Abstract

This study investigated the effect of collagen fiber tortuosity distribution on the biomechanical failure and prefailure properties of arterial wall tissue. An in-silico model of the arterial wall was developed using data obtained from combined multiphoton microscopy imaging and uni-axial tensile testing. Layer-dependent properties were prescribed for collagen, elastin, and ground substance. Collagen fibers were modeled as discrete anisotropic elements, while elastin and ground substance were modeled as homogeneous isotropic components. Our parametric analysis, using a finite element approach, revealed that different parameters of collagen fibers tortuosity distribution significantly influence both prefailure and failure biomechanical properties. Increased fiber tortuosity improved the tissue strength whereas the dispersion in the tortuosity distribution reduced it. This study provides novel insights into the structural-mechanical interdependencies in arterial walls, offering potential targets for clinical assessments and therapeutic interventions aimed at mitigating rupture risks.

References

1.
Hutson
,
H. N.
,
Marohl
,
T.
,
Anderson
,
M.
,
Eliceiri
,
K.
,
Campagnola
,
P.
, and
Masters
,
K. S.
,
2016
, “
Calcific Aortic Valve Disease Is Associated With Layer-Specific Alterations in Collagen Architecture
,”
PLoS One
,
11
(
9
), p.
e0163858
.10.1371/journal.pone.0163858
2.
Panwar
,
P.
,
Butler
,
G. S.
,
Jamroz
,
A.
,
Azizi
,
P.
,
Overall
,
C. M.
, and
Brömme
,
D.
,
2018
, “
Aging-Associated Modifications of Collagen Affect Its Degradation by Matrix Metalloproteinases
,”
Matrix Biol.
,
65
, pp.
30
44
.10.1016/j.matbio.2017.06.004
3.
Omens
,
J. H.
,
Miller
,
T. R.
, and
Covell
,
J. W.
,
1997
, “
Relationship Between Passive Tissue Strain and Collagen Uncoiling During Healing of Infarcted Myocardium
,”
Cardiovasc. Res.
,
33
(
2
), pp.
351
358
.10.1016/S0008-6363(96)00206-4
4.
Monson
,
K. L.
,
Converse
,
M. I.
, and
Manley
,
G. T.
,
2019
, “
Cerebral Blood Vessel Damage in Traumatic Brain Injury
,”
Clin. Biomech.
,
64
, pp.
98
113
.10.1016/j.clinbiomech.2018.02.011
5.
Signorelli
,
F.
,
Sela
,
S.
,
Gesualdo
,
L.
,
Chevrel
,
S.
,
Tollet
,
F.
,
Pailler-Mattei
,
C.
,
Tacconi
,
L.
,
Turjman
,
F.
,
Vacca
,
A.
, and
Schul
,
D. B.
,
2018
, “
Hemodynamic Stress, Inflammation, and Intracranial Aneurysm Development and Rupture: A Systematic Review
,”
World Neurosurg.
,
115
, pp.
234
244
.10.1016/j.wneu.2018.04.143
6.
Kelly
,
P. J.
,
Stein
,
J.
,
Shafqat
,
S.
,
Eskey
,
C.
,
Doherty
,
D.
,
Chang
,
Y.
,
Kurina
,
A.
, and
Furie
,
K. L.
,
2001
, “
Functional Recovery After Rehabilitation for Cerebellar Stroke.
,”
Stroke
,
32
(
2
), pp.
530
534
.10.1161/01.STR.32.2.530
7.
Burns
,
J. D.
, and
Brown
,
R. D.
, Jr.
,
2009
, “
Treatment of Unruptured Intracranial Aneurysms: Surgery, Coiling, or Nothing?
,”
Curr. Neurol. Neurosci. Rep.
,
9
(
1
), pp.
6
12
.10.1007/s11910-009-0002-0
8.
Wiebers
,
D. O.
,
2003
, “
Unruptured Intracranial Aneurysms: Natural History, Clinical Outcome, and Risks of Surgical and Endovascular Treatment
,”
Lancet
,
362
(
9378
), pp.
