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Morphometry error due to non-perpendicular section of microvessel characterized by two-dimensional isotropic arrangement.

Formulas for calculation of the section non-perpendicularity error in estimation of the perimeter and cross-sectional area of microvessel profiles are proposed for the two-dimensional isotropic approximation. A relationship was established between the bias and random error associated with non-perpendicularity corresponding to theta(min) for microvessel profiles meeting the condition theta(min) < or = B/C < or = 1, where B and C are the minimum and maximum axes of the microvessel profile, respectively.

Image Interpretation, Computer-Assisted↗

Microvessel density counting in breast cancer. Slides vs. digital images.

OBJECTIVE: To develop a program to assist the pathologist in the acquisition and evaluation of digital images to determine microvessel density (MVD) in tissues. STUDY DESIGN: Ten cases of breast cancer with a high degree of neovascularization were selected. A standard immunohistochemical method was used to highlight the microvessels (monoclonal anti-factor VIII, avidinbiotin-peroxidase complex method). Two pathologists (one senior [S] and one junior [J]) evaluated four areas of highest neovascularization ("hot spots") in the tumors. Microscopically MVD was determined in four chosen areas (400:1). From the center of each area two digital images were acquired at a magnification of 200:1. All counts made by microscopic observation were compared with those made on the digital images. To compare MVD counting at different resolution, two sets of images at different sampling densities (320 x 240 and 1,600 x 1,200) were assessed by the two pathologists. RESULTS: We obtained a good correlation (r = .98 for S and .96 for J) between the MVD counts obtained at the microscope (192.8 MV/mm2 [mean of S] and 181.8 MV/mm2 [mean of J]) and the MVD counts from digital images (153.2 MV/mm2 [mean of S] and 171.0 MV/mm2 [mean of J]) at high resolution. The counts were lower for digital images at lower sampling density (125.0 MV/mm2 [mean of S] and 78.2 MV/mm2 [mean of J]). With low-resolution digital images only S maintained a good correlation (r = .96 for S and .34 for J) with the microscopic evaluation of MVD. Interobserver analysis showed a good correlation (r = .82 for the microscope and r = .78 for the digital images) of MVD evaluated either at the microscope or in high-resolution digital images. CONCLUSION: We demonstrated the functionality and usefulness of our program in performing MVD evaluation. Considering the capabilities of the program to store all images and microvessel marks and the reliability of MVD evaluation based on digital images, we consider this program the first step toward fully automated MVD assessment.

Breast Neoplasms↗

Expression of apoptosis and apoptosis-related proteins in microvessels of human ovarian epithelial tumors.

We performed an immunohistochemical analysis of apoptosis and the expression of apoptosis-related proteins (ARP) such as Fas and Fas ligand (FasL), bcl-2 and p53 in human ovarian epithelial tumors. Fas and FasL were abundant in endothelial cells of microvessels, and were observed, at times, in the myocytes of small arteries and veins, in parietal or in obstructive thrombi and fibroblasts. Apoptosis was also noticed in the endothelial cells of capillaries and sinuses. The expression of bcl-2 or p53 was rare. We found that the progression of tumor development was accompanied by considerable changes in the microvessels of ovarian tumors. These changes are probably related to the effect of ARP that are expressed by tumor epithelial cells, lymphocytes and macrophages. We suggest that the ARP are released as a result of necrosis of these cells and are taken up by cells of microvessels and by the cellular remnants of blood clots. The effect of tumors on the microvasculature can be regarded as an angiopathy that results in necrosis and hemorrhage within the tumoral tissue and enhances the progression of the malignancy.

Adult↗

Microvessel density in advanced head and neck squamous cell carcinoma before and after chemotherapy.

