2017
DOI: 10.17691/stm2017.9.3.20
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Pathomorphism of Limb Major Vessels in Experimental Atherogenic Inflammation. The Role of Adventitial Intimal Relations (Review)

Abstract: The review considers the problems of pathological destruction of a vascular wall at early signs of atherogenic inflammation of major arteries in hyperlipidemia in relation to modern technologies of local angioplasty. It has shown the role of molecular markers in atherogenic inflammation development and progression in intima and subintimal space. The emphasis is laid on modern genetically engineered and biopolymer technologies for vascular wall repair, the significance of adventitial and para-adventitial arteri… Show more

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Cited by 5 publications
(6 citation statements)
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“…The dislocation of sulfated chitosan near cell membranes in the subintimal region suggests its active interaction with cholesterol in macrophages, its binding to extracellular and intracellular cholesterol, and transport of its water-soluble electrolyte complex with lipid mass [61] into the para-adventitial region in the composition of chitosan nuclei [60]. It is assumed that the targeted transport of lipid fractions occurs due to an electrostatic gradient [64][65][66], which is caused by artificial minimally invasive dislocation of chitosan [47] in the fascial sheath of large vessels. Our study convincingly shows the local release of cholesterol and low-density lipoproteins from the arterial wall.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The dislocation of sulfated chitosan near cell membranes in the subintimal region suggests its active interaction with cholesterol in macrophages, its binding to extracellular and intracellular cholesterol, and transport of its water-soluble electrolyte complex with lipid mass [61] into the para-adventitial region in the composition of chitosan nuclei [60]. It is assumed that the targeted transport of lipid fractions occurs due to an electrostatic gradient [64][65][66], which is caused by artificial minimally invasive dislocation of chitosan [47] in the fascial sheath of large vessels. Our study convincingly shows the local release of cholesterol and low-density lipoproteins from the arterial wall.…”
Section: Discussionmentioning
confidence: 99%
“…This flow outside the outer shell of the vessel can be provided by an electrostatic gradient, which is created due to the polycationic properties of chitosan [60,64]. Artificial minimally invasive dislocation of chitosan nanoparticles in the fascial sheath of the main vessels provides this gradient [65,66] and can be designed for the directed flow of the lipid mass towards the adventitia.…”
Section: Mechanisms Of Formation Of Vascular Atherosclerosis and Sign...mentioning
confidence: 99%
“…It is important to emphasize the independent mechanism of therapeutic angiogenesis in the presence of highly deacetylated chitosan. The implantation of chitosan constructs in the tissue of an intact animal is accompanied by an 85-96% increase in the number of microvessels after 30 days of the post-implantation period [203]. Such a local angiogenic effect of chitosan hydrogels is confirmed by fundamental research when non-covalent and covalent copolymers containing chitosan and a sulfated ingredient, for example, heparin, are used in experiments.…”
Section: The Role Of Chitosan Substrates and Other Polysaccharides In Stimulating Osteogenesis And Angiogenesismentioning
confidence: 91%
“…No less important is the fact of stimulation of vascular neoplasm in the presence of only highly deacetylated chitosan polymer in tissues without preliminary inclusion of vascular formation and growth factors in its composition. It has been established that constructions based on liquid polysaccharides, for example, the sulfated form of chitosan, chitosan ascorbate, chitosan hydrochloride, the sodium salt of alginic acid, when introduced into the fascial sheaths of the neurovascular bundles [201][202][203] create the effect of therapeutic angiogenesis. The concept of the active inclusion of molecular markers of angiogenesis and further morphological restructuring of the qualitative and quantitative characteristics of the vessels consists in the artificial placement of chitosan and other biopolymers in the immediately affected area.…”
Section: The Role Of Chitosan Substrates and Other Polysaccharides In Stimulating Osteogenesis And Angiogenesismentioning
confidence: 99%
“…It is very important that early active osteogenesis occurs under conditions of an antiinflammatory response since the structure of chitosan forms electrostatic and concentration gradients for cells, metabolites, and water, which causes them to move toward the polymer. This reduces the degree of inflammation both at the site of polymer dislocation and in the peripheral zone [17]. An artificial structure based on natural polysaccharides and apatites can successfully solve this problem of regeneration of large bone defects with careful selection of a combination of polymers.…”
Section: Introductionmentioning
confidence: 99%