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        <title>Theoretical Biology and Medical Modelling - Most accessed articles</title>
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        <description>The most accessed research articles published by Theoretical Biology and Medical Modelling</description>
        <dc:date>2012-04-16T00:00:00Z</dc:date>
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        <item rdf:about="http://www.tbiomed.com/content/9/1/13">
        <title>Spinal lordosis optimizes the requirements
for a stable erect posture</title>
        <description>Background:
Lordosis is the bending of the lumbar spine that gives the vertebral column of humans its characteristic ventrally convex curvature. Infants develop lordosis around the time when they acquire bipedal locomotion. Even macaques develop a lordosis when they are trained to walk bipedally. The aim of this study was to investigate why humans and some animals develop a lumbar lordosis while learning to walk bipedally.
Results:
We developed a musculoskeletal model of the lumbar spine, that includes an asymmetric, dorsally shifted location of the spinal column in the body, realistic moment arms, and physiological cross-sectional areas (PCSA) of the muscles as well as realistic force-length and force-velocity relationships. The model was used to analyze the stability of an upright body posture. According to our results, lordosis reduces the local joint torques necessary for an equilibrium of the vertebral column during an erect posture. At the same time lordosis increases the demands on the global muscles to provide stability.
Conclusions:
We conclude that the development of a spinal lordosis is a compromise between the stability requirements of an erect posture and the necessity of torque equilibria at each spinal segment.</description>
        <link>http://www.tbiomed.com/content/9/1/13</link>
                <dc:creator>Heiko Wagner</dc:creator>
                <dc:creator>Anne Liebetrau</dc:creator>
                <dc:creator>David Schinowski</dc:creator>
                <dc:creator>Thomas Wulf</dc:creator>
                <dc:creator>Marc de Lussanet</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2012, null:13</dc:source>
        <dc:date>2012-04-16T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-9-13</dc:identifier>
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        <item rdf:about="http://www.tbiomed.com/content/9/1/11">
        <title>Neovascularization of coronary tunica intima (DIT) is the cause of coronary atherosclerosis. Lipoproteins invade coronary intima via neovascularization from adventitial vasa vasorum, but not from the arterial lumen: a hypothesis</title>
        <description>Background:
An accepted hypothesis states that coronary atherosclerosis (CA) is initiated by endothelial dysfunction due to inflammation and high levels of LDL-C, followed by deposition of lipids and macrophages from the luminal blood into the arterial intima, resulting in plaque formation. The success of statins in preventing CA promised much for extended protection and effective therapeutics. However, stalled progress in pharmaceutical treatment gives a good reason to review logical properties of the hypothesis underlining our efforts, and to reconsider whether our perception of CA is consistent with facts about the normal and diseased coronary artery.AnalysisTo begin with, it must be noted that the normal coronary intima is not a single-layer endothelium covering a thin acellular compartment, as claimed in most publications, but always appears as a multi-layer cellular compartment, or diffuse intimal thickening (DIT), in which cells are arranged in many layers. If low density lipoprotein cholesterol (LDL-C) invades the DIT from the coronary lumen, the initial depositions ought to be most proximal to blood, i.e. in the inner DIT. The facts show that the opposite is true, and lipids are initially deposited in the outer DIT. This contradiction is resolved by observing that the normal DIT is always avascular, receiving nutrients by diffusion from the lumen, whereas in CA the outer DIT is always neovascularized from adventitial vasa vasorum. The proteoglycan biglycan, confined to the outer DIT in both normal and diseased coronary arteries, has high binding capacity for LDL-C. However, the normal DIT is avascular and biglycan-LDL-C interactions are prevented by diffusion distance and LDL-C size (20 nm), whereas in CA, biglycan in the outer DIT can extract lipoproteins by direct contact with the blood. These facts lead to the single simplest explanation of all observations: (1) lipid deposition is initially localized in the outer DIT; (2) CA often develops at high blood LDL-C levels; (3) apparent CA can develop at lowered blood LDL-C levels. This mechanism is not unique to the coronary artery: for instance, the normally avascular cornea accumulates lipoproteins after neovascularization, resulting in lipid keratopathy.HypothesisNeovascularization of the normally avascular coronary DIT by permeable vasculature from the adventitial vasa vasorum is the cause of LDL deposition and CA. DIT enlargement, seen in early CA and aging, causes hypoxia of the outer DIT and induces neovascularization. According to this alternative proposal, coronary atherosclerosis is not related to inflammation and can occur in individuals with normal circulating levels of LDL, consistent with research findings.</description>
