Flow-mediated outward arterial remodeling in aging.

Abstract:

:The present review focuses on the effect of aging on flow-mediated outward remodeling (FMR) via alterations in estrogen metabolism, oxidative stress and inflammation. In ischemic disorders, the ability of the vasculature to adapt or remodel determines the quality of the recovery. FMR, which has a key role in revascularization, is a complex phenomenon that recruits endothelial and smooth muscle cells as well as the immune system. FMR becomes progressively less with age as a result of an increase in inflammation and oxidative stress, in part of mitochondrial origin. The alteration in FMR is greater in older individuals with risk factors and thus the therapy cannot merely amount to exercise with or without a mild vasodilating drug. Interestingly, the reduction in FMR occurs later in females. Estrogen and its alpha receptor (ERα) play a key role in FMR through the control of dilatory pathways including the angiotensin II type 2 receptor, thus providing possible tools to activate FMR in older subjects although only experimental data is available. Indeed, the main issue is the reversibility of the vascular damage induced over time, and to date promoting prevention and limiting exposure to the risk factors remain the best options in this regard.

journal_name

Mech Ageing Dev

authors

Chehaitly A,Vessieres E,Guihot AL,Henrion D

doi

10.1016/j.mad.2020.111416

subject

Has Abstract

pub_date

2020-12-14 00:00:00

pages

111416

eissn

0047-6374

issn

1872-6216

pii

S0047-6374(20)30212-8

journal_volume

194

pub_type

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