Monteiro Carvalho Mori da Cunha Marina Gabriela, Beckmann Diego Vilibaldo, Carlon Marianne Sylvia, Zia Silvia, Pippi Ney Luis, Mazzanti Alexandre, Van der Perren Anke, Deprest Jan, Toelen Jaan
Department of Small Animals, Experimental Veterinary Surgery Laboratory, Universidade Federal de Santa Maria, Santa Maria, Brazil.
Eur Surg Res. 2013;51(1-2):58-65. doi: 10.1159/000354389. Epub 2013 Sep 24.
Intra-arterial injection of mesenchymal stem cells has been proven to result in a superior nephroprotection compared to intravenous injection. This avoids initial passage through filter organs such as the lung, liver and spleen. The aim of the present study was to investigate whether suprarenal aortic delivery results in a homogenous distribution to both kidneys. Chinese ink was used to evaluate the renal distribution pattern for the comparison of two retrograde intra-aortic injection methods. In the first, the aorta caudal to the renal branches was temporarily clamped and Chinese ink was injected at the level of the renal arteries. In the second, a distal aortic clamp was combined with alternated clamping of the contralateral arteries. Immediately after injection, kidneys were harvested for histological analysis. Amniotic fluid stem cells labeled with LacZ were injected in the aorta by alternated clamping of the renal arteries in order to track the cells in a rat ischemia/reperfusion model. Without renal artery clamping, intra-aortic administration resulted in a delivery of the ink into the right kidney, whereas administration with alternated clamping of the contralateral renal artery, together with distal aortic artery clamping, resulted in a more homogenous distribution of the ink in both kidneys. Moreover, LacZ-positive cells were found in both kidneys after 6 h of injection. In conclusion, the retrograde administration of Chinese ink in two steps is a fast and reproducible technique, which results in a more homogenous distribution of the stain in both kidneys than a single administration combined by only clamping the aorta.
与静脉注射相比,动脉内注射间充质干细胞已被证明具有更好的肾保护作用。这避免了细胞首先通过肺、肝和脾等滤过器官。本研究的目的是探讨经肾上主动脉给药是否能使细胞在双肾中均匀分布。使用中国墨汁评估肾脏分布模式,以比较两种逆行主动脉内注射方法。第一种方法是暂时夹闭肾动脉下方的主动脉,并在肾动脉水平注射中国墨汁。第二种方法是在远端主动脉夹闭的基础上,交替夹闭对侧动脉。注射后立即取出肾脏进行组织学分析。在大鼠缺血/再灌注模型中,通过交替夹闭肾动脉将用LacZ标记的羊水干细胞注入主动脉,以便追踪细胞。在不夹闭肾动脉的情况下,主动脉内给药会使墨汁进入右肾,而在远端主动脉夹闭的同时交替夹闭对侧肾动脉给药,则会使墨汁在双肾中的分布更均匀。此外,注射6小时后在双肾中均发现了LacZ阳性细胞。总之,分两步逆行注射中国墨汁是一种快速且可重复的技术,与仅夹闭主动脉的单次给药相比,该技术能使染色剂在双肾中的分布更均匀。