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PubMed2000

Lung elastic tissue maturation and perturbations during the evolution of chronic lung disease.

BACKGROUND: Infants <30 weeks' gestation have difficulty maintaining adequate functional residual capacity after the first week of life without positive end-expiratory pressure. We hypothesized that this is caused, in part, by increased lung elastic recoil. Our aims were to quantitate parenchymal elastic tissue during normal fetal development and in infants born at 23 to 30 weeks' gestation with prolonged survival at risk for chronic lung disease (CLD). METHODS: The controls were 22 to 42 weeks' gestation (n = 71), received ventilator care, and died within 48 hours of birth, plus 7 term infants who died at 43 to 50 weeks' postconceptional age from nonpulmonary causes. Infants who were 23 to 30 weeks' gestation, at risk for CLD, and who lived 5 to 59 days (n = 44), were separated into groups based on respiratory score (SCORE; The integrated area under the curve of the average daily fraction of inspired oxygen x mean airway pressure (cm H(2)O) over the number of days lived). The SCORE groups, <20, 21 to 69 and 70 to 200, related clinically to mild to severe lung disease. The lungs were tracheally perfused and formalin-fixed and total lung volume (TLV) was measured by water displacement. The paraffin-embedded lung blocks were stained with Miller's elastic stain. The parenchyma and parenchymal elastic tissue were point-counted. The absolute elastic tissue was calculated by multiplying TLV by the parenchymal and elastic fractions. Septal width, alveoli and alveolar duct diameters, and internal surface area (ISA) were also measured. RESULTS: In the controls, the volume density of parenchymal elastic tissue and absolute quantity of elastic tissue increased progressively from 22 to 50 weeks. In infants with CLD and SCORE >/=20, the volume density and absolute quantity of elastic tissue increased significantly. Mean absolute elastic tissue in the 20 to 69 group was 0.76 +/- 0.20 cm(3) greater than in the <20 group (0.46 +/- 0.10 cm(3)) who were similar to the controls, and the 70 to 200 group was 1.32 +/- 0.56 cm(3) greater than the 20 to 69 group. Elastic tissue for infants at risk for CLD, as a percent of predicted for same-age controls, rose linearly with increasing SCORE (r = 0.73; r(2) = 0.55). Control TLV and ISA were linearly related to age. Thirty-nine of the 44 CLD-risk infants had TLVs greater than controls. However, 77% with SCORE 20 to 200 had ISAs less than or equal to the control 95% confidence interval. Control septal width decreased sharply from 23 to 30 weeks, then gradually decreased to term. All infants with SCORE 70 to 200 and 80% of those with SCORE 20 to 69 had widths more than the control 95% confidence interval. Control alveolar and duct diameters doubled from 23 to 50 weeks and were significantly greater in infants with SCORES 20 to 200. DISCUSSION: Lung elastic tissue maturation is tightly controlled during fetal development. With increasing SCORE, elastic tissue increased >200%, accounting, in part, for the positive end-expiratory pressure needed to maintain end-expiratory lung volume in infants at risk for CLD. Saccule and duct diameters more than doubled, and septa thickened significantly in CLD. We propose the following sequence to be operative in CLD: at birth, the preterm infant (</=30 weeks) has inadequate elastic tissue and elastic recoil, but high surface tension recoil. After surfactant treatment, surface tension recoil markedly decreases, permitting the saccules and ducts, with very low elastic recoil, to be overstretched by volutrauma. The damaged lung responds with elastosis, distorted acinar growth, cellular influx, and upregulation of inflammatory and reparative proteins. This hypothesis can be summarized by the following terms: lung immaturity, inflammation, volutrauma, and elastic tissue alterations.

Elastic Tissue↗
PubMed2005

The elastic fiber network of the anulus fibrosus of the normal and scoliotic human intervertebral disc.

