Abstract
ATP acts as an extracellular signaling molecule in purinergic signaling that regulates vascular tone. ATP binds purinergic P2 nucleotide receptors on endothelial cells. Understanding the mass transport of ATP to endothelial cells by blood flow is thus important to predict functional changes in aneurysmal walls. While some clinical observations indicate a difference of wall pathology between ruptured and unruptured aneurysms, no study has focused on the mass transport in aneurysms. We investigated the characteristics of ATP concentration at aneurysmal wall using a numerical model of ATP transport in aneurysms formed at arterial bends. The magnitude of ATP concentration at the aneurysmal wall was significantly smaller than that at the arterial wall. In particular, significantly low concentration was predicted at the proximal side of the aneurysmal sac. A strong correlation was revealed between the inflow flux at the aneurysmal neck and the resultant concentration at the aneurysmal wall.
Similar content being viewed by others
References
Bodin, P., and G. Burnstock. ATP-stimulated release of ATP by human endothelial cells. J. Cardiovasc. Pharmacol. 27:872–875, 1996.
Boussel, L., V. Rayz, C. McCulloch, A. Martin, G. Acevedo-Bolton, M. Lawton, R. Higashida, W. S. Smith, W. L. Young, and D. Saloner. Aneurysm growth occurs at region of low wall shear stress: patient-specific correlation of hemodynamics and growth in a longitudinal study. Stroke 39:2997–3002, 2008.
Burnstock, G. Purinergic signaling and vascular cell proliferation and death. Arterioscler. Thromb. Vasc. Biol. 22:364–373, 2002.
Burnstock, G. Introduction: P2 receptors. Curr. Top. Med. Chem. 4:793–803, 2004.
Burnstock, G. Vessel tone and remodeling. Nat. Med. 12:16–17, 2006.
Caro, C. G., J. M. Fitz-Gerald, and R. C. Schroter. Atheroma and arterial wall shear. Observation, correlation and proposal of a shear dependent mass, transfer mechanism for atherogenesis. Proc. R. Soc. Lond. Ser. B 177:109–159, 1971.
Choi, H. W., K. W. Ferrara, and A. I. Barakat. Modulation of ATP/ADP concentration at the endothelial surface by shear stress: effect of flow recirculation. Ann. Biomed. Eng. 35:505–516, 2007.
Comerford, A., and T. David. Computer model of nucleotide transport in a realistic porcine aortic trifurcation. Ann. Biomed. Eng. 36:1175–1187, 2008.
Comerford, A., T. David, and M. Plank. Effects of arterial bifurcation geometry on nucleotide concentration at the endothelium. Ann. Biomed. Eng. 34:605–617, 2006.
Comerford, A., M. J. Plank, and T. David. Endothelial nitric oxide synthase and calcium production in arterial geometries: an integrated fluid mechanics/cell model. J. Biomech. Eng. 130:011010, 2008.
Crawford, D. W., and D. H. Blankenhorn. Arterial wall oxygenation, oxyradicals, and atherosclerosis. Atherosclerosis 89:97–108, 1991.
da Silva, C. G., A. Specht, B. Wegiel, C. Ferran, and E. Kaczmarek. Mechanism of purinergic activation of endothelial nitric oxide synthase in endothelial cells. Circulation 119:871–879, 2009.
David, T. Wall shear stress modulation of ATP/ADP concentration at the endothelium. Ann. Biomed. Eng. 31:1231–1237, 2003.
Erlinge, D., and G. Burnstock. P2 receptors in cardiovascular regulation and disease. Purinergic Signal. 4:1–20, 2008.
Ethier, C. R. Computational modeling of mass transfer and links to atherosclerosis. Ann. Biomed. Eng. 30:461–471, 2002.
Ford, M. D., S.-W. Lee, S. P. Lownie, D. W. Holdsworth, and D. A. Steinman. On the effect of parent-aneurysm angle on flow patterns in basilar tip aneurysms: toward a surrogate geometric marker of intra-aneurysmal hemodynamics. J. Biomech. 41:241–248, 2008.
Frösen, J., A. Piippo, A. Paetau, M. Kangasniemi, M. Niemelä, J. Hernesniemi, and J. Jääskeläinen. Remodeling of saccular cerebral artery aneurysm wall is associated with rupture: histological analysis of 24 unruptured and 42 ruptured cases. Stroke 35:2287–2293, 2004.
