用户名: 密码: 验证码:
OPG在腹主动脉瘤中的表达及OPG与主动脉平滑肌细胞凋亡关系研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:
     检测OPG(骨保护素)在不同直径大小人腹主动脉瘤(AAA)组织中的表达情况,探讨其在腹主动脉瘤发生发展过程中的作用。
     方法:
     (1)应用免疫组织化学方法检测20例AAA组织(包括6例小腹主动脉瘤(SAAA):横径4.0-5.5cm,6例中腹主动脉瘤(MAAA):横径5.5-7.0cm,4例大腹主动脉瘤(LAAA):横径≥7.0cm,4例破裂型腹主动脉瘤(RAAA)和对照组6例正常腹主动脉组织OPG的表达。
     (2)Western-blooting和RT-PCR技术检测不同直径大小瘤体中OPG,MMP-9蛋白及mRNA表达情况。
     结果:
     (1)与正常腹主动脉对照,AAA组织中OPG的阳性细胞明显增多,主要分布于中膜,并与炎性细胞浸润程度呈显著正相关,AAA组中OPG的表达明显高于对照组,差异具有显著性(P<0.05)。
     (2)OPG的蛋白及mRNA表达在AAA组明显高于正常腹主动脉,差异具有显著性(P<0.05),且与MMP-9表达及瘤体直径呈显著正相关。
     结论:OPG水平与AAA有关,OPG可能通过促进基质金属蛋白酶的表达和炎症细胞浸润,在基质和细胞水平参与腹主动脉结构损伤与重构,促进AAA形成和发展。
     目的观察兔体内主动脉壁剪切力变化情况下动脉成瘤的形态学变化及OPG的表达情况及其与中膜血管平滑肌细胞(VSMCs)密度降低的关系。
     方法取新西兰兔共24只,在肾动脉平面以下2cm将供体的一段腹主动脉壁作补片移植到受体腹主动脉而成瘤,分别在术后7,21,35天获取瘤体及腹主动脉组织标本,分别测量术前及成瘤后腹主动脉的形态学参数,免疫组织化学法检测OPG抗原的表达,半定量逆转录聚合酶链反应(RT-PCR)检测OPG、MMP-9的mRNA表达,Western blot检测OPG、MMP-9的蛋白产物表达,原位末端DNA标记技术(TUNEL)测定中膜VSMCs凋亡的变化;计算机图像分析并计算VSMCs密度及平均光密度。
     结果实验组兔存活15只,腹主动脉血流通畅,无吻合口狭窄,实验组腹主动脉直径随时间延长逐渐扩张,与对照组有显著差异(P     结论1血管补片法构建的AAA是一种稳定可靠的动物模型,适用于AAA发病机制及防治的体内研究。
     2动脉壁剪切力变化可以引起局部OPG, MMP-9表达增加及VSMCs凋亡增加。
     3 OPG表达与VSMCs凋亡具有相关性,可能对动脉瘤形成起着一定的作用。
     目的:利用OPG基因过表达及RNA干扰技术作用于人主动脉血管平滑肌细胞(VSMCs),观察VSMCs凋亡的情况。
     方法:①实验材料:购买OPG基因,同时体外化学合成4条OPG序列特异性小干扰RNA(small interfering RNA, siRNA)。②实验方法:将购买的OPG基因亚克隆至穿梭载体上,同时随机选择一条shRNA,构建shRNA真核表达载体,包装腺病毒,转染人主动脉VSMCs。③实验分组:分为空白组、OPG过表达组、OPG过表达+RNA干扰组。④实验评估:应用RT-PCR,Western blot检测OPG基因表达的变化;应用流式细胞仪检测VSMCs凋亡情况。
     结果:①空白细胞组中,OPG表达量比较弱;OPG过表达组中,OPG表达量大大增加;OPG过表达+OPG RNA干扰组中,由于OPG表达受到抑制,OPG表达量下降较明显。②OPG过表达组的细胞凋亡率较空白细胞组有较大上升,而同时进行RNA干扰后,细胞凋亡率有一定程度下降,显示OPG的表达和VSMCs凋亡之间存在一个正比关系。
     结论:RNA干扰介导的OPG基因沉寂可显著抑制VSMCs的凋亡,OPG的过表达可明显加速VSMCs的凋亡。
Objective:.
     To measure the expression of osteoprotegerin(OPG) in human abdominal aortic aneurysm(AAA) of various diameters, investigate it's function in the formation and development of AAA
     Method:
     (1) Immunohistochemistry was applied to detect the expressions of OPG in the tissue specimens of 20 AAA tissues of various diameters(6 small AAA:4.0-5.5cm,6 moderate-diameter AAA:5.5-7.0cm,4 large AAA:≥7.0cm and 4 ruptured AAA(RAAA) and 6 cases of normal human abdominal aorta in the control group.
     (2) Western-blot and RT-PCR was applied to detect the protein and RNA expression of OPG and MMP-9 in various diameters AAA.
     Result:
     (1) OPG mainly expressed in the media of AAA compare with normal abdominal aorta, and strongly correlated with inflammatory cells infiltration. The expression of OPG in AAA group is much higher than control group(P<0.05).
     (2) Western analysis and RT-PCR showed greater OPG concentrations in AAA biopsies compared with biopsies of normal aorta(P<0.05), and the expression of OPG was strongly correlated with aneurysm growth and expression of MMP-9.
     Conclusion:
     The findings of our study support an association between OPG and human abdominal aortic aneurysm growth, it demonstrating a possible feasible active role for OPG in the progression of AAA by means of stimulates MMP-9 activity and inflammatory cells infiltration.
     Objective To observe the morphological change of aortic aneurysm in rabbit and the expression of OPG in condition that local arterial wall shear stress is changed.
     Methods The animal model was created by the removal of abdominal aorta below the renal artery of donor rabbit and made a patch on the suprarenal abdominal aorta of receptor rabbit, The arterial wall below and above the patch was harvest after 7days,21 day,35days respectively. The morphological parameter of abdominal aorta was measured before operation and after operation. The level change of OPG was observed by immunohistochemistry. RT-PCR and Western-blot was applied to detect the RNA and protein expression of OPG and MMP-9 in different group. The apoptosis of VSMCs was measured by TUNEL
     Results The blood flow was unobstructed in the abdominal aortic aneurysm of 83% survival receptor, no stenosis in stoma. The diameter of aneurysm was gradually increased as time goes by within 2 weeks(P<0.05). The content of elastin, collagen fibers and SMC in media was in a negative correlation mode with the diameter of aneurysm (P<0.05). The immunohistochemical staining showed that the expression of OPG in experiment group was higher than normal group (P<0.05) and strongly correlated with the diameter of AAA. RT-PCR and Western-blot showed greater OPG and MMP-9 concentrations in experiment group compared with normal group, and the expression of OPG was strongly correlated with aneurysm growth. TUNEL positive cells was detected much more in experiment group than normal group and have positive correlated with aneurysm growth.
     Conclusion
     1 The change of wall shear stress after the transplantation of a patch into rabbit abdominal aorta could induce AAA formation with high incidence and stability, which applies to further studies of AAA pathogenesis and prevention and cure in vivo.
     2 The change of local arterial wall shear stress can upregulate the expression of OPG, MMP-9 as well as the apoptosis of VSMCs.
     3 The expression of OPG may be have some relevance with apoptosis of VSMCs, which involved in the progression of aneurysm.
     Object:To investigate the effects on the apoptosis of human vascular smooth cells (hVSMCs) after silencing the OPG with specific siRNA and OPG gene over-expression.
     Method:OPG was subcloned into adenovirus vector to construct recombinant adenovirus, together with chemically synthesized targeted for OPG gene double-stranded siRNA were transfected into VSMCs.The expression of OPG mRNA was identified by RT-PCR and Western blot,respectively. The apoptosis of VSMCs was examined by FACS.
     Results:The pshRNA-OPG may inhibit the expression of OPG gene at the levels of transcription and translation. There were significant differences of the expression of OPG mRNA between the VSMCs that were transfected with pshRNA-OPG and the ones in over-expression group and control group, respectively. The apoptosis of VSMCs was be markedly increased in the OPG over-expression group than control group, while inhibit apoptosis in RNAi group. There is a positve relationship between expression of OPG and apoptosis of VSMCs.
     Conclusion:The adenovirus containing the small interference RNA of OPG may have an inhibitory effects on the apoptosis and endogenous expression of OPG gene at the levels of transcription in VSMCs. And the OPG gene over-expression may promote the apoptosis of VSMCs.
引文
[1]Frank A, Robert L, Roderick MacDonald, et al. Systematic review:repair of unruptured abdominal aortic aneurysm. Ann Intern Med,2007;146:735-741.
    [2]Wassef M, Baxter BT, Chisholm RL, et al. Pathogenesis of abdominal aortic aneurysms:a multidisciplinary research program supported by the National Heart Lung and Blood Institute. J Vasc Surg,2001,34:730-738.
    [3]Simonet WS, Lacey DL, Dunstan CR, et al. Osteoprotegerin:a novel secreted protein involved in the regulation of bone density. Cell,1997,89:309-319.
    [4]Golledge J, McCann M, Mangan S. et al. Osteoprotegerin and osteopontin areexpressed at high concentrations within symptomatic carotid atherosclerosis. Stroke,35,1636-1641.