STUDY DESIGN: Immunohistochemical study of elastic fibers in human intervertebral discs (IVD) collected at surgery from patients with scoliosis. OBJECTIVES: To compare the elastic fiber network in scoliotic discs (idiopathic scoliosis or neuromuscular scoliosis) to that of control (normal) discs. To study whether the change in elastic fiber organization could contribute to the progression of spinal deformity. SUMMARY OF BACKGROUND DATA: Elastin and elastic fibers have been identified previously in human IVD but were believed to contribute little to the tissue's mechanical properties. However, a recent immunohistochemical study has revealed an abundant and organized elastic fiber network in bovine IVD, indicating that elastic fibers could play an important mechanical role. This article reports the organization of elastic fibers in human IVD and the changes of elastic fiber organization in scoliosis. METHODS: Intact wedges of IVD were obtained from patients undergoing surgery for scoliosis (aged 12-22 years). Control discs were obtained from a patient (aged 12 years) with a spinal tumor and a trauma patient (aged 17 years). The discs were dissected to give radial slices and were snap frozen. Frozen sections were cut and digested with hyaluronidase to remove glycosaminoglycans. Micrographs of the sections were examined by polarized light to visualize collagen organization. The elastic fiber network was visualized immunohistochemically or by histochemical staining with orcein. RESULTS: A highly organized elastic fiber network, similar to that described in bovine discs, was revealed in the control human discs. In the anulus fibrosus of control discs, dense elastic fibers were located between adjacent lamellae, with fibers also present within individual lamellae. Elastic fibers appeared to be long (>200 microm) and straight in outer anulus, whereas in inner anulus, they nearly ran parallel to each other and at an angle of approximately 60 degrees or 120 degrees to those in adjacent lamellae. However, in scoliotic discs, elastic fibers were sparse, and the collagen and elastic fiber networks were disorganized with loss of lamellar structure. Cell clusters, one of typical degenerative feature, were seen in scoliotic discs but not in age-matched control discs. CONCLUSIONS: Our results reveal an abundant and organized network of elastic fibers in the adolescent (12 and 17-year-olds) human IVD, and suggest that elastic fiber network plays a significant biomechanical role. This network is sparse and disrupted in scoliotic discs, and could be involved in the progression of the spinal deformity.

Adolescent↗
PubMed1991

[Study of the elastic skeleton of intracranial arteries in animal and human vessels and experimentally induced cerebral aneurysms].

In an attempt to clarify the elastic skeleton of cerebral arteries in animals and human, and experimentally induced cerebral aneurysms, following experiments were performed. Experiment (1): The elastic skeleton of major cerebral arteries in rats, monkeys, and one human were studied by scanning electron microscopy after hot-formic acid extraction followed by freeze-drying. For a comparative study, the thoracic aorta and femoral arteries of rats were also examined. The cerebral arteries of rats had one distinct internal elastic lamina connected with medial elastic tissue. This internal elastic lamina had fenestrations, which were less frequent in cerebral arteries than in extracranial arteries, and fold-like protrusions into the lumen. This finding has not been recognized before. Such protrusions were more prominent in cerebral arteries than in extracranial arteries. At the apical intimal pad, the internal elastic lamina appeared to be continuous, making a honeycomb-like structure there. These folds and fenestrations were numerous in the apical region. There were no essential differences between species. Experiment (2): Cerebral aneurysms were produced by ligating unilateral carotid artery and bilateral posterior branches of renal arteries, and feeding beta-aminoproprionitrile fumarate. The first noted change was the loss of fold-like structures protruding from the internal elastic lamina. Morphological changes of the internal elastic lamina, considered to be primarily responsible for aneurysmal formation, occurred after the loss or disintegration of the media. The internal elastic lamina disappeared after these consequences. In a large aneurysm with a thick dome, the wall contained fine proliferated elastic lamellae. The present study shows that the internal elastic lamina is not a simple sheet but part of the complicated architecture of the elastic tissue of the vessel wall. It seems probable that the complex elastic skeleton of the arterial wall may account for the mechanical properties of the artery and that growth of the aneurysm occurs due to disintegration of the elastic skeleton and not simply with rupture of the internal elastic lamina. We believe that such changes in the elastic skeleton are a property of the functional state of cells that produce elastin.

Animals↗
PubMed1993

Smooth muscle cell to elastic lamina connections in developing mouse aorta. Role in aortic medial organization.

