Miyama Noriyuki, Sato Akira, Matsubara Mitsunobu, Watanabe Tetsuo, Ikada Yoshito, Satomi Susumu
Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan.
Ann Vasc Surg. 2009 Mar;23(2):224-30. doi: 10.1016/j.avsg.2008.06.009. Epub 2008 Sep 9.
We investigated the effects of a biodegradable gelatin hydrogel sponge sheet (GHSS) or GHSS incorporating basic fibroblast growth factor (GHSS + bFGF), which could prolong the effects of bFGF, on the progression of experimental abdominal aortic aneurysms (AAAs). Experimental AAAs were induced in male Sprague-Dawley rats by intra-aortic elastase infusion. The rats were divided according to the following treatments: (1) untreated, (2) GHSS alone, (3) GHSS incorporating 100 ng, 1 microg, and 10 microg of bFGF. GHSSs were placed over the elastase-infused aortas. After 14 days, the GHSS alone group and the three groups with GHSS + bFGF demonstrated significantly smaller aortic diameters than the untreated group, and these groups significantly attenuated a reduction of the elastic fibers and smooth muscle cells in the pathological findings. However, no additional therapeutic effect was noted between the GHSS alone and GHSS + bFGF groups. Immunohistochemical analysis revealed an increase of positive cells for endogenous bFGF in the media and adventitia of both the GHSS alone and GHSS + bFGF groups in comparison to the untreated group. In conclusion, GHSS itself possessed significant therapeutic effects on AAA progression by inducing the production of endogenous bFGF, leading to the preservation of elastic fibers and smooth muscle cells.
我们研究了可生物降解的明胶水凝胶海绵片(GHSS)或含碱性成纤维细胞生长因子的GHSS(GHSS + bFGF,其可延长bFGF的作用)对实验性腹主动脉瘤(AAA)进展的影响。通过主动脉内注入弹性蛋白酶在雄性Sprague-Dawley大鼠中诱导实验性AAA。大鼠根据以下处理分组:(1)未处理,(2)单独使用GHSS,(3)含100 ng、1 μg和10 μg bFGF的GHSS。将GHSS放置在注入弹性蛋白酶的主动脉上。14天后,单独使用GHSS组以及三组含GHSS + bFGF组的主动脉直径明显小于未处理组,并且这些组在病理结果中显著减轻了弹性纤维和平滑肌细胞的减少。然而,单独使用GHSS组和GHSS + bFGF组之间未观察到额外的治疗效果。免疫组织化学分析显示,与未处理组相比,单独使用GHSS组和GHSS + bFGF组的中膜和外膜中内源性bFGF阳性细胞均增加。总之,GHSS本身通过诱导内源性bFGF的产生对AAA进展具有显著治疗作用,从而导致弹性纤维和平滑肌细胞的保留。