        <link>http://www.tbiomed.com/content/9/1/11</link>
                <dc:creator>Vladimir Subbotin</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2012, null:11</dc:source>
        <dc:date>2012-04-10T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-9-11</dc:identifier>
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        <item rdf:about="http://www.tbiomed.com/content/8/1/4">
        <title>The self-organizing fractal theory as a universal discovery method: the phenomenon of life</title>
        <description>A universal discovery method potentially applicable to all disciplines studying organizational phenomena has been developed. This method takes advantage of a new form of global symmetry, namely, scale-invariance of self-organizational dynamics of energy/matter at all levels of organizational hierarchy, from elementary particles through cells and organisms to the Universe as a whole. The method is based on an alternative conceptualization of physical reality postulating that the energy/matter comprising the Universe is far from equilibrium, that it exists as a flow, and that it develops via self-organization in accordance with the empirical laws of nonequilibrium thermodynamics. It is postulated that the energy/matter flowing through and comprising the Universe evolves as a multiscale, self-similar structure-process, i.e., as a self-organizing fractal. This means that certain organizational structures and processes are scale-invariant and are reproduced at all levels of the organizational hierarchy. Being a form of symmetry, scale-invariance naturally lends itself to a new discovery method that allows for the deduction of missing information by comparing scale-invariant organizational patterns across different levels of the organizational hierarchy.An application of the new discovery method to life sciences reveals that moving electrons represent a keystone physical force (flux) that powers, animates, informs, and binds all living structures-processes into a planetary-wide, multiscale system of electron flow/circulation, and that all living organisms and their larger-scale organizations emerge to function as electron transport networks that are supported by and, at the same time, support the flow of electrons down the Earth&apos;s redox gradient maintained along the core-mantle-crust-ocean-atmosphere axis of the planet. The presented findings lead to a radically new perspective on the nature and origin of life, suggesting that living matter is an organizational state/phase of nonliving matter and a natural consequence of the evolution and self-organization of nonliving matter.The presented paradigm opens doors for explosive advances in many disciplines, by uniting them within a single conceptual framework and providing a discovery method that allows for the systematic generation of knowledge through comparison and complementation of empirical data across different sciences and disciplines.</description>
        <link>http://www.tbiomed.com/content/8/1/4</link>
                <dc:creator>Alexei Kurakin</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2011, null:4</dc:source>
        <dc:date>2011-03-29T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-8-4</dc:identifier>
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        <item rdf:about="http://www.tbiomed.com/content/3/1/33">
        <title>Moderate exercise and chronic stress produce counteractive effects on different areas of the brain by acting through various neurotransmitter receptor subtypes: A hypothesis</title>
        <description>Background:
Regular, &quot;moderate&quot;, physical exercise is an established non-pharmacological form of treatment for depressive disorders. Brain lateralization has a significant role in the progress of depression. External stimuli such as various stressors or exercise influence the higher functions of the brain (cognition and affect). These effects often do not follow a linear course. Therefore, nonlinear dynamics seem best suited for modeling many of the phenomena, and putative global pathways in the brain, attributable to such external influences.HypothesisThe general hypothesis presented here considers only the nonlinear aspects of the effects produced by &quot;moderate&quot; exercise and &quot;chronic&quot; stressors, but does not preclude the possibility of linear responses. In reality, both linear and nonlinear mechanisms may be involved in the final outcomes. The well-known neurotransmitters serotonin (5-HT), dopamine (D) and norepinephrine (NE) all have various receptor subtypes. The article hypothesizes that &apos;Stress&apos; increases the activity/concentration of some particular subtypes of receptors (designated nts) for each of the known (and unknown) neurotransmitters in the right anterior (RA) and left posterior (LP) regions (cortical and subcortical) of the brain, and has the converse effects on a different set of receptor subtypes (designated nth). In contrast, &apos;Exercise&apos; increases nth activity/concentration and/or reduces nts activity/concentration in the LA and RP areas of the brain. These effects may be initiated by the activation of Brain Derived Neurotrophic Factor (BDNF) (among others) in exercise and its suppression in stress.
