Yoshida M, Horimoto H, Mieno S, Nomura Y, Okawa H, Nakahara K, Sasaki S
Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, Takatsuki, Japan.
Eur Surg Res. 2003 Mar-Apr;35(2):86-91. doi: 10.1159/000069401.
Bone marrow (BM) cells have been shown to augment local angiogenesis by differentiating vessels themselves and/or secreting paracrinally angiogenic growth factors. Herein, the angiogenic effects of intra-arterial BM mononuclear cell (BM-MNC) transplantation were evaluated in a rat ischemic hindlimb model.
Unilateral hindlimb ischemia was created by excising the femoral artery and its branch in Lewis rats. BM-MNCs were isolated by centrifugation through a Histopaque density gradient. One week after excision of the unilateral femoral artery, BM-MNCs (5 x 10(6) cells, Group A, n = 6) or PBS (Group B, n = 7) were injected into the ischemic thigh skeletal muscles at the six points with a gauge needle. Another injection of BM-MNCs (3 x 10(7) cells, Group C, n = 6) or PBS (Group D, n = 7) was administered via the indwelling catheter in the right common iliac artery.
Four weeks after the BM-MNC transplantation, angiographic examination revealed the development of collateral vessels in both BM-MNC-transplanted groups. The difference in skin temperature between right and left hindlimbs was significantly reduced in both BM-MNC-transplanted groups (0.93 +/- 0.15 vs. 2.84 +/- 0.35 vs. 1.20 +/- 0.26 vs. 2.61 +/- 0.37 degrees C, Group A vs. Group B vs. Group C vs. Group D, p < 0.05). Moreover, immunohistochemical analysis demonstrated that capillary endothelial cells were increased in both BM-MNC-transplanted groups.
BM-MNC implantation was able to induce functional neovascularization in rat ischemic hindlimb. The intra-arterial administration offered similar levels of angiogenic activity as intramuscular injection.
骨髓(BM)细胞已被证明可通过使血管自身分化和/或旁分泌血管生成生长因子来增强局部血管生成。在此,在大鼠缺血后肢模型中评估了动脉内骨髓单个核细胞(BM-MNC)移植的血管生成作用。
通过切除Lewis大鼠的股动脉及其分支造成单侧后肢缺血。通过Histopaque密度梯度离心分离BM-MNC。单侧股动脉切除1周后,将BM-MNC(5×10⁶个细胞,A组,n = 6)或PBS(B组,n = 7)用规格针在六个点注入缺血大腿骨骼肌。另一组通过右髂总动脉留置导管注射BM-MNC(3×10⁷个细胞,C组,n = 6)或PBS(D组,n = 7)。
BM-MNC移植后4周,血管造影检查显示两个BM-MNC移植组均有侧支血管形成。两个BM-MNC移植组左右后肢之间的皮肤温度差异均显著降低(0.93±0.15对2.84±0.35对1.20±0.26对2.61±0.37℃,A组对B组对C组对D组,p<0.05)。此外,免疫组织化学分析表明两个BM-MNC移植组的毛细血管内皮细胞均增加。
BM-MNC植入能够在大鼠缺血后肢诱导功能性新生血管形成。动脉内给药与肌肉注射具有相似水平的血管生成活性。