BACKGROUND: The structural and functional intigration of smooth muscle cells and elastic laminae in the aortic media is not well established. Detailed information concerning normal ultrastructural features of the aortic media will provide a better understanding of the medial changes that occur in vascular diseases such as hypertension and aortic aneurysms. EXPERIMENTAL DESIGN: The ultrastructural development and organization of connections between smooth muscle cells and elastic laminae in the mouse aortic media were studied by light and electron microscopy. RESULTS: Early in development, the smooth muscle cells become linked to the elastic laminae by bundles of microfibrils. These microfibrils become progressively infiltrated with elastin so as to form extensions of elastin from the elastic laminae in the adult media. Each elastin extension spans obliquely from the elastic lamina to the surface of the smooth muscle cell where it attaches in a region of membrane occupied by an intracellular membrane-associated dense plaque. On the cytoplasmic face of the plaque, a contractile filament bundle penetrates and anchors in an orientation similar to that of the extracellular elastin extension. The contractile filament bundle traverses the cell obliquely and anchors in a dense plaque on the opposite side of the cell that is in turn linked to the next elastic lamina by another elastin extension. The extracellular elastin extensions and the intracellular contractile filament bundles thus form a "contractile-elastic unit," a continuous line of structures that links adjacent elastic laminae. The oblique orientation of the contractile-elastic units reverses direction in successive smooth muscle cell layers in a herringbone-like pattern. Thus, tension transmitted to one elastic lamina by the smooth muscle cells on either side results in a uniform force exerted on the elastic lamina in one circumferential direction, that on the adjacent elastic laminae being in the opposite direction. CONCLUSIONS: Results from this study demonstrate the presence of smooth muscle cell to elastic lamina connections that form early in development as contractile-elastic units; basic units of aortic medial ultrastructure. The overall organization of the contractile-elastic units within the aortic media is proposed to provide a means for coordinating contractile and elastic tensions in response to mechanical stresses imposed on the vessel wall.

Aging↗
PubMedDate not supplied

Elastic fibers in saphenous varicose veins.

The purpose of this study is to describe the elastic fibers of varicose collateral saphenous veins. Sections were obtained from venous segments of patients with essential varices and stained with resorcin-fuchsin for elastic system fibers and analyzed with laser scanning microscopy after Evans blue staining. Vein portions (270 microm) were classified as without thickening, with a cushion, or with a diffuse thickening. The elastic material density of the intima (Dei) and media (Dem) were tested for differences by the Kruskal-Wallis test. Diffuse thickening (87.1+/-8.6 microm) represents 54.5% of the segment. Cushion occupies 23.5% with 42.4+/-4.66 microm. The elastic network present in the cushion is formed by elastic fibers of different diameters that branch into delicate oxytalan fibers in association with the smooth muscle cells. The diffuse thickening elastic network varies from elastic lamellae and delicate oxytalan fibers related to the intima smooth muscle cell bundles to fragmented elastic fibers in the collagenous areas. Dei increases as the intima enlarges (10.19, 14.63, and 16.01, respectively to without thickening, cushion, diffuse thickening). In the media, the elastic network encircles the circular muscle bundles connecting them to the elastic internal lamina and to elastic fibers in the adventitia. Smooth muscle cells were coiled by numerous oxytalan fibers and the elastic fibers are irregular and fragmented. In the sclerotic portions, the elastic fibers are sparse. No correlation was found between Dei and Dem. The important thickening of varicose vein intima shows increasing quantities of elastic material formerly associated with smooth muscle cells. In the media, the elastic network around smooth muscle cell bundles is disrupted and the Dem diminishes as the media becomes sclerotic.

Adult↗
PubMed2005

Smoker preference for "elastic cigarettes" in the Canadian cigarette market.

Elastic cigarettes are characterized by yields of constituents that increase proportionally faster than smoke volume as cigarettes are smoked more intensely. Elasticity may function to overcome physical limitations in increasing puff volume during nicotine-seeking behaviour. The purpose of this study was to determine if there are elastic cigarettes in the Canadian cigarette market and to determine smoker preference for elastic cigarettes. Elasticity was calculated for 115 brands in the Canadian filtered cigarette market for puff volumes of 44 and 56 ml. Puff volumes, nicotine and tar deliveries were obtained from earlier published documents. Sales data were used as a proxy for smoker preference. Ordinary least squares regression was used to determine the association of sales and elasticity in the Canadian cigarette market. The cigarette brands ranged from a mean elasticity value of 1.21 to 0.67. Of the 115 Canadian cigarette brands tested, 23 brands had a mean elasticity value significantly over 1.00, making them elastic. After adjusting for brand, the average elastic cigarette sold an average of 361 million cigarettes while an inelastic cigarette sold 89.5 million cigarettes (p<0.0001). The difference in sales between elastic and inelastic cigarettes was independent of tar yield and filter type. Elasticity was not associated with tar yield (p=0.2734). There are elastic cigarettes in the Canadian cigarette market and the results suggest a possible smoker preference for elastic cigarettes. Utilizing elasticity may be valuable in the development of future harm reduction strategies.