Conclusion:
On the basis of this hypothesis, a better understanding of brain neurodynamics might be achieved by considering the oscillations caused by single neurotransmitters acting on their different receptor subtypes, and the temporal pattern of recruitment of these subtypes. Further, appropriately designed and planned experiments will not only corroborate such theoretical models, but also shed more light on the underlying brain dynamics.</description>
        <link>http://www.tbiomed.com/content/3/1/33</link>
                <dc:creator>Suptendra Sarbadhikari</dc:creator>
                <dc:creator>Asit Saha</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2006, null:33</dc:source>
        <dc:date>2006-09-23T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-3-33</dc:identifier>
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                <prism:publicationName>Theoretical Biology and Medical Modelling</prism:publicationName>
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        <prism:startingPage>33</prism:startingPage>
        <prism:publicationDate>2006-09-23T00:00:00Z</prism:publicationDate>
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                <cc:license rdf:resource="http://creativecommons.org/licenses/by/2.0/" />
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        <item rdf:about="http://www.tbiomed.com/content/7/1/34">
        <title>Serotonin synthesis, release and reuptake in terminals: a mathematical model</title>
        <description>Background:
Serotonin is a neurotransmitter that has been linked to a wide variety of behaviors including feeding and body-weight regulation, social hierarchies, aggression and suicidality, obsessive compulsive disorder, alcoholism, anxiety, and affective disorders. Full understanding of serotonergic systems in the central nervous system involves genomics, neurochemistry, electrophysiology, and behavior. Though associations have been found between functions at these different levels, in most cases the causal mechanisms are unknown. The scientific issues are daunting but important for human health because of the use of selective serotonin reuptake inhibitors and other pharmacological agents to treat disorders in the serotonergic signaling system.
Methods:
We construct a mathematical model of serotonin synthesis, release, and reuptake in a single serotonergic neuron terminal. The model includes the effects of autoreceptors, the transport of tryptophan into the terminal, and the metabolism of serotonin, as well as the dependence of release on the firing rate. The model is based on real physiology determined experimentally and is compared to experimental data.
Results:
We compare the variations in serotonin and dopamine synthesis due to meals and find that dopamine synthesis is insensitive to the availability of tyrosine but serotonin synthesis is sensitive to the availability of tryptophan. We conduct in silico experiments on the clearance of extracellular serotonin, normally and in the presence of fluoxetine, and compare to experimental data. We study the effects of various polymorphisms in the genes for the serotonin transporter and for tryptophan hydroxylase on synthesis, release, and reuptake. We find that, because of the homeostatic feedback mechanisms of the autoreceptors, the polymorphisms have smaller effects than one expects. We compute the expected steady concentrations of serotonin transporter knockout mice and compare to experimental data. Finally, we study how the properties of the the serotonin transporter and the autoreceptors give rise to the time courses of extracellular serotonin in various projection regions after a dose of fluoxetine.
