For the microscopic quantification of the lesion area, the aortic arch was cut into 8–10 sections. Sections were embedded in paraffin and cut into 5-µm thick serial sections, stained with hematoxylin and eosin (H&E), and elastica van Gieson (EVG). For microscopic evaluation of the cellular components, serial paraffin sections were immunohistochemically stained with antibodies (Abs) against macrophages (MΦ) (Dako Inc. Carpinteria, CA), smooth muscle α-actin (Thermo Fisher Scientific Inc. Rockford, IL), matrix metalloproteinase-1 (MMP-1) and MMP-9 as previously described [16] (link). In order to evaluate the collagen contents, the sections were stained with Masson's trichrome staining as previously described [17] (link). To evaluate the cellular proliferation and death in the lesions, we performed TUNEL staining using the in situ cell death detection kits (Promega, Madison, WI) and immunohistolchemical staining using the Ab against PCNA (Bioss, Beijing, China). TUNEL and PCNA positive cells were counted as previously reported [18] (link).
To evaluate the plaque stability, we used frozen sections embedded in OCT compound and stained them for oil red O [11] (link) and Masson's trichrome, MΦ and smooth muscle cells (SMCs). The plaque vulnerability was calculated by dividing the sum of area of MΦ and extracellular lipid deposits by sum of area for SMCs and collagen fibers as previously described by others [18] (link).