OBJECTIVE: Studies of tumor angiogenesis in head and neck squamous cell carcinoma (HNSCC) in regard to correlation with prognostic significance have yielded inconclusive results. To determine whether the microvessel density (MVD) within the tumor of advanced (Stages III and IV) HNSCC has any impact on tumor response to 2-3 courses of paclitaxel (Taxol) and carboplatin, we prospectively studied pre-chemotherapy specimens from patients with previously untreated, advanced stage HNSCC. We also attempted to study residual tumors after chemotherapy to determine if the MVD within the tumor had changed. STUDY DESIGN: The MVD within the tumor was obtained by immunohistochemical staining of the tumors with Q-Bend 10 (CD34). The "hot-spot" areas of each tumor (ie., areas with most intense blood neovascularization) were considered for evaluation. Results were expressed as the Average number of microvessels identified in 5-400x microscope fields (ie., the number of microvessels counted in 5-400x microscope fields divided by 5). SETTING: Tertiary University Medical Center. INTERVENTION: Two to 3 courses of chemotherapy with paclitaxel and carboplatin. MAIN OUTCOME MEASURES: Progression-free and overall survival with 5 years follow-up, RESULTS: The tumoral MVD in 32 HNSCC specimens before chemotherapy ranged from 4.0-39.0 (mean, 14.8; median, 14.2). Eight out of 32 patients achieved pathologically complete remission; their tumoral MVD revealed a mean of 10.9. The 24 remaining patients had pathologically-confirmed residual tumor post-chemotherapy; their tumoral MVD revealed a mean of 16.5. CONCLUSION: Statistical analyses revealed no evidence of a relationship between remission and a MVD > or < 10 or > or < 16.5. There was no correlation of tumoral MVD with overall or progression-free survival. In 15 patients, tumoral MVD results were also available on the post-chemotherapy specimens. The greater the difference of the tumoral MVD between the pre- and post-chemotherapy specimens, the shorter the patients overall and progression-free survival (p = 0.042).

Adolescent↗

Digital blood flow analysis from microscopic images of mesenteric microvessel with multiple branching.

Blood flow through frog mesenteric microvessel with multiple branching, at Reynolds number 0.022, is analyzed. After pre-processing the images the velocity and erythrocyte distribution profiles by image velocimetry and axial tomography are obtained, respectively. The vascular parameters and shape descriptors are obtained by image processing techniques. The axial velocity shows the variation around branching areas associated with an increase in radial velocity, which is up to 10% of axial velocity. From the erythrocyte distribution profiles at various locations in the microvessel the tomograms are reconstructed. Based on these the contours of equal concentration are reconstructed. From these contours the point-to-point variation in cell concentration throughout the microvessel is observed and regions where the cellular concentration varies from 3 to 5%, at zero axial velocity, are identified. The change in erythrocyte shape, determined by the shape descriptors, while passing through the capillary is significant. This passage of cells, depending on their orientation, also displaces the capillary walls by 1.5 to 2.5 microm.

Animals↗

[Nitric oxide in the lymphatic microvessel regulation].

Topical application of sodium nitroprusside on rat mesentery has a marked influence on lymph microvessels function. The drug causes a dilation of majority of lymphangions and decrease of the pacemaker activity of the vessel wall structures and valves. These changes do not lead to lymph stasis, and lymph flow velocity does not reduce. The non-selective inhibitor of NO synthase (N-nitro-L-arginine) intensifies vasomotions of lymph microvessels, modulates phasic contractile activity and increases lymph flow velocity. There is a time dependent dynamic of changes in action of N-nitro-L-arginine. During inhibition of endogenous NO synthesis the responses of lymph microvessels on sodium nitroprusside application are modified: the constriction of majority lymphangions and activation of valve work are observed.

Animals↗

Phorbol esters stimulate phosphoinositide phosphorylation and phosphatidylcholine metabolism in brain microvessels.

The effects of 12-O-tetradecanoyl-phorbol-13-acetate (TPA) on phosphoinositide metabolism in cerebral microvessels were examined. Treatment of microvessels with TPA evoked a dose-dependent increase in the 32P-orthophosphate incorporation into polyphosphoinositides, phosphatidic acid (PA) and phosphatidylcholine (PC). The effect on PC was found only after a lag period. Experiments with membranes isolated from microvessels indicated a TPA-induced activation of phosphoinositide kinases. Evidence that this effect was mediated by protein kinase C (PKC) activation was provided by the reversal of the effect in the presence of staurosporine. Concomitantly with these observations, an increase of diacylglycerol (DAG) production was evoked without formation of inositol phosphates. Therefore, we suggest that TPA also stimulates PC metabolism. These results support a regulatory role for PKC in phospholipid signaling pathways in the blood-brain barrier (BBB).

Animals↗

[Color Doppler blood flow measurements and microvessel density assessment in ovarian tumors].

OBJECTIVE: The aim of our study was to compare ultrasound vascular blood flow indices with the expression of CD-34 in women with benign and malignant adnexal tumors. MATERIALS AND METHODS: Transvaginal color and pulsed Doppler sonography was performed before surgical procedure in 105 women with adnexal tumors. Blood flow indices: pulsatility index (PI) and resistive index (RI) in blood vessels with the highest flow velocity were measured within each tumor. Immunohistochemical analysis of microvessel density (MVD) was performed on representative highly vascular tumor specimens fixed in 10% formalin and paraffin embedded. The primary monoclonal mouse anti-human CD-34 antibody (1:25, DAKO, Denmark) was used. Statistical calculations included group comparison with Kruskal-Wallis ANOVA on ranks and correlation analysis (Statistica for Windows 6.0, Statsoft Poland). RESULTS: Mean age of the studied women was 55.6 +/- 11.5 yrs. Of 104 tumors, 35 (33.6%) were benign and 69 (66.4%) were malignant. The latter included 14 FIGO stage I cases. Low resistance or pulsatility indices (RI < 0.5 or PI < 0.8) were found in 58 of 69 (84%) malignant masses and in 21 of 35 (60%) benign tumors. Substantial overlap in measured indices was found between both studied groups. Median number of microvessels per high power field in the benign and malignant tumors were 37 (range: 14-156) and 68 (range: 25-177), respectively. These differences were statistically significant (p = 0.007, Mann-Whitney U test). Also, a significant correlation was found between MVD and low resistance to blood flow as measured by the PI or RI (r = 0.43, p < 0.05). However, no statistically significant differences in MVD were found between FIGO stage I and other stages of ovarian cancer. CONCLUSION: Low resistance to blood flow as measured by the resistive or pulsatlity indices used in color Doppler sonography may by positively correlated with the microvessel density in the malignant ovarian tumors.

Adult↗

Effect of indomethacin on the microvessel reactivity of two-kidney, one-clip hypertensive rats.

Endothelial cells modulate vascular tone by releasing endothelium-derived relaxing and contracting factors. An imbalance of these factors in hypertension could contribute to increased peripheral vascular resistance. To investigate whether an endothelium-derived contracting factor is involved in the altered reactivity of microvessels of two-kidney, one-clip hypertensive rats, mesenteric arterioles either perfused in vitro or studied in vivo were used. In two-kidney, one-clip hypertensive rats, a potentiation to noradrenaline was observed in preparations tested either in vitro or in vivo. Indomethacin treatment did not correct the increased response to noradrenaline in microvessel preparations. Thus the involvement of an endothelium-derived contracting factor which is sensitive to indomethacin blockade, could be discarded. A decreased response to acetylcholine, an endothelium-dependent vasodilator, was observed in in vitro and in vivo preparations. The responses to sodium nitroprusside, an endothelium-independent vasodilator, were not altered in microvessel preparations of hypertensive rats. In two-kidney, one-clip hypertensive preparations, indomethacin normalized the endothelium-dependent relaxations. Relaxations to sodium nitroprusside were not altered by indomethacin. It is suggested that endothelium-dependent relaxations are impaired in two-kidney, one-clip hypertension because of a cyclooxygenase-dependent substance interfering with the release and/or action of endothelium-dependent relaxing factor.

Acetylcholine↗

[Effects of intrauterine contraceptive device on expression of vascular endothelial growth factor, kinase insert domain-containing receptor and microvessel density in endometrium].

OBJECTIVE: To investigate the expression of vascular endothelial growth factor (VEGF) and its receptor, kinase insert domain-containing receptor(KDR) and microvessel density (MVD) in endometrium from women wearing fixed copper-intrauterine contraceptive device (IUD, FCu-IUD) or fixed indomethacin-releasing copper-IUD (FICu-IUD). METHODS: Twenty healthy women were divided into two study groups: 10 cases wearing the FCu-IUD (FCu-IUD group), 10 cases wearing the FICu-IUD (FICu-IUD group). Immunohistochemical technique was used to determine the expression of VEGF and KDR in endometrium, and the microvessel density (MVD) was counted. The expression of VEGF mRNA was determined by in situ-hybridization. RESULTS: Before insertion of FCu-IUD, the expression of VEGF and KDR proteins was 0.357 +/- 0.032 and 0.215 +/- 0.029 respectively. After insertion of FCu-IUD, the expression of VEGF and KDR proteins was 0.568 +/- 0.027 and 0.244 +/- 0.022 respectively, significantly higher than before insertion (P < 0.05). The expression of VEGF mRNA was 0.359 +/- 0.022 before insertion of FCu-IUD, after insertion of FCu-IUD, the expression of VEGF mRNA was 0.425 +/- 0.019 (P < 0.05). There were no significant changes in the level of VEGF protein and mRNA, as well as KDR in endometrium before and after insertion of FICu-IUD. Compared with before insertion of FCu-IUD 15.4 +/- 2.8, a significant increase in MVD was observed after insertion of FCu-IUD 19.8 +/- 4.8, and the expression of VEGF protein was positively correlated with MVD (r = 0.847, P < 0.01). MVD counts were not different significantly before and after insertion of FICu-IUD. CONCLUSIONS: FCu-IUD can enhance the expression of VEGF and KDR in the endometrium. FICu-IUD can inhibit the activity of VEGF and KDR by releasing indomethacin. VEGF and KDR may be related to the structural and functional changes of microvessels in endometrium after insertion of FCu-IUD or FICu-IUD.

Adult↗

The microvessels in hypertrophic scars, keloids and related lesions: a review.

The healing of a deep surface wound in humans begins with the formation of granulation tissue and includes a marked microvascular regeneration, initially in an inflammatory milieu. The inevitable sequel is usually a hypertrophic scar or keloid in which there is significant microvascular occlusion. The occlusion begins in the granulation tissue and is the result of an excess of endothelial cells. Several other examples of fibroses contain significant microvascular occlusion. The evidence demonstrates that hypertrophic scars and keloids are hypoxic, undoubtedly due to the microvascular occlusion. Hypoxia may stimulate excessive production of collagen, which forms the bulk of these lesions, from fibroblasts and myofibroblasts. The origin of the new fibroblast remains undetermined. The current evidence suggests it is probably not the pericyte. Resident or peripheral fibroblasts, endothelial cells or undifferentiated cells from the growing tips of microvessels are possibilities. Differential degeneration, or apoptosis, of the fibroblasts, pericytes and microvessels occurs from granulation tissue through hypertrophic scarring. Compartmentalization of fibroblasts between lateral microvascular branches probably accounts for nodule formation. Differential degeneration of the lateral microvessels may account for increases in collagen nodule growth and ultimate size. Hypertrophic scars and keloids may be resolved through light topical pressure maintained over time. Under such treatment, fibroblasts, pericytes and endothelial cells degenerate, probably at a rate greater than that which occurs normally. As degeneration or apoptosis continues the nodules and scar become more avascular and more hypoxic, prompting fibroblast death and release of lysosomal enzymes important for maturation. An alternative treatment, particularly of the granulations, would be to control excessive endothelial (microvascular) or fibroblast proliferation or collagen synthesis. To this end, determination of endothelial or fibroblast cell phenotype for possible antibody targeting may be mandatory.

Cicatrix↗

Microvessel angiogenesis: a possible cardioprotective mechanism of external counterpulsation for canine myocardial infarction.

BACKGROUND: Enhanced external counterpulsation (EECP) has been demonstrated to be effective in the treatment of patients with coronary artery disease (CAD). It has been proposed that the beneficial effects of EECP observed in clinical studies may be due to the formation of new blood vessels (angiogenesis) and collateral development. However, there is a relative paucity of basic studies to support the proposed mechanisms. METHODS: Twelve Beagle dogs were anesthetized with 3% sodium pentobarbital, 1 mg/kg intraperitoneal injection and mechanically ventilated for the development of myocardial infarction. After coronary occlusion, all animals were randomly assigned to either EECP or control. EECP was given one hour per day, 5 days a week, for a total of 28 to 30 hours treatment over a 6-week course. Immunohistochemical studies of alpha-actin and von Willebrand factor (vWF) were used to detect newly developed microvessels. Systemic and local vascular endothelial growth factor (VEGF) were identified by enzyme linked immunosorbent assay (ELISA) and reverse-transcriptional polymerase chain reaction (RT-PCR) analysis. RESULTS: There was a significant increase in the density of microvessels per mm(2) in the infarcted regions of EECP group compared to control group (vWF, 15.2 +/- 6.3 versus 4.9 +/- 2.1, P < 0.05; alpha-actin, 11.8 +/- 5.3 versus 3.4 +/- 1.2, P < 0.05), along with significant increase of positive vWF and alpha-actin stained area. Both immunohistochemical staining and RT-PCR analysis documented a significant increase in VEGF expression. These factors associated with angiogenesis corresponded to improved myocardial perfusion by 99mTc-sestamibi single-photon emission computed tomography. CONCLUSION: Microvessel angiogenesis may be a mechanism of action for the improved myocardial perfusion after EECP therapy.

Animals↗

[Changes of tight junction and Cx43 expression in microvessel endothelial cells of mouse lung induced by bleomycin].

OBJECTIVE: To investigate the changes of expression of connexin-43 (Cx43) and the tight junction of microvessel endothelial cells (EC) to approach the effects in bleomycin (BLM) induced pulmonary fibrosis (PF). METHODS: Forty healthy rats were equally and randomizedly divided into the control group and the experiment group. In both group, vWf in blood serum was measured with ELISA method on 3rd, 7th, 14th, 28th day after BLM treatment. Rats in each group were infused with lanthanum nitrate on 3rd, 7th, 14th, 28th day after BLM treatment. The lung samples were made and the tight junction and the distribution of the granules of lanthanum in the microvessel EC were observed with transmission electron microscopy in the control and experiment groups. The lung microvessel EC of the rats in each group were preserved by tissue culture methods at the same time, and the expression of Cx43 were observed by laser scanning confocal microscopy. RESULTS: The serum vWf in the peripheral blood of the experiment group was significantly higher than that of the control group, and was the highest on 3rd day after BLM treatment (P < 0.01). The blood vessel EC of the control group were intact. The basement membrane was uninterrupted. Granules of lanthanum nitrate did not penetrate the tight junction of EC. The width of junction gap in the experimental group was increased and the lanthanum granules of high density were found deposited in the linear form in the gap junction. Low expression of Cx43 was observed in experiment group. The expression rate of Cx43 was 25%, 38%, 45% and 71% respectively on 3rd, 7th, 14th, 28th day, significantly less than those in the control group (P < 0.05). CONCLUSION: It may be the important pathological basis for the BLM induced abnormality of the interstitial tissues in the lung that the tight junction of EC is continuously in the open state, which causes the effusions of inflammatory cells and the corresponding cytokine secretion, and thus initiates the overproliferation of fibroblasts.

Animals↗

[The characteristics of the reactions of intact and sympathectomized microvessels of the rabbit mesentery to catecholamines].

The sensitivity of smooth muscle cells' adrenoreceptors to noradrenaline (NA) and dopamine (DA) was studied in intact and desympathised arterial microvessels of the rabbit mesentery. The arterioles differed from each other in their sensitivity to catecholamines depending on their diameter. However, in conditions of chemical desympathisation, the sensitivity to NA and DA increased in all the microvessels whereas the degree of narrowing of the microvessels' lumen remained practically the same. These findings suggest a heterogeneous character of physiological properties of vascular smooth muscle cells within the arterial part of the microcirculatory module of the rabbit mesentery.

Animals↗

[Effect of endothelin on rat mesenteric microvessels].