103
110
.10.1016/S0140-6736(03)13860-3
9.
Juvela
,
S.
,
Poussa
,
K.
,
Lehto
,
H.
, and
Porras
,
M.
,
2013
, “
Natural History of Unruptured Intracranial Aneurysms: A Long-Term Follow-Up Study
,”
Stroke
,
44
(
9
), pp.
2414
2421
.10.1161/STROKEAHA.113.001838
10.
Broderick
,
J. P.
,
Brown
,
R. D.
, Jr
,
Sauerbeck
,
L.
,
Hornung
,
R.
,
Huston
,
J.
, III
,
Woo
,
D.
,
Anderson
,
C.
,
Rouleau
,
G.
,
Kleindorfer
,
D.
, et al.,
2009
, “
Greater Rupture Risk for Familial as Compared to Sporadic Unruptured Intracranial Aneurysms
,”
Stroke
,
40
(
6
), pp.
1952
1957
.10.1161/STROKEAHA.108.542571
11.
Sacks
,
M. S.
,
2003
, “
Incorporation of Experimentally-Derived Fiber Orientation Into a Structural Constitutive Model for Planar Collagenous Tissues
,”
ASME J. Biomech. Eng.
,
125
(
2
), pp.
280
287
.10.1115/1.1544508
12.
Chen
,
H.
,
Slipchenko
,
M. N.
,
Liu
,
Y.
,
Zhao
,
X.
,
Cheng
,
J.-X.
,
Lanir
,
Y.
, and
Kassab
,
G. S.
,
2013
, “
Biaxial Deformation of Collagen and Elastin Fibers in Coronary Adventitia
,”
J. Appl. Physiol.
,
115
(
11
), pp.
1683
1693
.10.1152/japplphysiol.00601.2013
13.
Chow
,
M.-J.
,
Turcotte
,
R.
,
Lin
,
C. P.
, and
Zhang
,
Y.
,
2014
, “
Arterial Extracellular Matrix: A Mechanobiological Study of the Contributions and Interactions of Elastin and Collagen
,”
Biophys. J.
,
106
(
12
), pp.
2684
2692
.10.1016/j.bpj.2014.05.014
14.
Elhamian
,
S.
, et al.,
2014
, “
The Effect of Collagen Fibers Volume Fraction on the Mechanical Properties of Articular Cartilage by Micromechanics Models.
,”
Perfusion
,
30
(
7
), pp.
1
9
.10.1177/0267659114547942
15.
Gasser
,
T. C.
,
Gallinetti
,
S.
,
Xing
,
X.
,
Forsell
,
C.
,
Swedenborg
,
J.
, and
Roy
,
J.
,
2012
, “
Spatial Orientation of Collagen Fibers in the Abdominal Aortic Aneurysm's Wall and Its Relation to Wall Mechanics
,”
Acta Biomater.
,
8
(
8
), pp.
3091
3103
.10.1016/j.actbio.2012.04.044
16.
Horgan
,
C. O.
, and
Murphy
,
J. G.
,
2017
, “
Fiber Orientation Effects in Simple Shearing of Fibrous Soft Tissues
,”
J. Biomech.
,
64
, pp.
131
135
.10.1016/j.jbiomech.2017.09.018
17.
Zimmerman
,
S. D.
,
McCormick
,
R. J.
,
Vadlamudi
,
R. K.
, and
Thomas
,
D. P.
,
1993
, “
Age and Training Alter Collagen Characteristics in Fast- and Slow-Twitch Rat Limb Muscle
,”
J. Appl. Physiol. (1985)
,
75
(
4
), pp.
1670
1674
.10.1152/jappl.1993.75.4.1670
18.
Niestrawska
,
J. A.
,
Pukaluk
,
A.
,
Babu
,
A. R.
, and
Holzapfel
,
G. A.
,
2022
, “
Differences in Collagen Fiber Diameter and Waviness Between Healthy and Aneurysmal Abdominal Aortas.
,”
Microsc. Microanal.
, pp.
1
15
.10.1017/S1431927622000629
19.