    [5]Kiechl S,Schett G,Wenning G et al. Osteoprotegerin is a risk factor for progressive atherosclerosis and cardiovascular disease. Circulation, 109,2175-2180.
    [6]Maylankar UM, Scatena M, Suchland KL, et al. Osteoprotegerin is an alpha vbeta 3-induced, NK-kappa B-dependent survival factor for endothelia cells. J Biol Chem 2000;275:20959-20962.
    [7]Parhami F,Garfinkel A,Demer LL, et al. Role of lipids in osteoprosis[J].Arterioscler Thromb Vasc Biol,2000,20:2346-2348.
    [8]El-Maadawy S,Kaartinen MT,Schinker T, et al.Cartilage formation and calcification in arteries of mice lacking matrix Gla protein.Connect Tissue Res,2003,44(suppl):272-278.
    [9]Goraav A,Jonathan LE,Gilbert RU,et al.Current concepts in the pathogenesis of abdominal aortic aneurysm [J].Journal of Vascular Surgery,2003,38(3):584-588.
    [10]Urbonavicius S, Urbonaviciene G, Honore B, Henneberg E.W, et al. Potential circulating biomarkers for abdominal aortic aneurysm expansion and rupture:a systematic review. Eur J Vasc Endovasc Surg,2008,36(3):273-280
    [11]Halpern VJ, Nsckman GB, Grandi RH, et al. The elastase infusion model of experimental aortic aneurysm model:Synchrony of induction of endogenous proteinases with matrix destruction and inflammatory cell response. J Vasc Surg,1994,20:51-60.
    [12]Denhardt DT,Noda M,O'Regan AW,et al.Osteopontin As a means to cope with environmental insults:regulation of inflammation,tissue remodeling, and cell survival. J Clin Invest.2001;107:1055-1061.
    [13]O'Regan A,Berman JS. Osteopontin:a key cytokine in cell-mediated and granulomatous inflammation. Int J Exp Pathol.2000;81:373-390.
    [14]Zauli G, Corallini F, Bossi F, Fischetti F, Durigutto P, Celeghini C, Tedesco F, Secchiero P:Osteoprotegerin increases leukocyte adhesion to endothelial cells both in vitro and in vivo. Blood 2007; 110:536-543.
    [15]Mangan SH, Campenhout AV, Rush C, Golledge J:Osteoprotegerin upregulates endothelial cell adhesion molecule response to tumor necrosis factor-a associated with induction of angiopoietin-2. Cardiovasc Res 2007; 76: 494-505.
    [16]Olesen P, Ledet T, Rasmussen LM:Arterial osteoprotegerin:increased amounts in diabetes and modifiable synthesis from vascular smooth muscle cells by insulin and TNF-alpha. Diabetologia 2005; 48:561-568.
    [17]Zhang J, Fu M, Myles D, Zhu X, Du J, Cao X, Chen YE:PDGF induces osteoprotegerin expression in vascular smooth muscle cells by multiple signal pathways. FEBS Lett 2002; 521:180-184.
    [18]J.-M. Delaiss, M.T Engsig, V. Everts, et al. Proteinases in bone resorption: Obvious and less obvious roles, Clin.Chim.Acta291 (2000)223-234.
    [19]Moran CS, McCann M, Karan M, Norman PE, et al. Association of osteoprotegerin with human abdominal aortic aneurysm progression. Circulation 2005;111:3119-3125
    [20]Theoleyre S, Wittrant Y, Couillaud S, Vusio P, Berreur M, Dunstan C, Blanchard F, Redini F, Heymann D:Cellular activity and signalling induced by Osteoprotegerin in osteoclasts:involment of receptor activator of nuclear factor KB ligand and MAPK. Biochim Biophys Acta 2004; 1644:1-7.
    [21]Bennett B.J, Scatena M, Kirk EA. Et al. Osteoprotegerin inactivation accelerates advanced atherosclerotic lesion progression and calcification in older ApoE-/-mice. Arteriosclerosis, Thrombosis, and Vascular Biology,26,2117-2124.
    [22]Morony S,Tintut Y,Zhang Z. et al. Osteoprotegerin Inhibits vascular calcification without affecting atherosclerosis in ldlr-/-mice. Circulation,117,411-420.
    [1]Keller JA, Weinberg A, Arons R, et al:Two decades of abdominal aortic aneurysm repair:have we made any progress? J Vasc Surg 2000; 32: 1091-1100.
    [2]Johnston KW:Multicentre prospective study of nonruptured abdominal aortic aneurysma. J Vasc Surg 1989; 9:437-441.
    [3]Chuter RAM, Senft G, Hopkinson BR:European experience with a system for bifurcated stent-graft insertion. J Endovasc Surg 1997; 4:13-22.
    [4]Anidjar S, Dobrin PB, Chejfec G, Michel JB:Experimental study of determinants of aneurysmal expansion of the abdominal aorta. Ann Vasc Surg 1994; 8: 127-136.
    [5]Marinov GR, Marois Y, Paris E, Roby P, Formichi M, Douville Y:Can the infusion of elastase in the abdominal aorta of the Yucatan miniature swine consistently produce experimental aneurysms. J Invest Surg 1997; 10:129-150.
    [6]Carsten CG 3rd, Calton WC, Johanning JM,Armstrong PG, Franklin DP, Carey DJ, Elmore JR:Elastase is not sufficient to induce experimental abdominal aneurysms. J Vasc Surg 2001;33:1255-1262.
    [7]Akimoto S, Mitsumata M, Sasaguri T, et al. Laminar shear stress inhibits vascular endothelial cell proliferation by inducing cyclin-dependent kinase inhibitor p21 (Sdil/Cipl/Wafl) [J]. Circ Res,2000,86(2):185-190
    [8]Wills A,Thompson MM,Crowther M,et al.Pathogenesis of abdominal aortic aneurysms,cellular and biochemical mechanisms.Eur J Vasc Endovasc Surg, 1996,12:391-400
    [9]Rubin J, MurPhy T, Nnaes MS, et al. Am J Physiol Cell Physiol 2000:278(6):C1126-32
    [10]Tuji K, Uno K, Zhnag GX, et al. Periodontal ligmaent cells under intemrittent tensile srtess regulate mRNA expression of osteoprotegerin and tissue inhibitor of martix meatlloportease-1 and-2. J Bone Miner Metab.2004;22(2):94-103.
    [11]Davis PF,Remuzzi A, Gordon EJ, et al. Tubulent fluid shear stress induces vascular endothelial cell turnover in vitro [J]. Proc Natl Acad Sci USA,1986, 83(7):2114-2117
    [12]Ruokolainen H, Paakko P, Turpeeniemi Hujanen T. Expression of matrix metalloproteinase-9 in head and neck squamons cell carcinoma:a potential marker for prognosis [J] Clin Cancer Res,2004,10(9):311-314
    [13]Lorber MI,Wilson JH,Robert ME,et al. Human allogeneic vascular rejection after arterial transplantation andperipheral lymphoid reconstitution in severe combined immunodeficient mice J. Transplantation,1999,67(6):897-903.
    [14]Koch AE, Haines GK, Rizzo RJ, et al. Human abdominal aortic aneurysm, immunophenotypic analysis suggesting an immune-mediated response. Am J Pathol,1990,137(6):1 199-213
    [1]Aoki Y, Cioca D, Oidaira H, et al. RNA interference may be more potent than antisense RNA in human cancer cell lines. [J]. Clin Exp Pharmacol Physiol, 2003:30(1-2):96
    [2]Grimm D, Kay MA. From virus evolution to vector revolution:use of naturally occurring serotypes of adeno-associated virus (AAV) as nove lvectors for human ene therapy.Curr Gene Ther,2003,3:281-304.
    [3]Snyder RO.Adeno-associated virus-mediated gene delivery J Gene Med,1999, 1:166-75.
    [4]Lopez-Candales A,Holmes DR,Liao S,et al.Decreased vascular smooth muscle cell density in medial degeneration of human abdominal aortic aneurysms.Am J Pathol.1997;150(3):993-1007
    [5]Henderson EL,Geng YJ,SuKhova GK,et al.Death of smooth muscle cells and expression of mediators of apoptosis by T limphocytes in human abdominal ortic aneurysms.Circulation.1999;99(1):96-104
    [6]Rowe VL, Stevens SL, Reddick TT, Freeman MB, et al..Vascular smooth muscle cell apoptosis in neurysmal,occlusive,and normalhuman aortas.J Vasc Surg.2000 Mar;31(3):567-76.
    [7]李大勇,车艳,杨铺,等腹主动脉瘤动脉壁血管平滑肌细胞增殖及凋亡的研究.中华普通外科杂志,2004;19:169-171.
    [8]Golledge J, McCann M, Mangan S. et al. Osteoprotegerin and osteopontin are expressed at high concentrations within symptomatic carotid atherosclerosis. troke,35,1636-1641.
    [9]Kiechl S,Schett G,Wenning G. et al. Osteoprotegerin is a risk factor for progressive atherosclerosis and cardiovascular disease. Circulation, 109,2175-2180.
