Abstract
Atherosclerosis, involving the large extracranial arteries, is a common substrate for the development of ischemic stroke in the anterior or posterior cerebral circulations. Additionally, intracranial atherosclerosis may also be causally related to ischemic stroke, especially in non-white populations.1 Many patients with large-vessel cerebral atherosclerosis harbor such lesions in other critical vessels, such as the coronary arteries, aorta, and lower extremity vessels. 2 Atherosclerosis is a ubiq- uitous problem in industrialized society, and although mortality secondary to acute myocardial infarction (MI) and ischemic stroke have declined, these twin scourges still cause over 600,000 deaths annually in the United States. 3,4 Atherogenesis is an insidious process that develops over decades and may go undetected or unrecognized until the appearance of a devastating MI or stroke. Much has been learned about the nature and pathogenesis of atherosclerosis.5
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References
Caplan LR, Gorelick PB, Hier DB. Race, sex and occlusive vascular disease: a review. Stroke. 1984; 17:648–655.
Hertzer NR, Young Jr, Beven EG, et al. Coronary angiography in 506 patients with extracranial cerebrovascular disease. Arch Int Med. 1985; 145:849–852.
Arteriosclerosis. Report of the working group on arteriosclerosis of the National Heart, Lung and Blood Institute, vol 2. Washington, DC: U.S. Department of Health and Human Services; 1981.
Gillum RE Cerebrovascular disease morbidity in the United States, 1970–1983: age, sex, region, and vascular surgery. Stroke. 1986;17:656–661.
Ross R. The pathogenesis of atherosclerosis: an update. N Engl J Med. 1986;314:488–500.
Long ER. The development of our knowledge of arteriosclerosis. In: Cowdry EV, ed. Arteriosclerosis: A survey of the Problem. New York, NY: Mac-millan; 1933: pp 19–52.
Herrick JB. Clinical features of sudden obstruction of the coronary arteries. JAMA. 1912;58:2015–2020.
Fisher CM. Occlusion of the internal carotid artery. Arch Neurol Psychiatry. 1951;65:346–377.
Fisher CM. Observations of the fundus oculi in the transient monocular blindness. Neurology. 1959;9: 333–347.
Fisher CM, Gore I, Okabe N, et al. Atherosclerosis of the carotid and vertebral arteries: extracranial and intracranial. J Neuropathol Exp Neurol. 1965; 24:455–476.
Stary HC. Evolution and progression of atherosclerosis in the coronary arteries of children and adults. In: Bates SR, Gangloff EC, eds. Atherogene-sis and Aging. New York, NY: Springer-Verlag; 1987: pp 20–36.
Azel NM, Ball RY, Waldman H, et al. Identification of macrophages and smooth muscle cells in human atherosclerosis using monoclonal antibodies. J Pathol 1985; 146:197–201.
Ross R, Wight TN, Strandness E, et al. Human atherosclerosis: I. Cell constitution and characteristics of advanced lesions of the superficial femoral artery. Am J Pathol. 1984;114:79–93.
Barger CA, Becuwkes R, Lainey LL, et al. Hypothesis: vasa vasorum and neovascularization of human coronary arteries. N Engl J Med. 1984;310:175–177.
McGill HC. The pathogenesis of atherosclerosis. Clin Chem. 1988;34:B33-B39.
McGill HC. Persistent problems in the pathogenesis of atherosclerosis. Arteriosclerosis. 1984;4: 443–451.
Faggiotto A, Ross R. Studies of hypercholesterolemia in the non-human primate: II. Fatty streak conversion to fibrous plaque. Arteriosclerosis. 1984;4: 341–356.
Montenegro MR, Eggen DA. Topography of atherosclerosis in the coronary arteries. Lab Invest. 1968; 18:586–593.
Geer JC, McGill HC, Robertson WB, et al. Histologic characteristics of coronary artery fatty streaks. Lab Invest. 1960;18:565–570.
Deewood MA, Spores J, Notske R, et al. Prevalence of total coronary occlusion during the early hours of transmural myocardial infarction. N Engl J Med. 1980;303:897–902.
Falk E. Plaque rupture with severe pre-existing stenosis precipitates coronary thrombosis. Br Heart J. 1983;50:127–134.
Davies MJ, Thomas AC. Plaque Assuring: the cause of acute myocardial infarction, sudden ischemic death, and crescendo angina. Br Heart J. 1985;53:363–373.
Imparato AM, Riles TS, Mintzer R, et al. The importance of hemorrhage in the relationship between gross morphologic and cerebral symptoms in 376 carotid artery plaques. Ann Surg. 1983; 197:195–203.
Persson AV. Intraplaque hemorrhage. Surg Clin North Am. 1986;66:415–420.
