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通过端侧吻合将主动脉弓段移植物移植到小鼠腹部主动脉的同种异体模型。

Allograft Model of Aortic Arch Segment Grafting to Abdominal Aorta Through End-to-Side Anastomosis in Mice.

机构信息

Department of Cardiology, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Heart Function and Microcirculation, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, 510515, Guangdong Province, China.

Cardiovascular Center, the Affiliated Sixth Hospital, School of Medicine, South China University of Technology, Foshan, China.

出版信息

J Cardiovasc Transl Res. 2024 Aug;17(4):901-909. doi: 10.1007/s12265-024-10495-w. Epub 2024 Feb 26.

Abstract

The mouse aortic transplantation model is a valuable tool for investigating the mechanisms of atherosclerosis regression, but few laboratories can generate it due to the operation difficulty, especially for the style of end-to-side anastomosis, which facilitates syngeneic heterotopic transplanting a plaque-rich aortic arch into the abdominal aorta. Here we provide a modified protocol for generating this allograft model, which is capable of overcoming several critical surgical challenges such as separating a longer abdominal aorta segment, reducing bleeding and thrombosis, optimizing aortotomy, and improving end-to-side anastomosis to guarantee a potent graft. By transplanting plaque-rich aortic arches into the abdominal aorta of wildtype mice, a high operation success rate (over 90%) was noted with aortic clamping time under 60 min, the graft potency was satisfactory evidenced by examinations of micro-CT, ultrasound, and lower limb blood flow measurement, while a significant atherosclerosis regression was observed in the grafts at 1 week after transplantation.

摘要

小鼠主动脉移植模型是研究动脉粥样硬化消退机制的一种有价值的工具,但由于手术难度大,特别是端侧吻合术式,很少有实验室能够成功建立该模型,因为这种术式有利于将富含斑块的主动脉弓同种异体移植到腹主动脉中。在这里,我们提供了一种改良的制备该同种异体移植模型的方案,该方案能够克服一些关键的手术挑战,例如分离较长的腹主动脉段、减少出血和血栓形成、优化主动脉切开术,并改进端侧吻合术,以确保移植物的活力。通过将富含斑块的主动脉弓移植到野生型小鼠的腹主动脉中,我们观察到在主动脉夹闭时间小于 60 分钟的情况下,手术成功率(超过 90%)较高,通过 micro-CT、超声和下肢血流测量等检查,移植物的活力令人满意,而在移植后 1 周时,移植物中观察到明显的动脉粥样硬化消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813b/11371875/51d4b21a2217/12265_2024_10495_Fig1_HTML.jpg

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