Hoff, H. F., C. L. Heideman, R. L. Jackson, R. J. Bayardo, H. S. Kim, and A. M. J. Gotto. Localization patterns of plasma apolipoproteins in human atherosclerotic lesions. Circ. Res. 37:72–79, 1975.
Imai, Y., K. Sato, T. Ishikawa, and T. Yamaguchi. Inflow into saccular cerebral aneurysms at arterial bends. Ann. Biomed. Eng. 36:1489–1495, 2008.
International Study of Unruptured Intracranial Aneurysms Investigators. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362:103–110, 2003.
John, K., and A. I. Barakat. Modulation of ATP/ADP concentration at the endothelial surface by shear stress: effect of flow-induced ATP release. Ann. Biomed. Eng. 29:740–751, 2001.
Kaazempur-Mofrad, M. R., and C. R. Ethier. Mass transport in an anatomically realistic human right coronary artery. Ann. Biomed. Eng. 29:121–127, 2001.
Kataoka, K., M. Taneda, T. Asai, A. Kinoshita, M. Ito, and R. Kuroda. Structural fragility and inflammatory response of ruptured cerebral aneurysms: a comparative study between ruptured and unruptured cerebral aneurysms. Stroke 30:1396–1401, 1999.
Koshiba, N., J. Ando, X. Chen, and T. Hisada. Multiphysics simulation of blood flow and LDL transport in a porohyperelastic arterial wall model. J. Biomech. Eng. 129:374–385, 2007.
Kosierkiewicz, T. A., S. M. Factor, and D. W. Dickson. Immunocytochemical studies of atherosclerotic lesions of cerebral berry aneurysms. J. Neuropathol. Exp. Neurol. 53:399–406, 1994.
Loscalzo, J., and G. Welch. Nitric oxide and its role in the cardiovascular system. Prog. Cardiovasc. Dis. 38:87–104, 1995.
Ma, P., X. Lu, and D. N. Ku. Heat and mass transfer in a separated flow region for high Prandtl and Schmidt numbers under pulsatile flow conditions. Int. J. Heat Mass Transf. 37:2723–2736, 1994.
Mantha, A., C. Karmonik, G. Benndorf, C. Strother, and R. Metcalfe. Hemodynamics in a cerebral artery before and after the formation of an aneurysm. Am. J. Neuroradiol. 27:1113–1118, 2006.
Moore, J. A., and C. R. Ethier. Oxygen mass transfer calculations in large arteries. J. Biomech. Eng. 19:469–475, 1997.
Ohno, K., T. Arai, E. Isotani, T. Nariai, and K. Hirakawa. Ischaemic complication following obliteration of unruptured cerebral aneurysms with atherosclerotic or calcified neck. Acta Neurochir. (Wien) 141:699–706, 1999.
Patankar, S. V., and D. B. Spalding. A calculation procedure for heat, mass and momentum transfer in three-dimensional parabolic flows. Int. J. Heat Mass Transf. 15:1787–1803, 1972.
Perlea, L., R. Fahrig, D. W. Holdsworth, and S. P. Lownie. An analysis of the geometry of saccular intracranial aneurysms. Am. J. Neuroradiol. 20:1079–1089, 1999.
Ralevic, V., and G. Burnstock. Receptors for purines and pyrimidines. Pharmacol. Rev. 50:423–492, 1998.
Rappitsch, G., and K. Perktold. Computer simulation of convective diffusion processes in large arteries. J. Biomech. 29:207–215, 1996.
Ross, R. Atherosclerosis: a defense mechanism gone awry. Am. J. Pathol. 143:987–1002, 1993.
Sato, K., Y. Imai, T. Ishikawa, N. Matsuki, and T. Yamaguchi. The importance of parent artery geometry in intra-aneurysmal hemodynamics. Med. Eng. Phys. 30:774–782, 2008.
Shen, J., M. A. Gimbrone, F. W. Luscinskas, and C. F. Dewey. Regulation of adenine-nucleotide concentration at endothelium fluid interface by viscous shear-flow. Biophys. J. 64:1323–1330, 1993.
Shimogonya, Y., T. Ishikawa, Y. Imai, N. Matsuki, and T. Yamaguchi. Can temporal fluctuation in spatial wall shear stress gradient initiate a cerebral aneurysm? A proposed novel hemodynamic index, the gradient oscillatory number (GON). J. Biomech. 42:550–554, 2009.