Lennihan L, Kupsky WJ, Mohr JP, et al. Lack of association between carotid plaque hematoma and ischemic cerebral symptoms. Stroke. 1987; 18: 879–881.
Bassiouny HJ, Davis H, Massama N, et al. Critical carotid stenosis: morphologic and chemical similarity between symptomatic and asymptomatic plaques. J Vase Surg. 1989;9:202–212.
Fisher CM, Ojemann RG. A clinico-pathologic study of endarterectomy plaques. Rev Neurol. 1986;142:573–589.
Fisher M, Blumenfeld AM, Smith TW. The importance of carotid artery plaque disruption and hemorrhage. Arch Neurol. 1987;44:1086–1089.
Schwartz CJ, Yalente AJ, Kelley JL, et al. Thrombosis and the development of atherosclerosis. Semin Thromb Hemost. 1988;14:189–195.
Vesselinovitch D. Animal models and the study of atherosclerosis. Arch Pathol Lab Med. 1988; 112: 1011–1017.
Gerrity RG, Naito HK, Richardson M, et al. Dietary induced atherogenesis in swine. Am J Pathol. 1979;95:775–792.
Munro MJ, Cotran RS. The pathogenesis of atherosclerosis: atherogenesis and inflammation. Lab Invest. 1988;58:249–301.
Ross R, Glomset JA. The pathogenesis of atherosclerosis. N Engl J Med. 1976;295:369–377, 420–425.
Duel TF. Polypeptide growth factors: roles in normal and abnormal cell growth. Ann Rev Cell Biol. 1987;3:443–492.
Mitchinson MJ, Ball RY. Macrophages and atherogenesis. Lancet. 1987;2:146–149.
Faggiotto A, Ross R, Harker L. Studies of hypercholesterolemia in the non-human primate: I. Changes that lead to fatty streak formation. Arteriosclerosis. 1984;4:323–340.
Steinberg D. Lipoproteins and the pathogenesis of atherosclerosis. Circulation. 1987;76:508–514.
Brown MS, Goldstein JL. Lipoprotein metabolism in the macrophage: implications for cholesterol deposition in atherosclerosis. Annu Rev Biochem. 1983;52:223–261.
Mazzone T, Jensen M, Chait A. Human arterial wall cells release factors that are chemotactic for monocytes. Proc Natl Acad Sci. 1983;80:5094–5097.
Nathan CF. Secretory products of macrophages. J Clin Invest. 1987;79:319–326.
Jonasson L, Holm J, Skalli O, et al. Regional accumulation of T cells, macrophages, and smooth muscle cells in human atherosclerotic plaques. Arteriosclerosis. 1986;6:131–138.
Cathcart MK, Morel DW, Chisholm GM. Monocytes and neutrophils oxidize low density lipopro-trotein making it cytotoxic. J Leukocyte Biol. 1985; 38:341–350.
Yatsu FM, Alam R, Alam S. Scavenger activity in monocyte-derived macrophages from athero-thrombotic strokes. Stroke. 1986;17:709–713.
Jaffe EA. Cell biology of endothelial cells. Human Pathol. 1987;18:234–239.
Morel DW, Dicorleto PE, Chisholm GM. Endothelial and smooth muscle cells alter low density lipoprotein in vitro by free radical oxidation. Arteriosclerosis. 1984;4:357–364.
Ross R, Raines EW, Bowen-Pope DF. The biology of platelet-derived growth factor. Cell. 1986;46: 155–164.
Castellot JJ, Addonzio ML, Rosenberg R, et al. Cultured endothelial cells produce a heparin-like inhibitor of smooth muscle cell growth. J Cell Biol. 1981;90:372–379.
Campbell GR, Chamley-Campbell JH. The cellular pathology of atherosclerosis. Pathology. 1981; 13: 423–440.
Libby P, Warner SJC, Salomon RN, et al. Production of platelet derived growth factor-like mitogen by smooth muscle cells from human atheroma. N Engl J Med. 1988;318:1493–1498.
Goldberg ID, Stemerman MB, Handin RI. Vascular permeation of platelet factor 4 after endothelial injury. Science. 1980;209:611–612.
Ross R, Glomset JA, Kariya B, et al. A platelet-derived serum factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc Natl Acad Sci. 1974;71:1207–1210.
Ross R. Platelet-derived growth factor. Lancet. 1989;1:1179–1182.
Klagsbrun M, Edelman ER. Biological and biochemical properties of fibroblast growth factors. Arteriosclerosis. 1989;9:269–278.
Habenicht A, Goerig M, Grulich J, et al. Human platelet derived growth factor stimulates prostaglandin synthesis by activation and de novo synthesis of cyclooxygenase. J Clin Invest. 1985 ;75:1381–1387.
