Skip to main content
Thorax logoLink to Thorax
. 1978 Oct;33(5):579–595. doi: 10.1136/thx.33.5.579

The electron microscopy of "fibrinoid necrosis" in pulmonary arteries.

D Heath, P Smith
PMCID: PMC470940  PMID: 31704

Abstract

Fibrinoid necrosis was induced in the pulmonary arteries of five male Wistar albino rats by feeding them on a diet adulterated by the addition of 0.07% ground Crotalaria spectabilis seeds by weight. Electron microscopy of the arteries affected by the process showed fibrin in the thrombus occluding their lumens and in the arterial intima, held up from further penetration of the media by the inner elastic lamina. Naturally occurring gaps in this lamina were found, and it is postulated that they determine the characteristic histological configuration of fibrinous vasculosis. The smooth muscle cells of the media of the pulmonary veins showed clear evaginations, devoid of myofilaments and organells, indicative of sustained constriction compatible with viability of the cells. In contrast, the smooth muscle cells of the media of the pulmonary arteries showed loss of myofilaments leading to frank necrosis. Other cells seen in the media include fibrocytes and "vasoformative reserve cells." The authors consider that the latter have considerable and varied potential. Once liberated during the process of fibrinoid necrosis in the arterial media they may play an important part in pulmonary vascular pathology as, for example, in the formation of the plexiform lesion.

