Figure 1. Cross-sectional images of the thoracic aorta in normotensive (left) and hypertensive (right) rats.
The section of the thoracic aorta, parallel to the vessel axis, were stained with Azan-Mallory. The luminal side on the left. Red indicates smooth muscle cells, the white layer is the elastic lamina (elastin), and blue represents collagen fibers. Each specimen was fixed with formalin at the blood pressure of each rat. When hypertension occurs, the wall thickens, but the number of layers does not change. It is also evident that the innermost layer is particularly thickened. The inner side of the vessel wall is where the circumferential tensile stress increases due to the rise in internal pressure. In other words, it is inferred that the smooth muscle cells in the areas of higher stress are more hypertrophic (Matsumoto and Hayashi, 1996).
Figure 2. Structure of an artery.
Blood vessel walls are divided into three layers: the intima, media, and adventitia, from the inside out. The intima consists of endothelial cells aligned along the vascular axis and the internal elastic lamina (mainly composed of elastin) to which these cells are attached. The media consists of smooth muscle cells, elastin, and collagen aligned circumferentially. The adventitia is composed of fibroblasts and collagen fibers. Strictly speaking, this diagram represents a muscular artery where the media is primarily composed of smooth muscle. Elastic arteries, such as the aorta and common carotid artery, have a slightly different structure. Specifically, in elastic arteries, the media has a structure where layers of smooth muscle and elastic lamina alternate, as shown in Figure 1. This repeating unit is called a lamellar unit (modified from “Atlas of the Body,” Kodansha, 1989).
Figure 3. Response of bovine endothelial cells to flow.
When endothelial cells isolated from the inner surface of the aorta are cultured in a petri dish, they adhere to the bottom and spread out in a cobblestone-like monolayer (right). When shear stress is applied to the cells by adding flow to the culture medium, the cells elongate into a spindle shape and align in the direction of the flow (left). The figure shows stained observations of actin filaments, one of the fine structures within the cells (Kataoka et al., 1997).
Figure 4. Cross-section of the proximal end of the femur.
Figure 5. Theoretical solution of the optimal shape of a beam under uniformly distributed load at its tip (left) and the similarity to the shape of the femur (right) (Thompson, 1942).
The curves inside the theoretical solution indicate the direction of principal stresses, while the curves inside the femur indicate the direction of the trabeculae. Not only are the shapes similar, but the direction of the trabeculae remarkably aligns with the direction of the principal stress lines.
Figure 6. Cross-sectional sample of a dog's thoracic aorta (left) and one that has been cut and opened into an arc.
The fact that the ring opens up when cut indicates that, despite the cross-sectional sample being in a no-load state (no external force acting), it was not stress-free. There were residual stresses: compressive stress on the inner wall and tensile stress on the outer wall.
Figure 7. Circumferential stress distribution in a blood vessel.
As shown in the top panel, if there were no residual stresses in the no-load state of the vessel, the circumferential stress in the loaded state (physiological state) would be higher on the inside and lower on the outside, as understood by considering the "deformation of a thick-walled cylinder " in the strength of materials. Conversely, as shown in the bottom panel, if the stress distribution were uniform across the vessel wall thickness in the physiological state, the no-load sample would have residual compressive stress on the inside and tensile stress on the outside. Cutting such a sample radially would release the residual stresses, causing the ring to open into an arc. The opening angle α is commonly used as an indicator of the degree of opening.