Conclusions:
Serotonergic systems must respond robustly to important biological signals, while at the same time maintaining homeostasis in the face of normal biological fluctuations in inputs, expression levels, and firing rates. This is accomplished through the cooperative effect of many different homeostatic mechanisms including special properties of the serotonin transporters and the serotonin autoreceptors. Many difficult questions remain in order to fully understand how serotonin biochemistry affects serotonin electrophysiology and vice versa, and how both are changed in the presence of selective serotonin reuptake inhibitors. Mathematical models are useful tools for investigating some of these questions.</description>
        <link>http://www.tbiomed.com/content/7/1/34</link>
                <dc:creator>Janet Best</dc:creator>
                <dc:creator>H. Frederik Nijhout</dc:creator>
                <dc:creator>Michael Reed</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2010, null:34</dc:source>
        <dc:date>2010-08-19T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-7-34</dc:identifier>
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        <prism:startingPage>34</prism:startingPage>
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        <item rdf:about="http://www.tbiomed.com/content/4/1/27">
        <title>Nonequilibrium thermodynamics and energy efficiency in weight loss diets.  </title>
        <description>Carbohydrate restriction as a strategy for control of obesity is based on two effects: a behavioral effect, spontaneous reduction in caloric intake and a metabolic effect, an apparent reduction in energy efficiency, greater weight loss per calorie consumed. Variable energy efficiency is established in many contexts (hormonal imbalance, weight regain and knock-out experiments in animal models), but in the area of the effect of macronutrient composition on weight loss, controversy remains. Resistance to the idea comes from a perception that variable weight loss on isocaloric diets would somehow violate the laws of thermodynamics, that is, only caloric intake is important (&quot;a calorie is a calorie&quot;). Previous explanations of how the phenomenon occurs, based on equilibrium thermodynamics, emphasized the inefficiencies introduced by substrate cycling and requirements for increased gluconeogenesis. Living systems, however, are maintained far from equilibrium, and metabolism is controlled by the regulation of the rates of enzymatic reactions. The principles of nonequilibrium thermodynamics which emphasize kinetic fluxes as well as thermodynamic forces should therefore also be considered.Here we review the principles of nonequilibrium thermodynamics and provide an approach to the problem of maintenance and change in body mass by recasting the problem of TAG accumulation and breakdown in the adipocyte in the language of nonequilibrium thermodynamics. We describe adipocyte physiology in terms of cycling between an efficient storage mode and a dissipative mode. Experimentally, this is measured in the rate of fatty acid flux and fatty acid oxidation. Hormonal levels controlled by changes in dietary carbohydrate regulate the relative contributions of the efficient and dissipative parts of the cycle. While no experiment exists that measures all relevant variables, the model is supported by evidence in the literature that 1) dietary carbohydrate, via its effect on hormone levels controls fatty acid flux and oxidation, 2) the rate of lipolysis is a primary target of insulin, postprandial, and 3) chronic carbohydrate-restricted diets reduce the levels of plasma TAG in response to a single meal.In summary, we propose that, in isocaloric diets of different macronutrient composition, there is variable flux of stored TAG controlled by the kinetic effects of insulin and other hormones. Because the fatty acid-TAG cycle never comes to equilibrium, net gain or loss is possible. The greater weight loss on carbohydrate restricted diets, popularly referred to as metabolic advantage can thus be understood in terms of the principles of nonequilibrium thermodynamics and is a consequence of the dynamic nature of bioenergetics where it is important to consider kinetic as well as thermodynamic variables.</description>
        <link>http://www.tbiomed.com/content/4/1/27</link>
                <dc:creator>Richard Feinman</dc:creator>
                <dc:creator>Eugene Fine</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2007, null:27</dc:source>
        <dc:date>2007-07-30T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-4-27</dc:identifier>
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        <prism:startingPage>27</prism:startingPage>
        <prism:publicationDate>2007-07-30T00:00:00Z</prism:publicationDate>
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        <item rdf:about="http://www.tbiomed.com/content/5/1/8">
        <title>A mathematical model of glutathione metabolism</title>
        <description>Background:
Glutathione (GSH) plays an important role in anti-oxidant defense and detoxification reactions. It is primarily synthesized in the liver by the transsulfuration pathway and exported to provide precursors for in situ GSH synthesis by other tissues. Deficits in glutathione have been implicated in aging and a host of diseases including Alzheimer&apos;s disease, Parkinson&apos;s disease, cardiovascular disease, cancer, Down syndrome and autism.ApproachWe explore the properties of glutathione metabolism in the liver by experimenting with a mathematical model of one-carbon metabolism, the transsulfuration pathway, and glutathione synthesis, transport, and breakdown. The model is based on known properties of the enzymes and the regulation of those enzymes by oxidative stress. We explore the half-life of glutathione, the regulation of glutathione synthesis, and its sensitivity to fluctuations in amino acid input. We use the model to simulate the metabolic profiles previously observed in Down syndrome and autism and compare the model results to clinical data.