Administration, Inhalation↗
PubMed1971

The elastic constants of the human lens.

1. When the lens is spun around its antero-posterior polar axis in an apparatus designed for the purpose, high speed photography can be used to record its changing profile. By this method a variable radial centrifugal force can be applied to the lens which mimics the pull of the zonule.2. If the lens is not stressed at its centre beyond 100 Nm(-2) it behaves as a truly elastic body. When stressed beyond this limit visco-elastic strain is produced at its poles.3. The human lens has isotropic elastic properties at the extremes of life, but at the other times Young's Modulus of Elasticity varies with the direction in which it is measured.4. Young's Modulus of Elasticity of the lens varies with age, polar elasticity and equatorial elasticity, at birth being 0.75 x 10(3) and 0.85 x 10(3) Nm(-2) respectively, while at 63 years of age both are equal to 3 x 10(3) Nm(-2).5. A comparison of Young's Modulus of the young human lens with that of the rabbit and cat shows that the polar elasticity of the lenses of these animals was 5 times greater in the young rabbit, and 21 times greater in the adult cat. Equatorial elasticities of the rabbit and human lens were equal, while in the cat the equatorial elasticity was four times greater.6. A mathematical model showing the lens substance possessing a nucleus of lower isotropic elasticity than that of the isotropic elastic cortex surrounding it, accounts for the difference between polar and equatorial elasticity of the intact adult lens.7. The implications of these findings are discussed in relation to:(i) accommodation and the rheological properties of the lens;(ii) possible differences in the physical state of the lenticular proteins in the cortex and nucleus which may account for the senile variations in Young's Modulus of Elasticity in these regions of the lens;(iii) the loss of accommodation due solely to an increase in Young's Modulus of Elasticity of the lens between the ages of 15 and 60. This would amount to 44% of the total observed in vivo.

Adolescent↗
PubMed2006

Microfibril-associated MAGP-2 stimulates elastic fiber assembly.

Elastic fibers are complex structures composed of a tropoelastin inner core and microfibril outer mantle guiding tropoelastin deposition. Microfibrillar proteins mainly include fibrillins and microfibril-associated glycoproteins (MAGPs). MAGP-2 exhibits developmental expression peaking at elastic fiber onset, suggesting that MAGP-2 mediates elastic fiber assembly. To determine whether MAGP-2 regulates elastic fiber assembly, we used an in vitro model featuring doxycycline-regulated cells conditionally overexpressing exogenous MAGP-2 and constitutively expressing enhanced green fluorescent protein-tagged tropoelastin. Analysis by immunofluorescent staining showed that MAGP-2 overexpression dramatically increased elastic fibers levels, independently of extracellular levels of soluble tropoelastin, indicating that MAGP-2 stimulates elastic fiber assembly. This was associated with increased levels of matrix-associated MAGP-2. Electron microscopy showed that MAGP-2 specifically associates with microfibrils and that elastin globules primarily colocalize with MAGP-2-associated microfibrils, suggesting that microfibril-associated MAGP-2 facilitates elastic fiber assembly. MAGP-2 overexpression did not change levels of matrix-associated fibrillin-1, MAGP-1, fibulin-2, fibulin-5, or emilin-1, suggesting that microfibrils and other elastic fiber-associated proteins known to regulate elastogenesis do not mediate MAGP-2-induced elastic fiber assembly. Moreover, mutation analysis showed that MAGP-2 does not stimulate elastic fiber assembly through its RGD motif, suggesting that integrin receptor binding does not mediate MAGP-2-induced elastic fiber assembly. Because MAGP-2 interacts with Jagged-1 that controls cell-matrix interaction and cell motility, two key factors in elastic fiber macroassembly, microfibril-associated MAGP-2 may stimulate elastic fiber macroassembly by targeting the release of elastin globules from the cell membrane onto developing elastic fibers.

Animals↗
PubMed2006

Relationship between glycosylated hemoglobin and arterial elasticity.

Arterial elasticity is decreased in diabetes, but it is unclear whether there is a relationship between glycosylated hemoglobin (HbA1c) and arterial elasticity. To evaluate this question, 111 subjects with diabetes mellitus had HbA1c and arterial elasticity determined in an academic outpatient setting. Three measurements of arterial elasticity indices were obtained supine using the HDI/PulseWave CR-2000 Research CardioVascular Profiling System (Hypertension Diagnostics Inc., Eagan, MN). The study population was 49% black and 51% women. Population characteristics included age, 49.2 years; duration of diabetes, 12.1 years; HbA1c, 8.9%; large artery elasticity, 11.8 mL/mm Hg x 10; and small artery elasticity, 4.7 mL/mm Hg x 100. Age correlated with diminished large artery elasticity. Women had a lower large artery elasticity than men (10.6 vs. 13.3 mL/mm Hg x 10; p = 0.0002). Decreasing small artery elasticity was associated with increasing age (p = 0.0001), HbA1c (p = 0.0184), and African-American ethnicity (p = 0.0306). Women had less small artery elasticity than men (3.8 vs. 5.8 mL/mm Hg x 100; p = 0.0001). Black diabetic patients had a reduced arterial elasticity compared with whites. Increasing HbA1c is associated with decreasing small artery elasticity, but not large artery elasticity. In diabetic patients, small artery elasticity is reduced to a greater extent in women than men and in blacks than whites.

Age Factors↗
PubMed1991

Three-dimensional structures of uterine elastic fibers: scanning electron microscopic studies.

We report findings that demonstrate for the first time that the structure of the elastic fibers of the uterus and cervix are characteristic to these tissues. Elastic fibers of the uterine corpus and cervix were studied by scanning electron microscopy (SEM). Elastic tissues were prepared from non-pregnant human uteri and pregnant rat uteri by three different methods: extraction from the tissue homogenates, in situ digestion by autoclaving of sliced tissue, and in situ formic acid digestion of sliced tissue. In addition, in situ formic acid digestion of the glutaraldehyde-fixed uterine wall of pregnant rats was done. Under SEM, the uterine elastic fibers revealed two distinct structures--fibrils and thin sheets of elastic membranes. Isolated fibers and membranes ranged in thickness from 0.1 to 0.4 micron which is thinner than aortic elastic lamellae (1-2.5 microns in thickness). These thin sheets of elastic membranes and elastic fibrils probably allow the uterus to maintain its elasticity without exerting excess pressure on the growing fetus. Formic acid digestion of fixed uterine walls of pregnant rats preserved the structural organization of elastic tissues near in vivo conditions. In these tissues, the fibers were arranged in a honeycomb structure made up largely of membranes, although sparse fibrils were present. These elastic, membranous sheets were arranged parallel to the plane of the uterine surface and interconnected with the threads of the membranes or fibrils. In the rat uterine wall, at least 12 parallel layers of elastic sheets were present. In contrast, at low magnification, the elastic tissues in the non-pregnant human uterus had no specific architectural arrangement and exhibited a sponge-like structure. Elastic fibers of the cervix were also made up of membranes and fibrils, and these fibers were organized into fishnet-like structures. These cervical membranes had fenestrations and pits with a diameter of 3-5 microns. In these studies, the concentrations of insoluble elastin in human uteri were found to be 1.38 and 1.32-1.41% of dry-defatted tissues for uterine body and cervix, respectively. The concentrations of total collagen were 38.8 and 64.3-72.4% of dry-defatted tissues for uterine body and cervix, respectively.

Adult↗
PubMed2006

A comparison of cortical elastic properties in the craniofacial skeletons of three primate species and its relevance to the study of human evolution.

When a force is applied to an object, the resulting pattern of strain is a function of both the object's geometry and its elastic properties. Thus, knowledge of elastic properties in craniofacial cortical bone is indispensable for exploring the biomechanics and adaptation of primate skulls. However, elastic properties, such as density and stiffness, cannot be measured in all species, particularly extinct species known only from fossils. In order for advanced engineering techniques such as finite element analysis (FEA) to be applied to questions of primate and hominid craniofacial functional morphology, it is important to understand interspecific patterns of variation in elastic properties. We hypothesized that closely related species would have similar patterns of bone elastic properties, and that similarities with extant species should allow reasonable predictions of elastic properties in the skeletons of extinct primate species. In this study, we tested this hypothesis by measuring elastic properties in five areas of the external cortex of the baboon craniofacial skeleton using an ultrasonic technique, and by comparing the results to existing data from macaque and human crania. Results showed that cortical density, thickness, elastic and shear moduli, and anisotropy varied among areas in the baboon cranium. Similar variation had previously been found in rhesus and human crania, suggesting area-specific elastic patterns in the skulls of each species. Comparison among species showed differences, suggesting species-specific patterns. These patterns were more similar between macaques and baboons for density, maximum elastic and shear stiffness, and anisotropy than between either of these and humans. This finding demonstrates that patterns of cortical elastic properties are generally similar in closely related primate species with similar craniofacial morphology. Thus, reasonable estimates of cortical bone elastic properties should be possible for extinct species through the study of phylogenetically related and functionally similar modern forms. For example, reasonable elastic property estimates of cortical bone from fossil hominid skulls should be possible once adequate information about such properties in extant great apes is added to our current data from humans, macaques, and baboons. Such data should eventually allow FEA of craniofacial function in fossil hominids.