    [10]Riccardo Candido, Barbara Toffoli, Federica Corallini, et al. Human full-length osteoprotegerin induces the proliferation of rodent vascular smooth muscle cells both in vitro and in vivo. J Vasc Res 2010;47:252-261
    [11]Lawrie A, Waterman E, Southwood M, Evans D, Suntharalingam J, Francis S, Crossman D, Croucher P, Morrell N, Newman C:Evidence of a role for osteoprotegerin in the pathogenesis of pulmonary arterial hypertension. Am J Pathol 2008; 172:256-264.
    [12]Secchiero P,Zerbinati C,Rimondi E,et al.TRAIL promotes the survival,migration and proliferation of vascular smooth muscle cells. Cell Mol Life Sci 2004;61:1965-1974
    [13]Kavurma MM, Schoppet M, Bobryshev YV, et al. Trail stimulates proliferation of vascular smooth muscle cells via activation of NF-kappaB and induction of insulin-like growth factor-1 receptor. J Biol Chem 2008.
    [14]Fire A, Xu S, Montgomenry MK, et al. Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans. Nature 1998; 391 (6669):806-811
    [15]Grimm D, Kay MA. From virus evolution to vector revolution:use of naturally occurring serotypes of adeno-associated virus (AAV) as nove lvectors for human gene therapy.Curr Gene Ther,2003,3:281-304.
    [1]Simonet WS, Lacey DL, Dunstan CR, et al. Osteoprotegerin:a novel secreted protein involved in the regulation of bone density. Cell,1997,89:309-319.
    [2]Yasuda H, Shima N, Nakagawa N, et al. Identity of osteoclastogenesis nhibitoryfactor (OCIF) and osteoprotegerin (OPG):a mechanism by which OPG/OCIF inhibits osteoclastogenesis in vitro. Endocrinology,1998,139: 1329-337.
    [3]KwonBS, Wang S, Udagawa N, et al. TR1, a new member of the tumor necrosisfactor receptor superfamily, induces fibroblast proliferation and inhibits osteoclastogenesis and bone resorption. FASEB J,1998,12:845-854.
    [4]Yun TJ, Chaudhary PM, Shu GL, et al. OPG/FDCR21, a TNF receptor family member, is expressed in lymphoid cells and is up-regulated by ligating CD40. J Immunol,1998,161:6113-6121.
    [5]Schoppel M, Preissner KT,Hofbauer LC. RANK ligand and osteoprolegerin paracrine regulators of bone metabolism and vascular function [J]. Arterioscler Thromb VascBiol,2002,22(4):549-553
    [6]Suda T, Takahashi N, Udagawa N, et al. Modulation of osteoclast differentiation and function by the new members of the tumor necrosis factor receptor and ligandfamilies. Endocr Rev,1999,20:345-357.
    [7]Morony S, Capparelli C, Lee R, et al. A chimeric form of osteoprotegerin inhibits hypercalcemia and bone resorption induced by IL21 beta, TNF2 alpha, PTH, PTHrP,and 1,25 (OH)2D3. J Bone Miner Res,1999,14:1478-1485.
    [8]Yamaguchi K, Kinosaki M, Goto M, et al. Characterization of structural domains of human osteoclastogenesis inhibitory factor. J Biol Chem,1998,273: 5117-5123.
    [9]Tomoyasu A, Goto M, Fujise N, et al. Characterization of monomeric and homodimeric forms of osteoclastogenesis inhibitory factor. Biochem Biophys Res Commun,1998,245:382-387
    [10]Anderson DM,Maraskovsky E,BillingsleyWL, et al. A homologue of the TNF receptor and its ligand enhance T-cell growth and dendritic cell function[J]. Nature,1997,390:175-179.
    [11]Yasuda H, Shima N,Nakagawa N, et al. Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL[J]. Proc Natl Acad Sci USA,1998,95:3597-3602.
    [12]Lacey DL, Timms E, Tan HL, et al. Osteoprotegerin ligand is a cytokine that regulatesosteoclast differentiation and activation[J]. Cell,1998,93:165-176.。
    [13]Hsu H,LaceyDL,Dunstan C R,et al. Tumor necrosis factor receptor family member RANKmediates osteoclast differetiation and activation induced byosteoprotegerin ligand J. Proc Natl Acad Sci USA,1999,96:3540-3545.。
    [14]Tan KB, Harrop J, Reddy M, Young P, Terrett J, Emery J, Moore G,Truneh A. Characterization of a novel TNF-like ligand and recently described TNF ligand and TNF receptor superfamily genes and their constitutive and inducible expression in hematopoietic and nonhematopoietic cells. Gene. 1997;204:35-46.
    [15]Nagai M, Sato N. Reciprocal gene expression of osteoclastogenesis inhibitory factor and osteoclast differentiation factor regulates osteoclast formation. BiochemBiophys Res Commun,1999,257:719-723.
    [16]Hofbauer L C,Khosla S,Dunstan C R,et al. Estrogen stimulates gene expression and protein production of osteoprotegerin in human osteoblastic cellsJ. Endocrinology,1999,140:4367-4370
    [17]Hofbaue LC, Khosls S, Dunstan CR, et al. The roles of osteoprotegerin and osteoprotegerin ligand in the paracrine regulation of bone restorption. J Bone Miner Res 2000; 15:2-12
    [18]Hofbauer LC, Heufelder AE. The role of receptor activator of nuclear factor-kapper B ligand and osteoprotegerin in the pathogenesis and treatment of metabolic bone diseases. J Clin Endocr Metab 2000;85:2355-63
    [19]Gori F,HofbauerLC,Dunstan CR, et al. The expression of osteoprotegerin and RANK ligand and the support of osteoclast formation by stromal osteoblast lineage cells is developmentally regulated [J]. Endocrinology,2000,141: 4768-4776.
    [20]Teitelbaum SL. Bone resorption by osteoclats[J]. Science,2000,289: 1504-1508.
    [21]Tsangari H. Findlay DM, Kuliwaba JS, et al. Increased expression of IL-6 and RANK mRNA in human trabecular bo ne from fragility fracture of the femoral neck. Bone.2004,35:334-342.
    [22]Coetzee M. Kruger MC. Osteoprotegerin-receptor activator of nuclear fartor-kappa B ligand ratio:a new approach to osteoporosis treatment? South Med J,2004,97:506-511.
    [23]Emery JG,Mc Donnell P,Brigham Burke M,et al.Osteoprotegerin is a receptor for the cytotoxic ligand TRAIL J Biol Chem.1998;273:14363-14367.
    [24]Malyankar MU, Seatena M, Suehland KL, et al.Osteoprotegetin is an alpha Vbeta 3-induced NK-kappa β-dependent survival factor for endothelial cells. J Biol Chem 2000:275:20959-20962
    [25]Bagger YZ, Tanko LB, Alexandersen P, et al. Radiographic measure of aorta calcification is a site-specific predictor of bone loss and fracture risk at the hip. J Intern Med 2006;259:598-605.
    [26]Hak AE, Pols HA, van Hemert AM, et al. Progression of aortic calcification is associated with metacarpal bone loss during menopause:apopulation-based longitudinal study. Arterioscler Thromb Vasc Biol 2000;20:1926-1931
    [27]KielDP,KauppilaLI,CupplesLA,etal.Bone loss and the progression of abdominal aortic calcification over a 25 year period:the Framingham Heart Study.Calcif Tissue Int 2001;68:271-276
    [28]Schulz E, Arfai K, Liu X, et al. Aortic calcification and the risk of osteoporosis and fractures. J Clin Endocrinol Metab 2004;89:4246-4253
    [29]Tanko LB, Bagger YZ, Christiansen C. Low bone mineral density in the hip as a marker of advanced atherosclerosis in elderly women. Calcif Tissue Int 2003;73:15-20.
    [30]Bucay N, Sarosi I, Dunstan CR, et al. Osteoprotegerin-deficient mice develop early onset osteoporosis and arterial calcificatioo Genes Dev1998;12:1260-8.
    [31]Sattler AM, Schoppet M, Schaefer JR, et al. Novel aspects on RANK ligand and osteoprotegerin in osteoporosis and vascular disease. Calcif Tissue Int 2004;74:103-6.
    [32]Bennett BJ,Scatena M,Kirk EA,et al.Osteoprotegerin inactivation accelerates Advanced atherosclerotic lesion progression and calcification in older ApoE-/-mice. Arterioscler Thromb Vasc Biol 2006;26:2117-2124
    [33]Kiechl S, Werner P, Knoflach M, et al. The osteoprotegerin/RANK/RANKL system:a bone key to vascular disease. Expert Rev Cardiovasc Ther 2006;4:801-811
    [34]Min H, Morony S, Sarosi I, et al. Osteoprotegerin reverses osteoporosis by
    inhibiting endosteal osteoclasts and prevents vascular calcification by blocking a process resembling osteoclastogenesis. J Exp Med 2000;192:463-474
    [35]Orita Y, Yamamoto H, Kohno N, et al. Role of osteoprotegerin in arterial calcification:development of new animal model. Arterioscler Thromb Vasc Biol 2007;27:2058-2064
    [36]Price PA, June HH, Buckley JR, et al. Osteoprotegerin inhibits artery calcification induced by warfarin and by vitamin D. Arterioscler Thromb Vasc Biol 2001;21:1610-1616
    [37]Sandberg WJ,Yndestad A,Oie E, et al. Enhanced T cell expression of RANK ligand in acute coronary syndrome:possible role in plagne destabilization. Arterioscler Thromb Vasc Biol,2006,26:857-863.
