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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Cell+Mol+Med
2008 ; 12
(5B
): 2073-82
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Matrix vesicles in the fibrous cap of atherosclerotic plaque: possible
contribution to plaque rupture
#MMPMID18194456
Bobryshev YV
; Killingsworth MC
; Lord RS
; Grabs AJ
J Cell Mol Med
2008[Oct]; 12
(5B
): 2073-82
PMID18194456
show ga
Plaque rupture is the most common type of plaque complication and leads to acute
ischaemic events such as myocardial infarction and stroke. Calcification has been
suggested as a possible indicator of plaque instability. Although the role of
matrix vesicles in the initial stages of arterial calcification has been
recognized, no studies have yet been carried out to examine a possible role of
matrix vesicles in plaque destabilization. Tissue specimens selected for the
present study represented carotid specimens obtained from patients undergoing
carotid endarterectomy. Serial frozen cross-sections of the tissue specimens were
cut and mounted on glass slides. The thickness of the fibrous cap (FCT) in each
advanced atherosclerotic lesion, containing a well developed lipid/necrotic core,
was measured at its narrowest sites in sets of serial sections. According to
established criteria, atherosclerotic plaque specimens were histologically
subdivided into two groups: vulnerable plaques with thin fibrous caps (FCT <100
microm) and presumably stable plaques, in which fibrous caps were thicker than
100 microm. Twenty-four carotid plaques (12 vulnerable and 12 presumably stable
plaques) were collected for the present analysis of matrix vesicles in fibrous
caps. In order to provide a sufficient number of representative areas from each
plaque, laser capture microdissection (LCM) was carried out. The quantification
of matrix vesicles in ultrathin sections of vulnerable and stable plaques
revealed that the numbers of matrix vesicles were significantly higher in fibrous
caps of vulnerable plaques than those in stable plaques (8.908+0.544 versus
6.208+0.467 matrix vesicles per 1.92 microm2 standard area; P= 0.0002). Electron
microscopy combined with X-ray elemental microanalysis showed that some matrix
vesicles in atherosclerotic plaques were undergoing calcification and were
characterized by a high content of calcium and phosphorus. The percentage of
calcified matrix vesicles/microcalcifications was significantly higher in fibrous
caps in vulnerable plaques compared with that in stable plaques (6.705+/-0.436
versus 5.322+/-0494; P= 0.0474). The findings reinforce a view that the texture
of the extracellular matrix in the thinning fibrous cap of atherosclerotic plaque
is altered and this might contribute to plaque destabilization.