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Volume 8, Issue 1


Mechanical contribution of vascular smooth muscle cells in the tunica media of artery

Hozhabr Mozafari
  • Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588-0526, United States of America
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/ Changchun Zhou
  • Corresponding author
  • National Engineering Research Center for Biomaterials, Sichuan University, 610064, Chengdu, China
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/ Linxia Gu
  • Corresponding author
  • Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588-0526, United States of America
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Published Online: 2019-05-17 | DOI: https://doi.org/10.1515/ntrev-2019-0005


The stiffness of arterial wall in response to cardiovascular diseases has been associated with the changes in extracellular matrix (ECM) proteins, i.e., collagen and elastin. Vascular smooth muscle cells (VSMCs) helped to regulate the ECM reorganizations and thus contributed to arterial stiffness. This article reviewed experimental and computational studies for quantifying the roles of ECM proteins and VSMCs in mechanical properties of arteries, including nanostructure and mechanical properties of VSMCs and ECMs, cell-ECM interaction, and biomimetic gels/scaffolds induced contractile properties and phenotype changing of VSMCs. This work will facilitate our understanding of how the microenvironments and mechanotransduction impact and regulate the arterial adaptation.

Keywords: Vascular smooth muscle cell; Contraction; Artery; Collagen; Elastin; Tunica media; Hypertension; Finite element method

1 Load bearing filaments in VSMC cytoskeleton

The cytoskeletal of vascular smooth muscles encompasses filaments and organelles. The density and number of these components can vary with respect to different internal and external signals [1, 2]. The filaments inside cytoskeleton can be classified as actin stress fibers (SFs), microtubules (MTs), and intermediate filaments (IFs), as shown in Figure 1.

Cytoskeleton structure of the cell and the load carrying fibers
Figure 1

Cytoskeleton structure of the cell and the load carrying fibers

These filaments play a principal role in the mechanical properties of vascular smooth muscle cells including proliferation 3, differentiation [4, 5], cell migration 6, and apoptosis [7, 8]. Therefore, mechanical properties of these fibers are critical for the deformation and stability of vascular smooth muscle cells.

1.1 Stress fibers (SFs)

It has been reported that stress fibers (SFs), which mainly alighted in major axis of the cell, are the principal contributor to contractile forces through actomyosin activation 9. Deguchi et al. 10 performed tensile tests of SFs by isolating these fibers from cultured bovine VSMCs. Each SF is composed of a bundle of actin filaments (AFs). These bundles are held together by the actin-crosslinking protein α-actin. The elastic modulus of SFs was approximately 1.45 MPa which was three orders of magnitude lower than that of single AF (1.8-2.6 GPa) 11. On the other hand, the breaking force of single AF was determined to be 600 pN, whereas the breaking force of a single SF is approximately 380 nN, i.e., 600 times higher. In addition, the stress-strain relation was linear for the single AF, although SFs exhibited a highly non-linear strain-induced hardening behavior 12. Cell contraction is based on two vital structures, SFs and focal adhesion sites. Rho GTPase promotes the formation of SFs and cell adhesion sites, resulted in higher contractility 13. It is reported that the tension applied to focal adhesions increased from 10 nN to 100 nN upon contraction of the VSMCs 14. Moreover, disruption of SFs during the tensile tests decreased the cell’s stiffness by 50% 15.

1.2 Microtubules (MTs)

Microtubules (MTs) have a cylindrical shape with inner and outer diameters of 14 and 25 nm 16. MTs are rigid filaments with bending stiffness of 100 times higher than that of AFs and with elastic modulus of 1.2 GPa 17. MTs have a remarkable contribution in stabilization of cells elongation through attaching to the cell membrane via certain capping proteins 18. The contribution of MTs on cell locomotion and migration by regulating of actin polymerization has been reported 19. Kato et al. 20 showed that tracheal fusion cells form polarized microtubule bundles oriented towards the leading edge of migrating cells. The function of these microtubules is twofold: to concentrate E-cadherin to the newly contacted cell interface and to initiate the formation of new adherent’s junctions. Microtubule depolymerization enhances isometric contraction of vascular smooth muscle cell, which is not receptor dependent 21. Besides the principal contribution of SFs in contractility and MTs in migration, MTs are acknowledged to indirectly affect the contractility of VSMCs. Specifically, MTs growth favors dissolution of focal adhesions, whereas disruption of MTs leads to enhanced cell contractility by formation of SFs and focal adhesions 22. In addition, disruption of the MTs decreased the tensile stiffness of VSMCs by 30% at large strain levels. Insignificant contribution of MTs was observed under small tensile strain which stem from wavy morphology of these fibers 15.

1.3 Intermediate filaments (IFs)

The intermediate filament (IF) network is one of three cytoskeletal systems. IFs are widely distributed from the plasma membrane to nucleus, providing mechanical and structural integrity for the cell 23. In conjunction with associated proteins, IFs generate networks that serve to generate and support cell shapes. Spatial reorganization of IFs along with the development of SFs make VSMCs able to adjust their contraction/relaxation states. Moreover, the dynamic IFs play a crucial role in regulating various cellular functions including signal transduction; tension development; cell division and migration 24. The IFs, with the diameter of approximate 10 nm, have been grouped into five types, or sequence homology classes (SHC), on the basis of amino-acid-sequence identity 25. The most prominent IFs in VSMC cytoskeleton is vimentin, which forms a dynamic network and varies during contraction 26. The elastic modulus of IFs has been reported in the range of 300-900 MPa 27. The contribution of IFs in tensile properties of SMCs is remained to be determined even though IFs play important roles in tensile properties of the cells during large deformation 28. Green et al. 29 speculated that it is impossible to disrupt IFs themselves due to the interaction between IFs and AF structure.

Although the characteristics of each filament in the VSMCs cytoskeleton has been studied separately, the intracellular force balance, contraction, and cell stiffness are strongly influenced by the interaction of cytoskeleton with extracellular matrix (ECM) and signaling pathways as described below.

2 Interaction of VSMCs within the extracellular matrix (ECM)

Structural constituents of ECM, that regulate its passive mechanical behavior, are elastin fibers, collagens, and glycosaminoglycans (GAGs) 30. Interaction of these structural constituents and VSMCs can trigger significant variations of stiffness of both ECM and VSMCs. The adhesive glycoproteins fibronectin and laminin form connections between ECM and VSMCs via specific integrin receptors. Fibronectin is a multifunctional adhesive protein present in the plasma and also synthesized by vascular cells 31. VSMCs express both β-1 and β-3 integrins and 32 demonstrated greater functional significance in adhesive processes of β-3 integrin essential for SMC migration. On way to study the interaction between VSMC (and other cells in general) and ECM is to culture the cell on substrate and study the deformations under different circumstances 33. Adhesion rate, spread area, cytoskeletal assembly, and focal adhesion signaling was evaluated by culturing VSMCs on substrates with different stiffness and coated with fibroactin- or laminin- 34. When VSMCs were cultured on fibroactin substrates with varied mechanical gradient, it was found out that cells preferentially migrate toward stiffer regions [35, 36]. On the other side, Hartman et al. 37 observed the migration of VSMCs toward the stiffer region of gradient substrate coated with fibroactin, whereas the migration on laminin-coated gradient substrate appeared to be random. This observation indicated that the deformation and migration of VSMCs are not only dependent on the stiffness of ECM but also the type of interacting proteins and the engaged integrins 34.

The ECM stiffness can also affect the phenotype of VSMCs 38. A stiffer ECM led to synthetic phenotype in the VSMC. Specifically, the VSMC decreases the number of cytoskeletal filaments and exhibits lower stiffness than that of contractile phenotype. Fibronectin drives cells away from the contractile phenotype in vitro, whereas laminin has been shown to conserve it 39. Cell culture in 2D has been widely used to study the mechanotransduction of VSMCs due to ease of handling, maintenance, and application of mechanical loads [40, 41, 42]. However, culturing cells on a 2D substrate affects the cellular deformation, adhesion force and stiffness. To address this issue, engineering 3D gels 43 or scaffolds [44, 45] as the cell culture environment has been suggested.

Artery and its cellular components are continuously exposed to hemodynamic stimuli including cyclic strain, flow shear stress, and blood pressure [46, 47]. These mechanical loadings correlated with VSMC behaviors, ECM remodeling, and vasoregulation 48. Cyclic mechanical stimulation possesses dual effect on proliferation of VSMC 49, enhance the collagen production 50, and increases the capability of transformation from synthetic SMC phenotype into contractile phenotype 51. A cyclic tensile strain of 5% reduced SMC proliferation 52. Conflicting variation of VSMCs phenotype with respect to the level of cyclic loading has been reported 53, whereas over-expression of contractile phenotype proteins has been observed [54, 55, 56, 57, 58]. Solan et al. 59 showed that cyclic strain had a direct impact on increasing collagen content and organization in ECMs. Bono et al. 60 studied the effects of cyclic strain (7%) on the VSMCs behavior which were cultured on 2D substrates and in 3D matrix composed of type I collagen. It was demonstrated that in the 3D culture environment there are more VSMCs aligned in the direction of strain (nearly 60%).Additionally, the level of SM α-actin in VSMCs cultured in the 3D collagen matrix was higher than that cultured on the monolayer 2D substrate. This research indicated that in 3D culture environment and under cyclic loading the density of contractile proteins inside VSMC’s cytoskeleton increases remarkably. It is worth mentioning that in the cardiac cycle VSMCs are cyclically stretched by ~ 10% with a 25-50% mean strain, and their mechanical properties should be evaluated over a large range of deformations 61.

It was noted that the ECM mechanical properties including its heterogeneity are the key factors to impact the 3D VSMC contractility 62. Novel hydrogels have been developed to resemble the composition of ECM and thus in vivo mechanical environment [63, 64]. Ding et al. 65 developed a biomimetic fibrous hydrogel with tunable structure and stiffness. The developed ECM array consisted of collagen I, III, IV, fibroactin, and laminin. The effect of ECM deposition and stiffening during vascular disease progression on VSMCs contraction/relaxation was investigated. Although, the developed hydrogel encompassed the composition of ECM components, the challenges lie in the control of the architecture and alignments of collagen fibers. It has been illustrated that fibers orientation affect their load sharing contribution to the media tunica 66. Phillippi et al. 67 reported that a remarkable variation of collagen fiber orientation distribution exists in the diseased aortic media. Considering the limitation in reproducing a complex in vivo ECM environment, the load sharing of VSMCs with respect to these structural components of ECM remained to be explored.

3 Arterial constituents

The artery wall exhibits three major layers: Intima, media and adventitia. The intima layer is predominantly populated with endothelial cells (ECs), which synthesize proteins, such as collagen IV and laminin, to create basal lamina. Its main function is to transmit signals that control vascular tone. It has a minimal contribution to the artery’s mechanical properties. The adventitia mainly consists of fibroblast and a collagen-rich ECM. Adventitial fibroblasts respond to a variety of chemical and mechanical cues. For example, hypertensive environments result in increased fibroblast proliferation and collagens I and III synthesis. Adventitia bears over half of the load at abnormal pressure due to collagen’s role as structural reinforcement 68. The media is the thickest layer, between the intima and adventitia layers. It serves as the primary load bearing components. The media are composed by multiple lamellar units (LU), which consists elastic lamellae encompassing smooth muscle cells (SMC), interposed with collagen fiber network, as shown in Figure 1.

The LU was comprised of approximately 29% elastin, 24% SMCs, and 47% collagen and ground substance 69. The volume of a single medial SMC was 1630±640 μm3. The healthy aortic media SMC was in the shape of ellipse. The average length of minor and major axis is 3.1±0.8 μm and 19.0 ±3.3 μm, respectively. The average aspect ratio, i.e., major/minor axis is 6.2±1.4. At the relaxed state, the elastic modulus of the rat aortic VSMC in the major and minor direction is 14.8 KPa and 2.8 KPa, respectively 70. Upon contraction, the elastic modulus in major and minor direction is 88.1 KPa and 59 KPa, respectively. The average density of SMCs within the media is 3.7±0.6 ×105 cells/mm3 69. Between lamellae, the major axis of each nucleus aligned in the circumferential direction with a 19±3 radial tilt, resulting in cytoplasmic ends directed toward top and bottom of the lamellae. Collagen type I is the most abundant within blood vessels and had been proposed as the primary determinant of tensile properties 71. Collagen was organized as bundles of fibers (numbering 24 ±15 fibers per bundle), thinner bundles or individual fibers. Collagen fibers aligned preferentially circumferential in the media but showed random orientation in the adventitia. The LU thickness ranges 13-15 μm 66 with an elastic lamellar thickness of 1.0-2.2 μm. The number of LUs of the media layer is established during arterial development and is directly related to the tension in the wall. It was noted that the tension per lamellar unit is constant across mammalian species and throughout the arterial tree 72.

Elastic modulus of elastin and collagen fibers was reported as approximately 0.6 MPa and 1 GPa, respectively 73. Collagen fibers have a wavy nature and low contributions to mechanical behaviors at low pressure load. This is due to the waviness of collagen fibers 74, which was gradually straightened under pressure. Only 6-7% of collagen fibers are engaged at physiological pressure 69. Microscopy studies on male adult rats revealed that collagen fibers aligned in the longitudinal-circumferential plane of the media layer of aorta. On the other hand, elastin fibers tended to align in the circumferential direction in SML, but often formed a longitudinally network structure in Els 69. Collagen fibers were observed more in ELs than in SMLs, and ELs comprise elastin and collagen fibers. Collagen fibers have a diameter of 3 μm and average segment length of 13-17 μm. The diameter of elastin fibers is measured around 0.1 μm which placed in ELs with an interconnecting, fenestrated network.

4 Arterial stiffness

The stiffness of artery is directly related to the function of each component in the LU. Due to their higher elastic modulus, elastin and collagen fibers were classically considered as the main load bearing elements in LU. At physiological pressure, arterial stiffness was predominantly determined by elastin fibers, while wavy collagen fibers, without being straightened yet, did not bear much load. Then, the abnormally large mechanical load could straighten the collagen fibers, which were able to carry more load than elastin fibers. These sequential participation of elastin and collagen fibers in arterial stiffness led to non-linear stress-strain response of the arterial wall, while it was suggested that VSMCs have no contribution in the mechanical response of the artery 75, as illustrated in Figure 2.

Representative circumferential stress–stretch relationship for the mouse ascending aorta.
Figure 2

Representative circumferential stress–stretch relationship for the mouse ascending aorta.

Increased arterial stiffness is correlated with a larger collagen/elastin ratio in LU. Aging is associated with the defragmentation and discontinuity of elastin fibers. The damaged elastic fibers are generally not replaced, because elastin expression is turned off in adult species. This damage alone will weaken the artery. Then the arterial remodeling lead to more collagen fibers production, and usually increase the arterial stiffness [76, 77]. It has been reported that blood pressure and arterial stiffness are inversely related to elastin’s amount in the media layer [72, 78, 79, 80, 81]. Many cardiovascular disease, specifically hypertension, are related to high stiffness of artery induced by elastin reduction and collagen fiber production 72. Advanced glycation end-products (AGEs), which accumulate slowly with normal aging or in diabetes at a faster rate, has been considered as a major index factor for arterial wall stiffening [82, 83]. This was attributed to the increased protein–protein crosslinks on the collagen molecule [84, 85] and implied that collagen/elastin components alone are not the only inclusive parts to determine the arterial stiffness in certain situations. Using hypertensive rat models, several groups observed minimal changes in collagen content of artery [86, 87, 88, 89]. Instead, reduced collagen content were reported in some cases [90, 91]. Hu et al. 92 monitored over 8 weeks of ECM content in a coarctated mini-pig aorta. They observed that relative collagen content was increased at 2 weeks of hypertension, stayed at this high level for 4 weeks, and then declined to the baseline level at 6 weeks. The relative elastin content decreased at 2 weeks and remained at a similar level thereafter. The incongruous observations in the literature might be due to the variations in experimental protocols, including measurement methods of arterial collagen content, the hypertension degree, and the location of harvested artery 88.

