Key result
Atherosclerotic carotids exhibit ~4-fold higher FDG uptake versus controls, reflecting increased synthetic smooth muscle activity.
Why the study?
Does F-18 FDG PET imaging detect synthetic vascular smooth muscle cells in atherosclerotic carotid arteries in a rat model?
Does F-18 FDG PET imaging detect synthetic vascular smooth muscle cells in atherosclerotic carotid arteries in a rat model?
F-18 FDG PET imaging successfully visualizes synthetic vascular smooth muscle cells in atherosclerotic lesions, suggesting its potential utility in evaluating vascular remodeling disorders.
F-fluorodeoxyglucose (FDG) positron emission tomography (PET). Atherosclerosis was induced in rats by partial ligation of the right carotid artery coupled with an atherogenic diet and vitamin D injections (2 consecutive days, 600,000 IU/day). One month later, rats were imaged by F-18 FDG PET. The atherosclerotic right carotid arteries showed prominent luminal narrowing with neointimal hyperplasia. The regions with neointimal hyperplasia were composed of α-smooth muscle actin-positive cells with decreased expression of smooth muscle myosin heavy chain. Surrogate markers of synthetic VSMCs such as collagen type III, cyclophilin A, and matrix metallopeptidase-9 were increased in neointima region. However, neither macrophages nor neutrophils were observed in regions with neointimal hyperplasia. F-18 FDG PET imaging and autoradiography showed elevated FDG uptake into the atherosclerotic carotid artery. The inner vessel layer showed higher tracer uptake than the outer layer. Consistently, the expression of glucose transporter 1 was highly increased in neointima. The present results indicate that F-18 FDG PET may be a useful tool for evaluating synthetic activities of VSMCs in vascular remodeling disorders.
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Pahk et al. (2017) studied Atherosclerosis (n=8). Atherosclerosis induction (partial carotid artery ligation, atherogenic diet, vitamin D) vs. Sham operation and normal diet was evaluated on Maximum standardized uptake value (SUVmax) of F-18 FDG (p=0.029). Atherosclerotic carotid arteries exhibited significantly higher F-18 FDG maximum standardized uptake values compared to normal controls (3.28 vs 0.86, p=0.029), indicating increased synthetic vascular smooth muscle cell activity.
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