Niestrawska
,
J. A.
,
Regitnig
,
P.
,
Viertler
,
C.
,
Cohnert
,
T. U.
,
Babu
,
A. R.
, and
Holzapfel
,
G. A.
,
2019
, “
The Role of Tissue Remodeling in Mechanics and Pathogenesis of Abdominal Aortic Aneurysms
,”
Acta Biomater.
,
88
, pp.
149
161
.10.1016/j.actbio.2019.01.070
20.
Niestrawska
,
J. A.
,
Viertler
,
C.
,
Regitnig
,
P.
,
Cohnert
,
T. U.
,
Sommer
,
G.
, and
Holzapfel
,
G. A.
,
2016
, “
Microstructure and Mechanics of Healthy and Aneurysmatic Abdominal Aortas: Experimental Analysis and Modelling
,”
J. R. Soc. Interface
,
13
(
124
), p.
20160620
.10.1098/rsif.2016.0620
21.
Faiyaz‐Ul‐Haque
,
M.
,
Mubarak
,
M.
,
AbdulWahab
,
A.
,
AlRikabi
,
A. C.
,
Alsaeed
,
A. H.
,
Al‐Otaiby
,
M.
,
Nawaz
,
Z.
,
Zaidi
,
S. H. E.
, and
Basit
,
S.
,
2022
, “
Ultrastructure Abnormalities of Collagen and Elastin in Arab Patients With Arterial Tortuosity Syndrome
,”
J. Cutaneous Pathol.
,
49
(
7
), pp.
618
622
.10.1111/cup.14228
22.
Tsamis
,
A.
,
Krawiec
,
J. T.
, and
Vorp
,
D. A.
,
2013
, “
Elastin and Collagen Fibre Microstructure of the Human Aorta in Ageing and Disease: A Review
,”
J. R. Soc. Interface
,
10
(
83
), p.
20121004
.10.1098/rsif.2012.1004
23.
Saeidi
,
S.
,
Kainz
,
M. P.
,
Dalbosco
,
M.
,
Terzano
,
M.
, and
Holzapfel
,
G. A.
,
2023
, “
Histology-Informed Multiscale Modeling of Human Brain White Matter
,”
Sci. Rep.
,
13
(
1
), p.
19641
.10.1038/s41598-023-46600-3
24.
Lee
,
P.-Y.
,
Fryc
,
G.
,
Gnalian
,
J.
,
Wang
,
B.
,
Hua
,
Y.
,
Waxman
,
S.
,
Zhong
,
F.
,
Yang
,
B.
, and
Sigal
,
I. A.
,
2024
, “
Direct Measurements of Collagen Fiber Recruitment in the Posterior Pole of the Eye
,”
Acta Biomater.
,
173
, pp.
135
147
.10.1016/j.actbio.2023.11.013
25.
Hill
,
M. R.
,
Duan
,
X.
,
Gibson
,
G. A.
,
Watkins
,
S.
, and
Robertson
,
A. M.
,
2012
, “
A Theoretical and Non-Destructive Experimental Approach for Direct Inclusion of Measured Collagen Orientation and Recruitment Into Mechanical Models of the Artery Wall
,”
J. Biomech.
,
45
(
5
), pp.
762
771
.10.1016/j.jbiomech.2011.11.016
26.
Weisbecker
,
H.
,
Unterberger
,
M. J.
, and
Holzapfel
,
G. A.
,
2015
, “
Constitutive Modelling of Arteries Considering Fibre Recruitment and Three-Dimensional Fibre Distribution
,”
J. R. Soc. Interface
,
12
(
105
), p.
20150111
.10.1098/rsif.2015.0111
27.
Dalbosco
,
M.
,
Carniel
,
T. A.
,
Fancello
,
E. A.
, and
Holzapfel
,
G. A.
,
2021
, “
Multiscale Numerical Analyses of Arterial Tissue With Embedded Elements in the Finite Strain Regime
,”
Comput. Methods Appl. Mech. Eng.
,
381
, p.