Apart from the variation of collagen/elastin fibers content and ECM in general, VSMCs might have a contribution to arterial wall stiffness. Sehgel et al. 93 suggested to look into the contribution of VSMC to arterial stiffness since variation in elastin density was not enough to alter a major change in aortic stiffness. Animal studies (spontaneously hypertensive monkeys [94, 95] and rats 96) showed that VSMC in the aortic media layer is stiffer due to hypertension or aging. These observations indicated that VSMC alone might contribute to arterial stiffness but has not been measured yet.


Stiffness measurement of vascular smooth muscle cells are challenging due to its sensitivity to phenotypic switching in response of the environment. It has been reported that cultured VSMC on substrate might change their phenotype to synthetic 97. VSMCs are aligned circumferentially in the media layer and undergo large deformations in physiological conditions. When the artery enlarges due to the hemodynamic pressures, VSMCs stretch along their major axis. However, AFM technique is only able to measure the elastic properties of local regions of cells under small deformations and cannot not provide enough information associated with the tensile properties of whole VSMC in physiological strain range (median strain of 25-50%). Due to the aforementioned reasons, it is vital to obtain tensile properties of the cells freshly isolated from the artery wall. In this regard, different methods for gripping the VSMC and performing tensile test have been suggested. Knotting 98, aspiration 99, adhesion on pipette 100, plate 101 and micropillar array substrate 14 are among the popular cell gripping methods for the tensile testing of VSMCs.

6 Mechanical contribution of arterial constituents

6.1 Experimental studies

There is a range of techniques to quantify the mechanical behaviors of cells, such as Atomic Force Microscopy (AFM) [88, 93, 95, 96]. The contraction response of VSMC can be measured directly by AFM tests, or in an indirect way by comparing the expression of primary SMC-specific contractile markers such as SM α-actin. It is well known that by phenotype changing of VSMCs to synthetic type, the number of stress fibers decreases, and the number of organelles increases which prepare the cell to proliferate and generate ECM proteins. These changes in the cytoskeleton decrease contractility and stiffness of VSMCs (by one-third or one-fourth). Thus, the initiation of cell proliferation can be counted as an indicator of relaxed VSMCs. Hu et al. 92 reported that cell proliferation occurred at 2, 4, and 6 weeks, but not at 8 weeks of hypertension. The highest proliferation rate was captured at 2 weeks of hypertension. Xu et al. 102 found that proliferation of medial VSMCs was induced rapidly within 3 days after acute coarctation of the rat aorta and continued for 2 weeks. In addition, In addition, fluctuations in VSMCs stiffness was detected over 8 weeks of high tension loading of rat aorta 103. Tosun and McFetridge 104 used cardiac output to define frequency profile of cyclic stretch of human VSMCs which was against with the previous in vitro models which were stimulated with constant pulse frequencies. It was revealed that the phenotypic outcome may be more dependent on the variation in the stimuli, rather than specific amplitude of change.

These studies indicate that VSMC’s stiffness could decrease sharply at the early stages of hypertension because of their dedifferentiation. However, it is reported that medial VSMCs expressing contractile proteins could also proliferate and actively synthesize ECM proteins 92. On the other hand, the dedifferentiated cells express low levels of contractile markers and high levels of signaling molecules associated with cell growth, migration, fibrosis, and inflammation 105. Matsumoto et al. 103 investigated the effects of hypertension on morphological, contractile and mechanical properties of rat aortic VSMCs. They found that the density of SFs and the stiffness of each SF may dependent on the intensity and duration of hypertension. The contraction and stiffness of VSMCs increased to its maximum at 8 weeks of hypertension and decreased thereafter. However, these observations were not correlated with the previous studies. The potential explanation could be the level of hypertension, measurement techniques, level of VSMCs tension and VSMCs alignment.

The mechanical properties of elastin fiber network in the media layer were evaluated under uniaxial or biaxial tension [106, 107, 108, 109, 110].Weisbecker et al. 111 compared the mechanical behavior of elastase and collagenase treated media from human thoracic aorta to untreated control specimens. VSMCs were still visible after elastase treatment and it was noted that their passive response might slightly affect the anisotropy of the tissue. One limitation of this work was neglecting the dependency of the mechanical properties on age or on the location of the artery. Martinez and Han 112 showed that collagenase treatment (collagen content decreased by 15%) caused an enhancement in the axial deformation but not in the circumferential deformation. This was explained by the dominating circumferential alignment of collagen in the vessel wall. While collagenase treatment may equally break the collagen fibers aligned in both the axial and circumferential directions, the ratio of change in the circumferential direction would be much smaller due to the large amount of collagen at the baseline 112. However, Dorbin et al. 113 observed a considerable reduction in the arterial wall stiffness in the circumferential direction of collagenase treated dog arteries. The difference might be associated with the type of species, the density of collagenase used, or the implemented testing conditions 114. Moreover, compared to elastase treatment, collagenase treatment seemed had less effect on the physiological pressures as that collagen is not fully engaged in the bearing arterial wall stresses. Reportedly, a decrease VSMC content by 11±7% in porcine carotid arteries was associated with enlargement of arterial wall at pressures up to 120 mm Hg and mechanical stiffening of the arterial wall at higher pressures 115. Despite the valuable results, the conducted researches had limitations such as being performed under static loading conditions, and the collagen fibers or VSMCs were partially removed in the treated specimens.

Although there have been many experiments to quantify the contribution of medial fibrous matrix in mechanical properties of the artery, the load sharing capacity of VSMCs has been underestimated. Previous studies about determining the stiffness and contraction of VSMCs in hypertension provided valuable information but sometimes are inconsistent which makes it difficult to evaluate the mechanical contribution of VSMCs in normotension and hypertension arteries. In addition, the load sharing capacity of VSMCs in LU is still not clear. Heterogeneity of LU and different mechanical properties of each component are the problematic issues to determine the portion of load taken by each constituent when the artery is exposed to hemodynamic pressures.

6.2 Computational methods

Numerical simulations have been implemented for many years to study the mechanical behavior of arteries. In the previous developed models, the arterial wall has been modeled as a single layer 116, two or three layers [117, 118]. The applied constitutive relations to the arterial wall have been formulated by hyperelastic material with orthotropic, transverse isotropic, and isotropic behavior [119, 120, 121, 122, 123]. The main concern about these models was to predict the macroscopic mechanical properties of the artery and evaluate its deformation [124, 125, 126, 127]. Considering the highly heterogeneous microstructure of the arterial layers has been challenging in these studies.

Furthermore, micromechanical modeling approach has been employed to include clearly distinguishable constituents inherited different material properties. The goal was to predict the anisotropic response of the heterogeneous material on the basis of the geometries and properties of the individual constituents, a task known as homogenization 128. Application of micromechanical modeling in arterial mechanics is vast. Capturing the responses of hyperelastic tissues with multiple families of collagen fibers 129, elucidating the interaction between collagen and non-fibrillar matrix 130, strain hardening of collagen-I gel and realignment of the network 131 can be counted as the micromechanical modeling applications associated with the behavior of fiber matrix. Thunes et al. 66 developed a micromechanical model to detect the stress field of the fiber matrix after collagen recruitment. The VSMCs were simplified and replaced by a homogenous medium as the non-fibrous part.

