Formation of "ghost" bodies and calcification in experimental atherosclerosis in nonhuman primates. An ultrastructural study.

Aortic lesions from African green monkeys fed a cholesterol diet for up to 24 months were studied by electron microscopy. The lesions, grossly classified as fatty dots and fatty streaks consisted of foam cells, increased amounts of interstitial connective tissues and osmiophilic lipid material. In addition, in the interstitial spaces, there were membrane-bound detached cytoplasmic fragments and deeply osmiophilic calcium spherules. The smooth muscle cells had a frayed appearance and bulbous cytoplasmic pseudopodlike processes. Figures suggestive of transition between these cell processes and the detached cytoplasmic fragments were observed. The detached cytoplasmic fragments or ghost bodies often contained lipid droplets, myelin-like figures and calcific material. The process of budding off cytoplasmic fragments was interpreted as a form of clasmatosis enabling smooth muscle cells to eliminate substances which could not be degraded intracellularly. It is proposed that material presented within the ghost bodies may become a nucleation site for calcium salts deposition. Cell necrosis was not a feature observed in this material.