Publications by authors named "Marco C de Ruiter"

During cardiac development the heart is innervated by the autonomous nervous system. After development, neurons of the autonomic nervous system have limited capacity for growth and regeneration. However, in the past decades, it has become clear that cardiac nerves can regenerate after cardiac damage.

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Pain manifestation following coronary artery disease (CAD) disease differs between men and women. Here, we aimed to provide evidence favoring possible differences in pain manifestation between men and women following CAD using Mendelian randomization (MR). We used summary-level data from sex-stratified genome-wide association studies on CAD and self-reported and clinically diagnosed chest, neck and shoulder, back, and facial pain using data from the UK Biobank cohort ( > 450,000) followed by two-sample MR (sensitivity) analyses.

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Fibrosis is a characteristic of many cardiac diseases for which no effective treatment exists. We have developed an ex vivo flow system, which allows induction of cardiac fibrosis in intact adult mouse hearts. Lineage-tracing studies indicated that the collagen-producing myofibroblasts originated from the resident fibroblasts.

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Article Synopsis
  • Fetuses with congenital heart defects (CHD) experience neurodevelopmental delays and complications related to fetal growth and the placenta, which may be linked to placental factors.
  • This study compares placental development in CHD cases with differing aortic oxygenation and flow to healthy controls, focusing on the impact of placental conditions on fetal development.
  • Results indicate more severe placental issues and fetal complications in CHD cases, with no significant differences between those with reduced oxygenation and reduced flow; suggesting that placental development may have a greater influence on neurodevelopment than fetal blood flow.
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The venous pole of the heart where the pulmonary veins will develop encompasses the sinus venosus and the atrium. In the fourth week of development, the sinus venosus consists of a left and a right part receiving blood from the common cardinal vein, the omphalomesenteric and umbilical veins. Asymmetrical expansion of the common atrium corresponds with a rightward shift of the connection of the sinus to the atrium.

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Nanoplastics can cause severe malformations in chicken embryos. To improve our understanding of the toxicity of nanoplastics to embryos, we have studied their biodistribution in living chicken embryos. We injected the embryos in the vitelline vein at stages 18-19.

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Purpose: The heart receives cervical and thoracic sympathetic contributions. Although the stellate ganglion is considered the main contributor to cardiac sympathetic innervation, the superior cervical ganglia (SCG) is used in many experimental studies. The clinical relevance of the SCG to cardiac innervation is controversial.

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  • Scientists noticed a new type of inflammation in the hand tendons of people with rheumatoid arthritis and those at risk, which might happen before arthritis symptoms show up.
  • They ran an MRI study on adults with joint pain and healthy people to see how often this tendon inflammation occurs and how it relates to other joint problems.
  • The study included 667 patients and helped researchers understand if tendon inflammation could be an early sign of rheumatoid arthritis.
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Background And Objective: The heart is under strict regulation of the autonomic nervous system, during which, in a healthy state, the effects of sympathetic and parasympathetic branches are balanced. In recent years, there has been increasing interest in pathological remodeling and outgrowth of cardiac autonomic nerves in relation to arrhythmogenesis. However, the small size of the cardiac nerves in relatively large tissues renders research using histological quantification of these nerves extremely challenging and usually relies on quantification of the nerve density in selected regions of interest only.

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Background: Cardiac sympathetic hyperinnervation after myocardial infarction (MI) is associated with arrhythmogenesis and sudden cardiac death. The characteristics of cardiac sympathetic hyperinnervation remain underexposed.

Objective: To provide a systematic review on cardiac sympathetic hyperinnervation after MI, taking into account: (1) definition, experimental model and quantification method and (2) location, amount and timing, in order to obtain an overview of current knowledge and to expose gaps in literature.

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  • Abnormal cardiac nerve growth or changes following a heart attack can impact the risk of irregular heartbeats, but there isn't much data on this from medium to long-term studies.
  • This research analyzed heart tissue from pigs three months after a heart attack to understand how nerve patterns are altered, using a new technique for quantifying nerves.
  • Findings showed a mix of nerve growth and loss in heart tissue around the damaged area, with the most variation in nerve density near the heart attack's core, highlighting complex changes in nerve innervation over time.
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  • The study examined the presence of fibrosis and nerve innervation in hearts of individuals with transposition of the great arteries (TGA), utilizing 22 postmortem specimens across different treatment stages.
  • Newborn TGA hearts showed significantly higher levels of interstitial fibrosis compared to healthy hearts, indicating early structural changes due to altered oxygen saturation.
  • Following surgical interventions like Mustard/Senning and arterial switch operations, further increases in fibrosis were observed, particularly in the left ventricle, along with a decrease in nerve innervation, suggesting potential impacts on heart function post-surgery.
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Background: Bicuspid aortic valve (BAV) is associated with ascending aorta aneurysms and dissections. Presently, genetic factors and pathological flow patterns are considered responsible for aneurysm formation in BAV while the exact role of inflammatory processes remains unknown.