Animals↗
PubMed2003

Coronary occlusion using bi-directionally stretched elastic sutures during off-pump coronary artery bypass grafting.

OBJECTIVE: Off-pump coronary artery bypass grafting may be partly invasive, particularly to the coronary endothelium that is snared. Efficacy of a simple technique to occlude a coronary artery with elastic sutures bi-directionally stretched just beneath the artery was evaluated. METHODS: Test subjects were eighteen adult mongrel dogs weighing 20-30 kg. After systemic heparinization (150 U/kg), the mid-left anterior descending artery (mid-LAD) was exposed with a stabilizer applied and snared using non-elastic sutures (n = 6) or elastic sutures (n = 6), or occluded with elastic sutures bi-directionally stretched (n = 6). The left internal thoracic artery (LITA) was anastomosed to the mid-LAD with humidified gas insufflation. After completion of the anastomosis, the mid-LAD was observed endoscopically through the LITA. The coronary endothelium was also observed by a scanning electron microscope (SEM) after perfusion fixation. RESULTS: Bleeding at the anastomotic site with the coronary artery occluded by bi-directionally stretched elastic sutures was observed. However, all anastomoses were done successfully with the aid of humidified gas insufflation. Coronary endoscope showed that the lumens snared with non-elastic sutures were collapsed with folds and often with clots. Coronary arteries snared with elastic sutures appeared similar to the arteries snared with non-elastic sutures endoscopically, but with less clots. In the case of coronary occlusion with bi-directionally stretched elastic sutures, the lumens were occluded in a flattened linear fashion without clots. SEM showed endothelial injuries with blood cells deposited when non-elastic sutures were used. When elastic sutures were used for snaring, endothelial injuries were ameliorated with less blood cells deposited, which were further decreased when elastic sutures were bi-directionally stretched. CONCLUSION: The coronary artery can be effectively occluded by bi-directionally stretched elastic sutures with minimal endothelial damage.

Animals↗
PubMed1984

Light and electron microscopic identification of elastic, elaunin and oxytalan fibers in human tracheal and bronchial mucosa.

The elastic fiber system in the human tracheal and bronchial mucosa was studied by light and electron microscopy. Elastic fibers, elaunin fibers, and oxytalan fibers were discerned. These fibers were identified by means of their staining characteristics (elastica stains, methods for disulfide-groups) and on account of their fine structural morphology. Elastic fibers consist of elastin and few "elastic-fiber microfibrils". The relative amount of elastin (compared to the amount of elastic-fiber microfibrils) is large in elastic fibers but small in elaunin fibers. Oxytalan fibers - by contrast - are pure bundles of microfibrils. In the light microscope a well-defined elastic lamina separates the lamina propria and the submucosa of the normal mucous membrane. The elastic lamina is formed by coarse strands of longitudinally running elastic fibers. A delicate network of elastica-positive fibers is attached to the basement membrane of the epithelial layer (subepithelial elastic layer). A few of these elastica-positive fibers branch out, traverse the region of the thickened basement membrane, and insert into the basal lamina of the epithelium. A loose network of elastica-positive fibers is present both in the lamina propria and in the submucosa. Plates of cartilage, glandular epithelium, and bundles of smooth muscle cells are enveloped by delicate elastica-positive fibers. Electron microscopy shows the lamina elastica to be predominantly composed of elastic fibers, whilst elaunin fibers form the subepithelial elastic layer. Fibers penetrating the thickened basement membrane of the epithelium are identified as oxytalan fibers. All three types of fibers are present throughout the lamina propria and in the submucosa.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed2003

[Realtime elastography. A new ultrasound procedure for the reconstruction of tissue elasticity].

