Arterial Lesions and Arteriosclerosis

Specificaties
Paperback, 338 blz. | Engels
Springer US | 2012
ISBN13: 9781461587132
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Springer US 0e druk, 2012 9781461587132
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Samenvatting

This monograph summarizes the results of a fifteen-year vascular pathology research project sponsored by the Hungarian Academy of Sciences. The workers who have participated in this project are indebted to the Academy for financing extensive investigations and visits to institutes abroad, the aims of which were to solve certain problems by international cooperation. The results presented by the collective effort of research teams, each studying here have been achieved a particular problem, but working together to the same end. Mutual discussion of findings and a regular exchange of information between the research groups have contributed to the progress of the investigations. Regular pUblication of details and mutual criticism ensured that the findings were uniformly interpreted. It is hoped that the fundamental aim of our long-term project, i. e. the selection of the right approach to the complex problem of vascular pathology, has been achieved. The new approach results from the recognition that since arteriosclerosis finally leads to various kinds of vascular injury, attention should be focussed on the events preceding the development of the lesions rather than on the lesions themselves. This claim has been confirmed by various model experiments in which vascular injury inflicted under different conditions uniformly led to morphologi­ cally verified arteriosclerotic change. The recent increase in the incidence of civi­ lization diseases of the vascular system has resulted in a world-wide expansion of arteriosclerosis research.

Specificaties

ISBN13:9781461587132
Taal:Engels
Bindwijze:paperback
Aantal pagina's:338
Uitgever:Springer US
Druk:0

Inhoudsopgave

Preface.- 1 The Fine Structure of the Mammalian Arterial Wall.- The structural effect of vascular preservation.- Components of the normal arterial wall.- General structure.- Tunica intima.- Aorta.- Coronary arteries.- Large and medium size arteries.- Small arteries.- Capillaries.- Tunica media.- Elastic arteries.- Muscular-type vessels.- Hybrid vessels.- Tunica adventitia.- Vasa vasorum.- Lymph vessels.- Cytology.- Endothelium.- Smooth muscle cell.- Fibroblast.- 2 Aortic Response to Various Effects.- Development and structure of regenerative IP.- Course of aortic regeneration.- Analysis of the cellular components of IP.- Ultrastructure of the lining cells of IP.- Origin of endothelial cells of IP.- Structure of cell components of the proliferate.- Origin of smooth muscle cells.- The intercellular substance of IP.- Elastic fibre genesis in embryonic vessels.- Examinations by digestion with elastase.- Function of smooth muscle cells and their role in fibrillogenesis.- Structure of inactivity (involutional) proliferation of the intima.- Intimai proliferation in transplanted grafts (neo-intima).- Development and structure of the neo-intima.- Origin of cell components of neo-intima.- Degenerative changes in transplantational IP.- Changes of large vessels in experimental hypertension.- Survey of the literature.- Morphology of large vessel changes in experimental malignant hypertension.- Characteristics of hypertensive reparative IP.- 3 Development and Ultra Structure of Arteriosclerotic Lesions.- Ultrastructure of arteriosclerotic lesions.- Structure of the pre-atheroma.- Endothelial cell row.- Subendothelium.- The arteriosclerotic plaque.- Structure of the atheroma.- Structure and origin of the foam cells.- Source of lipids localizing in the atheroma.- Structure of the fibrous plaque.- Comparison of aortic responses.- 4 Studies of Large Muscular Vessels.- 5 Morphological Changes of Small Muscular-Type Vessels and Arterioles under the Influence of Various Injuries.- Lesions of muscular-type small vessels in acute experimental hypertension.- Acute hypertensive lesions of small vessels as a model of vascular damage.- Acute hypertensive lesion of the intima.- Development, forms and components of the vascular fibrinoid.- Acute hypertensive damage of smooth muscle cells of the media.- 6 Experimental Observations.- Investigations by light microscopy.- Mechanism of development of the subendothelial fibrinoid.- Electron-microscopic structure and fibrin formations of the subendothelial fibrinoid.- Electron-microscopic study of the media fibrinoid and of necrotic muscle cell changes.- Localization of acute hypertensive damage in small vessels.- Histochemistry of acute vascular lesions.- Histochemical examinations for protein, carbohydrate and lipid.- Enzyme histochemical studies.- Acid muscopolysaccharide (AMP) synthesis in experimental hypertension of muscular-type small arteries.- Morphological changes of small vessels after painting with acid.- Noradrenalin-induced lesions of muscular-type small vessels.- Small vessel changes on hypersensitization.- 7 Chronic Lesions of Small Vessels (Vascular Wall Transformation Following acute Lesions of Small Vessels).- Chronic small vessel changes after hypertension.- Chronic proliferative reactions of vessels damaged by a single trauma or by an acute hypertensive crisis.- Small vessel hyalinization after an acute hypertensive crisis or other singular damage.- Proliferative vascular lesions in chronic benign hypertension.- Hyaline vascular changes in chronic benign hypertension.- Hypoxic vascular changes.- Chronic transformation of vascular lesions induced by painting with acid, noradrenalin administration or sensitization with horse serum.- 8 Influence of Drug Therapy on Small Vessel Changes in Experimental Hypertension, Problems of Healing and Reversibility.- 9 Conclusions from available Experimental data on the Role of Vascular Structure in the Morphology of Vascular Lesions.- 10 Problems of Transport Across the Vessel Wall.- Methods of tracing the transmural passage of material. Colloidal tracers.- Factors responsible for intramural transport.- Factors controlling permeability.- Transcellular permeability.- Enzymatic phenomena accompanying endothelial permeability.- Intercellular (gap-junction) transport.- Extracellular amorphous substances. External coat, basement membrane.- External coat.- Basement membrane.- Ground substance.- Components controlling transmural flow.- Ground substance.- Transport-controlling function of elastic elements.- Smooth muscle cells.- Factors responsible for drainage of plasma substances.- Increase of permeability in association with lymph stasis.- Intramural diffusion of various plasma substances.- Serum proteins, lipids, lipoprotein and ions.- Effects of abnormal accumulation of vasoactive amines and hormones and of hypoxia and pH-changes on permeability.- Pressure and flow factors.- Effect of hypertension on transport across the vessel wall.- Hypertensive disturbances of transmural flow in small arteries.- Post-hypertensive permeability disturbance of aorta.- Tracer studies.- Peroxidase experiments.- Ferritin experiments.- Colloidal carbon experiments.- Arteriosclerosis and mural transport.- Role of permeability in atherogenesis.- Role of lymph circulation in experimental arteriosclerosis of the rat.- 11 Studies on Human Vascular Diseases with Regard to Observations in Model Experiments.- Evaluation of acute small vessel lesions.- Chronic lesions of small vessels.- Correlation of human large vessel lesions with similar changes in experimental animals.- Description of Surgical Methods and Fixing and Staining Techniques Frequently Referred to in this Book.- Publications by the Editor and his Team.- General Bibliography.- Plates.
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        Arterial Lesions and Arteriosclerosis