Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease

Medial degeneration associated with thoracic aortic aneurysm and acute aortic dissection was originally described by Erdheim as a noninflammatory lesion related to the loss of smooth muscle cells and elastic fibre fragmentation in the media. Recent evidences propose the strong role of a chronic immu...

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Main Authors: Calogera Pisano, Carmela Rita Balistreri, Alessandro Ricasoli, Giovanni Ruvolo
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/1274034
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author Calogera Pisano
Carmela Rita Balistreri
Alessandro Ricasoli
Giovanni Ruvolo
author_facet Calogera Pisano
Carmela Rita Balistreri
Alessandro Ricasoli
Giovanni Ruvolo
author_sort Calogera Pisano
collection DOAJ
description Medial degeneration associated with thoracic aortic aneurysm and acute aortic dissection was originally described by Erdheim as a noninflammatory lesion related to the loss of smooth muscle cells and elastic fibre fragmentation in the media. Recent evidences propose the strong role of a chronic immune/inflammatory process in aneurysm evocation and progression. The coexistence of inflammatory cells with markers of apoptotic vascular cell death in the media of ascending aorta with aneurysms and type A dissections raises the possibility that activated T cells and macrophages may contribute to the elimination of smooth muscle cells and degradation of the matrix. On the other hand, several inflammatory pathways (including TGF-β, TLR-4 interferon-γ, chemokines, and interferon-γ) seem to be involved in the medial degeneration related to aged and dilated aorta. This is an overview on thoracic aortic aneurysm as an emerging inflammatory disease.
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spelling doaj-art-1012e940c14a441c841772a5444c5fc72025-02-03T01:32:11ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/12740341274034Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory DiseaseCalogera Pisano0Carmela Rita Balistreri1Alessandro Ricasoli2Giovanni Ruvolo3Cardiac Surgery Unit, “P. Giaccone” University Hospital, Palermo, ItalyDepartment of Pathobiology and Medical and Forensic Biotechnologies, University of Palermo, Palermo, ItalyCardiac Surgery Unit, “P. Giaccone” University Hospital, Palermo, ItalyCardiac Surgery Unit, Tor Vergata University Hospital, Rome, ItalyMedial degeneration associated with thoracic aortic aneurysm and acute aortic dissection was originally described by Erdheim as a noninflammatory lesion related to the loss of smooth muscle cells and elastic fibre fragmentation in the media. Recent evidences propose the strong role of a chronic immune/inflammatory process in aneurysm evocation and progression. The coexistence of inflammatory cells with markers of apoptotic vascular cell death in the media of ascending aorta with aneurysms and type A dissections raises the possibility that activated T cells and macrophages may contribute to the elimination of smooth muscle cells and degradation of the matrix. On the other hand, several inflammatory pathways (including TGF-β, TLR-4 interferon-γ, chemokines, and interferon-γ) seem to be involved in the medial degeneration related to aged and dilated aorta. This is an overview on thoracic aortic aneurysm as an emerging inflammatory disease.http://dx.doi.org/10.1155/2017/1274034
spellingShingle Calogera Pisano
Carmela Rita Balistreri
Alessandro Ricasoli
Giovanni Ruvolo
Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
Mediators of Inflammation
title Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
title_full Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
title_fullStr Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
title_full_unstemmed Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
title_short Cardiovascular Disease in Ageing: An Overview on Thoracic Aortic Aneurysm as an Emerging Inflammatory Disease
title_sort cardiovascular disease in ageing an overview on thoracic aortic aneurysm as an emerging inflammatory disease
url http://dx.doi.org/10.1155/2017/1274034
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