Full text

PDF
579

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amano S. Vascular changes in the brain of spontaneously hypertensive rats: hyaline and fibrinoid degeneration. J Pathol. 1977 Feb;121(2):119–128. doi: 10.1002/path.1711210209. [DOI] [PubMed] [Google Scholar]
  2. BURCHELL H. B., EDWARDS J. E., SHEPHERD J. T., SWAN H. J., WOOD E. H. Clinical, physiological, and pathological considerations in patients with idiopathic pulmonary hypertension. Br Heart J. 1957 Jan;19(1):70–82. doi: 10.1136/hrt.19.1.70. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. CRANE W. A. Sites of mucopolysaccharide synthesis in the lesions of experimental hypertension in rats. J Pathol Bacteriol. 1962 Jan;83:183–193. doi: 10.1002/path.1700830121. [DOI] [PubMed] [Google Scholar]
  4. Gabbiani G., Hirschel B. J., Ryan G. B., Statkov P. R., Majno G. Granulation tissue as a contractile organ. A study of structure and function. J Exp Med. 1972 Apr 1;135(4):719–734. doi: 10.1084/jem.135.4.719. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Goldby F. S., Beilin L. J. How an acute rise in arterial pressure damages arterioles. Electron microscopic changes during angiotensin infusion. Cardiovasc Res. 1972 Sep;6(5):569–584. doi: 10.1093/cvr/6.5.569. [DOI] [PubMed] [Google Scholar]
  6. HALL C. E. ELECTRON MICROSCOPY OF THE FIBRINOGEN MOLECULE AND THE FIBRIN CLOT. Lab Invest. 1963 Oct;12:998–1001. [PubMed] [Google Scholar]
  7. HAUST M. D., MORE R. H., MOVAT H. Z. The role of smooth muscle cells in the fibrogenesis of arteriosclerosis. Am J Pathol. 1960 Oct;37:377–389. [PMC free article] [PubMed] [Google Scholar]
  8. HICKS J. D. Acute arterial necrosis in the lungs. J Pathol Bacteriol. 1953 Apr;65(2):333–343. doi: 10.1002/path.1700650206. [DOI] [PubMed] [Google Scholar]
  9. HULTGREN H., SELZER A., PURDY A., HOLMAN E., GERBODE F. The syndrome of patent ductus arteriosus with pulmonary hypertension. Circulation. 1953 Jul;8(1):15–35. doi: 10.1161/01.cir.8.1.15. [DOI] [PubMed] [Google Scholar]
  10. Hüttner I., Jellinek H., Kerényi T. Fibrin formations in vascular fibrinoid change in experimental hypertension: an electron microscopic study. Exp Mol Pathol. 1968 Dec;9(3):309–321. doi: 10.1016/0014-4800(68)90022-1. [DOI] [PubMed] [Google Scholar]
  11. KOLETSKY S., RIVERA VELEZ J. M., PRITCHARD W. H. EXPERIMENTAL RENAL HYPERTENSION. ORIGIN OF HIGH BLOOD PRESSURE AND VASCULAR DISEASE. Arch Pathol. 1964 Jul;78:24–30. [PubMed] [Google Scholar]
  12. MCGEE W. G., ASHWORTH C. T. FINE STRUCTURE OF CHRONIC HYPERTENSIVE ARTERIOPATHY IN THE HUMAN KIDNEY. Am J Pathol. 1963 Aug;43:273–299. [PMC free article] [PubMed] [Google Scholar]
  13. Merkow L., Kleinerman J. An electron microscopic study of pulmonary vasculitis induced by monocrotaline. Lab Invest. 1966 Mar;15(3):547–564. [PubMed] [Google Scholar]
  14. OLD J. W., RUSSELL W. O. Necrotizing pulmonary arteritis occurring with congenital heart disease (Eisenmenger complex); report of case with necropsy. Am J Pathol. 1950 Sep;26(5):789–805. [PMC free article] [PubMed] [Google Scholar]
  15. Parker F., Odland G. F. A light microscopic, histochemical and electron microscopic study of experimental atherosclerosis in rabbit coronary artery and a comparison with rabbit aorta atherosclerosis. Am J Pathol. 1966 Mar;48(3):451–481. [PMC free article] [PubMed] [Google Scholar]
  16. Parry E. W. Some electron microscope observations on the mesenchymal structures of full-term umbilical cord. J Anat. 1970 Nov;107(Pt 3):505–518. [PMC free article] [PubMed] [Google Scholar]
  17. Poole J. C., Cromwell S. B., Benditt E. P. Behavior of smooth muscle cells and formation of extracellular structures in the reaction of arterial walls to injury. Am J Pathol. 1971 Mar;62(3):391–414. [PMC free article] [PubMed] [Google Scholar]
  18. SPIRO D., LATTES R. G., WIENER J. THE CELLULAR PATHOLOGY OF EXPERIMENTAL HYPERTENSION. I. HYPERPLASTIC ARTERIOLARSCLEROSIS. Am J Pathol. 1965 Jul;47:19–49. [PMC free article] [PubMed] [Google Scholar]
  19. SYMMERS W. S. C. Necrotizing pulmonary arteriopathy associated with pulmonary hypertension. J Clin Pathol. 1952 Feb;5(1):36–41. doi: 10.1136/jcp.5.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Smith P., Heath D. Evagination of vascular smooth muscle cells during the early stages of Crotalaria pulmonary hypertension. J Pathol. 1978 Mar;124(3):177–183. doi: 10.1002/path.1711240308. [DOI] [PubMed] [Google Scholar]
  21. Smith P., Heath D., Padula F. Evagination of smooth muscle cells in the hypoxic pulmonary trunk. Thorax. 1978 Feb;33(1):31–42. doi: 10.1136/thx.33.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Stemerman M. B., Spaet T. H., Pitlick F., Cintron J., Lejnieks I., Tiell M. L. Intimal healing. The pattern of reendothelialization and intimal thickening. Am J Pathol. 1977 Apr;87(1):125–142. [PMC free article] [PubMed] [Google Scholar]
  23. Stovin P. G., Heath D., Khaliq S. U. Ultrastructure of the cardiac myxoma and the papillary tumour of heart valves. Thorax. 1973 May;28(3):273–285. doi: 10.1136/thx.28.3.273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. WIENER J., SPIRO D., LATTES R. G. THE CELLULAR PATHOLOGY OF EXPERIMENTAL HYPERTENSION. II. ARTERIOLAR HYALINOSIS AND FIBRINOID CHANGE. Am J Pathol. 1965 Sep;47:457–485. [PMC free article] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES