Evidence map›Paper›PMID 33277255›Full record

ArticleScience advances2020

Mechanics-driven mechanobiological mechanisms of arterial tortuosity.

Dar Weiss, Cristina Cavinato, Authia Gray, Abhay B Ramachandra, Stephane Avril, Jay D Humphrey, Marcos Latorre

Abstract read
In one paragraph

Article in Science advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  17. Experimental and Mouse-Specific Computational Models of the Fbln4Cardiovascular engineering and technology · 2022
    Article
  18. Article
  19. Review
  20. Uncertainty quantification in subject-specific estimation of local vessel mechanical properties.International journal for numerical methods in biomedical engineering · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dar WeissDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0001-6097-6038
Cristina CavinatoDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0002-6021-8920
Authia GrayDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0001-5643-8579
Abhay B RamachandraDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0001-6275-501X
Stephane AvrilMines Saint-Etienne, Centre CIS, INSERM, U 1059 Sainbiose University of Lyon, Univ Jean Monnet, Saint-Etienne, France.ORCID 0000-0002-8604-7736
Jay D HumphreyDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA. jay.humphrey@yale.edu.ORCID 0000-0003-1011-2025
Marcos LatorreDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0003-4142-0207

Funding

TGFB-Dependent Mechanoresponses by Aortic Smooth Muscle Cells Govern AneurysmsP01HL134605 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RIFKIN, DANIEL B · 2018 to 2022
$12.1M
Mechanisms Underlying The Progression of Large Artery Stiffness in HypertensionR01HL105297 · NHLBI · YALE UNIVERSITY · PI FIGUEROA, CARLOS ALBERTO, HUMPHREY, JAY D. · 2010 to 2019
$3.0M
Multimodality imaging-driven multifidelity modeling of aortic dissectionU01HL142518 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., KARNIADAKIS, GEORGE · 2018 to 2022
$2.8M
NHLBI NIH HHS P01 HL134605NHLBI NIH HHS R01 HL105297NHLBI NIH HHS U01 HL142518
6 · The paper itself

Abstract

Arterial tortuosity manifests in many conditions, including hypertension, genetic mutations predisposing to thoracic aortopathy, and vascular aging. Despite evidence that tortuosity disrupts efficient blood flow and that it may be an important clinical biomarker, underlying mechanisms remain poorly understood but are widely appreciated to be largely biomechanical. Many previous studies suggested that tortuosity may arise via an elastic structural buckling instability, but the novel experimental-computational approach used here suggests that tortuosity arises from mechanosensitive, cell-mediated responses to local aberrations in the microstructural integrity of the arterial wall. In particular, computations informed by multimodality imaging show that aberrations in elastic fiber integrity, collagen alignment, and collagen turnover can lead to a progressive loss of structural stability that entrenches during the development of tortuosity. Interpreted in this way, microstructural defects or irregularities of the arterial wall initiate the condition and hypertension is a confounding factor.

Identifiers

PMID33277255
PMCPMC7821897

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.