Wu Zhong-jun, Shi De, Li De-wei, Zheng Shu-sen
The Department of General Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2005 Jul;34(4):320-5, 338. doi: 10.3785/j.issn.1008-9292.2005.04.008.
To observe the effects of co-transfection of platelet derived growth factor antisense oligodeoxynucleotides (PDGF-AODN) and tissue-type plasminogen activator (tPA) gene on inhibition of intimal proliferation of auto-transplantion artery.
One hundred male New Zealand rabbits were randomly divided into four groups (25 in each): Group A (control group), Group B (PDGF-AODN transfection group), Group C (tPA gene transfection group) and Group D (PDGF-AODN and tPA co-transfection group). The left and right external iliac arteries were transplanted reciprocally. The transplanted arteries were respectively soaked in PDGF-AODN, pBudCE4.1/tPA and PDGF-AODN plus pBudCE4.1/tPA solution about 15 minute before transplantation. The rabbits were sacrificed at 3d, 1w, 2w, 4w and 8w after operation. The specimens were harvested for pathologic examination, electron microscopy, chromogenic substrate test, 3H-TdR incorporation test and immunohistochemical staining.
The scan electron microscopy showed that there were a few thrombocytes on vas-wall of Group C and D without thrombus, whereas there were abundant thrombocytes and thrombus forming on vas-wall of Group A and B. The intimal area, stenosis ratio of transplanted artery, 3H-TdR incorporation,the number of PDGF positive cell in Group D were significantly less than those in Group A (P<0.01),Group B and Group C (both P<0.05). The activity of tPA gene products in transplanted vas-wall of Group D was significantly higher than that of Group A (P<0.01).
Local co-transfection of PDGF-AODN and tPA gene can effectively inhibit the proliferation of vascular smooth muscle cells, hyperplasia of intima and restenosis of transplanted artery.
观察血小板衍生生长因子反义寡脱氧核苷酸(PDGF - AODN)与组织型纤溶酶原激活剂(tPA)基因共转染对自体移植动脉内膜增殖的抑制作用。
将100只雄性新西兰兔随机分为4组(每组25只):A组(对照组)、B组(PDGF - AODN转染组)、C组(tPA基因转染组)和D组(PDGF - AODN与tPA共转染组)。左右髂外动脉相互移植。移植动脉在移植前分别浸泡于PDGF - AODN、pBudCE4.1/tPA及PDGF - AODN加pBudCE4.1/tPA溶液中约15分钟。术后3天、1周、2周、4周和8周处死兔子。取标本进行病理检查、电子显微镜检查、发色底物试验、3H - TdR掺入试验和免疫组织化学染色。
扫描电子显微镜显示,C组和D组血管壁上有少量血小板,无血栓形成,而A组和B组血管壁上有大量血小板并形成血栓。D组移植动脉的内膜面积、狭窄率、3H - TdR掺入量、PDGF阳性细胞数均显著低于A组(P < 0.01)、B组和C组(均P < 0.05)。D组移植血管壁中tPA基因产物的活性显著高于A组(P < 0.01)。
PDGF - AODN与tPA基因局部共转染可有效抑制血管平滑肌细胞增殖、内膜增生及移植动脉再狭窄。