Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25308990
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Eng+Sci
2014 ; 85
(ä): 203-223
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Vascular homeostasis and the concept of mechanobiological stability
#MMPMID25308990
Cyron CJ
; Humphrey JD
Int J Eng Sci
2014[Dec]; 85
(ä): 203-223
PMID25308990
show ga
Vascular mechanics has been studied in depth since the early 1970s mainly
following classical concepts from continuum mechanics. Yet, an important
distinction of blood vessels, in contrast to typical engineering materials, is
the continuous degradation and deposition of material in these living tissues. In
this paper we examine mechanical consequences of such mass turnover. Motivated by
Lyapunov's stability theory, we introduce the new concepts of mechanobiological
equilibrium and stability and demonstrate that blood vessels can maintain their
structure and function under physiological conditions only if new material is
deposited at a certain prestress and the vessels are both mechanically and
mechanobiologically stable. Moreover, we introduce the concept of
mechanobiological adaptivity as a third corner stone to understand vascular
behavior on a continuum level. We demonstrate that adaptivity represents a key
difference between the stability of mechanobiological and typical human-made
systems. Based on these ideas, we suggest a change of paradigm that can be
illustrated by considering a common arterial pathology. We suggest that aneurysms
can be interpreted as mechanobiological instabilities and that predictions of
their rupture risk should not only consider the maximal diameter or wall stress,
but also the mechanobiological stability. A mathematical analysis of the impact
of the different model parameters on the so-called mechanobiological stability
margin, a single scalar used to characterize mechanobiological stability, reveals
that this stability increases with the characteristic time constant of mass
turnover, material stiffness, and capacity for stress-dependent changes in mass
production. As each of these parameters may be modified by appropriate drugs, the
theory developed in this paper may guide both prognosis and the development of
new therapies for arterial pathologies such as aneurysms.