Age-related neointimal hyperplasia is associated with monocyte infiltration after balloon angioplasty

  • Sammy D.D. Eghbalieh
  • , Paraag Chowdhary
  • , Akihito Muto
  • , Kenneth R. Ziegler
  • , Fabio A. Kudo
  • , Jose M. Pimiento
  • , Issa Mirmehdi
  • , Lynn S. Model
  • , Yuka Kondo
  • , Toshiya Nishibe
  • , Alan Dardik

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

Carotid angioplasty is associated with adverse events in elderly patients; it is unclear whether this is related to an altered inflammatory axis. The carotid arteries of young (6 months) or aged (22-24 months) Fischer 344 rats were balloon injured. Aged rats had reduced lumen area (0.18 ± 0.03 vs 0.24 ± 0.01 mm 2, p =. 02) and increased neointimal thickening (0.15 ± 0.04 vs 0.08 ± 0.03 mm 2, p =. 006). Aged rats had increased circulating monocytes (96 ± 21 vs. 54 ± 7; p =. 002) as well as increased numbers of monocytes at the post-angioplasty site. Aged rats had sustained monocyte chemotactic protein-1 expression after angioplasty but young rats did not. Aged arteries also exhibited defective vasorelaxation and abnormal eNOS localization. Aged (≥80 years) human patients with high-grade carotid stenosis had increased number of monocytes (9.1% ± 0.4%) compared with younger (65-80 years) patients (8.1% ± 0.3%, p =. 013). Aged rats develop neointimal hyperplasia after carotid angioplasty with increased numbers of monocytes, and elderly humans with carotid stenosis have increased numbers of circulating monocytes. These preliminary results may suggest a role for monocytes in the response to carotid angioplasty.

Original languageEnglish
Pages (from-to)109-117
Number of pages9
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume67 A
Issue number2
DOIs
Publication statusPublished - 02-2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Ageing
  • Geriatrics and Gerontology

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