It is well known that some diseases, such as cancer, lead to a change of tissue hardness (i.e. the so-called elasticity modulus). The reconstruction of tissue elasticity provides the sonographer with important additional information which can be applied for the diagnosis of these diseases. Elasticity imaging has recently attracted attention as a technique which directly reveals the physical property of tissue and enables us to determine the change of tissue hardness caused by diseases. The elasticity modulus, i.e. the tissue elasticity distribution can be calculated from the strain and the stress of the examined structures. While the strain field can be estimated from the RF signals returned from tissue structures before and after compression, it is impossible to measure the stress field directly within the tissue. Another problem is that the compression of harder tissue structures is often followed by a lateral displacement of these structures. It is nearly impossible to represent the volume of this sideslip with conventional 2D methods but its calculation is indispensable for an accurate determination of the tissue elasticity of the examined structures. To overcome these problems, we propose the so-called Extended CA-method (Extended Combined Autocorrelation Method) which allows the reconstruction of the tissue elasticity of the examined structures on the basis of the 3-dimensional finite element model. The new technique enables a highly accurate estimation of the tissue elasticity distribution and the adequate compensation of sideslips. The realtime elasticity imaging described in this article, can easily be performed with the SonoElastography module that can be integrated into the platform of the HITACHI EUB-8500 system. Like colour Doppler examinations, tissue elasticity imaging can easily be performed with conventional ultrasound probes and does not require additional instruments (e.g. for measuring pressure or vibrations). The calculation of tissue elasticity distribution is performed in realtime and the examination results are represented in colour over the conventional B-mode image. The results of the simulations and phantom experiments performed verify that with the information obtained by the new realtime elasticity imaging method, lesions can be detected and represented more rapidly and with higher accuracy than with conventional methods based on the 2D Model, and that even lesions invisible on B-mode images can be detected.

Breast Neoplasms↗
PubMed1996

Effects of degeneration on the elastic modulus distribution in the lumbar intervertebral disc.

STUDY DESIGN: Local elastic moduli of sliced intervertebral disc specimens were studied after establishing the relation between the elastic modulus and indentation behaviors by model tests using polyurethane specimens. OBJECTIVES: This study presents a method to quantify the distribution of compressive elastic moduli in the lumbar intervertebral disc and to clarify the effects of degeneration on the distribution. SUMMARY OF BACKGROUND DATA: No study has been performed to evaluate the distribution of axial compressive elastic moduli, which is supposed to relate previous biomechanical, biological, and biochemical findings regarding the intervertebral disc. METHODS: Local compressive elastic moduli of the intervertebral disc were estimated by indentation tests. To evaluate the distribution of elastic moduli, indentation tests were performed at nodal points of a 10 mm x 10 mm network on a specimen. Nine cadaveric lumbar discs (L3-L4 and L4-L5) with various degrees of degeneration were tested. The age of subjects ranged 39 to 90 years (mean, 58.4 years). RESULTS: The distribution of elastic moduli in normal discs was symmetric about the midsagittal plane. The mean elastic modulus in the nucleus pulposus was 5.8 kPa and those of the anterior and posterior anulus fibrosus were 110.7 and 75.8 kPa, respectively. The elastic moduli in the lateral portions were the lowest in the normal anulus, and were close to the values of the nucleus. Compared to normal discs, degenerated discs showed irregular distributions of elastic moduli. The elastic moduli of the degenerated nucleus were higher than those in normal discs. CONCLUSIONS: The distribution of elastic moduli is much different between discs with and without degeneration.

Adult↗
PubMedDate not supplied

"Aberrant elastic" in elastofibroma: an immunohistochemical and ultrastructural study.

