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The handle http://hdl.handle.net/1887/50085 holds various files of this Leiden University dissertation

Author: Kokje, Vivianne

Title: Pharmaceutical stabilization of abdominal aortic aneurysms : changing its natural history

Issue Date: 2017-06-28

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PHARMACEUTICAL STABILIZATION OF ABDOMINAL AORTIC ANEURYSMS

Changing its natural history

Vivianne B. C. Kokje

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the author.

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PHARMACEUTICAL STABILIZATION OF ABDOMINAL AORTIC ANEURYSMS

Changing its natural history

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op 28 juni 2017

klokke 15.00 uur

door

Vivianne Beatrix Christina Kokje geboren te Delft

in 1987

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PROMOTIECOMMISSIE

Prof. A.J. van Zonneveld Prof. dr. M.J.Th.H. Goumans

Prof. dr. R. Balm (Academisch Medisch Centrum, Amsterdam) dr. P.W.E.H. Vriens (Elizabeth Tweesteden Ziekenhuis, Tilburg)

Financial support by the Dutch Heart Foundation for the publication of this thesis is gratefully acknowledged.

The research described in this thesis was performed at the department of Vascular Surgery of the Leiden University Medical Center, Leiden, The Netherlands and the Stanford University, California, United States of America.

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‘Life is not waiting for the storm to pass, it’s about learning how to dance in the rain.’

Anonymous

Voor mijn ouders

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TABLE OF CONTENTS

Chapter 1 Introduction 9

Chapter 2 Pharmaceutical management of small Abdominal Aortic

Aneur ysms, a systematic review of the clinical evidence 21 Chapter 3 An association between Chronic Obstructive Pulmonar y Disease

and Abdominal Aortic Aneur ysm beyond smoking

Results from a case- control study 43

Chapter 4 Activation of the vitamin D receptor selectively interferes with calcineurin-mediated inflammation: a clinical evaluation in

the Abdominal Aortic Aneur ysm 55

Chapter 5 Inhibition of cysteine protease activity reduces aneur ysm

expansion through decreased matrix degradation 69 Chapter 6 C XCL8 hypersignaling in the Aortic Abdominal Aneur ysm:

the oral C XCR2 antagonist DF2156A fully abrogates

experimental aneur ysm formation 83

Chapter 7 Colchicine inhibits aortic aneur ysm formation in

a rodent model 97

Chapter 8 IL-6: a Janus-like factor in Abdominal Aortic Aneur ysm disease 111 Chapter 9 Adventitial Adipogenic Degeneration is an

Unidentified Contributor to Aortic Wall Weakening in

the Abdominal Aortic Aneur ysm 129

Chapter 10 Summar y and general discussion 147

Chapter 11 Nederlandse Samenvatting 157

Appendix List of publications 169

Dankwoord 170

Curriculum Vitae 17 1

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