In order to study the VSMC contraction effects in the media tunica and stress distribution through the thickness of artery, Lukes and Rohan 132 proposed a 3D micromechanical model, which consisted of a hyperelastic matrix (ECM), an incompressible inclusion (VSMC), and contractile bars (SFs). The micro-scale model was then coupled with a 2D macro-scale model of the arterial wall consisted of two layers of tunica media and tunica adventitia.

Nakamachi et al. 51 constructed a multi-scale FE model for stress and strain evaluation of VSMC of the human artery. Their micro-scale model was based on a Representative Volume Element (RVE) model and consisted of a VSMC embedded in a homogenous matrix, Figure 3. Despite of the novelty of the developed model, the simplified ECM structure and neglecting the distribution of collagen/elastin fibers could be influential on the obtained results. Moreover, there were lack of discussion about mechanical contribution of the constituents in the arterial wall.

Macro scale model of the arterial wall with three layers (right); arterial VSMC and RVE model (left)
Figure 3

Macro scale model of the arterial wall with three layers (right); arterial VSMC and RVE model (left)

It has been found that the microstructure of ECM can vary by some diseases. Collagen disposition and cross-link disruption has been observed in the arteries with Marfan syndrome 133.Moreover, Marfan aortic samples are histologically characterized by the fragmentation of elastic laminae (almost 50% lower [134, 135, 136]), which leads to the formation of aneurysms. Therefore, considering the heterogeneous structure of ECM will allow to detect the ongoing mechanisms behind the arterial disease which change the properties of ECM and VSMC state.

7 Sumamry

This review summarized the mechanical contribution of VSMCs to the arterial stiffness with focus on the load sharing of collagen/elastin fibers and contracted/relaxed VSMCs in the media layer of artery. In view of VSMCs cytoskeleton, it was noted that stress fibers have the major contribution in VSMCs contraction, however, microtubules and intermediate filaments can indirectly affect contractility of the cells. In addition, the cytoskeleton responses are strongly related to the interaction of integrin receptors and extracellular matrix.

VSMCs alter their proliferation and contractility or change their phenotype with respect to the mechanical environment, such as 2D or 3D ECM, and level of cyclic strains. Specifically, the cultured VSMCs change their phenotype compared with in vivo conditions. The responses of VSMCs subjected to cyclic loading is dependent on the time period of the applied load.

The mechanics of VSMCs could be better delineated using numerical simulation. The interaction between collagen and non-fibrillar matrix, alignment and recruitment of collagen fibers and induced stresses in VSMCs during extension have been elucidated. However, the load sharing capacity of VSMCs in Lamellar unit as well as the influence of phenotype changing on the VSMCs contribution in arterial stiffness remained to be determined.

The focus of this review paper was on the tunica media. However, the contribution of tunica adventitia and intima should not be neglected. Adventitia prevents the arterial wall from overexpansion. The most abundant cell type in adventitia is the fibroblast with a stiffness ranging 1-27 kPa, which synthesize the extracellular matrix and collagen fibers. Endothelial cells in intima have a relative lower stiffness of 1-2kPa, but plays an important role in contraction and relaxation of VSMCs and arterial stiffness.


This work was supported by the National Science Foundation CAREER award (CBET-1254095).


  • [1]

    Tang, D.D. and B.D. Gerlach, The roles and regulation of the actin cytoskeleton, intermediate filaments and microtubules in smooth muscle cell migration. Respiratory Research, 2017. 18(1): p. 54. PubMedCrossrefGoogle Scholar

  • [2]

    Huber, F., et al., Emergent complexity of the cytoskeleton: from single filaments to tissue. Advances in physics, 2013. 62(1): p. 1-112. PubMedCrossrefGoogle Scholar

  • [3]

    Ingber, D.E., Fibronectin controls capillary endothelial cell growth by modulating cell shape. Proceedings of the National Academy of Sciences of the United States of America, 1990. 87(9): p. 3579-3583. CrossrefPubMedGoogle Scholar

  • [4]

    Collinsworth, A.M., et al., Apparent elastic modulus and hysteresis of skeletal muscle cells throughout differentiation. American Journal of Physiology-Cell Physiology, 2002. 283(4): p. C1219-C1227. CrossrefPubMedGoogle Scholar

  • [5]

    Jacob, J.A., J.M.M. Salmani, and B. Chen, Magnetic nanoparticles: mechanistic studies on the cancer cell interaction. Nanotechnology Reviews, 2016. 5(5): p. 481-488. Google Scholar

  • [6]

    Pelling, A.E. and M.A. Horton, An historical perspective on cell mechanics. Pflügers Archiv - European Journal of Physiology, 2008. 456(1): p. 3-12. CrossrefPubMedGoogle Scholar

  • [7]

    Chen, C.S., et al., Geometric Control of Cell Life and Death. Science, 1997. 276(5317): p. 1425. PubMedCrossrefGoogle Scholar

  • [8]

    Mohammad, F., et al., Targeted hyperthermia-induced cancer cell death by superparamagnetic iron oxide nanoparticles conjugated to luteinizing hormone-releasing hormone. Nanotechnology Reviews, 2014. 3(4): p. 389-400. Google Scholar

  • [9]

    Katoh, K., et al., Isolation and Contraction of the Stress Fiber. Molecular Biology of the Cell, 1998. 9(7): p. 1919-1938. PubMedCrossrefGoogle Scholar

  • [10]

    Deguchi, S., T. Ohashi, and M. Sato, Tensile properties of single stress fibers isolated from cultured vascular smooth muscle cells. Journal of Biomechanics, 2006. 39(14): p. 2603-2610. CrossrefPubMedGoogle Scholar

  • [11]

    Liu, X. and G.H. Pollack, Mechanics of F-actin characterized with microfabricated cantilevers. Biophysical Journal, 2002. 83(5): p. 2705-2715. PubMedCrossrefGoogle Scholar

  • [12]

    Tsuda, Y., et al., Torsional rigidity of single actin filaments and actin–actin bond breaking force under torsion measured directly by in vitro micromanipulation. Proceedings of the National Academy of Sciences of the United States of America, 1996. 93(23): p. 12937-12942. CrossrefPubMedGoogle Scholar

  • [13]

    Etienne-Manneville, S., Actin and Microtubules in Cell Motility: Which One is in Control? Traffic, 2004. 5(7): p. 470-477. CrossrefPubMedGoogle Scholar

  • [14]

    Nagayama, K. and T. Matsumoto, Dynamic Change in Morphology and Traction Forces at Focal Adhesions in Cultured Vascular Smooth Muscle Cells During Contraction. Cellular and Molecular Bioengineering, 2011. 4(3): p. 348-357. CrossrefGoogle Scholar

  • [15]

    Nagayama, K. and T. Matsumoto, Contribution of actin filaments and microtubules to quasi-in situ tensile properties and internal force balance of cultured smooth muscle cells on a substrate. American Journal of Physiology-Cell Physiology, 2008. 295(6): p. C1569-C1578. CrossrefPubMedGoogle Scholar

  • [16]

    Nogales, E., Structural Insights into Microtubule Function. Annual Review of Biochemistry, 2000. 69(1): p. 277-302. PubMedCrossrefGoogle Scholar

  • [17]

    Gittes, F., et al., Flexural rigidity of microtubules and actin filaments measured from thermal fluctuations in shape. The Journal of Cell Biology, 1993. 120(4): p. 923. PubMedCrossrefGoogle Scholar

  • [18]

    Reilein, A. and W.J. Nelson, APC is a component of an organizing template for cortical microtubule networks. Nature Cell Biology, 2005. 7(5): p. 463-473. CrossrefPubMedGoogle Scholar

  • [19]

