Wang Rong-Fei, Meng Qing-Yi
Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan 250013, China.
J Thorac Dis. 2016 Nov;8(11):3081-3086. doi: 10.21037/jtd.2016.11.14.
Recently, we established a new rat model of venous arterialization by grafting the jugular vein into carotid arteries. In many respects, the morphological features of this murine vascular graft model resemble those of human venous bypass graft diseases. Using this model, we studied nanoparticles that mediated the arresten gene to inhibit the neointimal formation of vein grafts.
Thirty healthy Wistar female rats were randomly divided into three groups. Rat models of grafting the jugular vein into carotid arteries were established. Before and after surgery, all rats were subjected to anticoagulant drugs; and these were subcutaneously injected through different reagents after surgery. Group A: subcutaneous injection of nanoparticles to mediate the arresten gene (0.2 mL); group B: subcutaneous injection of blank nanoparticles (0.2 mL); group C: subcutaneous injection of saline (0.2 mL). At two weeks after the operation, veins of the objective blood vessel were obtained. Pathological changes of local vascular tissues and the new intima hyperplasia of experimental vascular segments were observed. Immunohistochemistry was used to observe the expression of MMPs.
(I) After two weeks, pathological intimal hyperplasia reactions were more obvious in groups B and C than in group A (P<0.05). The difference between groups B and C was not statistically significant (P>0.05); (II) the expression of MMP-2 could be observed in different degrees among the three groups. The expression of MMP-2 markedly increased in groups B and C compared to group A (P<0.05), but the difference between these two groups was not statistically significant (P>0.05).
(I) Nanoparticle-mediated arresten genes can reduce intimal hyperplasia in grafts; (II) we have recently shown that this gene reduced intimal hyperplasia, and this reduction is related to the reduced expression of MMP-2. This shows that the arresten gene can inhibit the degradation of the extracellular matrix (ECM).
最近,我们通过将颈静脉移植到颈动脉中建立了一种新的静脉动脉化大鼠模型。在许多方面,这种小鼠血管移植模型的形态学特征类似于人类静脉旁路移植疾病。利用该模型,我们研究了介导抑制素基因以抑制静脉移植物新生内膜形成的纳米颗粒。
将30只健康的Wistar雌性大鼠随机分为三组。建立颈静脉移植到颈动脉的大鼠模型。手术前后,所有大鼠均接受抗凝药物治疗;术后通过不同试剂皮下注射。A组:皮下注射介导抑制素基因的纳米颗粒(0.2 mL);B组:皮下注射空白纳米颗粒(0.2 mL);C组:皮下注射生理盐水(0.2 mL)。术后两周,获取目标血管的静脉。观察局部血管组织的病理变化和实验血管段的新生内膜增生情况。采用免疫组织化学法观察基质金属蛋白酶(MMPs)的表达。
(I)两周后,B组和C组的病理内膜增生反应比A组更明显(P<0.05)。B组和C组之间的差异无统计学意义(P>0.05);(II)三组均能观察到不同程度的MMP-2表达。与A组相比,B组和C组中MMP-2的表达明显增加(P<0.05),但这两组之间的差异无统计学意义(P>0.05)。
(I)纳米颗粒介导的抑制素基因可减少移植物中的内膜增生;(II)我们最近发现该基因可减少内膜增生,且这种减少与MMP-2表达降低有关。这表明抑制素基因可抑制细胞外基质(ECM)的降解。