    [38]Morony S, Tintut Y, Zhang Z, et al. Osteoprotegerin inhibits vascular calcification without affecting atherosclerosis in ldlr(-/-) mice. Circulation 2008;117:411-420
    [39]Jono S, Ikari Y, Shioi A, et al. Serum osteoprotegerin levels are associated with the presence and severity of coronary artery disease. Circulation 2002; 106:1192-1194
    [40]Rhee EJ, Lee WY, Kim SY, et al. Relationship of serum osteoprotegerin levels with coronary artery disease severity, left ventricular hypertrophy and C-reactive protein. Clin Sci (Lond) 2005; 108:237-243
    [41]Schoppet M, Sattler AM, Schaefer JR, et al. Increased osteoprotegerin serum levels in men with coronary artery disease. J Clin Endocrinol Metab 2003: 88:1024-1028
    [42]Ohmori R, Momiyama Y, Taniguchi H, et al. Association between osteoprotegerin gene polymorphism and coronary artery disease in Japanese men. Atherosclerosis 2006; 187:215-217
    [43]Soufi M, Schoppet M, Sattler AM, et al. Osteoprotegerin gene polymorphisms inmen with coronary artery disease. J Clin Endocrinol Metab 2004;89:3764-3768
    [44]Abedin M, Omland T, Ueland T, et al. Relation of osteoprotegerin to coronary calcium and aortic plaque (from the Dallas Heart Study).Am J Cardiol 2007;99:513-518
    [45]Anand DV, Lahiri A,Lim E,et al.The relationship between plasma osteoprotegerin levels and coronary artery calcification in uncomplicated type 2 diabetic subjects. J Am Coll Cardiol 2006;47:1850-1857
    [46]Anand DV, Lim E, Darko D, et al. Determinants of progression of coronary artery calcification in type 2 diabetes role of glycemic control and inflammatory /vascular calcification markers. J Am Coll Cardiol 2007;50:2218-25.
    [47]Shuichi J, Yujil, Atsushi S, et al. Serum osteoprotegerin levels are asscoiated with the presence and severity of coronary artery disease. Circulation,2002,9:1192-1194
    [48]Rasmussen LM, T-now L, Hansen TK, et al. Plasma Osteoprotegerin levels are associated with glycaemic status, systolic blood pressure, kidney function and cardiovascular morbidity in type 1 diabetic patients. Euro J Endroc,2006 154(1):75-81
    [49]Kosaku Nitta, Takashi Akiba, Keiko Uchida, et al. Serum Osteoprotegerin levels and the extent of vascular calcification in haemodialysis patients. Nephrol Dial Transplant,2004,19(5):1886-1889
    [50]Ueland T, Yndestad A, Oie E, et al. Dy sregulated osteoprotegerin/RANK ligand/RANK axis in clinical and experimental heart failure. Circulation,2005; May 17; 111(19):2461-2468
    [51]Browner WS, Lui LY, Cummings SR (2001) Associations of serum osteoprotegerin levels with diabetes, stroke, bone density, fractures, and mortality in elderly women. J Clin Endocrinol Metab86:631-637
    [52]Schoppet M, Sattler AM, Herzum M, Maisch B, Schaefer JR,Hofbauer LC (2003) Increased osteoprotegerin serum levels in men with coronary artery disease. J Clin Endocrinol Me 88:1024-1028
    [53]Schoppet M,Schaefer JR,Hofbauer LC(2003)Low serum levels of soluble RANK ligand are associated with the presence of coronary artery disease in men. Circulation 107:76
    [54]Abedin M,Omland T,Ueland T, et al. Relation of osteoprotegerin to coronary calcium and aortic plaque (from theDallas Heart Study) [J]. Am J Cardiol.2007,99:513-518.
    [55]Golledge J, McCann M, Mangan S, et al. Osteoprotegerin and osteopontin are expressed at high concentrations within symptomatic carotid atherosclerosis [J]. Stroke,2004,35 (7):1636.
    [56]Erdogan B, Aslan E, Bagis T, et al. Intima2media thickness of the carotid arteries is related to serum osteoprotegerin levels in healthy postmenopausal women [J]. Neurol Res,2004,26 (6):658-661.
    [57]Kiechl S, Schett G, Wenning G, et al. Osteoprotegerin is a risk factor for progressive atherosclerosis and cardiovascular disease [J]. Circulation,2004,109 (18):2175-2180.
    [58]Nitta K, Akiba T, Uchida K, et al. The progression of vascular calcificat ion and serum osteoprotegerin levels in patients on long term hemodialysis. Am J Kidney Dis,2003.42(2):303-309
    [59]Moe SM, Reslerova M, Ketteler M. et al. Role of calcification in chronic kidney disease(CKD). Kidney Int,2005,67(6):2295-2304
    [60]Olesen P, Ledet T, Rasmussen LM. Arterial osteoprotegerinincreased amounts in diabetes and modifiable synthesis from vascular smooth muscle cells by insulin and TNF-alpha [J]. Diabetologia,2005,48 (3):561-568.
    [61]Knudsen ST, Foss CH, Poulsen PL, et al. Increased plasma concentrations of osteoprotegerin in type 2 diabetic patients with microvascular complications [J]. Eur J Endocrinol,2003,149 (1):39-42.
    [62]Ziegler S, Kudlacek S, Luger A, et al. Osteoprotegerin plasma concentrations correlate with severity of peripheral artery disease [J]. Atherosclerosis,2005,182 (1):175-180.
    [63]Moran CS, McCann M, Karan M, et al. Association of osteoprotegerin with human abdominal aortic aneurysm progression. Circulation 2005; 111:3119-25.
    [64]Corey S. Moran, Bradford Cullena, Julie H et al.Interaction between Angiotensin Ⅱ,Osteoprotegerin, and Peroxisome Proliferator-activaed Receptor-v in Abdomianl aortic aneurysm. J Vasc Res 2009;46:209-217
    [65]Daugherty A, Manning MW, Cassis LA:AngⅡ promotes atherosclerotic lesions and aneurysms in apolipoprotein E-deficient mice.J Clin Invest 2000;105:1605-1612.
    [66]Nishimoto M, Takai S, Fukumoto H, Tsunemi K, Yuda A, Sawada Y, Yamada M, Jin D, Sakaguchi M, Nishimoto Y, Sasaki S, Miyazaki M, et al:Increased local AngⅡ formation in aneurysmal aorta. Life Scie 2002;71:2195-2205.
    [67]Davies MJ:Aortic aneurysm formation:lessons from human studies and experimental models. Circulation 1998;98:193-195.
    [68]Theoleyre S, Wittrant Y, Couillaud S, Vusio P, Berreur M, Dunstan C,Blanchard F, Redini F, Heymann D:Cellular activity and signalling induced by Osteoprotegerin in osteoclasts:involment of receptor activator of nuclear factor κB ligand and MAPK. Biochim Biophys Acta 2004; 1644:1-7.
    [69]Collin-Osdoby P:Regulation of vascular calcification by osteoclast regulatory factors RANKL and osteoprotegerin. Circ Res 2004;95:1046-1057
    [70]Schupp M, Janke J, Clasen R, Unger T, Kintscher U:Angiotensin type 1 receptor blockers induce peroxisome proliferator-activated receptor-gamma activity. Circulation 2004; 109:2054-2057
    [71]S.R. Wiley, K. Schooley, P.J. Smolak, W.S. Din, C.P. Huang, J.K. Nicholl, G.R. Sutherland, T.D. Smith, C. Rauch, C.A. Smith, Identification and characterization of a new member of the TNF family that induces apoptosis, Immunity 3 (1995) 673-682.
    [72]C.R.Dhore, J.P. Cleutjens, E. Lutgens,K.B.Cleutjens, P.P. Geusens, P.J. Kitslaar, J.H. Tordoir, H.M. Spronk, C. Vermeer, M.J. Daemen,Diferential expression of bone matrix regulatory proteins in human atherosclerotic plaques, Arterioscler. Thromb. Vasc. Biol.21 (2001)1998-2003.
    [73]Yu X, Huang Y, Collin-Osdoby P. Stromal cell-derived factor-1 (SDF-1) recruits osteoclast precursors by inducing chemotaxis,matrix metalloproteinase-9 (MMP-9) activity and collagen transmigration[J]. J BoneMiner Res, 2003,18:1404-1418.
    [74]Mosheimer B, Kaneider N, Feistritzer C, et al. Expression and function of RANK in human monocyte chemotaxis[J]. Arthritis Rheum,2004,50: 2309-2316.
    [75]Foster L,Arkonae B, Sibinga N, et al. Regulation of CD44 gene expression by the proinflammatory cytokine interleukin lbeta in vascular smooth muscle cells [J]. J BiolChem,1998,273:20341-20346.
    [76]JianB,NarulaN,LiQ, et al. Progression of aortic valve stenosis:TGF-beta 1 is present in calcified aortic valve cusps and promotes aortic valve interstitial cell calcification via apoptosis[J]. Ann Thorac Surg,2003,75:457-465.
