title: Abnormalities in elastic fibers and other connective-tissue components of floppy mitral valve.
abstract: Histologic, immunohistochemical, and ultrastructural studies were performed on 12 floppy mitral valves, 4 mitral valves showing focal myxomatous changes without prolapse, and 3 normal mitral valves. All floppy mitral valves were thickened by deposits of proteoglycans and also showed diverse structural abnormalities in collagen and elastic fibers. From these observations we conclude that (1) the structure of all major components of connective tissue in floppy mitral valves is abnormal; (2) alterations in collagen and accumulations of proteoglycans are nonspecific changes that may be caused by the abnormal mechanical forces to which floppy mitral valves are subjected because of their excessively large surface area; (3) the presence of excessive amounts of proteoglycans may interfere with the normal assembly of collagen and elastic fibers; (4) abnormalities of elastic fibers resemble those in other conditions characterized by structural dilatation or tissue expansion; and (5) alterations in elastin could result from defective formation, increased degradation, or both.
authors.affiliation: Department of Pathology, Nippon Medical School, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tamura
authors.forename: Y
authors.initials: Y
authors.lastname: Fukuda
authors.forename: M
authors.initials: M
authors.lastname: Ishizaki
authors.forename: Y
authors.initials: Y
authors.lastname: Masuda
authors.forename: N
authors.initials: N
authors.lastname: Yamanaka
authors.forename: V J
authors.initials: VJ
authors.lastname: Ferrans
mesh_terms: D008841:Actin Cytoskeleton / Q000378:metabolism / Q000648:ultrastructure; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002815:Chordae Tendineae / Q000378:metabolism / Q000473:pathology / Q000648:ultrastructure; D003094:Collagen / Q000378:metabolism; D003238:Connective Tissue / Q000002:abnormalities / Q000378:metabolism / Q000473:pathology / Q000648:ultrastructure; D003594:Cytoplasmic Granules / Q000378:metabolism / Q000648:ultrastructure; D004108:Dilatation, Pathologic / Q000378:metabolism / Q000473:pathology; D004547:Elastic Tissue / Q000002:abnormalities* / Q000378:metabolism / Q000473:pathology / Q000648:ultrastructure; D004549:Elastin / Q000378:metabolism; D004727:Endothelium / Q000033:anatomy & histology / Q000378:metabolism / Q000648:ultrastructure; D005260:Female; D006349:Heart Valve Diseases / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D008943:Mitral Valve / Q000033:anatomy & histology / Q000378:metabolism / Q000648:ultrastructure; D008945:Mitral Valve Prolapse / Q000378:metabolism / Q000473:pathology*; D011509:Proteoglycans / Q000378:metabolism; D013314:Stress, Mechanical
chemical_list: D011509:Proteoglycans; D003094:Collagen; D004549:Elastin