113844
.10.1016/j.cma.2021.113844
28.
Fortunato
,
R. N.
,
Robertson
,
A. M.
,
Sang
,
C.
,
Duan
,
X.
, and
Maiti
,
S.
,
2021
, “
Effect of Macro-Calcification on the Failure Mechanics of Intracranial Aneurysmal Wall Tissue
,”
Exp. Mech.
,
61
(
1
), pp.
5
18
.10.1007/s11340-020-00657-7
29.
Bleiler
,
C.
, and
Röhrle
,
O.
,
2022
, “
Strain Measures and Energies for Crimped Fibres and Novel Analytical Expressions for Fibre Populations: Ingredients for Structural Fibre Network Models
,”
J. Elasticity
,
150
(
2
), pp.
401
448
.10.1007/s10659-022-09920-5
30.
Thunes
,
J. R.
,
Phillippi
,
J. A.
,
Gleason
,
T. G.
,
Vorp
,
D. A.
, and
Maiti
,
S.
,
2018
, “
Structural Modeling Reveals Microstructure-Strength Relationship for Human Ascending Thoracic Aorta
,”
J. Biomech.
,
71
, pp.
84
93
.10.1016/j.jbiomech.2018.01.037
31.
Li
,
K.
, and
Holzapfel
,
G. A.
,
2019
, “
Multiscale Modeling of Fiber Recruitment and Damage With a Discrete Fiber Dispersion Method
,”
J. Mech. Phys. Solids
,
126
, pp.
226
244
.10.1016/j.jmps.2019.01.022
32.
Rolf-Pissarczyk
,
M.
,
Li
,
K.
,
Fleischmann
,
D.
, and
Holzapfel
,
G. A.
,
2021
, “
A Discrete Approach for Modeling Degraded Elastic Fibers in Aortic Dissection
,”
Comput. Methods Appl. Mech. Eng.
,
373
, p.
113511
.10.1016/j.cma.2020.113511
33.
Thunes
,
J. R.
,
Pal
,
S.
,
Fortunato
,
R. N.
,
Phillippi
,
J. A.
,
Gleason
,
T. G.
,
Vorp
,
D. A.
, and
Maiti
,
S.
,
2016
, “
A Structural Finite Element Model for Lamellar Unit of Aortic Media Indicates Heterogeneous Stress Field After Collagen Recruitment
,”
J. Biomech.
,
49
(
9
), pp.
1562
1569
.10.1016/j.jbiomech.2016.03.034
34.
Li
,
D.
, and
Robertson
,
A. M.
,
2009
, “
A Structural Multi-Mechanism Damage Model for Cerebral Arterial Tissue
,”
ASME J. Biomech. Eng.
,
131
(
10
), p.
101013
.10.1115/1.3202559
35.
Li
,
D.
,
Robertson
,
A. M.
,
Lin
,
G.
, and
Lovell
,
M.
,
2012
, “
Finite Element Modeling of Cerebral Angioplasty Using a Structural Multi‐Mechanism Anisotropic Damage Model
,”
Int. J. Numer. Methods Eng.
,
92
(
5
), pp.
457
474
.10.1002/nme.4342
36.
Teng
,
Z.
,
Tang
,
D.
,
Zheng
,
J.
,
Woodard
,
P. K.
, and
Hoffman
,
A. H.
,
2009
, “
An Experimental Study on the Ultimate Strength of the Adventitia and Media of Human Atherosclerotic Carotid Arteries in Circumferential and Axial Directions
,”
J. Biomech.
,
42
(
15
), pp.
2535
2539
.10.1016/j.jbiomech.2009.07.009
37.
Schneider
,
C. A.
,
Rasband
,
W. S.
, and
Eliceiri
,
K. W.
,
2012
, “
NIH Image to ImageJ: 25 Years of Image Analysis
,”
Nat. Methods
,
9
(
7
), pp.
671
675
.10.1038/nmeth.2089
38.
Robertson
,
A. M.
,
Duan
,
X.