    [77]KadenJ J,Bickelhaupt S,Grobholz R2,et al.Receptor activator of nuclear factor kappaB ligand and osteoprotegerin regulate aortic valve calcification[J].J Mol Cell Cardiol,2004,36(1):57-66.
    [78]Bucay,Sarosi I,Dunstan CR, et al. Osteoptotegerin deficient mice develop early onset osteoprosis and arterial calcification. Genes Dev.1998.12(9): 1260-1268
    [79]Bucay N, Sarosi I, Dunstan CR, Morony S, Tarpley J,Capparelli C, Scully S, Tan HL, Xu W, Lacey DL, Boyle WJ, Simonet WS (1998) Osteoprotegerin-deficient mice develop early onset osteoporosis and arterial calcification. Genes Dev 12:1260-1268
    [80]Price PA,June HH,Buckley JR,et al. Osteoprotegerin inhibits arter calcification induced by warfarin and by vitamin D[J]. Arterioscle Thromb Vasc Biol,2001,2110:1610-1616
    [81]Hofbauer LC, Brueck CC, Shanahan CM, et al. Vascular calcification and osteoporosis-from clinical observation towards molecular understanding. Osteoporos Int 2007;18:251-9.
    [82]Proudfoot D, Skepper JN, Hegyi L, et al. Apoptosis regulates human vascular calcification in vitro:evidence for initiation of vascular calcification by apoptotic bodies. Circ Res 2000;87:1055-62.
    [83]Bostrom K, Watson KE, Horn S, et al. Bone morphogenetic protein expressio in human atherosclerotic lesions. J Clin Invest 1993; 91:1800-1809
    [84]Hui M,Tenenbaum HC.New face of an old enzyme:alkaline phosphatase may contribute to human tissue aging by inducing tissue hardening and calcification. Anat Rec1998;253:91-94
    [85]Kaden JJ,Bickelhaupt S,Grobholz R,et al.Expression of bone sialoprotein and bone morphogenetic protein-2 in calcific aortic stenosis. J Heart Valve Dis 2004;13:560-6.
    [86]Shanahan CM, Proudfoot D, Tyson KL, et al. Expression of minera lisation-Regulating proteins in association with human vascular calcification.Z Kardiol 2000;89(Suppl 2):63-68
    [87]Olesen P,Ledet T,Rasmussen LM. Arterial osteoprotegerin increased amounts in diabetes and modifiable synthesis from vascular smooth muscle cells by insulin and TNF-alpha. Diabetologia 2005;48:561-568
    [88]Hofbauer LC, Schoppet M. Clinical implications of the osteoprotegerin /RANKL/RANK system for bone and vascular diseases. JAMA 2004;292:490-495
    [89]Zhang J, Fu M, Myles D, et al. PDGF induces osteoprotegerin expression in vascular smooth muscle cells by multiple signal pathways. FEBS Lett 2002;521:180-4.
    [90]Collin-Osdoby P, Rothe L, Anderson F, et al. Receptor activator of NF-kappa B and osteoprotegerin expression by human microvascular endothelial cells, Regulation by inflammatory cytokines,and role in human osteoclastogenesis. J Biol Chem 2001;276:20659-20672
    [91]Shioi A,Katagi M,Okuno Y,et al.Induction of bone-type alkaline phosphatase in human vascular smooth muscle cells:roles of tumor necrosis factor-alpha and oncostatin M derived from macrophages. Circ Res 2002;91:9-16.
    [92]Tintut Y, Patel J, Parhami F, et al. Tumor necrosis factor-alpha promotes in vitro calcification of vascular cells via the cAMP pathway. Circulation 2000; 102:2636-2642
    [93]Tintut Y,Patel J,Territo M,et al.Monocyte/macrophage regulation of vascular calcification in vitro. Circulation 2002; 105:650-655
    [94]Zhang J, Fu M, Myles D, et al. PDGF induces osteoprotegerin expression in vascular smoothmuscle cells by multiple signal pathways[J]. FEBS Lett, 2002,521:180-184.
    [95]ScatenaM, GiachelliC. Theavβ3 integrin,NFy2B, osteoprotegerin endothelial cell survival pathway[J]. Trends Cardiovasc Med,2002,12:83-88.
    [96]PritzkerL, ScatenaM, GiachelliC. The role of osteoprotegerin and tumor necrosis factor-related apoptosis-inducing ligand in human microvascular endothelial cell survival[J]. MolBiolCell,2004,15:2834-2841.
    [97]Sandberg WJ,Yndestad A,Oie E,et al. Enhanced Tcell expressionof RANK ligand in acute coronary syndrome:possible role in plagne destabilization. Arterioscler Thromb Vasc Biol,2006,26:857-863
    [98]Malyankar UM, Scatena M, Suchland KL, et al. Osteoprotegerin is an alpha vbeta 3-induced, NF-kappa B-dependent survival factor for endothelial cells. J Biol Chem 2000;275:20959-62.
    [99]Pritzker LB, Scatena M, Giachelli CM. The role of osteoprotegerin and tumor necrosis factor-related apoptosis-inducing ligand in human microvascular endothelial cell survival. Mol Biol Cell 200415:2834-2841
    [100]Secchiero P,Zerbinati C, Rimondi E,et al. TRAIL promotes the survival,migration and proliferation of vascular smooth muscle cells. Cell Mol Life Sci2004;61:1965-1974
    [101]Secchiero P, Candido R, Corallini F, et al. Systemic tumor necrosis factor related apoptosis-inducing ligand delivery shows antiatherosclerotic activity in apolipoprotein E-null diabetic mice. Circulation 2006; 114:1522-1530
    [102]Kavurma MM, Schoppet M, Bobryshev YV, et al. Trail stimulates proliferation of vascular smooth muscle cells via activation of NF-kappaB and induction of insulin-like growth factor-1 receptor. J Biol Chem 2008.
    [103]Mangan SH, Campenhout AV, Rush C, et al. Osteoprotegerin upregulates endothelial cell adhesion molecule response to tumor necrosis factor-alpha associated with induction of angiopoietin-2. Cardiovasc Res 2007;76:494-505.
    [104]Zauli G,Corallini F,Bossi F,et al.Osteoprotegerin increases leukocyte adhesion to endothelial cells both in vitro and in vivo. Blood 2007; 110:536-43.
    [105]Mosheimer BA, Kaneider NC, Feistritzer C, et al. Syndecan-1 is involved in osteoprotegerin-induced chemotaxis in human peripheral blood monocytes. J Clin Endocrinol Metab 2005;90:2964-2971
    [106]Secchiero P, Corallini F, Pandolfi A, et al. An increased osteoprotegerin serum release characterizes the early onset of diabetes mellitus and may contribute to endothelial cell dysfunction. Am J Pathol 2006; 169:2236-2244
    [107]Ambrosch F, Wiedermann G, KundiM, et al 1A hepatitisB vaccine fromulated with a novel adjuvant systeml Vaccine,2000,18(20):2095-2101
    [108]Jono S, Ikari Y, ShioiA, et al. Serum osteoprotegerin levels are associated with the presence and severityof coronary artery disease[J]. Circulation, 2002,106:1192-1194.
    [109]Program (NCEP) Summaryof the second reportof the National Cholesterol Education. Expertpanelon detection Evaluation and treatment of high blood cholesterol in adult(Adult treatment panel) [J]. JAMA,1993,269:3015-3023.
    [110]Sattler AM, Schoppet M, Schaefer JR, et al. Novel aspects on RANK ligand and osteoprotegerin in osteoporosis and vascular disease. Calcif Tissue Int 2003;88(3):1024-8. [25] Ross R. Atherosclerosis:an inflammatory disease. N Engl J Med 1999;340:115-126
    [1]Reed, D., Reed, C., Stemnermann, G., and Hayashi, T. Are aortic aneurysms caused by atherosclerosis? Circulation 1992;85:205,.
    [2]Dobrin, P. Pathophysiology and pathogenesis of aortic aneurysms. Surg. Clin. North Am.1989;69:678,
    [3]Powell, J., and Greenhalgh, R. M. Cellular, enzymatic, and genetic factors in the pathogenesis of abdominal aortic aneurysms. J. Vasc. Surg.1989;9:297,
    [4]Gargiulo, M., Stella, A., Spina, M., Faggioli, G., Cenacchi, G.,Degani, A., Guiducci, G, Tonelli, M., Bertani, F., andD'Addato, M. Content and turnover of extracellular matrix protein in human'non-specific'and inflammatory abdominal aortic aneurysms. Eur. J. Vasc. Surg.1993.;7:546,
    [5]Halloran, B. G, and Baxter, B. T. Pathogenesis of aneurysms.Semin. Vasc. Surg. 1995; 8:85,.
    [6]MacSweeney, S. T. R., Powell, J. T., and Greenhalgh, R. M.Pathogenesis of abdominal aortic aneurysm. Br. J. Surg.1994;81:935,.