    Goldman, R.D., THE ROLE OF THREE CYTOPLASMIC FIBERS IN BHK-21 CELL MOTILITY : I. Microtubules and the Effects of Colchicine. The Journal of Cell Biology, 1971. 51(3): p. 752-762. PubMedCrossrefGoogle Scholar

  • [20]

    Kato, K., et al., Microtubule-dependent balanced cell contraction and luminal-matrix modification accelerate epithelial tube fusion. Nature Communications, 2016. 7: p. 11141. PubMedCrossrefGoogle Scholar

  • [21]

    Zhang, D., et al., Influence of microtubules on vascular smooth muscle contraction. Journal of Muscle Research & Cell Motility, 2000. 21(3): p. 293-300. CrossrefGoogle Scholar

  • [22]

    Liu, B.P., M. Chrzanowska-Wodnicka, and K. Burridge, Microtubule depolymerization induces stress fibers, focal adhesions, and DNA synthesis via the GTP-binding protein Rho. Cell adhesion and communication, 1998. 5(4): p. 249-255. PubMedCrossrefGoogle Scholar

  • [23]

    Chang, L. and R.D. Goldman, Intermediate filaments mediate cytoskeletal crosstalk. Nature Reviews Molecular Cell Biology, 2004. 5: p. 601. CrossrefPubMedGoogle Scholar

  • [24]

    Li, Q.-F., et al., Critical role of vimentin phosphorylation at Ser-56 by p21-activated kinase (PAK) in vimentin cytoskeleton signaling. The Journal of biological chemistry, 2006. 281(45): p. 34716-34724. PubMedCrossrefGoogle Scholar

  • [25]

    Fuchs, E. and K. Weber, Intermediate Filaments: Structure, Dynamics, Function and Disease. Annual Review of Biochemistry, 1994. 63(1): p. 345-382. PubMedCrossrefGoogle Scholar

  • [26]

    Wede, O.K., et al., Mechanical function of intermediate filaments in arteries of different size examined using desmin deficient mice. The Journal of Physiology, 2002. 540(Pt 3): p. 941-949. CrossrefPubMedGoogle Scholar

  • [27]

    Guzmán, C., et al., Exploring the Mechanical Properties of Single Vimentin Intermediate Filaments by Atomic Force Microscopy. Journal of Molecular Biology, 2006. 360(3): p. 623-630. CrossrefPubMedGoogle Scholar

  • [28]

    Wang, N. and D. Stamenovic, Contribution of intermediate filaments to cell stiffness, stiffening, and growth. American Journal of Physiology-Cell Physiology, 2000. 279(1): p. C188-C194. PubMedCrossrefGoogle Scholar

  • [29]

    Green, K.J., et al., The relationship between intermediate filaments and microfilaments before and during the formation of desmosomes and adherens-type junctions in mouse epidermal keratinocytes. The Journal of cell biology, 1987. 104(5): p. 1389-1402. PubMedCrossrefGoogle Scholar

  • [30]

    Humphrey, J.D., E.R. Dufresne, and M.A. Schwartz, Mechanotransduction and extracellular matrix homeostasis. Nature reviews Molecular cell biology, 2014. 15(12): p. 802. CrossrefPubMedGoogle Scholar

  • [31]

    Raines, E.W., The extracellular matrix can regulate vascular cell migration, proliferation, and survival: relationships to vascular disease. International Journal of Experimental Pathology, 2000. 81(3): p. 173-182. PubMedGoogle Scholar

  • [32]

    Bendeck, M.P., et al., Smooth muscle cell matrix metalloproteinase production is stimulated via αvβ3 integrin. Arteriosclerosis, thrombosis, and vascular biology, 2000. 20(6): p. 1467-1472. CrossrefGoogle Scholar

  • [33]

    Hedin, U. and J. Thyberg, Plasma fibronectin promotes modulation of arterial smooth-muscle cells from contractile to synthetic phenotype. Differentiation, 1987. 33(3): p. 239-246. CrossrefPubMedGoogle Scholar

  • [34]

    Sazonova, O.V., et al., Extracellular matrix presentation modulates vascular smooth muscle cell mechanotransduction. Matrix Biology, 2015. 41: p. 36-43. CrossrefGoogle Scholar

  • [35]

    Isenberg, B.C., et al., Vascular Smooth Muscle Cell Durotaxis Depends on Substrate Stiffness Gradient Strength. Biophysical Journal, 2009. 97(5): p. 1313-1322. CrossrefPubMedGoogle Scholar

  • [36]

    Wong, J.Y., et al., Directed movement of vascular smooth muscle cells on gradient-compliant hydrogels. Langmuir, 2003. 19(5): p. 1908-1913. CrossrefGoogle Scholar

  • [37]

    Hartman, C.D., et al., Vascular smooth muscle cell durotaxis depends on extracellular matrix composition. Proceedings of the National Academy of Sciences, 2016. 113(40): p. 11190. CrossrefGoogle Scholar

  • [38]

    Timraz, S.B.H., et al., Stiffness of Extracellular Matrix Components Modulates the Phenotype of Human Smooth Muscle Cells in Vitro and Allows for the Control of Properties of Engineered Tissues. Procedia Engineering, 2015. 110: p. 29-36. CrossrefGoogle Scholar

  • [39]

    Qin, H., et al., Effects of Extracellular Matrix on Phenotype Modulation and MAPK Transduction of Rat Aortic Smooth Muscle Cells in Vitro. Experimental and Molecular Pathology, 2000. 69(2): p. 79-90. CrossrefPubMedGoogle Scholar

  • [40]

    Morrow, D., et al., Cyclic strain inhibits Notch receptor signaling in vascular smooth muscle cells in vitro. Circulation research, 2005. 96(5): p. 567-575. CrossrefPubMedGoogle Scholar

  • [41]

    Ritchie, A.C., et al., Dependence of alignment direction on magnitude of strain in esophageal smooth muscle cells. Biotechnology and Bioengineering, 2008. 102(6): p. 1703-1711. Google Scholar

  • [42]

    Lin, S., et al., Eigenstrain as a mechanical set-point of cells. Biomechanics and Modeling in Mechanobiology, 2018. 17(4): p. 951-959. PubMedCrossrefGoogle Scholar

  • [43]

    Floren, M. and W. Tan, Three-dimensional, soft neotissue arrays as high throughput platforms for the interrogation of engineered tissue environments. Biomaterials, 2015. 59: p. 39-52. CrossrefPubMedGoogle Scholar

  • [44]

    Svenja, H., et al., In vitro elastogenesis: instructing human vascular smooth muscle cells to generate an elastic fiber-containing extracellular matrix scaffold. Biomedical Materials, 2015. 10(3): p. 034102. CrossrefGoogle Scholar

  • [45]

    Katja, H., et al., Bioink properties before, during and after 3D bioprinting. Biofabrication, 2016. 8(3): p. 032002. CrossrefPubMedGoogle Scholar

  • [46]

    Chen, L.J., S.Y. Wei, and J.J. Chiu, Mechanical regulation of epigenetics in vascular biology and pathobiology. Journal of cellular and molecular medicine, 2013. 17(4): p. 437-448. CrossrefPubMedGoogle Scholar

  • [47]

    Lin, S., et al., Fluid-Structure Interaction in Abdominal Aortic Aneurysm: Effect of Modeling Techniques. BioMed Research International, 2017. 2017: p. 10. Google Scholar

  • [48]

    Schad, J.F., et al., Cyclic strain upregulates VEGF and attenuates proliferation of vascular smooth muscle cells. Vascular Cell, 2011(1): p. 21%V 3. Google Scholar

  • [49]

    Birukov, K.G., et al., Stretch affects phenotype and proliferation of vascular smooth muscle cells. Molecular and Cellular Biochemistry, 1995. 144(2): p. 131-139. CrossrefPubMedGoogle Scholar