Elastofibroma is a rare lesion characterized by the presence of abundant abnormal elastic fibers with a unique morphology, fibroblastic proliferation, and collagen deposition. Whether the altered morphology of the elastic fibers is a degenerative phenomenon or is due to abnormal elastogenesis is controversial. We studied fetal skin and three cases of elastofibroma by light microscopy and immunohistochemistry using an antibody to lysozyme, and one case of elastofibroma by electron microscopy (EM). Our previous studies have shown that normal elastic fibers in adult skin do not stain for lysozyme whereas abnormal elastic fibers in solar elastosis and pseudoxanthoma elasticum react positively for lysozyme. In the fetal skin and all three cases of elastofibroma the elastic fibers were negative for lysozyme. EM showed the abnormal flowerlike configuration of the elastic fibers, which consisted of a central core of normal or degenerating elastin surrounded by radiating spokes of granular and filamentous material of variable electron densities, suggesting that the structure and organization of the microfibrils is abnormal. The absence of lysozyme in the aberrant elastic did not differentiate whether there was excessive production of fetal or adult elastic. However, the excessive amount of microfibrils seen at the ultrastructural level suggests that there may be excessive fetal elastic production. The elastic fibers were intimately related to the fibroblasts and were often present within their caveolae, suggesting that the abnormal elastic fibers are produced by the fibroblast. Our study suggests that abnormal elastogenesis with subsequent degeneration plays a role in the production of the abnormal elastic fibers in elastofibroma.

Elastic Tissue↗
PubMed2003

Features of elastic tissue staining and its arrangement in the wall of human basilar artery.

OBJECTIVES: 1. To evaluate the effectiveness of the main elastic tissue staining methods in a. basilaris. 2. To study the arrangement of elastic fibers in human a. basilaris wall. MATERIALS AND METHODS: For anatomical material we used a. basilaris removed from cadavers of ten people who died from violent death, their age ranging from 21 to 30 years. We studied histological structure staining by Hematoxylin-Eosin, Orcein, Gomori and Van Gieson methods. The samples were examined under the microscope "Zeiss-Standart 25" and photographed with a MC80DX photocamera. RESULTS: The internal elastic lamina was distinctly seen while staining by Hematoxylin-Eosin, Orcein, Gomori and Van Gieson methods. The elastic fibers and muscle cells of the middle layer were hardly distinguished. We found collagen fibers and several elastic fibers in the external layer of the vascular wall. We studied the arrangement of elastic fibers in medial and cranial segments of human a. basilaris wall. CONCLUSIONS: Several staining methods have to be provided to differentiate the elastic fibers from collagen fibers and muscle cells in the best way, because only complex staining enables to differentiate one from another. Human a. basilaris has a mixed elastic-muscular structure. The elastic tissue distributes gradually in medial and cranial segments of a. basilaris medial layer. There is thin, sharp, solid and undulate internal elastic lamina in the internal layer. There are elastic fibers, smooth muscle cells and several collagen fibers in the middle layer of the vessel. The external layer of a. basilaris consists of several elastic fibers and the main part is occupied by collagen fibers.

Adult↗
PubMed1992

Ultrastructural immunocytochemical analysis of elastin in the human lamina cribrosa. Changes in elastic fibers in primary open-angle glaucoma.

The elastic fiber consists of several components: a central core of alpha-elastin and a microfibrillar sheath containing three components: fibrillin, microfibril-associated glycoprotein, and a 35-kD protein with amine oxidase activity. Elastin is a major component of the elastic fibers of the extracellular matrix (ECM) of the lamina cribrosa, and elastic fibers undergo marked changes in primary open-angle glaucoma (POAG). These changes, as demonstrated previously, include loss and fragmentation of elastic fibers at the bottom of the glaucomatous cup and disorganization in the peripheral walls of the cup. The author characterized the changes in elastic fibers with age and in POAG at the ultrastructural level, using colloidal gold immunostaining and anti-human alpha-elastin antibody. In fetal eyes, there was no detectable elastin in the ECM of the lamina cribrosa. In infant eyes, elastin was present in microfibrillar aggregates in the core of the plates. In young adults, thin elastic fibers were present that ran longitudinally in the core of the plates. With age, elastic fibers become thicker, tubular, and surrounded by densely packed collagen fibers. In mild POAG, tubular elastic fibers no longer were identifiable. Fragments of elastic fibers and microfibrillar aggregates stained positively for elastin suggested new synthesis of elastin that was not organized into tubular elastic fibers. In advanced POAG, masses of nonfibrillar elastin-positive material had a spotted appearance. Throughout the cribriform plates, there was a loss of collagen fibers, proliferation of basement membranes, and bundles of elastin-negative microfibrils not associated with collagen or elastic fibers. The progression of marked changes in elastic fibers and the disorganization of the ECM of the lamina cribrosa was associated with the loss of function and continuous remodeling of the optic nerve head in POAG.

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