ISSN: 2161-0681

Journal of Clinical & Experimental Pathology
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  • Research Article   
  • J Clin Exp Pathol 2017, Vol 7(6): 332
  • DOI: 10.4172/2161-0681.1000332

Changes in the Vascular Extracellular Matrix as a Potential Cause of Myocyte Loss via Anoikis in Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy

Dorota Dziewulska1*, Ewelina Nycz2 and Cecylia Rajczewska-Oleszkiewicz1
1Department of Neurology, Warsaw Medical University, Banacha 1a, Warsaw, 02-091, Poland
2Department of Neurology, , Medical Center Lancut, Paderewskiego 5, Lancut, 37-100, Poland
*Corresponding Author : Dorota Dziewulska, Department of Neurology, Warsaw Medical University, Banacha 1a, Warsaw, 02-091, Poland, Tel: +48 22 599 18 63, Fax: +48 22 599 18 57, Email: dorota.dziewulska@wum.edu.pl

Received Date: Dec 11, 2017 / Accepted Date: Dec 20, 2017 / Published Date: Dec 22, 2017

Abstract

Objective: Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a generalized vasculopathy caused by mutations in the NOTCH3 gene, leading to degeneration and loss of vascular smooth muscle cells (VSMC). The relationship between NOTCH 3 mutations and VSMC death is unknown. One possible cause of myocyte deficit may be anoikis, a special type of apoptosis due to loss or inappropriate cell adhesion to extracellular matrix.

Method: To verify this hypothesis we examined immune expression of main compounds of vascular extracellular matrix (laminin, fibronectin and collagen IV) and selected metallo proteinases (MMP-2, MMP-3, and MMP-9) in cerebral, skin and skeletal muscle arterial vessels in autopsy material and biopsy specimens of CADASIL patients.

Results: The immmune reactions revealed decreased expression of laminin and increased expression of collagen IV and fibronectin in arterial vessels. Moderately intense immune reactivity to MMP-9 and MMP-2 was present while immune reactivity to MMP-3 was absent.

Conclusion: Quantitative and qualitative changes in vascular extracellular matrix found in CADASIL vessels may lead to VSMC loss via anoikis pathway.

Keywords: Anoikis; CADASIL; Extracellular matrix; Matrix metallo proteinases; vascular smooth muscle cell

Citation: Dziewulska D, Nycz E, Oleszkiewicz CR (2017) Changes in the Vascular Extracellular Matrix as a Potential Cause of Myocyte Loss via Anoikis in Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy. J Clin Exp Pathol 7: 332. Doi: 10.4172/2161-0681.1000332

Copyright: ©2017 Dziewulska D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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