  • [50]

    Leung, D.Y., S. Glagov, and M.B. Mathews, Cyclic stretching stimulates synthesis of matrix components by arterial smooth muscle cells in vitro. Science, 1976. 191(4226): p. 475. PubMedGoogle Scholar

  • [51]

    Nakamachi, E., et al., Multi-scale finite element analyses for stress and strain evaluations of braid fibril artificial blood vessel and smooth muscle cell. International Journal for Numerical Methods in Biomedical Engineering, 2014. 30(8): p. 796-813. CrossrefPubMedGoogle Scholar

  • [52]

    Colombo, A., et al., Cyclic strain amplitude dictates the growth response of vascular smooth muscle cells in vitro: role in in-stent restenosis and inhibition with a sirolimus drug-eluting stent. Biomechanics and Modeling in Mechanobiology, 2013. 12(4): p. 671-683. CrossrefPubMedGoogle Scholar

  • [53]

    Reusch, P., et al., Mechanical strain increases smoothmuscle and decreases nonmuscle myosin expression in rat vascular smooth muscle cells. Circulation research, 1996. 79(5): p. 1046-1053. CrossrefGoogle Scholar

  • [54]

    Qu, M.J., et al., Frequency-Dependent Phenotype Modulation of Vascular Smooth Muscle Cells under Cyclic Mechanical Strain. Journal of Vascular Research, 2007. 44(5): p. 345-353. PubMedCrossrefGoogle Scholar

  • [55]

    Sharifpoor, S., et al., Functional characterization of human coronary artery smooth muscle cells under cyclic mechanical strain in a degradable polyurethane scaffold. Biomaterials, 2011. 32(21): p. 4816-4829. CrossrefGoogle Scholar

  • [56]

    Sharifpoor, S., et al., A study of vascular smooth muscle cell function under cyclic mechanical loading in a polyurethane scaffold with optimized porosity. Acta Biomaterialia, 2010. 6(11): p. 4218-4228. CrossrefGoogle Scholar

  • [57]

    Stegemann, J.P. and R.M. Nerem, Phenotype Modulation in Vascular Tissue Engineering Using Biochemical and Mechanical Stimulation. Annals of Biomedical Engineering, 2003. 31(4): p. 391-402. PubMedCrossrefGoogle Scholar

  • [58]

    Tock, J., et al., Induction of SM-α-actin expression by mechanical strain in adult vascular smooth muscle cells is mediated through activation of JNK and p38 MAP kinase. Biochemical and Biophysical Research Communications, 2003. 301(4): p. 1116-1121. CrossrefPubMedGoogle Scholar

  • [59]

    Solan, A., S.L.M. Dahl, and L.E. Niklason, Effects of Mechanical Stretch on Collagen and Cross-Linking in Engineered Blood Vessels. Cell Transplantation, 2009. 18(8): p. 915-921. PubMedCrossrefGoogle Scholar

  • [60]

    Bono, N., et al., Unraveling the role of mechanical stimulation on smooth muscle cells: A comparative study between 2D and 3D models. Biotechnology and Bioengineering, 2016. 113(10): p. 2254-2263. PubMedCrossrefGoogle Scholar

  • [61]

    Matsumoto, T. and K. Nagayama, Tensile properties of vascular smooth muscle cells: Bridging vascular and cellular biomechanics. Journal of Biomechanics, 2012. 45(5): p. 745-755. CrossrefPubMedGoogle Scholar

  • [62]

    Lin, S., et al., Active stiffening of F-actin network dominated by structural transition of actin filaments into bundles. Composites Part B: Engineering, 2017. 116: p. 377-381. CrossrefGoogle Scholar

  • [63]

    Barreto-Ortiz, S.F., et al., Fabrication of 3-dimensional multicellular microvascular structures. The FASEB Journal, 2015. 29(8): p. 3302-3314. CrossrefGoogle Scholar

  • [64]

    Baker, B.M., et al., Cell-mediated fibre recruitment drives extra-cellular matrix mechanosensing in engineered fibrillar microenvironments. Nature materials, 2015. 14(12): p. 1262. CrossrefGoogle Scholar

  • [65]

    Ding, Y., et al., Biomimetic soft fibrous hydrogels for contractile and pharmacologically responsive smooth muscle. Acta Biomaterialia, 2018. 74: p. 121-130. PubMedCrossrefGoogle Scholar

  • [66]

    Thunes, J.R., et al., A structural finite element model for lamellar unit of aortic media indicates heterogeneous stress field after collagen recruitment. Journal of Biomechanics, 2016. 49(9): p. 1562-1569. PubMedCrossrefGoogle Scholar

  • [67]

    Phillippi, J.A., et al., Mechanism of aortic medial matrix remodeling is distinct in patients with bicuspid aortic valve. The Journal of Thoracic and Cardiovascular Surgery, 2014. 147(3): p. 1056-1064. CrossrefPubMedGoogle Scholar

  • [68]

    Beenakker, J.-W.M., et al., Mechanical properties of the extracellular matrix of the aorta studied by enzymatic treatments. Biophysical journal, 2012. 102(8): p. 1731-1737. CrossrefPubMedGoogle Scholar

  • [69]

    O’Connell, M.K., et al., The Three-Dimensional Micro- and Nanostructure of the Aortic Medial Lamellar Unit Measured Using 3D Confocal & Electron Microscopy Imaging. Matrix biology : journal of the International Society for Matrix Biology, 2008. 27(3): p. 171-181. CrossrefPubMedGoogle Scholar

  • [70]

    Nagayama, K. and T. Matsumoto, Mechanical Anisotropy of Rat Aortic Smooth Muscle Cells Decreases with Their Contraction (Possible Effect of Actin Filament Orientation). JSME International Journal Series C Mechanical Systems, Machine Elements and Manufacturing, 2004. 47(4): p. 985-991. Google Scholar

  • [71]

    Roeder, B.A., et al., Tensile Mechanical Properties of Three-Dimensional Type I Collagen Extracellular Matrices With Varied Microstructure. Journal of Biomechanical Engineering, 2002. 124(2): p. 214-222. PubMedCrossrefGoogle Scholar

  • [72]

    Wagenseil, J.E. and R.P. Mecham, Elastin in Large Artery Stiffness and Hypertension. Journal of Cardiovascular Translational Research, 2012. 5(3): p. 264-273. CrossrefPubMedGoogle Scholar

  • [73]

    Sugita, S. and T. Matsumoto, Multiphoton microscopy observations of 3D elastin and collagen fiber microstructure changes during pressurization in aortic media. Biomechanics and Modeling in Mechanobiology, 2017. 16(3): p. 763-773. PubMedCrossrefGoogle Scholar

  • [74]

    Lin, S. and L. Gu, Contribution of Fiber Undulation to Mechanics of Three-Dimensional Collagen-I Gel. Macromolecular Symposia, 2016. 365(1): p. 112-117. CrossrefGoogle Scholar

  • [75]

    Carta, L., et al., Discrete contributions of elastic fiber components to arterial development and mechanical compliance. Arteriosclerosis, thrombosis, and vascular biology, 2009. 29(12): p. 2083. CrossrefPubMedGoogle Scholar

  • [76]

    Szabo, Z., et al., Aortic aneurysmal disease and cutis laxa caused by defects in the elastin gene. Journal of Medical Genetics, 2006. 43(3): p. 255-258. PubMedGoogle Scholar

  • [77]

    Zhao, S. and L. Gu, Implementation and Validation of Aortic Remodeling in Hypertensive Rats. Journal of Biomechanical Engineering, 2014. 136(9): p. 091007-091007-8. CrossrefPubMedGoogle Scholar

  • [78]

    Faury, G., et al., Developmental adaptation of the mouse cardiovascular system to elastin haploinsufficiency. The Journal of clinical investigation, 2003. 112(9): p. 1419-1428. CrossrefPubMedGoogle Scholar