Methods: In order to objectify inflammation, we employ a highly sensitive, quantitative immunohistochemistry approach.

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Nanomaterials are widespread in the human environment as pollutants, and are being actively developed for use in human medicine. We have investigated how the size and dose of polystyrene nanoparticles affects malformations in chicken embryos, and have characterized the mechanisms by which they interfere with normal development. We find that nanoplastics can cross the embryonic gut wall.

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A role for cardiac sympathetic hyperinnervation in arrhythmogenesis after myocardial infarction (MI) has increasingly been recognized. In humans and mice, the heart receives cervical as well as thoracic sympathetic contributions. In mice, superior cervical ganglia (SCG) have been shown to contribute significantly to myocardial sympathetic innervation of the left ventricular anterior wall.

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Objective: Midaortic syndrome (MAS) is narrowing of the distal thoracic and or abdominal aorta with congenital, inflammatory, or idiopathic aetiology. If left untreated, the prognosis is poor due to hypertensive complications. Follow up data after treatment are sparse, contrary to aortic coarctation.

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Article Synopsis
  • - MRI reveals that inflammation around the extensor tendons of metacarpophalangeal (MCP) joints is common in rheumatoid arthritis (RA) and signals a higher risk of developing RA in patients with joint pain.
  • - The inflammation, referred to as 'peritendinitis,' may actually involve a synovial lining, as previous studies haven't confirmed the presence of a tenosynovial sheath at these tendons.
  • - An anatomical study of three embalmed human hands showed signs of synovial tissue, suggesting that early MRI contrast enhancement may indicate tenosynovitis, marking inflammation as an initial sign of RA.
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The cardiac autonomic nervous system is crucial in controlling cardiac function, such as heart rate and cardiac contractility, and is divided into sympathetic and parasympathetic branches. Normally, there is a balance between these two branches to maintain homeostasis. However, cardiac disease states such as myocardial infarction, heart failure, and hypertension can induce the remodeling of cells involved in cardiac innervation, which is associated with an adverse clinical outcome.

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In fetal aortic stenosis (AS), it remains challenging to predict left ventricular development over the course of pregnancy. Myocardial organization, differentiation and fibrosis could be potential biomarkers relevant for biventricular outcome. We present four cases of fetal AS with varying degrees of severity and associate myocardial deformation on fetal ultrasound with postmortem histopathological characteristics.

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The cardiac autonomic nervous system (cANS) regulates cardiac adaptation to different demands. The heart is an asymmetrical organ, and in the selection of adequate treatment of cardiac diseases it may be relevant to take into account that the cANS also has sidedness as well as regional differences in anatomical, functional, and molecular characteristics. The left and right ventricles respond differently to adrenergic stimulation.

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Impaired placentation is an important contributing factor to intra-uterine growth restriction and pre-eclampsia in fetuses with congenital heart defects (CHD). These pregnancy complications occur more frequently in pregnancies with fetal CHD. One of the most important factors influencing the life of children with CHD is neurodevelopmental delay, which seems to start already in utero.

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Whilst knowledge regarding the pathophysiology of congenital heart disease (CHDs) has advanced greatly in recent years, the underlying developmental processes affecting the cardiac outflow tract (OFT) such as bicuspid aortic valve, tetralogy of Fallot and transposition of the great arteries remain poorly understood. Common among CHDs affecting the OFT, is a large variation in disease phenotypes. Even though the different cell lineages contributing to OFT development have been studied for many decades, it remains challenging to relate cell lineage dynamics to the morphologic variation observed in OFT pathologies.

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Calcific aortic valve disease (CAVD) is a common progressive disease of the aortic valves, for which no medical treatment exists and surgery represents currently the only therapeutic solution. The development of novel pharmacological treatments for CAVD has been hampered by the lack of suitable test-systems, which require the preservation of the complex valve structure in a mechanically and biochemical controllable system. Therefore, we aimed at establishing a model which allows the study of calcification in intact mouse aortic valves by using the Miniature Tissue Culture System (MTCS), an ex vivo flow model for whole mouse hearts.

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Patients with a congenital bicuspid aortic valve (BAV), a valve with two instead of three aortic leaflets, have an increased risk of developing thoracic aneurysms and aortic dissection. The mechanisms underlying BAV-associated aortopathy are poorly understood. This study examined BAV-associated aortopathy in mice, a model with congenital BAV formation.

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