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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleInterventional
Open Access

The Distribution and Role of M1 and M2 Macrophages in Aneurysm Healing after Platinum Coil Embolization

Z. Khashim, D. Daying, D.Y. Hong, J.A. Ringler, S. Herting, D. Jakaitis, D. Maitland, D.F. Kallmes and R. Kadirvel
American Journal of Neuroradiology September 2020, 41 (9) 1657-1662; DOI: https://doi.org/10.3174/ajnr.A6719
Z. Khashim
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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  • ORCID record for Z. Khashim
D. Daying
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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D.Y. Hong
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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J.A. Ringler
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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S. Herting
bDepartment of Biomedical Engineering (S.H., D.M.), Texas A&M University, College Station, Texas
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D. Jakaitis
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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D. Maitland
bDepartment of Biomedical Engineering (S.H., D.M.), Texas A&M University, College Station, Texas
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D.F. Kallmes
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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R. Kadirvel
aFrom the Department of Radiology (Z.K., D.D., D.Y.H., J.A.R., D.J., D.F.K., R.K.), Mayo Clinic, Rochester, Minnesota
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  • FIG 1.
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    FIG 1.

    M1 and M2 macrophage populations in aneurysm tissues after endovascular coiling for control and treatment groups. A, Mean number of M1 macrophages ± standard error of the mean. Representative confocal microscopy images of cells staining positive for CD80 (60× oil magnification) at 1 month (C), 3 months (D), and 6 months (E). F, Mean number of M2 macrophages ± standard error of the mean. Representative confocal microscopy images of cells staining positive for CD206 (60× oil magnification) at 1 month (H), 3 months (I), and 6 months (J). B and G, Representative confocal images of control aneurysm tissues stained for CD80 and CD206, respectively, at 1 month (20× oil magnification). Asterisk indicates P < .05; double asterisks, P < .01.

  • FIG 2.
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    FIG 2.

    Collagen deposition in aneurysm tissues after endovascular coiling for 3 treatment-to-sacrifice time groups. A, Mean percentage of collagen deposition ± standard error of the mean. Photomicrographs of collagen deposition using Masson trichrome stain are shown for 1 month (B), 3 months (C), and 6 months (D) (2.5× magnification; scale bar =0.4 mm). Asterisk indicates P < .05; double asterisks, P < .01.

  • FIG 3.
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    FIG 3.

    Total histologic healing scores for aneurysm tissues after endovascular coiling for 3 treatment-to-sacrifice time groups.

  • FIG 4.
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    FIG 4.

    Correlational relationships of M2 macrophages to collagen deposition and histologic grading in aneurysm tissues after endovascular coiling for 3 treatment-to-sacrifice time groups. A, One month posttreatment. B, Three months posttreatment. C, Six months posttreatment.

Tables

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  • Aneurysm geometry results of all the study groupsa

    GroupsUntreated Control1 Month Postcoiling3 Months Postcoiling6 Months Postcoiling
    Neck width3.73 ± 0.483.0 ± 0.713.7 ± 0.943.6 ± 1.79
    Width4.18 ± 0.842.8 ± 0.37b4.3 ± 0.473 ± 0.51c
    Height9.73 ± 0.759.3 ± 1.068.0 ± 1.587.7 ± 2.11
    • ↵a All data are reported as mean (mm) ± SD.

    • ↵b P < .05.

    • ↵c P < .01.

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American Journal of Neuroradiology: 41 (9)
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1 Sep 2020
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Cite this article
Z. Khashim, D. Daying, D.Y. Hong, J.A. Ringler, S. Herting, D. Jakaitis, D. Maitland, D.F. Kallmes, R. Kadirvel
The Distribution and Role of M1 and M2 Macrophages in Aneurysm Healing after Platinum Coil Embolization
American Journal of Neuroradiology Sep 2020, 41 (9) 1657-1662; DOI: 10.3174/ajnr.A6719

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The Distribution and Role of M1 and M2 Macrophages in Aneurysm Healing after Platinum Coil Embolization
Z. Khashim, D. Daying, D.Y. Hong, J.A. Ringler, S. Herting, D. Jakaitis, D. Maitland, D.F. Kallmes, R. Kadirvel
American Journal of Neuroradiology Sep 2020, 41 (9) 1657-1662; DOI: 10.3174/ajnr.A6719
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