  • [79]

    Hirano, E., et al., Functional rescue of elastin insufficiency in mice by the human elastin gene: implications for mouse models of human disease. Circulation research, 2007. 101(5): p. 523-531. PubMedCrossrefGoogle Scholar

  • [80]

    Wagenseil, J.E., et al., Elastin-insufficient mice show normal cardiovascular remodeling in 2K1C hypertension despite higher baseline pressure and unique cardiovascular architecture. American Journal of Physiology-Heart and Circulatory Physiology, 2007. 293(1): p. H574-H582. CrossrefPubMedGoogle Scholar

  • [81]

    Wagenseil, J.E., et al., Effects of elastin haploinsufficiency on the mechanical behavior of mouse arteries. American Journal of Physiology-Heart and Circulatory Physiology, 2005. 289(3): p. H1209-H1217. PubMedCrossrefGoogle Scholar

  • [82]

    Aronson, D., Cross-linking of glycated collagen in the pathogenesis of arterial and myocardial stiffening of aging and diabetes. Journal of Hypertension, 2003. 21(1): p. 3-12. PubMedCrossrefGoogle Scholar

  • [83]

    Konova, E., et al., Age-related changes in the glycation of human aortic elastin. Experimental Gerontology, 2004. 39(2): p. 249-254. PubMedCrossrefGoogle Scholar

  • [84]

    Lin, S., et al., Towards Tuning the Mechanical Properties of Three-Dimensional Collagen Scaffolds Using a Coupled Fiber-Matrix Model. Materials (Basel, Switzerland), 2015. 8(8): p. 5376-5384. CrossrefPubMedGoogle Scholar

  • [85]

    Lin, S. and L. Gu, Influence of Crosslink Density and Stiffness on Mechanical Properties of Type I Collagen Gel. Materials (Basel, Switzerland), 2015. 8(2): p. 551-560. CrossrefPubMedGoogle Scholar

  • [86]

    Bezie, Y., et al., Connection of smooth muscle cells to elastic lamellae in aorta of spontaneously hypertensive rats. Hypertension, 1998. 32(1): p. 166-169. CrossrefPubMedGoogle Scholar

  • [87]

    Koffi, I., et al., Prevention of arterial structural alterations with verapamil and trandolapril and consequences for mechanical properties in spontaneously hypertensive rats. European journal of pharmacology, 1998. 361(1): p. 51-60. PubMedCrossrefGoogle Scholar

  • [88]

    Sehgel, N.L., et al., Augmented vascular smooth muscle cell stiffness and adhesion when hypertension is superimposed on aging. Hypertension, 2015. 65(2): p. 370. PubMedCrossrefGoogle Scholar

  • [89]

    van Gorp, A.W., et al., In spontaneously hypertensive rats alterations in aortic wall properties precede development of hypertension. American Journal of Physiology-Heart and Circulatory Physiology, 2000. 278(4): p. H1241-H1247. PubMedCrossrefGoogle Scholar

  • [90]

    Cox, R.H., Basis for the altered arterial wall mechanics in the spontaneously hypertensive rat. Hypertension, 1981. 3(4): p. 485-495. CrossrefPubMedGoogle Scholar

  • [91]

    Mizutani, K., et al., Biomechanical properties and chemical composition of the aorta in genetic hypertensive rats. Journal of hypertension, 1999. 17(4): p. 481-487. PubMedCrossrefGoogle Scholar

  • [92]

    Hu, J.-J., et al., Time Courses of Growth and Remodeling of Porcine Aortic Media During Hypertension: A Quantitative Immunohistochemical Examination. Journal of Histochemistry and Cytochemistry, 2008. 56(4): p. 359-370. CrossrefGoogle Scholar

  • [93]

    Sehgel, N.L., S.F. Vatner, and G.A. Meininger, “Smooth Muscle Cell Stiffness Syndrome”—Revisiting the Structural Basis of Arterial Stiffness. Frontiers in Physiology, 2015. 6(335). PubMedGoogle Scholar

  • [94]

    Qiu, H., et al., Vascular Smooth Muscle Cell Stiffness as a Mechanism for Increased Aortic Stiffness with Aging. Circulation research, 2010. 107(5): p. 615-619. PubMedCrossrefGoogle Scholar

  • [95]

    Sehgel, N.L., et al., Increased vascular smooth muscle cell stiffness: a novel mechanism for aortic stiffness in hypertension. American Journal of Physiology-Heart and Circulatory Physiology, 2013. 305(9): p. H1281-H1287. PubMedCrossrefGoogle Scholar

  • [96]

    Zhu, Y., et al., Temporal analysis of vascular smooth muscle cell elasticity and adhesion reveals oscillation waveforms that differ with aging. Aging cell, 2012. 11(5): p. 741-750. PubMedCrossrefGoogle Scholar

  • [97]

    Campbell, G.R. and J.H. Campbell, - Development of the Vessel Wall: Overview in The Vascular Smooth Muscle Cell S.M. Schwartz and R.P. Mecham, Editors. 1995, Academic Press: San Diego. p. 1-15. Google Scholar

  • [98]

    Warshaw, D.M., et al., Pharmacology and force development of single freshly isolated bovine carotid artery smooth muscle cells. Circ Res, 1986. 58(3): p. 399-406. PubMedCrossrefGoogle Scholar

  • [99]

    Matsumoto, T., et al., Smooth muscle cells freshly isolated from rat thoracic aortas are much stiffer than cultured bovine cells: possible effect of phenotype. JSME International Journal Series C Mechanical Systems, Machine Elements and Manufacturing, 2000. 43(4): p. 867-874. Google Scholar

  • [100]

    Smith, P.G., et al., Selected contribution: mechanical strain increases force production and calcium sensitivity in cultured airway smooth muscle cells. Journal of applied physiology, 2000. 89(5): p. 2092-2098. CrossrefGoogle Scholar

  • [101]

    Thoumine, O. and A. Ott, Time scale dependent viscoelastic and contractile regimes in fibroblasts probed by microplate manipulation. Journal of cell science, 1997. 110(17): p. 2109-2116. PubMedGoogle Scholar

  • [102]

    Xu, C., et al., Molecular mechanisms of aortic wall remodeling in response to hypertension. Journal of Vascular Surgery, 2001. 33(3): p. 570-578. PubMedCrossrefGoogle Scholar

  • [103]

    Matsumoto, T., et al., Effects of hypertension on morphological, contractile and mechanical properties of rat aortic smooth muscle cells. Cellular and Molecular Bioengineering, 2011. 4(3): p. 340-347. CrossrefGoogle Scholar

  • [104]

    Tosun, Z. and P.S. McFetridge, Variation in Cardiac Pulse Frequencies Modulates vSMC Phenotype Switching During Vascular Remodeling. Cardiovascular Engineering and Technology, 2015. 6(1): p. 59-70. CrossrefPubMedGoogle Scholar

  • [105]

    Owens, G.K., M.S. Kumar, and B.R. Wamhoff, Molecular regulation of vascular smooth muscle cell differentiation in development and disease. Physiological reviews, 2004. 84(3): p. 767-801. PubMedCrossrefGoogle Scholar

  • [106]

    Gundiah, N., M. B Ratcliffe, and L. A Pruitt, Determination of strain energy function for arterial elastin: Experiments using histology and mechanical tests. Journal of Biomechanics, 2007. 40(3): p. 586-594. PubMedCrossrefGoogle Scholar

  • [107]

    Gundiah, N., M.B. Ratcliffe, and L.A. Pruitt, The biomechanics of arterial elastin. Journal of the Mechanical Behavior of Biomedical Materials, 2009. 2(3): p. 288-296. PubMedCrossrefGoogle Scholar

  • [108]

