2003
DOI: 10.1016/s0304-3940(03)00464-6
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Phenotypic modulation of smooth muscle cells and vascular remodeling in intraparenchymal small cerebral arteries after canine experimental subarachnoid hemorrhage

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Cited by 20 publications
(16 citation statements)
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“…A previous study indicated that MMP-9 was expressed in the vascular wall and the co-staining for vascular smooth muscle cells showed that the MMP-9 expression localized to the vascular smooth muscle cells after SAH 8 . The switch of vascular smooth muscle phenotype may not markedly affect the size or function of the large arteries in the previous study 1, 31 , but some studies reported that unbalanced contractile/synthetic vascular smooth muscle phenotype affected the size of the cerebral arteries and aggravated brain swelling and brain edema 29,30,32 . It is presumed that due to the limited two or three layers of smooth muscle cells in smaller arteries, vascular smooth muscle phenotype change causes the loss of small arteries vascular tone and affects BBB and autoregualtion.…”
Section: Discussionmentioning
confidence: 79%
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“…A previous study indicated that MMP-9 was expressed in the vascular wall and the co-staining for vascular smooth muscle cells showed that the MMP-9 expression localized to the vascular smooth muscle cells after SAH 8 . The switch of vascular smooth muscle phenotype may not markedly affect the size or function of the large arteries in the previous study 1, 31 , but some studies reported that unbalanced contractile/synthetic vascular smooth muscle phenotype affected the size of the cerebral arteries and aggravated brain swelling and brain edema 29,30,32 . It is presumed that due to the limited two or three layers of smooth muscle cells in smaller arteries, vascular smooth muscle phenotype change causes the loss of small arteries vascular tone and affects BBB and autoregualtion.…”
Section: Discussionmentioning
confidence: 79%
“…Previous studies suggested that vascular smooth muscle phenotypic transformation may be caused by local tissue pressure or stretch increases and by blood metabolic products after SAH 10, 28 . Contractile vascular smooth muscle contributed to vascular tone and regulation of blood vessel diameter and blood flow distribution 29 . Vascular smooth muscle phenotypic transformation from contractile to synthetic phenotype may result in decreasing auto regulatory capacity and regional cerebral blood flow to enhance brain swelling and brain edema 28, 29 .…”
Section: Discussionmentioning
confidence: 99%
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“…Patterns of vascular remodeling vary greatly in relation to vessel type, size, age, and anatomical location (31,60) and are particularly important during periods of rapid growth, such as those occurring in a mother and fetus during pregnancy and following birth (31,46). Vascular remodeling is also a driving influence of many pathophysiological processes, particularly those induced by chronic hypoxia (23,68), ischemia (41), hypertension (66), and atherosclerosis (50).…”
mentioning
confidence: 99%
“…Prior investigations have produced conflicting results with some studies indicating that vasospasm is completely reversible with adequate doses of pharmacological vasodilators (22,29) and others suggesting that vasospasm is due to a temporarily irreversible structural change in the arterial wall (44). The latter process would suggest the presence of some degree of arterial remodeling (31). Interpretation of prior studies is compromised by lack of documentation that vasospasm actually occurred as well as the use of models that do not produce severe delayed vasospasm (5) or that use systemic arteries in which the perivascular inflammatory and fibrotic reaction is markedly different from that occurring intracranially (13,32).…”
mentioning
confidence: 99%