    [7]Koch,A.E.,Haines,G.K.,Rizzo,R.J.,Radosevich,J.A.,Pope,R. M., Robinson, P. G, and Pearce, W. H. Human aortic aneurysms. Immunophenotypic analysis suggesting an immune-mediated response. Am. J. Pathol.1990.; 137:1199,
    [8]Shah, P. K. Inflammation, metalloproteinases, and increased proteolysis:an emerging pathophysiologic paradigm in aortic aneurysm. Circulation 1997;.96: 2115,
    [9]Wassef, M., Baxter, B. T., Chisholm, R. L., Dalman, R. L et al.. Pathogenesis of abdominal aortic aneurysms:A multidisciplinary research program supported by the National Heart,Lung, and Blood Institute. J. Vasc. Surg.2001;34:730,.
    [10]Patel Ml, Hardnlan DT, Fisher CM, et al.Current views on the Pathogenesis of abdomianl aortic aneurysms. J Am Coll Surg,1995,181:371.
    [11]Stenback J, Kalin B, Swedenborg J. Growth of thrombus may be a better predictor of rupture than diameter in patients with abdominal aortic aneurysms. [J] Eur J Vasc Endovasc Surg,2002;20(5):466
    [12]Vorp DA, Lee PC, Wang DH, et al. Association of intraluminal thrombusin abdominal aortic aneurysm with local hypoxia and wall weakening [J]. J Vasc Surg,2001; 34(2):291
    [13]Webster MW, St Jean PL, Steed DL, etal.Abdominal aortic aneurysm:result of a family study.J Vasc S,1991,13:366.
    [14]Cohen JR, Sarfati 1, Wise L.et al.The effeet Of cigarette smoking on rabbit aortic elastase activity.J Vasc surg,1989,9:580.
    [15]徐东,王京生,万峰,等.腹主动脉瘤病因新探讨.北京医学,2000,22:360.
    [16]Powell JT, Bashir A, Dawson S, etal.Genetic variation on chromsosome is associated with abdominal aortic aneurysm. Clin Sci,1990,78:13.
    [17]Tilson MD, Ozsvath KJ, Hirose H, Xia S:A genetic basis for autoimmune manifestations in the abdominal aortic aneurysm resides in the MHC class Ⅱ locus DR-beta-1. Ann N Y Acad Sci 800:208,1996.
    [18]Shibamura H, Olson JM, van Vlijmen-Van Keulen C,et al. Genome scan for familial abdominal aortic aneurysm using sex and family history as covariates suggests genetic heterogeneity and identifies linkage to chromosome 19q13. Circulation.2004;109:2103-2108.
    [19]SofiF,Marcucci R,Giusti B,Pratesi G,Lari B,Sestini I,LoSapio P,Pulli R, Pratesi C, Abbate R, Gensini GF. High levels of homocysteine,lipoprotein (a) and plasminogen activator inhibitor-1 are present in patients with abdominal aortic aneurysm. Thromb Haemost.2005; 94:1094-1098.
    [20]Fatini C, Pratesi G, Sofi F, Gensini F, et al. ACE DD genotype:predisposing factor for abdominal aortic aneurysm. Eur J Vas Endovasc Surg. 2005;29:227-232.
    [21]Strauss E,Waliszewski K,Gabriel M,Zapalski S,Pawlak AL.Increased risk of the abdominal aortic aneurysm in carriers of the MTHFR 677T allele. J Appl Genet. 2003;44:85-93.
    [22]Tung WS,Lee JK,Thompson RW.Simultaneous analysis of 1176 gene Products in normal human aorta and abdominal aortic aneurysms using a membrane-based complementary DNA expression array. J Vasc Surg 2000;34:143-50.
    [23]杨军,胡新华,张宏伟等基因表达谱芯片筛选破裂性腹主动脉瘤组织中的差异表达基因[J]中国动脉硬化杂志2006年第14卷第7期555-559
    [24]International HapMap Consortium. A haplotype map of the human genome. Nature.2005;437:1299-1320.
    [25]Pleumeekers HJ, Hoes AW, van der Does E, van Urk H, Hofman A, deJong PT, Grobbee DE. Aneurysms of the abdominal aorta in olderadults. The Rotterdam Study. Am J Epidemiol.1995;142:1291-1299.
    [26]Pleumeekers HJ, Hoes AW, Hofman A, van Urk H, van der Does E,Grobbee DE. Selecting subjects for ultrasonographic screening for aneurysms of the abdominal aorta:four different strategies. Int J Epidemiol.1999;28:682-686.
    [27]Singh K, Bonaa KH, Jacobsen BK, Bjork L, Solberg S. Prevalence ofand risk factors for abdominal aortic aneurysms in a population-basedstudy:The Tromso Study. Am J Epidemiol.2001;154:236-244.
    [28]Simoni G, Pastorino C, Perrone R, Ardia A, Gianrossi R, Decian F,Cittadini G Jr, Baiardi A, Bachi V. Screening for abdominal aorticaneurysms and associated risk factors in a general population. Eur J Vasc Endovasc Surg. 1995;10:207-210.
    [29]Jamrozik K, Norman PE, Spencer CA, Parsons RW, Tuohy R, Lawrence-Brown MM, Dickinson JA. Screening for abdominal aortic aneurysm: lessons from a population-based study. Med J Aust.2000; 173:345-350.
    [30]Smith FC, Grimshaw GM, Paterson IS, Shearman CP, Hamer JD. Ultrasonographic screening for abdominal aortic aneurysm in an urban community. Br J Surg.1993;80:1406-1409.
    [31]Kanagasabay R,Gajraj H,Pointon L,Scott RA.Co-morbidityinpatients with abdominal aortic aneurysm. J Med Screen.1996;3:208-210.
    [32]Krohn CD, Kullmann G, Kvernebo K, Rosen L, Kroese A. Ultrasonographic screening for abdominal aortic aneurysm. Eur J Surg.1992; 158:527-530.
    [33]Lee AJ, Fowkes FG, Carson MN, Leng GC, Allan PL. Smoking, atherosclerosis and risk of abdominal aortic aneurysm. Eur Heart J.1997; 18:671-676.
    [34]Lindholt JS,Henneberg EW,Fasting H,Juul S.Hospital based screening of 65-73 year old men for abdominal aortic aneurysms in the county of Viborg, Denmark. J Med Screen.1996;3:43-46.
    [35]Lederle FA, Johnson GR, Wilson SE, Chute EP, Littooy FN, Bandyk D,Krupski WC, Barone GW, Acher CW, Ballard DJ. Prevalence andassociations of abdominal aortic aneurysm detected through screening.Aneurysm Detection and Management(ADAM) Veterans Affairs Cooperative Study Group. Ann Intern Med.1997;126:441-449.
    [36]Lederle FA, Nelson DB, Joseph AM. Smokers'relative risk for aortic aneurysm compared with other smoking-related diseases:a systematic review. J Vasc Surg.2003;38:329-334.
    [37]Brady AR, Thompson SG, Fowkes FG, Greenhalgh RM, Powell JT.Abdominal aortic aneurysm expansion:risk factors and time intervals for surveillance. Circulation.2004; 110:16-21.
    [38]Wilmink TB,Quick CR,Day NE.The association between cigarette smoking and abdominal aortic aneurysms. J Vasc Surg.1999;30:1099-1105.
    [39]Alcorn HG, Wolfson SK Jr, Sutton-Tyrrell K, Kuller luteinizing hormone (LH), O'Leary D. Risk factors for abdominal aortic aneurysms In older adults enrolled in The Cardiovascular Health Study.Arterioscler Thromb Vasc Biol. 1996; 16:963-970.
    [40]Lindholt JS, Heegaard NH, Vammen S, Fasting H, Henneberg EW, Heickendorff L. Smoking, but not lipids, lipoprotein(a) and antibodies against oxidised LDL,is correlated to the expansion of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg.2001;21:51-56.
    [41]Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standardsfor reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery [J]. J Vasc Surg,1991; 13(3):452
    [42]Norman P, Spencer CA, Lawrence-Brown MM, Jamrozik K. C-reactive protein levels and the expansion of screen-detected abdominal aortic aneurysms in men. Circulation.2004;110:862-866.
    [43]Santilli SM, Littooy FN, Cambria RA, Rapp JH, Tretinyak AS,d'Audiffret AC, Kuskowski MA, Roethle ST, Tomczak CM, Krupski WC. Expansion rates and outcomes for the 3.0-cm to the 3.9-cm infrarenal abdominal aortic aneurysm. J Vasc Surg.2002;35:666-671.
    [44]Gerdes LU, Lindholt JS, Vammen S, Henneberg EW, Fasting H. Apolipoprotein E genotype is associated with differential expansion rates of small abdominal aortic aneurysms. Br J Surg.2000;87:760-765.
    [45]Eriksson P, Jones KG, Brown LC, Greenhalgh RM, Hamsten A, Powell JT. Genetic approach to the role of cysteine proteases in the expansion of abdominal aortic aneurysms. Br J Surg.2004;91:86-89.
    [46]Moran CS, McCann M, Karan M, Norman P, Ketheesan N, Golledge J.Association of osteoprotegerin with human abdominal aortic aneurysm progression. Circulation.2005;111:3119-3125.
    [47]Lindholt JS, Jorgensen B, Shi GP, Henneberg EW. Relationships between activators and inhibitors of plasminogen, and the progression of small abdominal aortic aneurysms.EurJVascEndovascSurg.2003;25:546-551.
    [48]Lindholt JS, Ashton HA, Scott RA. Indicators of infection with Chlamydia pneumoniae are associated with expansion of abdominal aortic aneurysms. J Vasc Surg.2001;34:212-215.
