2009, Number 6
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Rev Mex Neuroci 2009; 10 (6)
Intracranial aneurysms: molecular and genetic aspects related to their origin and development
Guerrero-Muñiz S, Zárate-Méndez AM, Pérez RJC, Chima-Galán MC, García-Ortiz L, Gutiérrez-Salinas J
Language: Spanish
References: 35
Page: 453-458
PDF size: 56.04 Kb.
ABSTRACT
In 80% of the cases of spontaneous subarachnoid hemorrhage, the etiologic factor is the break of an intracranial aneurysm
which is presented with an incidence from 6 to 33 cases/100,000 annually, with greater frequency in women than in men.
At present, it is known that biochemical and molecular factors are involved in the development and formation of an aneurysm.
Some of the physiopathologic mechanisms that intervene in the formation of an aneurysm are the following: A) factors that alter
the architecture of the vascular structure (such as metalloproteinasas that degrade the components of vascular wall, like
collagen, stromelisine, etc.), and B) molecules involved in the mechanism related to local inflammation process (interleukines,
cytocines, etc.). This latter can generate oxygen or nitrogen reactive species which act weakening the vascular wall. In an
attempt to understand the genetic mechanisms that intervene in the development of the intracranial aneurysms, molecular
studies have contributed in establishing a probable association among the presence of the aneurysms and the expression of
gens that function like specific molecular markers which would be very useful as early measures of diagnosis in the general
population. In the present work, a brief revision and description of the biochemical, molecular and genetics mechanisms that
intervene in the genesis and development of intracranial aneurysms is carried out.
REFERENCES
Sevillano MD, Nombela L, Duarte J. Aspectos epidemiológicos, clínicos y pronósticos de la hemorragia subaracnoidea en Segovia. Rev Neurol 1999; 29(10): 957-61.
Schievink W. Genetics of intracranial aneurysms. Neurosurgery 1997; 40: 651-62.
Inagawa T, Hirano A. Autopsy Study of unrupture incidental aneurysm. Surg Neurol 1990; 30: 361-5.
Charles J, Prestigiacomo MD. Historical perspectives: the microsurgical and endovascular treatment of aneurysms. Neurosurgery 2006; 59: 3-47.
Juvela S. Natural history of unruptured intracranial aneurysms: risks for aneurysm formation, growth, and rupture. Acta Neurochir 2002; 82: 27-30.
Inagawa T, Hirano A. Autopsy study of unrupture incidental aneurysm. Surg Neurol 1990; 30: 361-5.
King T Jr. Epidemiology of aneurismal subarachnoid hemorrhage. Neuroimag Clin North Amer 1997; 7: 659-68.
Nakagawa T, Hashi K, Kurokawa Y, Yamamura A. Family history of subarachnoid hemorrhage and the incidence of asymptomatic, unruptured cerebral aneurysms. J Neurosurg 1999; 91: 391-5.
Llaneza J, Carreño J, Camblor L. Patogenia de los aneurismas. En: Estevan JM (ed.) Tratado de aneurismas. Barcelona, España: J Uriach & CÍA; 1997, p. 71-81.
Kassell NF, Torner JC, Haley C. The international cooperative study on the timing of aneurysm surgery. I: Overall Management Results. J Neurosurg 1990; 73: 18-32.
Stillwell G. The law of laplace. Some clinical applications. Mayo Clin Proc 1973; 48: 863-9.
Huang J, Van Gelder JM. The probability of sudden death from rupture of intracranial aneurysms: A Meta-analysis. Neurosurgery 2002; 51: 1101-7.
Schievink W. Intracranial anurysms. N England J Med 1997; 336(1): 28-39.
Boyer JK, Gutiérrez F, Braverman AC. Approach to the dilated aortic root (Review). Curr Opin Cardial 2004; 19: 563-9.
Wassef M, Baxter BT, Chisholm RL, Dalman RL, Fillinger MF, Heinecker J. Phatogenesis of abdominal aortic aneurysms: a multidisciplinary research program supoorted by the National Heart, Lung and Blood Institute. J Vasc Surg 2001; 34: 730-8.
Ronkainen A, Hernesniemi JA, Tromp G. Special Features of familial intracranial aneurysms: Report of 215 familial aneurysms. Neurosurgery 1995; 37: 43-7.
Inagawa T, Hirano A. Autopsy Study of unrupture incidental aneurysm. Surg Neurol 1990; 30: 361-5.
Radu NC, Allaire Loisance DY. Phatobiology of idiopathic ascending aortic aneurysms. Asian Cardivasc Thorac Ann 2006; 14: 254-60.
Davies MJ. Aortic aneurysm formation. Lessons learned from human studies and experimental models (Review). Circulation 1998; 98: 193-5.
Allaire E, Forough R, Clowes M, Starcher B, Clowes AW. Local overexpression of TIMP-1 prevents aortic aneurysm degeneration and rupture in a rat model. J Clin Invest 1998; 102: 1413-20.
David G, Peters AK, Pamela LSTJ, Howard Y, Robert E. Functional polymorphism in the matrix metalloproteinase-9 promoter as a potential risk factor for intracranial aneurysm. Stroke 1999; 30: 2612-16.
Klima T, Spiut HJ, Coelho A, Gray AG, Wukash DC, Reul GJ Jr. The morphology of ascending aortic aneurysms Human Pathol 1983; 14: 810-17.
Ihling C, Sxombathy T, Nampoothiric K, Haendeler J, Beyersdorf F, Djavidami B. Cystic medial degeneration of the aorta is associated with p53 accumulation, Bax upregulationn, apoptotic cell death, and cell proliferation. Heart 1999; 82: 286-93.
Morales-Goznález JA, Bueno-Cardoso A, Marichi-Rodriguez F, Gutiérrez-Slinas J. Programmed cell death (apoptosis): the regulating mechanisms off cellular prroliferation. Arch Neurocien (Mex) 2004; 9(2): 85-93.
Sullivan GW, Sarembbock IJ, Linden J. The role of inflammation in vascular diseases. J Leukol Biol 2000; 67: 591-602.
Shimizu K, Mitcell RN, Libby P. Inflammation and cellular immune responses in abdominal aortic aneurysms. Arterioscler Thromb Vasc Biol 2006; 26: 987-94.
Duarte MJ, Espinosa LRF, Díaz MS, Sánchez RG. Oxido nítrico: metabolismo e implicaciones clínica. Med Int Mex 2008; 24(6): 397- 406.
Wardlaw JM, White PM. The detection and manegment off unruptured intracranial aneurysms. Brain 2000; 123: 205-22.
Kojima M, Nagasawa S, Lee YE, Takeichi Y, Tsuda E, Mabuchi N. Asymptomatic familial crebral aneurysm. Neurosurgery 1998; 43: 776- 81.
Ruigrok YM, Rinkel GJE. Genetics off intracranial aneurysms. Stroke 2008; 39: 1049-55.
Ruigrok YM, Buskens E, Rinkel GJE. Attributable risk of common and rare determinants of subarahnoid hemorrhage. Stroke 2001; 32: 1173-5.
Ruigrok YM, Rinkel GJE, Wijmenga C, vanGijn J. Anticipation and phenotype in familial intracranial aneurysms. J Neurol Neurosurg Psychiat 2004; 75: 1436-42.
Juvela S. Treatment options of unrupted intracranial aneurysms. Stroke 2004; 35: 372-4.
Ribourtout E, Raymond J. Gen therapy and endovascular treatment of intracranial aneurysms. Stroke 2004; 35: 786-93.
Heistad DD, Faraci FM. Gen therapy for cerebral vascular disease. Stroke 1996; 27: 1688-93.