PMID- 14570621 OWN - NLM STAT- MEDLINE DCOM- 20040227 LR - 20041117 IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 116 IP - 10 DP - 2003 Oct TI - Increased apoptosis and decreased density of medial smooth muscle cells in human abdominal aortic aneurysms. PG - 1549-52 AB - OBJECTIVE: To determine the increase of apoptosis and the decrease of smooth muscle cells (SMCs) density in human abdominal aortic aneurysms (AAA). METHODS: In situ terminal transferase-mediated dUTP nick end labeling (TUNEL) was employed to detect apoptosis of SMCs in patients with AAA (n = 25) and normal abdominal aortae (n = 10). Positive cells were identified by specific cell marker in combination with immunohistochemistry. Meanwhile SMC counting was performed by anti-alpha-actin immunohistostaining to compare the SMC density. RESULTS: TUNEL staining revealed that there was significantly increased apoptosis in AAAs (average 8.6%) compared with normal abdominal aortae (average 0.95%, P < 0.01). Double staining showed that most of these cells were SMCs. Counting of alpha-actin positive SMCs revealed that medial SMC density of AAAs (37.5 +/- 7.6 SMCs/HPF) was reduced by 79.1% in comparison with that of normal abdominal aortae (179.2 +/- 16.1 SMCs/HPF, P < 0.01). CONCLUSIONS: Significantly increased SMCs of AAA bear apoptotic markers initiating cell death. Elevated apoptosis may result in a decreased density of SMCs in AAA, which may profoundly influence the development of AAA. FAU - Zhang, Jian AU - Zhang J AD - Department of Vascular Surgery, the First Affiliated Hospital, China Medical University, Shenyang 110001, China. jianzhang_cmu@yahoo.com.cn FAU - Schmidt, Jan AU - Schmidt J FAU - Ryschich, Eduard AU - Ryschich E FAU - Schumacher, Hardy AU - Schumacher H FAU - Allenberg, Jens R AU - Allenberg JR LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 SB - IM MH - Aged MH - Aged, 80 and over MH - Aortic Aneurysm, Abdominal/*pathology MH - Apoptosis/*physiology MH - Cell Count MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Male MH - Middle Aged MH - Muscle, Smooth, Vascular/*pathology EDAT- 2003/10/23 05:00 MHDA- 2004/02/28 05:00 CRDT- 2003/10/23 05:00 PHST- 2003/10/23 05:00 [pubmed] PHST- 2004/02/28 05:00 [medline] PHST- 2003/10/23 05:00 [entrez] PST - ppublish SO - Chin Med J (Engl). 2003 Oct;116(10):1549-52.