    [49]Lindholt JS, Juul S, Vammen S, Lind I, Fasting H, Henneberg EW. Immunoglobulin A antibodies against Chlamydia pneumoniae are associated with expansion of abdominal aortic aneurysm. Br J Surg.1999; 86:634-638.
    [50]Lindholt JS, Erlandsen EJ, Henneberg EW. Cystatin C deficiency is associated with the progression of small abdominal aortic aneurysms. Br J Surg. 2001;88:1472-1475.
    [51]Lindholt JS, Ashton HA, Heickendorff L, Scott RA. Serum elastin peptides in the preoperative evaluation of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg.2001;22:546-550.
    [52]Lindholt JS, Heickendorff L, Henneberg EW, Fasting H. Serum-elastin-peptides as a predictor of expansion of small abdominal aortic aneurysms. Eur J Vasc Endovasc Surg.1997; 14:12-16.
    [53]Lindholt JS, Vammen S, Fasting H, Henneberg EW, Heickendorff L. The plasma level of matrix metalloproteinase 9 may predict the natural history of small abdominal aortic aneurysms. A preliminary study. Eur J Vasc Endovasc Surg.2000;20:281-285.
    [54]Thompson RW, Parks WC. Role of matrix metalloproteinases in abdominal aortic aneurysms. Ann N Y Acad Sci 1996;800:157-74.
    [55]Davis V,Persidskaia R,Baca RL,et al.Matrix metalloproteinase-2 production and its binding to the matrix are increased in abdominal aortic aneurysms.Arterioscler Thromb Vasc Biol,1998,18(10):1625-33
    [56]56.Tamarina NA,McMillan WD,Shively VP,et al.Expression of matrix metalloproteinases and their inhibitors in aneurysms and normal aorta Surgery,1997,122(2):264-71
    [57]Elmore JR, Keister BF, Franklin DP, et al. Expression of matrix metalloproteinases and TIMPs in human abdominal aortic aneurysms. Ann Vasc Surg,1998,12(3):221-8
    [58]McMillan WD,Pearce WH.Increased plasma levels of metalloproteinase-9 are associated with abdominal aortic aneurysms. J Vasc Surg,1999,29(1):122-7
    [59]Curci JA LS, Huffman MD, Shapiro SD, Thompson RW Expression and localization of macrophage elastase (matrix metalloproteinase-12) in abdominal aortic aneurysms. J Clin Invest.,1998,102(11):1900-1910.
    [60]Longo GM BS, Fiotta N, Xiong W Griener T, Shapiro S, Baxter BT. MW-12 has a role in abdominal aortic aneurysms in mice. Surgery.,2005,137(4): 457-462.
    [61]Cockerill GW, Gamble JR, Vadas MA. Angiogenesis:models and modulators. Int Rev Cytol.1995;159:113-160.
    [62]Herron GS, Werb Z, Dwyer K, Banda MJ. Secretion of metalloproteinases by stimulated capillary endothelial cells. I. Production of procollagenase and prostromelysin exceeds expression of proteolytic activity. J Biol Chem. 1986;261:2810-2813.
    [63]Kalluri R. Basement membranes:structure, assembly and role in tumourangiogenesis. Nat Rev Cancer.2003;3:422-433.
    [64]Rundhaug JE. Matrix metalloproteinases and angiogenesis. J Cell Mol Med. 2005;9:267-285.
    [65]Herron GS, Unemori E, Wong M, Rapp JH, Hibbs MH, Stoney RJ. Connective tissue proteinases and inhibitors in abdominal aortic aneurysms. Involvement of the vasa vasorum in the pathogenesis of aortic aneurysms. Arterioscler Thromb.1991; 11:1667-1677.
    [66]Edward Choke, Matthew M. Thompson et al. Abdominal aortic aneurysm reupture of associated with increased medial neovascularization and overexpression of proangiogenic cytokines. Arterioslcer Thromb Vasc Biol.2006:26:2077-2082
    [67]Mao D, Lee JK, VanVickle SJ, Thompson RW. Expression of collagenase-3 (MMP-13) in human abdominal aortic aneurysms and vascular smooth muscle cells in culture. Biochem Biophys Res Commun 1999;261:904-10.
    [68]Huffman MD, Curci JA, Moore G, Kerns DB, Starcher BC, Thompson RW. Functional importance of connective tissue repair during the development of experimental abdominal aortic aneurysms.Surgery 2000;128:429-38.
    [69]Liao S, Curci JA, Kelley B, Sicard GA, Thompson RW. Accelerated replicative
    senescence of medial smooth muscle cells derived from abdominal aortic aneurysms as compared to the adjacent inferior mesenteric artery. J Surg Res 2000;92:85-95.
    [70]Gorav A JL, Gilbert RU. Current concepts in the pathogenesis of abdominal aortic aneurysm. J Vasc Surg,2003,38:584-588.
    [71]Newman KM OY, Malon AM, Irizarry E, Gandhi RH, Nagase H, Tilson MD. Identification of matrix metalloproteinases 3(stromelysin-1) and 9 (gelatinase B) in abdominal aortic aneurysm.Arterioscler Thromb,1994,14(8):1315-1320.
    [72]Carrell TW BK, Wells GM, Clements JM, Smith A. Stromelysin-1 (matrix metalloproteinase-3) and tissue inhibitor of metalloproteinase-3 are overexpressed in the wall of abdominal aortic aneurysms. Circulation,2002, 105(4):477-482.
    [73]Wilson WR SE, Jones JL, Bell PR, Thompson MM. Matrix metalloproteinase 8 (neutrophil collagenase) in the pathogenesis of abdominal aortic aneurysm. Br J Surg,2005.
    [74]Mao D LJ, VanVickle SJ, Thompson RW Expression of collagenase-3 (MMP-13) in human abdominal aortic aneurysms and vascular smooth muscle cells in culture. Biochem Biophys Res Commun,1999,261(3):904-910.
    [75]Tromp G GZ, Skunca M, Berguer R, Siegel T, Kline RA, Kuivaniemi H. Elevated expression of matrix metalloproteinase-13 in abdominal aortic aneurysms. Ann Vasc Surg,2004,18(4):414-420.
    [76]Yamashita A, Noma T, Nakazawa A, et al.Enhanced expression of matrix Metalloproteinase-9 in abdominal aortic aneuyrsms.World J Sugr 2001 Mar;25(3):259-65
    [77]Allaire E,Forough R,Clowes M,et al.Local overexpression of TIMP-1 prevents aortic aneurysm degeneration and rupture in a rat model.J Clin Invest,1998,102(7):1413-20
    [78]Tamarina NA,McMillan WD,Shively VP,et al.Expression of matrix metalloproteinases and their inhibitors in aneurysms and normal aorta. Surgery,1997,122(2):264-71
    [79]Armstrong PJ FD, Carey DJ, Elmore JR. Suppression of experimental aortic aneurysms:comparison of inducible nitric oxide synthase and cyclooxygenase inhibitors. Ann Vase Surg.2005,19(2):248-257.
    [80]Parodi FE MD, Ennis TL, Bartoli MA, Thompson RW Suppression of experimental abdominal aortic aneurysms in mice by treatment with pyrrolidine dithiocarbamate, an antioxidant inhibitor of nuclear factor-kappaB. J Vase Surg. 2005,41(3):479-489.
    [81]Lawrence DM SR, Franklin D, Carey DJ, Elmore JR. Rapamycin suppresses experimental aortic aneurysm growth. J Vase Surg.2004,40(2):334-338.
    [82]Grigoryants V HK, Pearce CqSinha 1, Roelofs KJ,Ailawadiq Deatrick KB, Woodrum DT Cho BS, Henke PK,Stanley JC, Eagleton MJ, Upchurch GR. Tamoxifen up-regulates catalase production,inhibits vessel wall neutrophil infiltration, and Attenuate development of experimental abdominal aortic aneurysms. J Vase Surg.2005,41(1):108-114.
    [83]Moon SK CB, Kim CH. ERK1/2 mediates TNF-alpha-induced matrix metalloproteinase-9 expression in human vascular smooth muscle cells via the regulation of NF-kappaB and AP-1:Involvement of the ras dependent pathway. J Cell Physiol,2004,198(3):417-427.
    [84]Nicholl SM RE, Davies MG Urokinase-induced smooth muscle cell responses require distinct signaling pathways:a role for the epidermal factor receptor. J Vase Surg,2005,41(4):672-681.
    [85].Kingsley K PG Platelet-derived growth factor modulates rat vascular smooth muscle cell responses on laminin-5 via mitogen-activated protein kinase-sensitive pathways. Cell Commun Signal,2005,3(1):2.
    [86].Ma H CT, Kessel T, Ashton AW, Berman JW Mechanisms of hepatocyte growth factor-mediated vascular smooth muscle cell migration. Circ Res,2003, 93(11):1066-1073.
    [87]Yao JS CY, Zhai W, Xu K, Young WL, Yang GY Minocycline exerts multiple inhibitory effects on vascular endothelial growth factor-induced smooth muscle cell migration:the role of ERK1/2,PI3K, and matrix metalloproteinases. Circ Res.,2004,95(4):364-371.
