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Intro
Preface
Acknowledgments
Contents
Part I: Overview
Atherosclerosis as a Crystalloid Disease: The Discovery of the Role of Cholesterol Crystals in the Formation and Rupture of Atherosclerotic Plaques
1 Historical Views of the Mechanism of Plaque Rupture
2 Seeing Cholesterol Crystals in Atherosclerosis in a New Light
3 First Insights in the Pro-Inflammatory Potential of Cholesterol Crystals
4 Cholesterol Crystals May Contribute to Diseases Other Than Atherosclerosis
5 A New Paradigm for the Treatment of Atherosclerosis
6 Summary
References

The Cholesterol Crystal Paradigm: Overview of How Cholesterol Crystals Evolve and Induce Traumatic and Inflammatory Vascular Injury
1 Introduction
2 Formation of Cholesterol Crystals
3 Intra-Cellular Cholesterol Crystals Promote the Formation of Atheroma
4 Extra-Cellular Cholesterol Crystals Promote Traumatic and Inflammatory Injury
5 Hyperglycemia and Crystal Formation
6 Clinical Implications
References
Part II: Physical Properties and Imaging of Cholesterol Crystals: In Vitro

How Innovation in Tissue Preparation and Imaging Revolutionized the Understanding of the Role of Cholesterol Crystals in Atherosclerosis
1 Background
2 Scanning Electron Microscopy Methodology
2.1 Tissue Preparation for SEM
2.2 Quantification of Cholesterol Crystals
2.3 Tissue Shrinkage
2.4 Cholesterol Crystal Expansion
2.5 Energy Dispersive X-Ray Spectroscopy (EDX)
3 Transmission Electron Microscopy with Cryo-Methodology
4 Confocal Microscopy Methodology
5 Digital Microscopy Methodology
6 Phase Contrast and Polarized Light Microscopy
7 Infrared Spectroscopy

8 Raman Spectroscopy
9 Nuclear Magnetic Resonance Spectroscopy
References
Crystals in Atherosclerosis: Crystal Cholesterol Structures, Morphologies, Formation and Dissolution. What Do We Know?
1 Introduction
2 Why Cholesterol? Cholesterol, The Molecule and Its Crystals
3 Cholesterol Crystal Morphologies: What Are They, What Do They Mean, and What Do They Show Us?
4 Crystal Nucleation
4.1 Cholesterol Crystal Formation: The Conceivable Routes, The Hypotheses and the Evidence
5 Crystal Dissolution
5.1 Lowering Cholesterol Concentration in Blood

5.2 Increasing Cholesterol Solubility in Water
5.3 Cell Membrane Solubilization of Cholesterol
5.4 Crystal Sequestration or Phagocytosis by Macrophages and Esterification or Cellular Efflux of Cholesterol
6 Conclusions, Questions, and Suggestions
6.1 Cholesterol Crystal Polymorphism: Curiosity or Interesting Possibility?
6.2 Cholesterol Crystal Formation: The Locations. Intra-Cellular, Extra-Cellular or Both?
6.3 Macrophage Activity: Crystal Formation, Dissolution or Both?
References
Part III: Physical Properties and Imaging of Cholesterol Crystals: In Vivo

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