Introduction: The abdominal aortic aneurysm (AAA) pathophysiological is not completely understood. Therefore, identifying the mechanism involved in growth, progression, or the risk of rupture in humans could bring a novel treatment perspective. Objective: We sought to investigate the inflammatory markers and metalloproteinases (MMPs) 2 and 9 in aorta obtained from AAA patients. Methodology: The human plasma and aorta from AAA group's were obtained during conventional AAA correction surgeries from HCRP-FMRP-USP. The Control group's plasma and aorta were obtained from patients diagnosed with brain death donor organs and without the aneurysmal disease. The inflammatory markers (IL-6, IL-8, TGF?, and TNF?) were measured in plasma and aorta by radioimmunoassay (ELISA). The MMPs 2 and MMPs 9 were measured in plasma and aorta by zymography. This project was approved by CAAE (n. 82879518.6.0000.5440). Results: Clinical and epidemiological data showed that 80% of the patients were male, with a mean age of 67. Among the risk factors, 98% of patients are or were smokers, and the hypertensive rate was found 61% of patients included, while diabetes (10%) in AAA group. The aorta from the AAA group showed a significant increase of IL-6 (p <0.02), IL-8 (p<0.015) when compared with the control group. However, the plasmatic inflammatory mediators did not show statistical difference between AAA and control groups. Furthermore, aorta and plasma from AAA group showed a significant upregulation in MMP-2 (p=0.024 for plasma, and p= 0,017 for aorta) and MMP-9 (p=0.033 for plasma and p= 0,031 for aorta) compared with the control group. Conclusion: Our data showed an increase in tissular inflammatory markers and MMPS in AAA. Therefore, suggesting that the local/tissue response is an important pathway in the pathophysiology of AAA.
Comissão Organizadora
José Wilson do Nascimento Corrêa
Simone Potje
Gabriel Tavares do Vale
Stêfany Cau
Roger Lyrio
Simone R Potje
Alice Valença Araújo
Ruth Cristina Albuquerque Santos
Lara Caroline Amaro
Ana Dária Cassoli da Silva
Pollyana Peixoto
Izabela Moreira Bonfim
Jocimar José Pitol
Sunamita Vaz Martins
Izabela Moreira Bonfim
Palloma Emanuelle Dornelas de Melo
Daniella Bonaventura
Tagana Rosa
Sarah Victory Santana Gomes
Priscila Cruz
André Lucas Borges
Jéssyca Aparecida Soares Giesen
Leticia Tinoco Gonçalves
Silvia Maria Luna Alves
NAYANA YARED BATISTA
Wellington Francisco Pereira da Silva
Natália Ferreira de Araújo
Leandro de Carvalho Gomes
Comissão Científica