    Lillie, M.A., R.E. Shadwick, and J.M. Gosline, Mechanical anisotropy of inflated elastic tissue from the pig aorta. Journal of Biomechanics, 2010. 43(11): p. 2070-2078. PubMedCrossrefGoogle Scholar

  • [109]

    Zou, Y. and Y. Zhang, An Experimental and Theoretical Study on the Anisotropy of Elastin Network. Annals of Biomedical Engineering, 2009. 37(8): p. 1572-1583. PubMedCrossrefGoogle Scholar

  • [110]

    Zou, Y. and Y. Zhang, The orthotropic viscoelastic behavior of aortic elastin. Biomechanics and Modeling in Mechanobiology, 2011. 10(5): p. 613-625. CrossrefPubMedGoogle Scholar

  • [111]

    Weisbecker, H., et al., The role of elastin and collagen in the softening behavior of the human thoracic aortic media. Journal of Biomechanics, 2013. 46(11): p. 1859-1865. CrossrefPubMedGoogle Scholar

  • [112]

    Martinez, R. and H.-C. Han, THE EFFECT OF COLLAGENASE ON THE CRITICAL BUCKLING PRESSURE OF ARTERIES. Molecular & cellular biomechanics : MCB, 2012. 9(1): p. 55-75. PubMedGoogle Scholar

  • [113]

    Dobrin, P.B. and T.R. Canfield, Elastase, collagenase, and the biaxial elastic properties of dog carotid artery. American Journal of Physiology-Heart and Circulatory Physiology, 1984. 247(1): p. H124-H131. CrossrefGoogle Scholar

  • [114]

    Dobrin, P.B., T. Schwarcz, and W. Baker, Mechanisms of arterial and aneurysmal tortuosity. Surgery, 1988. 104(3): p. 568-571. PubMedGoogle Scholar

  • [115]

    Kochová, P., et al., The contribution of vascular smooth muscle, elastin and collagen on the passive mechanics of porcine carotid arteries. Physiological Measurement, 2012. 33(8): p. 1335. CrossrefPubMedGoogle Scholar

  • [116]

    Kiousis, D.E., et al., A Methodology to Analyze Changes in Lipid Core and Calcification Onto Fibrous Cap Vulnerability: The Human Atherosclerotic Carotid Bifurcation as an Illustratory Example. Journal of Biomechanical Engineering, 2009. 131(12): p. 121002-121002-9. CrossrefPubMedGoogle Scholar

  • [117]

    Kock, S.A., et al., Mechanical stresses in carotid plaques using MRI-based fluid–structure interaction models. Journal of biomechanics, 2008. 41(8): p. 1651-1658. CrossrefPubMedGoogle Scholar

  • [118]

    Holzapfel, G.A. and R.W. Ogden, Modelling the layer-specific three-dimensional residual stresses in arteries, with an application to the human aorta. Journal of The Royal Society Interface, 2009. 

  • [119]

    Delfino, A., et al., Residual strain effects on the stress field in a thick wall finite element model of the human carotid bifurcation. Journal of Biomechanics, 1997. 30(8): p. 777-786. CrossrefGoogle Scholar

  • [120]

    Holzapfel, G.A., T.C. Gasser, and R.W. Ogden, A new constitutive framework for arterial wall mechanics and a comparative study of material models. Journal of elasticity and the physical science of solids, 2000. 61(1-3): p. 1-48. Google Scholar

  • [121]

    Kural, M.H., et al., Planar biaxial characterization of diseased human coronary and carotid arteries for computational modeling. Journal of biomechanics, 2012. 45(5): p. 790-798. CrossrefPubMedGoogle Scholar

  • [122]

    Taber, L.A. and J.D. Humphrey, Stress-modulated growth, residual stress, and vascular heterogeneity. Journal of biomechanical engineering, 2001. 123(6): p. 528-535. CrossrefPubMedGoogle Scholar

  • [123]

    Yamada, H., et al., Age-related distensibility and histology of the ascending aorta in elderly patients with acute aortic dissection. Journal of biomechanics, 2015. 48(12): p. 3267-3273. CrossrefPubMedGoogle Scholar

  • [124]

    Masson, I., et al., Carotid artery mechanical properties and stresses quantified using in vivo data from normotensive and hypertensive humans. Biomechanics and modeling in mechanobiology, 2011. 10(6): p. 867-882. CrossrefPubMedGoogle Scholar

  • [125]

    Peterson, S. and R. Okamoto, Effect of residual stress and heterogeneity on circumferential stress in the arterial wall. Journal of biomechanical engineering, 2000. 122(4): p. 454-456. CrossrefPubMedGoogle Scholar

  • [126]

    Sommer, G. and G.A. Holzapfel, 3D constitutive modeling of the biaxial mechanical response of intact and layer-dissected human carotid arteries. Journal of the mechanical behavior of biomedical materials, 2012. 5(1): p. 116-128. PubMedCrossrefGoogle Scholar

  • [127]

    Von Maltzahn, W.-W., D. Besdo, and W. Wiemer, Elastic properties of arteries: a nonlinear two-layer cylindrical model. Journal of Biomechanics, 1981. 14(6): p. 389-397. CrossrefPubMedGoogle Scholar

  • [128]

    Hudson, J., Overall properties of heterogeneous material. Geophysical journal international, 1991. 107(3): p. 505-511. CrossrefGoogle Scholar

  • [129]

    Oren, T., Analytical and numerical analyses of the micromechanics of soft fibrous connective tissues. Biomechanics and modeling in mechanobiology, 2013. 12(1): p. 151-166. PubMedCrossrefGoogle Scholar

  • [130]

    Lake, S.P., et al., Mechanics of a Fiber Network Within a Non-Fibrillar Matrix: Model and Comparison with Collagen-Agarose Co-gels. Annals of Biomedical Engineering, 2012. 40(10): p. 2111-2121. CrossrefPubMedGoogle Scholar

  • [131]

    Stein, A.M., et al., The micromechanics of three-dimensional collagen-I gels. Complexity, 2010. 16(4): p. 22-28. Google Scholar

  • [132]

    Lukeš, V. and E. Rohan, Microstructure based two-scale modelling of soft tissues. Mathematics and Computers in Simulation, 2010. 80(6): p. 1289-1301. CrossrefGoogle Scholar

  • [133]

    Lindeman, J.H.N., et al., Distinct defects in collagen microarchitecture underlie vessel-wall failure in advanced abdominal aneurysms and aneurysms in Marfan syndrome. Proceedings of the National Academy of Sciences of the United States of America, 2010. 107(2): p. 862-865. PubMedCrossrefGoogle Scholar

  • [134]

    López-Guimet, J., et al., High-Resolution Morphological Approach to Analyse Elastic Laminae Injuries of the Ascending Aorta in a Murine Model of Marfan Syndrome. Scientific Reports, 2017. 7(1): p. 1505. CrossrefGoogle Scholar

  • [135]

    Abraham, P.A., et al., Marfan syndrome. Demonstration of abnormal elastin in aorta. The Journal of Clinical Investigation, 1982. 70(6): p. 1245-1252. CrossrefPubMedGoogle Scholar

  • [136]

    Tsamis, A., J.T. Krawiec, and D.A. Vorp, Elastin and collagen fibre microstructure of the human aorta in ageing and disease: a review. Journal of The Royal Society Interface, 2013. 10(83). Google Scholar

About the article

Received: 2019-01-30

Accepted: 2019-03-15

Published Online: 2019-05-17

Citation Information: Nanotechnology Reviews, Volume 8, Issue 1, Pages 50–60, ISSN (Online) 2191-9097, DOI: https://doi.org/10.1515/ntrev-2019-0005.

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© 2019 H. Mozafari et al., published by De Gruyter. This work is licensed under the Creative Commons Attribution 4.0 Public License. BY 4.0

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