Conclusion:
We show that the glutathione pools in hepatic cells and in the blood are quite insensitive to fluctuations in amino acid input and offer an explanation based on model predictions. In contrast, we show that hepatic glutathione pools are highly sensitive to the level of oxidative stress. The model shows that overexpression of genes on chromosome 21 and an increase in oxidative stress can explain the metabolic profile of Down syndrome. The model also correctly simulates the metabolic profile of autism when oxidative stress is substantially increased and the adenosine concentration is raised. Finally, we discuss how individual variation arises and its consequences for one-carbon and glutathione metabolism.</description>
        <link>http://www.tbiomed.com/content/5/1/8</link>
                <dc:creator>Michael Reed</dc:creator>
                <dc:creator>Rachel Thomas</dc:creator>
                <dc:creator>Jovana Pavisic</dc:creator>
                <dc:creator>S James</dc:creator>
                <dc:creator>Cornelia Ulrich</dc:creator>
                <dc:creator>H Nijhout</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2008, null:8</dc:source>
        <dc:date>2008-04-28T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-5-8</dc:identifier>
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        <prism:startingPage>8</prism:startingPage>
        <prism:publicationDate>2008-04-28T00:00:00Z</prism:publicationDate>
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                <cc:license rdf:resource="http://creativecommons.org/licenses/by/2.0/" />
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        <item rdf:about="http://www.tbiomed.com/content/7/1/10">
        <title>A thalamic reticular networking model of consciousness</title>
        <description>[Background]It is reasonable to consider the thalamus a primary candidate for the location of consciousness, given that the thalamus has been referred to as the gateway of nearly all sensory inputs to the corresponding cortical areas. Interestingly, in an early stage of brain development, communicative innervations between the dorsal thalamus and telencephalon must pass through the ventral thalamus, the major derivative of which is the thalamic reticular nucleus (TRN). The TRN occupies a striking control position in the brain, sending inhibitory axons back to the thalamus, roughly to the same region where they receive afferents.[Hypotheses]The present study hypothesizes that the TRN plays a pivotal role in dynamic attention by controlling thalamocortical synchronization. The TRN is thus viewed as a functional networking filter to regulate conscious perception, which is possibly embedded in thalamocortical networks. Based on the anatomical structures and connections, modality-specific sectors of the TRN and the thalamus appear to be responsible for modality-specific perceptual representation. Furthermore, the coarsely overlapped topographic maps of the TRN appear to be associated with cross-modal or unitary conscious awareness. Throughout the latticework structure of the TRN, conscious perception could be accomplished and elaborated through accumulating intercommunicative processing across the first-order input signal and the higher-order signals from its functionally associated cortices. As the higher-order relay signals run cumulatively through the relevant thalamocortical loops, conscious awareness becomes more refined and sophisticated.[Conclusions]I propose that the thalamocortical integrative communication across first- and higher-order information circuits and repeated feedback looping may account for our conscious awareness. This TRN-modulation hypothesis for conscious awareness provides a comprehensive rationale regarding previously reported psychological phenomena and neurological symptoms such as blindsight, neglect, the priming effect, the threshold/duration problem, and TRN-impairment resembling coma. This hypothesis can be tested by neurosurgical investigations of thalamocortical loops via the TRN, while simultaneously evaluating the degree to which conscious perception depends on the severity of impairment in a TRN-modulated network.</description>
        <link>http://www.tbiomed.com/content/7/1/10</link>
                <dc:creator>Byoung-Kyong Min</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2010, null:10</dc:source>
        <dc:date>2010-03-30T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-7-10</dc:identifier>
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        <prism:startingPage>10</prism:startingPage>
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        <item rdf:about="http://www.tbiomed.com/content/6/1/27">
        <title>The Universal Plausibility Metric (UPM) &amp; Principle (UPP)</title>
        <description>Background:
Mere possibility is not an adequate basis for asserting scientific plausibility. A precisely defined universal bound is needed beyond which the assertion of plausibility, particularly in life-origin models, can be considered operationally falsified. But can something so seemingly relative and subjective as plausibility ever be quantified? Amazingly, the answer is, &quot;Yes.&quot; A method of objectively measuring the plausibility of any chance hypothesis (The Universal Plausibility Metric [UPM]) is presented. A numerical inequality is also provided whereby any chance hypothesis can be definitively falsified when its UPM metric of &#958; is &lt; 1 (The Universal Plausibility Principle [UPP]). Both UPM and UPP pre-exist and are independent of any experimental design and data set.
