Liu Zhenjie, Wang Qiwei, Ren Jun, Assa Carmel Rebecca, Morgan Stephanie, Giles Jasmine, Han Qi, Liu Bo
Division of Vascular Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisc.
Division of Vascular Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisc.
J Vasc Surg. 2015 Dec;62(6):1607-14.e2. doi: 10.1016/j.jvs.2014.05.019. Epub 2014 Jun 26.
Murine models have proved instrumental in studying various aspects of abdominal aortic aneurysm (AAA), from identification of underlying pathophysiologic changes to the development of novel therapeutic strategies. In the current study, we describe a new model in which an elastase-treated donor aorta is transplanted to a recipient mouse and allowed to progress to aneurysm. We hypothesized that by transplanting an elastase-treated abdominal aorta of one genotype to a recipient mouse of a different genotype, one can differentiate pathophysiologic factors that are intrinsic to the aortic wall from those stemming from circulation and other organs.
Elastase-treated aorta was transplanted to the infrarenal abdominal aorta of recipient mice by end-to-side microsurgical anastomosis. Heat-inactivated elastase-treated aorta was used as a control. Syngeneic transplants were performed with use of 12-week-old C57BL/6 littermates. Transplant grafts were harvested from recipient mice on day 7 or day 14 after surgery. The aneurysm outcome was measured by aortic expansion, elastin degradation, proinflammatory cytokine expression, and inflammatory cell infiltration and compared with that produced with the established, conventional elastase infusion model.
The surgical technique success rate was 75.6%, and the 14-day survival rate was 51.1%. By day 14 after surgery, all of the elastase-treated transplanted abdominal aortas had dilated and progressed to AAAs, defined as 100% or more increase in the maximal external diameter compared with that measured before elastase perfusion, whereas none of the transplanted aortas pretreated with inactive elastase became aneurysmal (percentage increase in maximum aortic diameter: 159.36% ± 23.27%, transplanted elastase, vs 41.46% ± 9.34%, transplanted inactive elastase). Aneurysm parameters, including elastin degradation and infiltration of macrophages and T lymphocytes, were found to be identical to those observed in the conventional elastase model. Quantitative polymerase chain reaction analysis revealed similarly increased levels of proinflammatory cytokines (relative changes of mRNA in the conventional elastase model vs transplant model: tumor necrosis factor α, 1.71 ± 0.27 vs 2.93 ± 0.86; monocyte chemoattractant protein 1, 2.36 ± 0.58 vs 2.87 ± 0.51; chemokine (C-C motif) ligand 5, 3.37 ± 0.92 vs 3.46 ± 0.83; and interferon γ, 3.09 ± 0.83 vs 5.30 ± 1.69). Using green fluorescent protein transgenic mice as donors or recipients, we demonstrated that a small quantity of mononuclear leukocytes in the transplant grafts bared the genotype of the donors.
Transplanted elastase-treated abdominal aorta could develop to aneurysm in recipient mice. This AAA transplant model can be used to examine how the microenvironment of a transplanted aneurysmal aorta may be altered by the contributions of the "global" environment of the recipient.
小鼠模型已被证明在研究腹主动脉瘤(AAA)的各个方面非常有用,从识别潜在的病理生理变化到开发新的治疗策略。在本研究中,我们描述了一种新模型,即将经弹性蛋白酶处理的供体主动脉移植到受体小鼠体内,并使其发展为动脉瘤。我们假设,通过将一种基因型经弹性蛋白酶处理的腹主动脉移植到不同基因型的受体小鼠体内,可以区分主动脉壁固有的病理生理因素与来自循环系统和其他器官的因素。
通过端侧显微手术吻合将经弹性蛋白酶处理的主动脉移植到受体小鼠的肾下腹主动脉。经热灭活弹性蛋白酶处理的主动脉用作对照。使用12周龄的C57BL/6同窝小鼠进行同基因移植。在手术后第7天或第14天从受体小鼠中取出移植的移植物。通过主动脉扩张、弹性蛋白降解、促炎细胞因子表达和炎性细胞浸润来测量动脉瘤的结果,并与已建立的传统弹性蛋白酶灌注模型产生的结果进行比较。
手术技术成功率为75.6%,14天生存率为51.1%。术后第14天,所有经弹性蛋白酶处理的移植腹主动脉均已扩张并发展为AAA,定义为最大外径较弹性蛋白酶灌注前测量值增加100%或更多,而经无活性弹性蛋白酶预处理的移植主动脉均未形成动脉瘤(主动脉最大直径增加百分比:移植弹性蛋白酶组为159.36%±23.27%,移植无活性弹性蛋白酶组为41.46%±9.34%)。发现动脉瘤参数,包括弹性蛋白降解以及巨噬细胞和T淋巴细胞浸润,与传统弹性蛋白酶模型中观察到的参数相同。定量聚合酶链反应分析显示促炎细胞因子水平同样升高(传统弹性蛋白酶模型与移植模型中mRNA的相对变化:肿瘤坏死因子α,1.71±0.27对2.93±0.86;单核细胞趋化蛋白1,2.36±0.58对2.87±0.51;趋化因子(C-C基序)配体5,3.37±0.92对3.46±0.83;干扰素γ,3.09±0.83对5.30±1.69)。使用绿色荧光蛋白转基因小鼠作为供体或受体,我们证明移植移植物中的少量单核白细胞具有供体的基因型。
移植的经弹性蛋白酶处理的腹主动脉可在受体小鼠中发展为动脉瘤。这种AAA移植模型可用于研究移植的动脉瘤主动脉的微环境如何因受体 “整体” 环境的影响而改变。