Cardiovascular and Renal Research Unit, Institute for Molecular Medicine, University of Southern Denmark, 5230 Odense M, Denmark.
Department of Cardiac, Thoracic and Vascular Surgery, Odense University Hospital (OUH), 5000 Odense C, Denmark.
Int J Mol Sci. 2024 Jul 10;25(14):7591. doi: 10.3390/ijms25147591.
There is a pressing need for alternative medical treatments for abdominal aortic aneurysms (AAAs). Mesenchymal regenerative cells derived from adipose tissue (ADRCs) have shown potential in modulating the inflammation and immune responses that drive AAA progression. We hypothesized that ADRCs could reduce inflammation and preserve vascular integrity, potentially slowing the progression of AAA. In our study, subcutaneous adipose tissue was harvested from male Sprague Dawley rats, from which ADRCs were isolated. AAA was induced in these rats using intraluminal porcine pancreatic elastase, followed by intravenous administration of either ADRCs (10 cells) or saline (0.1 mL). We monitored the progression of AAA through weekly ultrasound, and the rats were sacrificed on day 28 for histological analysis. Our results showed no significant difference in the inner abdominal aortic diameter at day 28 between the control group (172% ± 73%, n = 17) and the ADRC-treated group (181% ± 75%, n = 15). Histological analyses of AAA cross-sections also revealed no significant difference in the infiltration of neutrophils or macrophages between the two groups. Furthermore, the integrity and content of elastin in the tunica media were similar between groups. These findings indicate that a single injection of ADRCs does not inhibit the development of AAA in rats in a randomized blinded study.
对于治疗腹主动脉瘤(AAA),目前迫切需要替代疗法。源自脂肪组织的间充质再生细胞(ADRCs)在调节炎症和免疫反应方面具有潜力,这些反应推动了 AAA 的进展。我们假设 ADRCs 可以减轻炎症并维持血管完整性,从而有可能减缓 AAA 的进展。在我们的研究中,从雄性 Sprague Dawley 大鼠的皮下脂肪组织中提取 ADRCs。通过腔内猪胰弹性蛋白酶诱导这些大鼠的 AAA,然后通过静脉内给予 ADRCs(10 个细胞)或生理盐水(0.1 mL)。我们通过每周的超声监测 AAA 的进展,并在第 28 天对大鼠进行安乐死以进行组织学分析。我们的结果显示,在第 28 天,对照组(172%±73%,n=17)和 ADRC 治疗组(181%±75%,n=15)之间的腹主动脉内直径没有显著差异。对 AAA 横截面的组织学分析也显示,两组之间中性粒细胞或巨噬细胞的浸润没有显著差异。此外,中膜弹性蛋白的完整性和含量在两组之间相似。这些发现表明,在一项随机盲法研究中,单次注射 ADRC 并不能抑制大鼠 AAA 的发展。