The role of inflammation and potential pharmacological therapy in intracranial aneurysms

Intracranial aneurysms remain important clinical concern. There is relatively low risk of rupture of symptomless aneurysms incidentally found in MRA or CTA performed due to other indications. Not all of the intracranial aneurysms should or can be treated with neurosurgery intervention or endovascular embolization. Clinical strategy for small, symptomless, unruptured aneurysms is still questionable. Mechanisms underlying aneurysms formation, progression and rupture are poorly understood. Inflammation is one of the factors suspected to participate in these processes. Therefore the aim of this manuscript is to present current state of knowledge about the role of inflammation in the formation and progression of intracranial aneurysms and in their rupture process. Current knowledge about possible pharmacological treatment of intracranial aneurysms will also be presented. Macrophages infiltration seems to participate in the formation of intracranial aneurysms. Inhibition of signals sent by macrophages may prevent the aneurysms formation. Inflammation present in the wall of the aneurysm seems to be also related to the aneurysm's rupture risk. However it does not seem to be the only cause of the degeneration, but it can be a possible target of drug therapy. Some preliminary studies in humans indicate the potential role of aspirin as a factor that decrease the level of inflammation and lower the risk of rupture of intracranial aneurysms. However further research including a greater number of subjects and a prospective randomized design are necessary to assess the role of aspirin in preventing strategy for small, symptomless, unruptured intracranial aneurysms

Szwajpolt Fiol

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Heat affected zone microstructures and their influence on toughness in two microalloyed HSLA steels

Microstructures and Charpy impact properties have been examined in two microalloyed steels following heat treatments to simulate weld heat affected zone (HAZ) structures over a range of heat input conditions, characterised by the cooling time from 800 to 500°C (Δt8/5). The base materials were low carbon structural steel plates microalloyed with vanadium and nitrogen (V-N) and niobium (Nb), respectively. The toughnesses of the HAZs displayed remarkably different behaviours as shown by their impact transition temperatures. For the V-N steel, the toughness improved with increasingly rapid cooling (low heat input conditions) whereas the Nb steel showed an opposite trend. Some of this behaviour could be explained by the presence of coarse ferrite grains in the slowly cooled V-N steel. However, other conditions where all the structures were bainitic and rather similar in optical micrographs gave widely different toughness values. The recently developed method of five dimensional boundary analysis based on electron backscattering diffraction has been applied to these cases for the first time. This showed that the lath boundaries in the bainite were predominantly on {1 1 0} planes of the ferrite and that the average spacing of these boundaries varied depending on steel composition and cooling rate. Since {1 1 0} is also the slip plane in ferrite, it is considered that close spacing between the lath boundaries inhibits general plasticity at stress concentrations and favours initiation of fracture. The differences between the two steels are believed to be due to their transformation behaviours on cooling where precipitation of vanadium nitride in austenite accelerates ferrite formation and raises the temperature of the phase transformation in V-N steels