Conclusion:
No low-probability hypothetical plausibility assertion should survive peer-review without subjection to the UPP inequality standard of formal falsification (&#958; &lt; 1).</description>
        <link>http://www.tbiomed.com/content/6/1/27</link>
                <dc:creator>David Abel</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2009, null:27</dc:source>
        <dc:date>2009-12-03T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-6-27</dc:identifier>
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        <prism:publicationDate>2009-12-03T00:00:00Z</prism:publicationDate>
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        <item rdf:about="http://www.tbiomed.com/content/4/1/41">
        <title>Analysis of arterial intimal hyperplasia: review and hypothesis</title>
        <description>Background:
Despite a prodigious investment of funds, we cannot treat or prevent arteriosclerosis and restenosis, particularly its major pathology, arterial intimal hyperplasia. A cornerstone question lies behind all approaches to the disease: what causes the pathology?HypothesisI argue that the question itself is misplaced because it implies that intimal hyperplasia is a novel pathological phenomenon caused by new mechanisms. A simple inquiry into arterial morphology shows the opposite is true. The normal multi-layer cellular organization of the tunica intima is identical to that of diseased hyperplasia; it is the standard arterial system design in all placentals at least as large as rabbits, including humans. Formed initially as one-layer endothelium lining, this phenotype can either be maintained or differentiate into a normal multi-layer cellular lining, so striking in its resemblance to diseased hyperplasia that we have to name it &quot;benign intimal hyperplasia&quot;. However, normal or &quot;benign&quot; intimal hyperplasia, although microscopically identical to pathology, is a controllable phenotype that rarely compromises blood supply. It is remarkable that each human heart has coronary arteries in which a single-layer endothelium differentiates early in life to form a multi-layer intimal hyperplasia and then continues to self-renew in a controlled manner throughout life, relatively rarely compromising the blood supply to the heart, causing complications requiring intervention only in a small fraction of the population, while all humans are carriers of benign hyperplasia. Unfortunately, this fundamental fact has not been widely appreciated in arteriosclerosis research and medical education, which continue to operate on the assumption that the normal arterial intima is always an &quot;ideal&quot; single-layer endothelium. As a result, the disease is perceived and studied as a new pathological event caused by new mechanisms. The discovery that normal coronary arteries are morphologically indistinguishable from deadly coronary arteriosclerosis continues to elicit surprise.
Conclusion:
Two questions should inform the priorities of our research: (1) what controls switch the single cell-layer intimal phenotype into normal hyperplasia? (2) how is normal (benign) hyperplasia maintained? We would be hard-pressed to gain practical insights without scrutinizing our premises.</description>
        <link>http://www.tbiomed.com/content/4/1/41</link>
                <dc:creator>Vladimir Subbotin</dc:creator>
                <dc:source>Theoretical Biology and Medical Modelling 2007, null:41</dc:source>
        <dc:date>2007-10-31T00:00:00Z</dc:date>
        <dc:identifier>doi:10.1186/1742-4682-4-41</dc:identifier>
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        <prism:startingPage>41</prism:startingPage>
        <prism:publicationDate>2007-10-31T00:00:00Z</prism:publicationDate>
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