,
Aziz
,
K. M.
,
Hill
,
M. R.
,
Watkins
,
S. C.
, and
Cebral
,
J. R.
,
2015
, “
Diversity in the Strength and Structure of Unruptured Cerebral Aneurysms
,”
Ann. Biomed. Eng.
,
43
(
7
), pp.
1502
1515
.10.1007/s10439-015-1252-4
39.
Bredfeldt
,
J. S.
,
Liu
,
Y.
,
Pehlke
,
C. A.
,
Conklin
,
M. W.
,
Szulczewski
,
J. M.
,
Inman
,
D. R.
,
Keely
,
P. J.
,
Nowak
,
R. D.
,
Mackie
,
T. R.
, and
Eliceiri
,
K. W.
,
2014
, “
Computational Segmentation of Collagen Fibers From Second-Harmonic Generation Images of Breast Cancer
,”
J. Biomed. Opt.
,
19
(
1
), p.
016007
.10.1117/1.JBO.19.1.016007
40.
Hill
,
M.
,
2012
, “
A Novel Approach for Combining Biomechanical and Micro-Structural Analyses to Assess the Mechanical and Damage Properties of the Artery Wall
,”
Doctoral dissertation
,
University of Pittsburgh
, Pittsburgh, PA.http://d-scholarship.pitt.edu/id/eprint/10473
41.
Miyazaki
,
H.
, and
Hayashi
,
K.
,
1999
, “
Tensile Tests of Collagen Fibers Obtained From the Rabbit Patellar Tendon
,”
Biomed. Microdev.
,
2
(
2
), pp.
151
157
.10.1023/A:1009953805658
42.
Cheng
,
F.
,
Birder
,
L. A.
,
Kullmann
,
F. A.
,
Hornsby
,
J.
,
Watton
,
P. N.
,
Watkins
,
S.
,
Thompson
,
M.
, and
Robertson
,
A. M.
,
2018
, “
Layer-Dependent Role of Collagen Recruitment During Loading of the Rat Bladder Wall
,”
Biomech. Model. Mechanobiol.
,
17
(
2
), pp.
403
417
.10.1007/s10237-017-0968-5
43.
Gosline
,
J.
,
Lillie
,
M.
,
Carrington
,
E.
,
Guerette
,
P.
,
Ortlepp
,
C.
, and
Savage
,
K.
,
2002
, “
Elastic Proteins: Biological Roles and Mechanical Properties
,”
Philos. Trans. R. Soc. London B: Biol. Sci.
,
357
(
1418
), pp.
121
132
.10.1098/rstb.2001.1022
44.
Lillie
,
M. A.
, and
Gosline
,
J. M.
,
2007
, “
Mechanical Properties of Elastin Along the Thoracic Aorta in the Pig
,”
J. Biomech.
,
40
(
10
), pp.
2214
2221
.10.1016/j.jbiomech.2006.10.025
45.
Burton
,
A. C.
,
1954
, “
Relation of Structure to Function of the Tissues of the Wall of Blood Vessels
,”
Physiol. Rev.
,
34
(
4
), pp.
619
642
.10.1152/physrev.1954.34.4.619
46.
Fonck
,
E.
,
Prod'hom
,
G.
,
Roy
,
S.
,
Augsburger
,
L.
,
Rüfenacht
,
D. A.
, and
Stergiopulos
,
N.
,
2007
, “
Effect of Elastin Degradation on Carotid Wall Mechanics as Assessed by a Constituent-Based Biomechanical Model
,”
Am. J. Physiol.-Heart Circ. Physiol.
,
292
(
6
), pp.
H2754
H2763
.10.1152/ajpheart.01108.2006
47.
Sasaki
,
N.
, and
Odajima
,
S.
,
1996
, “
Elongation Mechanism of Collagen Fibrils and Force-Strain Relations of Tendon at Each Level of Structural Hierarchy
,”
J. Biomech.
,
29
(
9
), pp.
1131
1136
.10.1016/0021-9290(96)00024-3
48.
Korossis
,
S.
,
Bolland
,
F.
,
Southgate
,
J.
,
Ingham
,
E.
