Modeling of Mechanical Stress Exerted by Cholesterol Crystallization on Atherosclerotic Plaques.

Bibliographic Details
Title: Modeling of Mechanical Stress Exerted by Cholesterol Crystallization on Atherosclerotic Plaques.
Authors: Yuemei Luo, Dongyao Cui, Xiaojun Yu, Si Chen, Xinyu Liu, Hongying Tang, Xianghong Wang, Linbo Liu
Source: PLoS ONE, Vol 11, Iss 5, p e0155117 (2016)
Publisher Information: Public Library of Science (PLoS), 2016.
Publication Year: 2016
Collection: LCC:Medicine
LCC:Science
Subject Terms: Medicine, Science
More Details: Plaque rupture is the critical cause of cardiovascular thrombosis, but the detailed mechanisms are not fully understood. Recent studies have found abundant cholesterol crystals in ruptured plaques, and it has been proposed that the rapid expansion of cholesterol crystals in a limited space during crystallization may contribute to plaque rupture. To evaluate the effect of cholesterol crystal growth on atherosclerotic plaques, we modeled the expansion of cholesterol crystals during the crystallization process in the necrotic core and estimated the stress on the thin cap with different arrangements of cholesterol crystals. We developed a two-dimensional finite element method model of atherosclerotic plaques containing expanding cholesterol crystals and investigated the effect of the magnitude and distribution of crystallization on the peak circumferential stress born by the cap. Using micro-optical coherence tomography (μOCT), we extracted the cross-sectional geometric information of cholesterol crystals in human atherosclerotic aorta tissue ex vivo and applied the information to the model. The results demonstrate that (1) the peak circumference stress is proportionally dependent on the cholesterol crystal growth; (2) cholesterol crystals at the cap shoulder impose the highest peak circumference stress; and (3) spatial distributions of cholesterol crystals have a significant impact on the peak circumference stress: evenly distributed cholesterol crystals exert less peak circumferential stress on the cap than concentrated crystals.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1932-6203
Relation: http://europepmc.org/articles/PMC4858299?pdf=render; https://doaj.org/toc/1932-6203
DOI: 10.1371/journal.pone.0155117
Access URL: https://doaj.org/article/e20b1e1ef53148c4a87c95118bec112e
Accession Number: edsdoj.20b1e1ef53148c4a87c95118bec112e
Database: Directory of Open Access Journals
More Details
ISSN:19326203
DOI:10.1371/journal.pone.0155117
Published in:PLoS ONE
Language:English