Shimogonya, Y., T. Ishikawa, Y. Imai, N. Matsuki, and T. Yamaguchi. A realistic simulation of saccular cerebral aneurysm formation: focusing on a novel hemodynamic index, the gradient oscillatory number (GON). Int. J. Comput. Fluid Dyn. 23:583–593, 2009.
Shojima, M., M. Oshima, K. Takagi, R. Torii, M. Hayakawa, K. Katada, A. Morita, and T. Kirino. Magnitude and role of wall shear stress on cerebral aneurysm: computational fluid dynamics study of 20 middle cerebral artery aneurysms. Stroke 35:2500–2505, 2004.
Sudo, K., M. Sumida, and R. Yamane. Secondary motion of fully developed oscillatory flow in a curved pipe. J. Fluid Mech. 237:189–208, 1992.
Sun, N., N. B. Wood, A. D. Hughes, S. A. M. Thom, and X. Y. Xu. Influence of pulsatile flow on LDL transport in the arterial wall. Ann. Biomed. Eng. 35:1782–1790, 2007.
Tada, S., and J. M. Tarbell. Oxygen mass transport in a compliant carotid bifurcation model. Ann. Biomed. Eng. 34:1389–1399, 2006.
Tateshima, S., K. Tanishita, H. Omura, J. Sayre, J. P. Villablanca, N. Martin, and F. Vinuela. Intra-aneurysmal hemodynamics in a large middle cerebral artery aneurysm with wall atherosclerosis. Surg. Neurol. 70:454–462, 2008.
Tateshima, S., K. Tanishita, and F. Vinuela. Hemodynamics and cerebrovascular disease. Surg. Neurol. 70:447–453, 2008.
Torii, R., M. Oshima, T. Kobayashi, K. Takagi, and T. E. Tezduyar. Influence of wall elasticity in patient-specific hemodynamic simulations. Comput. Fluids 36:160–168, 2007.
Ujiie, H., H. Tachibana, O. Hiramatsu, A. L. Hazel, T. Matsumoto, Y. Ogasawara, H. Nakajima, T. Hori, K. Takakura, and F. Kajiya. Effects of size and shape (aspect ratio) on the hemodynamics of saccular aneurysms: a possible index for surgical treatment of intracranial aneurysms. Neurosurgery 45:129–130, 1999.
Ujiie, H., Y. Tamano, K. Sasaki, and T. Hori. Is the aspect ratio a reliable index for predicting the rupture of a saccular aneurysm? Neurosurgery 48:495–503, 2001.
Wada, S., and T. Karino. Theoretical prediction of low-density lipoproteins concentration at the luminal surface of an artery with a multiple bend. Ann. Biomed. Eng. 30:778–791, 2002.
Weir, B. Unruptured intracranial aneurysms: a review. J. Neurosurg. 96:3–42, 2002.
Yamamoto, K., T. Sokabe, T. Matsumoto, K. Yoshimura, M. Shibata, N. Ohura, T. Fukuda, T. Sato, K. Sekine, S. Kato, M. Isshiki, T. Fujita, M. Kobayashi, K. Kawamura, H. Masuda, A. Kamiya, and J. Ando. Impaired flow-dependent control of vascular tone and remodeling in P2X4-deficient mice. Nat. Med. 12:133–137, 2006.
Yoshimoto, Y., T. Ochiai, and M. Nagai. Cerebral aneurysms unrelated to arterial bifurcations. Acta Neurochir. 138:958–964, 1996.
Acknowledgment
This research was supported by Grants in Aid for Scientific Research(s) from JSPS No. 19100008 “Computational Nanobiomechanics for the diagnosis, treatment, and prevention of diseases of blood, circulatory, and digestive organs,” by 2007 Global COE Program “Global Nano-Biomedical Engineering Education and Research Network Centre,” and by Research and Development of the Next-Generation Integrated Simulation of Living Matter, a part of the Development and Use of the Next-Generation Supercomputer Project of the Ministry of Education, Culture, Sports, Science and Technology (MEXT).
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Gerald Saidel oversaw the review of this article.
Rights and permissions
About this article
Cite this article
Imai, Y., Sato, K., Ishikawa, T. et al. ATP Transport in Saccular Cerebral Aneurysms at Arterial Bends. Ann Biomed Eng 38, 927–934 (2010). https://doi.org/10.1007/s10439-009-9864-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10439-009-9864-1