Vascular Remodeling in Health and Disease

The term vascular remodeling is commonly used to define the structural changes in blood vessel geometry that occur in response to long-term physiologic alterations in blood flow or in response to vessel wall injury brought about by trauma or underlying cardiovascular diseases.1, 2, 3, 4 The process of remodeling, which begins as an adaptive response to long-term hemodynamic alterations such as elevated shear stress or increased intravascular pressure, may eventually become maladaptive, leading to impaired vascular function. The vascular endothelium, owing to its location lining the lumen of blood vessels, plays a pivotal role in regulation of all aspects of vascular function and homeostasis.5 Thus, not surprisingly, endothelial dysfunction has been recognized as the harbinger of all major cardiovascular diseases such as hypertension, atherosclerosis, and diabetes.6, 7, 8 The endothelium elaborates a variety of substances that influence vascular tone and protect the vessel wall against inflammatory cell adhesion, thrombus formation, and vascular cell proliferation.8, 9, 10 Among the primary biologic mediators emanating from the endothelium is nitric oxide (NO) and the arachidonic acid metabolite prostacyclin [prostaglandin I2 (PGI2)], which exert powerful vasodilatory, antiadhesive, and antiproliferative effects in the vessel wall

Red knots give up flight capacity and defend food processing capacity during winter starvation

1. During the last phase of starvation, animals depend mainly on protein breakdown. All organs are a potential protein source. Do starving animals prevent particular organs from being catabolized in order to defend certain functions? In this study we investigated if starving birds maintain locomotion and digestion capacities, both essential for the recovery process. 2. We compared body composition data of healthy wintering and winter-starved red knots (Calidris canutus islandica), a long-distance migrating shorebird that breeds on High Arctic tundra in Canada and Greenland, and winters in temperate coastal areas such as the Wadden Sea and the British estuaries. Throughout the wintering period they eat hard-shelled molluscs ingested whole. 3. Our results showed that winter-starved knots had catabolized 60·5% of their pectoral muscles. This was much more than the decrease in overall body mass (32·5%). As a result, their flight capacities will have been reduced. 4. Winter-starved knots defended the muscular gizzard, which lost only 21·2% of its mass. As knots crack the ingested shellfish with their gizzard, the organ is essential for food processing. The intestines and liver were not defended; their atrophy equalled that of the pectoral muscles (60·6% and 61·3%, respectively). 5. Comparison with data from the literature led to the conclusion that starving birds only defend organs that are essential to either obtain or process food. These organs are maintained at the minimal level of normal capacity. Other organs decrease below this level and may lose much of their functional capacity. 6. Even in near-death situations, with low fitness prospects, organisms show interpretably adaptive changes in organ size.