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Editorial|Online First, 100099

Abdominal Aortic Aneurysms: Insights into Mechanical and Extracellular Matrix Effects from Mouse Models

  • Hong S. Lu
    Affiliations
    Saha Cardiovascular Research Center, Department of Physiology, University of Kentucky, Lexington, KY 40536
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  • Hisashi Sawada
    Affiliations
    Saha Cardiovascular Research Center, Department of Physiology, University of Kentucky, Lexington, KY 40536
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  • Alan Daugherty
    Correspondence
    Address for Correspondence: Alan Daugherty, B243 Biomedical Biological Sciences Research Building, Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY 40536-0509, Telephone: (859) 323-3512, Fax: (859) 257-3235,
    Affiliations
    Saha Cardiovascular Research Center, Department of Physiology, University of Kentucky, Lexington, KY 40536
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Open AccessPublished:February 17, 2023DOI:https://doi.org/10.1016/j.jvssci.2023.100099
      Abdominal aortic aneurysms (AAAs) are manifested with progressive luminal dilatation and a high risk for aortic rupture. In the past 2 decades, mechanisms of this devastating disease have been explored using multiple mouse models. Since early 2000, three AAA mouse models have been commonly used: angiotensin II infusion,
      • Daugherty A.
      • Manning M.W.
      • Cassis L.A.
      Angiotensin II promotes atherosclerotic lesions and aneurysms in apolipoprotein E-deficient mice.
      periaortic application of CaCl2,
      • Longo G.M.
      • Xiong W.
      • Greiner T.C.
      • Zhao Y.
      • Fiotti N.
      • Baxter B.T.
      Matrix metalloproteinases 2 and 9 work in concert to produce aortic aneurysms.
      and intraluminal perfusion of elastase.
      • Pyo R.
      • Lee J.K.
      • Shipley J.M.
      • Curci J.A.
      • Mao D.
      • Ziporin S.J.
      • et al.
      Targeted gene disruption of matrix metalloproteinase-9 (gelatinase B) suppresses development of experimental abdominal aortic aneurysms.
      In 2012, Bhamidipati et al. modified the intraluminal perfusion of elastase model with an easier surgical procedure involving periadventitial application.
      • Bhamidipati C.M.
      • Mehta G.S.
      • Lu G.
      • Moehle C.W.
      • Barbery C.
      • DiMusto P.D.
      • et al.
      Development of a novel murine model of aortic aneurysms using peri-adventitial elastase.
      However, as with the intraluminal elastase perfusion model, there was modest luminal dilatation and no aortic rupture. Recently, Lu et al. modified this mouse model to provoke more severe pathological manifestations:
      • Lu G.
      • Su G.
      • Davis J.P.
      • Schaheen B.
      • Downs E.
      • Roy R.J.
      • et al.
      A novel chronic advanced stage abdominal aortic aneurysm murine model.
      in addition to the periadventitial application of elastase, mice are administered β-aminopropionitrile (BAPN) in drinking water. Prolonged administration of BAPN leads to progressive luminal dilatation of the infrarenal aorta, thrombosis, and spontaneous infrarenal aortic rupture, which mimics several aspects of human AAAs.
      • Lu G.
      • Su G.
      • Davis J.P.
      • Schaheen B.
      • Downs E.
      • Roy R.J.
      • et al.
      A novel chronic advanced stage abdominal aortic aneurysm murine model.
      This model has become popular for studying the pathogenesis and mechanisms of AAAs.
      • Romary D.J.
      • Berman A.G.
      • Goergen C.J.
      High-frequency murine ultrasound provides enhanced metrics of BAPN-induced AAA growth.
      • Weiss D.
      • Latorre M.
      • Rego B.V.
      • Cavinato C.
      • Tanski B.J.
      • Berman A.G.
      • et al.
      Biomechanical consequences of compromised elastic fiber integrity and matrix cross-linking on abdominal aortic aneurysmal enlargement.
      • Busch A.
      • Bleichert S.
      • Ibrahim N.
      • Wortmann M.
      • Eckstein H.H.
      • Brostjan C.
      • et al.
      Translating mouse models of abdominal aortic aneurysm to the translational needs of vascular surgery.
      In this issue, Gueldner et al.
      • Gueldner P.H.
      • Marini A.X.
      • Li B.
      • Darvish C.J.
      • Chung T.K.
      • Weinbaum J.S.
      • et al.
      Mechanical and matrix effects of short and long-duration exposure to BAPN in elastase-induced model AAA in mice.
      studied the mechanical and matrix effects using the periadventitial elastase mouse model with different durations of BAPN administration. The authors performed mechanical testing of fresh aortic sections to determine the tangent modulus (representing the stiffness of the aorta) and ultimate tensile strength (UTS; representing the maximal elasticity). Compared to the sham group, mice applied with elastase alone had increased tangent modulus but no change on UTS. These data support the notion that the infrarenal aortic damage by elastase application had increased wall stiffness, but had no change in wall strength two weeks after elastase application. Administration of BAPN for 4 or 14 days after elastase application did not change either tangent modulus or UTS, whereas administration of BAPN for 8 weeks reduced both tangent modulus and UTS. These data support that prolonged administration of BAPN led to progressive structural and functional impairment of the already damaged aortic wall by periaortic elastase application.
      Subsequently, the authors performed quantitative structural matrix protein analysis. Considering the complex pathology and intraluminal thrombus in mice administered BAPN for 8 weeks, this group was excluded for comparisons. Mice administered elastase alone had less insoluble elastin and low content of collagen. Administration of BAPN for either 4 or 14 days did not change elastin. Collagen was modestly higher in mice administered BAPN for 4 days, but not for 14 days. To understand why aortic aneurysms are more frequent in the infrarenal region, the authors compared the descending thoracic aorta and the infrarenal aorta in the sham group. The infrarenal aorta had lower tangent modulus and higher collagen content, but had no difference on UTS and elastin, compared to the descending thoracic aorta.
      In conclusion, the study by Gueldner et al.
      • Gueldner P.H.
      • Marini A.X.
      • Li B.
      • Darvish C.J.
      • Chung T.K.
      • Weinbaum J.S.
      • et al.
      Mechanical and matrix effects of short and long-duration exposure to BAPN in elastase-induced model AAA in mice.
      determined temporal alterations of biomechanical properties and matrix profiles during AAA formation using the periadventitial elastase application with BAPN administration mouse model, which provides important insights into the pathological and mechanistic complexity of human AAAs.

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