A video-microdensitometry method was used to quantify collagen on a pixel b
y pixel basis at specific locations within atherosclerotic lesions, induced
by feeding New Zealand White rabbits a declining cholesterol diet. Probabi
lity mapping (done previously) showed the lesions occurred in predictable l
ocations so the age of any one area of a lesion could be estimated. The old
est part of the lesion was on the lateral lip of the flow divider as lesion
s always developed there first. Serial sections through three lesions showe
d the distribution of collagen within the plaque. The measurement of all th
e lesions showed that early lesions had low collagen levels: 3-6% for the i
ntercostals and 8-11% for the renals. Collagen increased consistently with
time on the diet to 11-15% for the intercostal and approximate to 17% for t
he renal. The aorto-renal lesions were more severe; thicker and with a high
er percentage of collagen. The greatest collagen content was on the lateral
lip of the how dividers, where controls had intimal thickening. No fibrous
caps were seen. This study shows conclusively that collagen is not evenly
distributed in lesions, but develops progressively in specific locations of
fatty plaques with the duration of cholesterol feeding. Intimal thickening
predisposes to early collagen development. (C) 1999 Elsevier Science Irela
nd Ltd. An rights reserved.