Doolittle RF, Hunkapiller MW, Hood LE, et al. Simian sarcoma virus one gene, v-sis is derived from a tse gene (or genes) encoding a platelet-derived growth factor. Science. 1983;221:275–277.
Solberg LA, Strong JP., Risk factors and atherosclerotic lesions: A review of autopsy studies. Arteriosclerosis. 1983;3:187–198.
Glagov S, Zarins C, Giddens DP, et al. Hemodynamics and atherosclerosis. Arch Pathol Lab Med. 1988;112:1018–1031.
Friedman MH, Hutchins GM, Bargeron CR, et al. Correlation between intimal thickness and fluid shear in human arteries. Arteriosclerosis. 1981;39: 425–431.
Zarins CK, Giddens DP, Bharadavaj BK, et al. Carotid bifurcation atherosclerosis: quantitation of plaque localization with flow velocity profiles and wall shear stress. Circ Res. 1983;53:502–514.
Reneman RS, van Merode T, Smeets FAM, et al. Velocity patterns and vessel wall properties in the carotid artery bulb in man —their relationship to atherosclerosis. In: Hennerici M, Sitzer G, Weger HD, eds. Carotid Artery Plaques. Basel; Karger; 1988: pp 143–162.
Lewis JC, Taylor RG, Normal BS, et al. Endothelial surface characteristics in pigeon coronary atherosclerosis. Lab Invest. 1982;46:133–138.
Nerum RM, Levesque MJ, Sato M. Mechanical properties of endothelial cells. Biorrheology. 1986; 23:230.
Ku DN, Giddens DP. Pulsatile flow in a model carotid bifurcation. Arteriosclerosis. 1983;3:31–39.
Gerrity RG, Goss JA, Soby L. Control of monocyte recruitment by chemotactic factor(s) in lesion-prone areas of swine aorta. Arteriosclerosis. 1985; 5:55–66.
Glagov S, Weisenberg E, Zarins CK, et al. Compensatory enlargement of human atherosclerotic coronary arteries. N Engl J Med. 1987;316:1371–1375.
Guyton JR, Hotley CJ. Flow restriction in one carotid artery in juvenile rats inhibits growth of arterial diameter. Am J Physiol. 1985;248:H540–546.
Roberts WC. Factors linking cholesterol to atherosclerotic plaques. Am J Cardiol. 1988;62:495–499.
Yatsu FM, Fisher M. Atherosclerosis: current concepts on pathogenesis and interventional strategies. Ann Neurol. 1989;26:3–12.
Lewis JC, Taylor RG, Jones ND, et al. Endothelial surface characteristics in pigeon coronary atherosclerosis. Lab Invest. 1982;46:123–138.
Steinberg D, Parthasarathy S, Carew TE, et al. Beyond cholesterol: modifications of low-density lipoprotein that increase its atherogenicity. TV Engl J Med. 1989;320:915–924.
Mosel DW, DiCarleto PE, Chisolm GM. Endothelial and smooth muscle cells alter low density lipoprotein in vitro by free radical oxidation. Arteriosclerosis. 1984;4:357–364.
Hiramatsu K, Rosen H, Heinecke JW, et al. Superoxide initiates oxidation of low-density lipoproteins by human monocytes. Arteriosclerosis. 1987; 7:55–60.
Palinski W, Rosenfeld ME, Yla-Herttualla, et al. Low density lipoprotein undergoes oxidative modification in vivo. Proc Natl Acad Sci USA. 1984; 86:1372–1376.
Quinn MT, Parthasarathy S, Fong LG, et al. Oxidatively modified low density lipoproteins: a potential role in recruitment and retention of monocyte/macrophages during atherogenesis. Proc Natl Acad Sci USA. 1987;84:2995–2998.
Kita T, Nagano Y, Yokode M, et al. Probucol prevents the progression of atherosclerosis in Watanabe heritable hyperlipedimic rabbit, an animal model for familial hypercholesterolemia. Proc Natl Acad Sci USA. 1987;84:5928–5931.
Fisher M, Leaf A, Levine PH. N-3 fatty acids and cellular aspects of atherosclerosis. Arch Int Med. 1989;149:1726–1728.
Berry CL, Greenwald SE. Effect of hypertension on the static mechanical properties and chemical composition of the rat aorta. Cardiovasc Res. 1976; 10:437–451.
Sacks AM. The vasa vasorum as a link between hypertension and arteriosclerosis. Angiology. 1975; 26:385–390.
Fitzgerald GA, Oates JA, Nowak J. Cigarette smoking and hemostatic function. Am Heart J. 1981; 115:267–271.
Seiffert GF, Keown K, Moore SW. Pathologic effects of tobacco smoke inhalation on arterial intima. Surg Forum. 1981;32:353–359.