By video microscope, it was observed that endothelin (ET) caused constriction of the mesenteric microvessels of pentobarbital-anesthetized Wistar rats in a dose-dependent manner. With the consequence of causing a decrease of rate of blood flow and even some microcirculation disorder, the action was long lasting. The constrictive effect of ET on microvessel was much stronger than norepinephrine. The results suggest that ET is a potent vasoconstrictor for microvessel and may play an important role in causing microcirculatory disorder.

Animals↗

Establishment and preliminary growth characteristics of a transformed mouse cerebral microvessel endothelial cell line.

A clone of spontaneously transformed mouse cerebral microvessel endothelial cells has been characterized and its growth characteristics have been investigated. The clone has been designated TEn and has been derived from parent nontransformed cerebral microvessel endothelial cells after multiple passages in culture. These transformed endothelial cells maintained characteristics of other transformed cells: anchorage-independent growth in soft agar, nude mouse tumorigenicity, and growth to high saturation density in culture with lack of contact inhibition. Although transformed, these cells still maintained endothelial functions and markers. These cells respond to both epidermal growth factor and platelet-derived growth factor. Although the TEn cells utilize serum factors for growth, they have maintained in completely serum-free media for up to 3 months. Additionally, serum-free media conditioned by these cells contained a growth factor-like activity that was mitogenic for the nontransformed parent endothelial cells. The TEn cells' maintenance of endothelial functions, growth in serum-free media, production of growth factor-like activity, and the response to well-characterized purified mitogens (epidermal growth factor and platelet-derived growth factor) suggest that these cells may be useful in studying growth control of cerebral microvessel-derived endothelial cells as well as in studies of growth factor production by transformed cells.

Animals↗

Reactivity of macro- and microvessels of DOCA-salt hypertensive rats: role of the endothelial cell.

The responses to noradrenaline (NA) and acetylcholine (ACh) of aortae and microvessels were compared in control and DOCA-salt hypertensive rats. Macro- and microvessels from hypertensive rats showed an increased response to NA and a decreased response to ACh (an endothelium-dependent vasodilator). Unlike ACh, sodium nitroprusside (an endothelium-independent agent), was equally effective in evoking a vasodilator response from aortae and microvessels of hypertensive rats. These data suggest that the impaired response to ACh and the increased response to NA in DOCA-salt hypertension may result from an alteration of endothelial cell function.

Acetylcholine↗

Quantitative analysis of random motility of human microvessel endothelial cells using a linear under-agarose assay.

Angiogenesis is a multistep process intimately involved in embryonic development and subsequent cardiovascular homeostasis and pathology. A major event in the process of angiogenesis is endothelial cell migration. Common in vitro assays (filter, under-agarose, phagokinetic track) used for the evaluation of migration are interpreted by measurements such as leading front distance, total cells migrated, and total area of migration. However, these quantities depend very heavily upon the physical aspects of the assay such as geometry, chemoattractant concentration and diffusivity, and observation time. Thus, while these common cell motility measurements are convenient, they do not represent solely the intrinsic cell response to an attractant. Alternatively, cell motility responses can be described by parameters which do not depend on the physical aspects of the assay system. Such parameters, termed phenomenologic parameters, have been defined for cell migration in a mathematical model derived by others. This model defines two parameters, the random motility coefficient, mu, and the chemotaxis coefficient, chi, which describe the migration responses to uniform concentrations and to gradients of stimulant, respectively. We have used this approach to evaluate the random motility response of human microvessel endothelial cells isolated from omental fat. Human microvessel endothelial cell random motility was measured in uniform concentrations of heparin (10(-3) to 10(3) micrograms/ml) using an under-agarose assay with linear geometry. The value of mu was found to remain constant at 8.2 x 10(-9) cm2/second for all concentrations tested and without heparin. These data indicate that heparin at these concentrations does not significantly stimulate random migration of human microvessel endothelial cell. These results suggest that the potentiating effect of heparin on angiogenesis may not be mediated through a direct affect on endothelial cell migration. Because the random motility coefficient and chemotaxis coefficient are representative of intrinsic cell motility behavior, their use should provide more specific information on endothelial cell migration than other commonly used measurements.

Cell Division↗