Pathology and molecular mechanisms of coarctation of the aorta and its association with the ductus arteriosus

详细信息    查看全文

• 作者：Utako Yokoyama ; Yasuhiro Ichikawa…
• 关键词：Congenital heart disease ; Coarctation of the aorta ; Remodeling ; Ductus arteriosus
• 刊名：The Journal of Physiological Sciences
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：67
• 期：2
• 页码：259-270
• 全文大小：
• 刊物主题：Human Physiology; Neurosciences; Animal Biochemistry; Animal Physiology; Cell Physiology; Neurobiology;
• 出版者：Springer Japan
• ISSN：1880-6562
• 卷排序：67

文摘

Coarctation of the aorta (CoA) is defined as a congenital stenosis of the thoracic aorta and is one of the most common congenital cardiovascular diseases. Despite successful surgical treatment for CoA, arterial abnormalities, including refractory hypertension, aortic aneurysm, and proatherogenic phenotypic changes, frequently affect patients’ quality of life. Emerging evidence from morphological and molecular biological investigations suggest that the area of CoA is characterized by phenotypic modulation of smooth muscle cells, intimal thickening, and impaired elastic fiber formation. These changes extend to the pre-and post-stenotic aorta and impair arterial elasticity. The aim of this review is to present current findings on the pathology and molecular mechanisms of vascular remodeling due to CoA. In particular, we will discuss the association between CoA and the ductus arteriosus since the most common site for the stenosis is in the proximity of the ductus arteriosus.