, and
Fisher
,
J.
,
2009
, “
Regional Biomechanical and Histological Characterisation of the Passive Porcine Urinary Bladder: Implications for Augmentation and Tissue Engineering Strategies
,”
Biomaterials
,
30
(
2
), pp.
266
275
.10.1016/j.biomaterials.2008.09.034
49.
He
,
X.
,
Auricchio
,
F.
,
Morganti
,
S.
, and
Lu
,
J.
,
2021
, “
Uniaxial Properties of Ascending Aortic Aneurysms in Light of Effective Stretch
,”
Acta Biomater.
,
136
, pp.
306
313
.10.1016/j.actbio.2021.09.029
50.
Ricks
,
T. M.
,
2012
, “
A Multiscale Modeling Methodology for Composites That Includes Fiber Strength Stochastics
,”
Master thesis
,
Mississippi State University
, Mississippi State, MS.https://www.proquest.com/openview/ea934e308a755a2d902457ffc8a2a8c0/1?pq-origsite=gscholar&cbl=18750
51.
Hariton
,
I.
,
deBotton
,
G.
,
Gasser
,
T. C.
, and
Holzapfel
,
G. A.
,
2007
, “
Stress-Driven Collagen Fiber Remodeling in Arterial Walls
,”
Biomech. Model Mechanobiol.
,
6
(
3
), pp.
163
175
.10.1007/s10237-006-0049-7
52.
Hepworth
,
D. G.
,
Steven-Fountain
,
A.
,
Bruce
,
D. M.
, and
Vincent
,
J. F. V.
,
2001
, “
Affine Versus Non-Affine Deformation in Soft Biological Tissues, Measured by the Reorientation and Stretching of Collagen Fibres Through the Thickness of Compressed Porcine Skin
,”
J. Biomech.
,
34
(
3
), pp.
341
346
.10.1016/S0021-9290(00)00183-4
53.
Lee
,
C.-H.
,
Zhang
,
W.
,
Liao
,
J.
,
Carruthers
,
C. A.
,
Sacks
,
J. I.
, and
Sacks
,
M. S.
,
2015
, “
On the Presence of Affine Fibril and Fiber Kinematics in the Mitral Valve Anterior Leaflet
,”
Biophys. J.
,
108
(
8
), pp.
2074
2087
.10.1016/j.bpj.2015.03.019
54.
Birder
,
L. A.
,
Wolf-Johnston
,
A.
,
Wein
,
A. J.
,
Cheng
,
F.
,
Grove-Sullivan
,
M.
,
Kanai
,
A. J.
,
Watson
,
A. M.
,
Stoltz
,
D.
,
Watkins
,
S. C.
, et al.,
2020
, “
Purine Nucleoside Phosphorylase Inhibition Ameliorates Age-Associated Lower Urinary Tract Dysfunctions
,”
JCI Insight
,
5
(
20
), p. e140109.10.1172/jci.insight.140109
55.
Lee
,
K.-W.
,
Gade
,
P. S.
,
Dong
,
L.
,
Zhang
,
Z.
,
Aral
,
A. M.
,
Gao
,
J.
,
Ding
,
X.
,
Stowell
,
C. E. T.
,
Nisar
,
M. U.
,
Kim
,
K.
,
Reinhardt
,
D. P.
,
Solari
,
M. G.
,
Gorantla
,
V. S.
,
Robertson
,
A. M.
, and
Wang
,
Y.
,
2018
, “
A Biodegradable Synthetic Graft for Small Arteries Matches the Performance of Autologous Vein in Rat Carotid Arteries
,”
Biomaterials
,
181
, pp.
67
80
.10.1016/j.biomaterials.2018.07.037
56.
Gade
,
P. S.
,
2019
, “Coupled Theoretical and Experimental Methods to Understand Growth and Remodeling of In Situ Engineered Vascular Grafts in Young and Aged Hosts,”
Doctoral dissertation
,
University of Pittsburgh
, Pittsburgh, PA.http://d-scholarship.pitt.edu/id/eprint/37078
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