murphy [20] describes the influence of MLCK and MLCP on contraction.…”
Section: Introductionmentioning
confidence: 99%
“…Uhlmann and Balzani [63] extended the model proposed by Murtada et al [43] to include the influence of stretch on the action of MLCP and MLCK. Here, we adopt the active response model by Uhlmann and Balzani [63] and modify it to model the impact of dihydropyridine CCBs. In a previous work [45], we already investigated the effect of CCBs on the activity of MLCK, considering constant MLCP activity.…”
A computational framework is presented to numerically simulate the effects of antihypertensive drugs, in particular calcium channel blockers, on the mechanical response of arterial walls. A stretch‐dependent smooth muscle model by Uhlmann and Balzani is modified to describe the interaction of pharmacological drugs and the inhibition of smooth muscle activation. The coupled deformation‐diffusion problem is then solved using the finite element software FEDDLib and overlapping Schwarz preconditioners from the Trilinos package FROSch. These preconditioners include highly scalable parallel GDSW (generalized Dryja–Smith–Widlund) and RGDSW (reduced GDSW) preconditioners. Simulation results show the expected increase in the lumen diameter of an idealized artery due to the drug‐induced reduction of smooth muscle contraction, as well as a decrease in the rate of arterial contraction in the presence of calcium channel blockers. Strong and weak parallel scalability of the resulting computational implementation are also analyzed.
“…where I 1 , I 2 and I 3 are the first three invariants of the right Cauchy-Green tensor, α 1 , α 2 , α 3 , α 4 > 0, α 5 > 2 and f denotes the fiber direction, which will be omitted further for brevity. Following [3], the active part Ψ a is given by…”
Section: Continuum Mechanical Frameworkmentioning
confidence: 99%
“…The values of the parameters in Eqs. ( 1), ( 2), ( 3), ( 4), ( 5), ( 9), (10), and (11) were taken from Uhlmann and Balzani [3]. For the coupling parameters, the values γ 1,max = 0.5024 µM, γ 3,max = 0.9 µM, p 1 = 0.6, p 3 = 0.6, c 50 = 0.5 µM were used.…”
Section: Numerical Simulation Of An Arterymentioning
Numerical simulation of the response of healthy and pathological arteries to cardiovascular agents can provide valuable information to the physician in the treatment of diseases such as hypertension, atherosclerosis, and the Marfan syndrome. Here, we provide a first step towards a computational framework to model the effects of antihypertensive agents on the mechanical response of arterial walls. A material model is developed by extending an existing formulation for wall tissue to incorporate the effects of calcium‐ion channel blockers. The resulting coupled deformation‐diffusion problem is then solved using the finite element method. Simulation results with drug activity show that, indeed, an increased lumen diameter due to reduced contraction is obtained. Additionally, a decrease in the rate of arterial contraction is observed, which is also consistent with expected behavior. Finally, we compare results for an implicit or explicit treatment of the the deformation‐diffusion coupling, and we observe that both coupling schemes yield comparable results for a wide range of time step sizes.
Vascular tone regulation is a crucial aspect of cardiovascular physiology, with significant implications for overall cardiovascular health. However, the precise physiological mechanisms governing smooth muscle cell contraction and relaxation remain uncertain. The complexity of vascular tone regulation stems from its multiscale and multifactorial nature, involving global hemodynamics, local flow conditions, tissue mechanics, and biochemical pathways. Bridging this knowledge gap and translating it into clinical practice presents a challenge. In this paper, a computational model is presented to integrate chemo-mechano-biological pathways with cardiovascular biomechanics, aiming to unravel the intricacies of vascular tone regulation. The computational framework combines an algebraic description of global hemodynamics with detailed finite element analyses at the scale of vascular segments for describing their passive and active mechanical response, as well as the molecular transport problem linked with chemo-biological pathways triggered by wall shear stresses. Their coupling is accounted for by considering a two-way interaction. Specifically, the focus is on the role of nitric oxide-related molecular pathways, which play a critical role in modulating smooth muscle contraction and relaxation to maintain vascular tone. The computational framework is employed to examine the interplay between localized alterations in the biomechanical response of a specific vessel segment—such as those induced by calcifications or endothelial dysfunction–and the broader global hemodynamic conditions—both under basal and altered states. The proposed approach aims to advance our understanding of vascular tone regulation and its impact on cardiovascular health. By incorporating chemo-mechano-biological mechanisms into in silico models, this study allows us to investigate cardiovascular responses to multifactorial stimuli and incorporate the role of adaptive homeostasis in computational biomechanics frameworks.
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