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Rheumatology Advance Access published online on December 14, 2004

Rheumatology, doi:10.1093/rheumatology/keh515
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British Society for Rheumatology; all rights reserved
Received September 13, 2004
Accepted November 9, 2004

Concise report

Is apoptosis of vascular smooth muscle cells involved in the development of Takayasu arteritis? Suggestions from a case report

B. Bertipaglia 1, E. Faggin 1, U. Cillo 2, G. Zanus 2, A. Angelini 3, and P. Pauletto 1*

1 Department of Experimental and Clinical Medicine, University of Padua, Italy
2 Department of Surgical and Gastroenterological Sciences, University of Padua, Italy
3 Department of Pathology, University of Padua, Italy

* To whom correspondence should be addressed.
P. Pauletto, E-mail: paolo.pauletto{at}unipd.it


   Abstract

Objectives. We report a female patient suffering from Takayasu arteritis (TA) who underwent surgical revascularization.

Methods. By studying specimens obtained at surgery, we evaluated the cell composition of the arterial wall, along with the maturation pattern of vascular smooth muscle cells (VSMC) during the active phase of TA. Using TUNEL, we detected apoptotic cells within the tunica media.

Results. The highest percentage of apoptotic cells was found in areas where inflammatory infiltrate was present and the medial structure was more or less damaged. Apoptotic cells were also found in structurally preserved areas, where VSMC but not inflammatory cells were present.

Conclusions. Apoptosis involved not only inflammatory cells but also VSMC, particularly those of the immature type. We hypothesize a role for VSMC apoptosis in the development of TA.

Keywords: Takayasu arteritis; Apoptosis; VSMC.
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