Unità Operativa di Interventistica Cardiovascolare, Presidio Ospedaliero Pineta Grande, Castel Volturno, Italy.
Unità Operativa di Emodinamica, Casa di Salute Santa Lucia, San Giuseppe Vesuviano, Naples, Italy.
J Cardiovasc Transl Res. 2018 Jun;11(3):201-209. doi: 10.1007/s12265-018-9805-1. Epub 2018 Apr 25.
An unexpectedly high incidence of thrombosis in patients that received the polylactic acid bioresorbable vascular scaffold (BVS) suggests a delayed/incomplete endothelial repair with this stent. The anti-platelet agent tirofiban stimulates endothelial cell migration and proliferation, mediated by VEGF production. We investigated the tirofiban effect on the migration and adhesion of endothelial cells to BVS, in vitro. We performed human umbilical endothelial cell (HUVEC) cultures in the presence of BVS. Tirofiban, similarly to VEGF, increased the ability of HUVEC to grow on the vascular scaffold, compared to unstimulated or abciximab-treated cells. Tirofiban increased HUVEC expression of β1 and β3 integrins along with collagen and fibronectin. A role for β1 integrin in the "pro-adhesive and -migratory" signals elicited by tirofiban was suggested by use of an anti-β1-blocking antibody that prevented poly-levo-lactic acid vascular scaffold colonization. Our study suggests that tirofiban may improve the outcomes of patients receiving BVS by accelerating stent endothelization.
在接受聚乳酸可吸收血管支架(BVS)治疗的患者中,血栓形成的发生率出乎意料地高,这表明这种支架存在内皮修复延迟/不完全的情况。抗血小板药物替罗非班通过促进血管内皮生长因子(VEGF)的产生来刺激内皮细胞的迁移和增殖。我们研究了替罗非班对体外内皮细胞向 BVS 的迁移和黏附的影响。我们在存在 BVS 的情况下进行了人脐静脉内皮细胞(HUVEC)培养。与未刺激或阿昔单抗处理的细胞相比,替罗非班增加了 HUVEC 在血管支架上生长的能力,类似于 VEGF 的作用。替罗非班增加了 HUVEC 表达β1 和β3 整合素以及胶原蛋白和纤维连接蛋白。通过使用抗β1 阻断抗体,该抗体阻止了聚左旋乳酸血管支架的定植,提示β1 整合素在替罗非班引发的“促黏附和促迁移”信号中起作用。我们的研究表明,替罗非班通过加速支架内皮化,可能改善接受 BVS 治疗的患者的预后。