Mjos OD. Lipid effects of smoking. Am Heart J. 1988;115:267–271.
National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Report. Arch Int Med. 1988;148:36–69.
Taguchi J, Freis ED. Partial reduction of blood pressure and prevention of complications of hypertension. N Engl J Med. 1974;291:329–331.
Shinton R, Beevers G. Meta-analysis of relation between cigarette smoking and stroke. Br Med J. 1989;298:789–794.
Goodnight SH, Fisher M, Fitzgerald GA, et al. Assessment of the therapeutic use of dietary fish oil in atherosclerotic vascular disease and thrombosis. Chest. 1989;95:19S-25S.
Dehmer GF, Popma JJ, Van den Berg EK, et al. Reduction in the rate of early restenosis after coronary angioplasty by a diet supplemented with n-3 fatty acids. N Engl J Med. 1988;319:733–740.
Weiner BH, Ockene IS, Levine PH, et al. Inhibition of atherosclerosis by cod liver oil in a hyper-lipidemic swine model. N Engl J Med. 1986;315: 841–846.
Kim DN, Ho HT, Lawrence DA, et al. Modification of lipoprotein patterns and retardation of atherogenesis by a fish oil supplement to a hyper-lipidemic diet for swine. Atherosclerosis. 1989;76: 35–54.
Davis HR, Bridenstine RT, Vesselinovitch D, et al. Fish oil inhibits development of atherosclerosis in rhesus monkeys. Arteriosclerosis. 1987;7:441–449.
Soltys PA, Massone T, Wissler RW. Effects of feeding of fish oil on the properties of lipoproteins isolated from rhesus monkeys consuming an atherogenic diet. Atherosclerosis. 1989;76:103–115.
Hollander W, Hong S, Kirkpatrick BJ, et al. Differential effects of fish oil supplements on atherosclerosis. Circulation 70. 1987; (suppl IV):313.
Harris WJ, Dujone CA, Zucker M, et al. Effects of a low saturated fat, low cholesterol fish oil supplement in hypertriglyceridemic patients. Ann Int Med. 1988;109:465–470.
Knapp HR, Reilly IA, Allessandrini P, et al. In vivo indexes of platelet and vascular function during fish oil administration in patients with atherosclerosis. N Engl J Med. 1986;314:939–942.
Schmidt EB, Pedersen JO, Ekelund S, et al. Cod liver oil inhibits neutrophil and monocyte Chemotaxis in healthy males. Atherosclerosis. 1989;77:53–57.
Fox PL, DiCarleto PE. Fish oil inhibits endothelial cell production of a platelet-derived growth factorlike protein. Science. 1988;241:453–456.
Shimokawa H, Vanhoutte PM. Dietary ω-3 polyunsaturated fatty acids and endothelium-depen-dent relaxations in porcine coronary arteries. Am J Physiol. 1989;256:H968-H973.
Henry PD. Calcium antagonists as antiatherogenic agents. Ann N Y Acad Sci. 1988;522:411–419.
Vesselinovitch DJ, Mullan JF, Wissler RW, et al. Carotid atherogenesis inhibited by sympathectomy, propranolol and nifedipine in rhesus monkeys. Arteriosclerosis. 1986;6:516a.
Parmley WW, Blumlein S, Sievers R. Modification of experimental atherosclerosis by calcium channel blockers. Am J Cardiol. 1985;55:165B-171B.
Nakao J, Hideki I, Doyama T, et al. Calcium dependency of aortic smooth muscle cell migration induced by 12-L-hydroxy-5.8, 10, 14-eico-statetraenoic acid. Atherosclerosis. 1983;46:309–319.
Van Valen RG, Deacon RW, Farley C, et al. Antiproliferative effect of calcium channel blockers PN 200–110 and PY 108–068 in the rat carotid model of balloon catheterization. Fed Proc. 1985; 44:737.
Clones AW, Karnovsky MJ. Suppression by heparin of smooth muscle cell proliferation in injured arteries. Nature. 1977;256:625–626.
Castellot JJ, Beeler DL, Rosenberg RD, et al. Structural determinants of the capacity of heparin to inhibit the proliferation of vascular smooth muscle cells. J Cell Physiol. 1984;120:315–320.
Castellot JJ, Favreau LV, Karnovsky MJ, et al. Inhibition of vascular smooth muscle cell growth by endothelial cell-derived heparin—possible role of platelet endoglycosidase. J Biol Chem. 1982;257: 11256–11260.
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Fisher, M. (1991). Cellular Basis of Atherosclerosis. In: Norris, J.W., Hachinski, V.C. (eds) Prevention of Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4226-8_2
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DOI: https://doi.org/10.1007/978-1-4757-4226-8_2
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