    [88]Amiri F SS, Wang X, Tang J, Waller JL, Eaton DC, Marrero MB. Angiotensin II activation of the JAK/STAT pathway in mesangial cells is altered by high glucose. Kidney Int,2002,61(5):1605-1616.
    [89]Weissenbach M CT, Weber C, Spitzer D, Wirth D, Vestweber D, Heinrich PC, Schaper F. Interleukin-6 is a direct mediator of T cell migration. Eur J Immunol,2004,34(10):2895-2906.
    [90]Lee BB YM, Yang Y, Jiang Z, Ha H. Reactive oxygen species-regulated signaling pathways in diabetic nephropathy. J Am Soc Nephrol,2003,14(8 Suppl3):5241-245.
    [91]Sukhova GK, Shi GP, Simon DI, Chapman HA, Libby P. Expression of the elastolytic cathepsins S and K in human atheroma and regulation of their production in smooth muscle cells. J Clin Invest 1998;102:576-83.
    [92]Shi GP, Sukhova GK, Grubb A, Ducharme A, Rhode LH, Lee RT, et al. Cystatin C deficiency in human atherosclerosis and aortic aneurysms. J Clin Invest 1999;104:1191-7.
    [93]Lemire JM, Braun KR,Maurel P,et al.Versiea/PG-Misoform in vascular smooth muscle cells.Arterioscl Thromb Vasc Biol,1999,19:630.
    [94]Melrose J, Whiteloek J, Xu Q, et al.Pathogenesis o fabdominal aortic aneurysms:Possible role If differential Production of Proteoglycans by smooth Muscle cells. J Vase Surg,1995,25:676.
    [95]吴建秋,景在平.细胞外基质中的蛋白多糖与腹主动脉瘤.中国动脉硬化杂志,2001,9:74.
    [96]Miller FJ Jr, Sharp WJ, Fang X, Oberley LW, Oberlely TD, Weintraub NL.Oxidative stress in human abdominal aortic aneurysms:apotential mediator of aneurysm remodeling. Arterioscler Thromb Vasc Biol 2002;22:560-565.
    [97]Jason M, Joharming MD. David P et al. Inhibition of inducible nitric oxide synthase limits nitric oxide production attd experital aneurysm expansion[J]. J Vase Surg,2001,33; 579-586
    [98]Yajima N, Masuda M, Miyazaki M, Nakajima N, Chien S, Shyy JY Oxidative stress is involved in the development of experimental abdominal aortic aneurysms:a study of the transcription profile with compli mentary DNA microarray. J Vasc Surg 2002;36:379-85
    [99]Peppin GJ, Weiss SJ. Activation of the endogenous metalloproteinase, gelatinase, by triggered human neutrophils. Proc Natl Acad SciUSA 1986;83:4322-6.
    [100]Rajagopalan S, Meng XP, Ramasamy S, Harrison DG, Galis ZS. Reactive oxygen species produced by macrophage-derived foam cells regulate the activity of vascular matrix metalloproteinases in vitro. J Clin Invest 1996;98:2572-9.
    [101]Li PF, Dietz R, Von Harsdorf R. Reactive oxygen species induce Apoptosis of vascular smooth muscle cell.FEBS Lett 1997;404:249-52.
    [102]Lopez-Candales A,Holmes DR,Liao S,et al.Decreased vascular smooth muscle cell density in medial degeneration of human abdominal aortic aneurysms.Am J Pathol.1997;150(3):993-1007
    [103]Henderson EL,Geng YJ,SuKhova GK,et al.Death of smooth muscle cells and expression of mediators of apoptosis by T limphocytes in human abdominal aortic aneurysms.Circulation.1999;99(1):96-104
    [104]Rowe VL,Stevens SL,Reddick TT,Freeman MB,Donnell R,Carroll RC, Goldman MH. Vascular smooth muscle cell apoptosis in aneurysmal, occlusive,and normal human aortas. J Vasc Surg.2000 Mar;31(3):567-76.
    [105]李大勇,车艳,杨铺,等腹主动脉瘤动脉壁血管平滑肌细胞增殖及凋亡的研究.中华普通外科杂志,2004;19:169-171.
    [106]Homes DR,Liao S,Thompson RW.Vascular smooth muscle cell production of p21 in human abdominal aortic aneurysms:association with smooth muscle cell accumulation of p53 and apoptosis.Cell Mol Bilo.1996; 42(suppl 2):118
    [107]Thompson RW,Liao S,Curci JA.Vascular smooth muscle cell apoptosis in abdominal aortic aneurysms.Coron Artery Dis.1997;8(11):623-31
    [108]Curci JA,Thompson RW.Fas/Fas ligand-mediated apoptosis as a mechanism of vascular smooth muscle cell loss in abdominal aortic aneurysms,J Vasc Surg.1998;27(10):1190-8
    [109]Henderson EL,Geng YJ,SuKhova GK,et al.Death of smooth muscle cells and expression of mediators of apoptosis by T limphocytes in human abdominal aortic aneurysms.Circulation.1999;99(1):96-104
    [110]Fukuo K, Hata S, Suhara T, et al, Nitric oxide induces upregulation of FaS and Apoptosis in vasclar smooth muscle.Hypertenslon.1996;27[Part2]:823 - 826.
    [111]Iwashina M, Shichiri M, Marumo F, et al..Transfection of inducible nitric oxide Synthase gene causes apoptosis in vascular smooth muscle cells. Circulation.1998;98:1212-1218.
    [112]Aoyagi M,Fukai N,Ogami K,et al.Kinetics of 125I-PDGF binding and downregulation of PDGF receptor in human arterial smooth muscle cell strains during cellular senescence in vitro.J Cell Physiol.1995; 164(2):376-84
    [113]Ruiz-Torres A, Melon J, Munoz FJ. Insulin stimulates collagen synthesis in vascular smooth muscle cells from elderly patients. Gerontology.1998;44(1):144-52
    [114]Birukov KQBardy N,Lehoux S,et al.Intraluminal pressure is essential for the maintenance of smooth muscle caldesmon and filamin content in aortic organ culture.Arteroscler Thromb Vasc Biol.1998; 18(6):922-7
    [115]Pyo R, Lee JK, Shipley JM, et al:Targeted gene disruption of matrix metalloproteinase-9 (gelatinase B) suppresses development of experimental abdominal aortic aneurysms. J Clin Invest 105:1641,2000.
    [116]Carsten CG,Calton WC, Johanning JM, et al. Elastase is not sufficient to induce experimental abdominal aortic aneurysms. J Vasc Surg,2001, 33:1255-1262.
    [117]Hirose H, Ozsvath KJ, Xia S, Tilson MD:Molecular cloning of the complementary DNA for an additional member of the family of aortic aneurysm antigenic proteins. J Vasc Surg 26:313,1997
    [118]Pyo R, Lee JK, Shipley JM, et al:Targeted gene disruption of matrix metalloproteinase-9 (gelatinase B) suppresses development of experimental abdominal aortic aneurysms. J Clin Invest 105:1641,2000
    [119]Juvonen J, Juvonen T, Laurila A, et al:Demonstration of Chlamydia pneumoniae in the walls of abdominal aortic aneurysms. J Vasc Surg 25:499, 1997.
    [120]Blasi F, Denti F, Erba M, et al:Detection of Chlamydia pneumoniae but not Helicobacter pylori in atherosclerotic plaques of aortic aneurysms. J Clin Microbiol 34:2766,1996.
    [121]Petersen E, Boman J, Persson K, et al:Chlamydia pneumoniae in human abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 15:138,1998.
    [122]Lindholt JS, Ashton HA, Scott RA. Indicators of infection with Chlamydia pneumoniae are associated with expansion of abdominal aortic aneurysms [J]. J Vasc Surg,2001; 34(2):212
    [123]Tambiah J, Powell JF.Chlamydia pneumoniae antigens facilitate experimental aortic dilatation:prevention with azithromycin. J Vasc Surg,2002,36:1011-1017.
    [124]Newman KM, Jean-Claude J, Li H, et al. Cellular localiztion of matrix metalloproteinases in the abdominal aortic aneurysm wall. J Vasc Surg, 1994,20:814-820
    [125]Nishimura K, Ikebuchi M, Kanaoka Y, et al. Relationships between Matrix metalloproteinases and issue inhibitor of metalloproteinases in the wall of abdominal aortic aneurysms. Int Angiol,2003,22:229-238
    [126]Fukuo K, Hata S, Suhara T, et al.Nitric oxide induces upregulation of.Fas and apoptosis in vasclar smooth muscle.Hypertension,1996,27:823-826.
    [127]Raghavan ML, Vorp DA, Federle MP, Makaroun MS, Webster MW. Wall stress distribution on three-dimensionally reconstructed models of human abdominal aortic aneurysm. J Vasc Surg 2000;31:760-9.
    [128]Wang DH, Makaroun MS, Webster MW, Vorp DA. Effect of intraluminal thrombus on wall stress in patient-specific models of abdominal aortic aneurysm. J Vasc Surg 2002;36:598-604.
    [129]Fillinger MF,Raghavan ML,Marra SP,Cronenwett JL.Invivoanalysis of mechanical wall stress and abdominal aortic aneurysm rupture risk. J Vasc Surg 2002;36:589-97.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700