Comparison of tissue biomarkers in arterial and vein (arteriovenous fistula) aneurysms

Abstract

Introduction and objectives

Aneurysms are distinguished by inflammation, matrix degradation, and apoptosis of smooth muscle cells. In this study, specialized aneurysms tissue markers including venous and arterial aneurysms were studied.

Material and methods

The present cross-sectional study was conducted throughout January–September 2021. Tissue samples were collected during surgery. Hematoxylin and eosin (H&E) stains, have been utilized to identify different aneurysm types and the morphologic alterations that serve as the foundation for aneurysm diagnosis. Measurement of collagen type III, IV, CCR2, metalloproteinase (2 and 13), and granzyme K was done by ELISA method. Results were presented as the mean  ±  standard deviation and analyzed by t tests (Graph Pad Prism 8.4.3.686)

Results

During the period from January to September 2021, 14 patients with peripheral venous and arterial aneurysms were referred to Alavi Vascular Surgery Hospital and underwent surgery. Of these, 10 patients were matched and remained available for study. The level of type 3 collagen was significantly reduced in arterial aneurysm compared to venous aneurysm (p < 0.05). Granzyme K in arterial aneurysm showed increase compared to venous aneurysm (p < 0.05). Metalloproteinase 2 in arterial aneurysms higher than venous aneurysm (p < 0.001). Metalloproteinase 13 in arterial aneurysm also showed increase compared to venous aneurysm (p < 0.05).

Conclusion

Results of this study shows differences in the level of tissue biomarkers in arterial and vein (arteriovenous fistula) aneurysms.