Aumento da IL-1beta no processo de arterialização de enxertos venosos utilizando modelos ex vivo, in vitro e in vivo / Increased IL-1beta during vein grafts arterialization: study of ex vivo, in vitro and in vivo models

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

The vein graft is subjected to increased tensile stress and the complex adaptive vein response to the arterial hemodynamic condition may predispose to bypass failure in some individuals. The understanding of molecular changes underlying this process may be useful for the development of novel therapeutical interventions to increase the vein graft patency. In this work, we investigated the early effect of arterialization on the expression of IL-1beta gene in human saphenous vein and the time-course regulation in rat arterialization model. IL-1beta is upregulated in early stage of human saphenous vein arterialization in vivo and ex vivo. This increase is also observed in arterialized rat jugular vein which showed IL-1beta expression 12 times higher on day 1 compared to normal jugular vein. Later, the IL-1beta levels decreases and maintain the level about twice above normal jugular vein. Moreover, it is observed gradual reduction of smooth muscle cells (SMC), which almost disappeared on the 3rd day after surgery. Apoptosis, which is markedly increased on the 1st day, appears to be an important event during this process. At the 7th day, cellular density and SMC proliferation gradually increased till the 90th day. There was a gradual thickening of the medial layer and formation of neointima with deposition of SMC in the subendotelial layer from day 7 on. Initially the medial layer appeared disorganized, day 7 to 14, then by day 28 it became more organized and the presence of an intimal layer with SMCs was evident. The neointimal layer increased gradually from day 7 on. These results provide evidence that the modulation of IL-1beta activity may be an interesting target to be explored I the future to increase the vein graft patency. Altogether, we demonstrate that the model of arterialization of venous segment in rat reproduces several of the morphological changes described in the venous graft disease in humans and thus will be useful in characterization of candidate genes involved in this process and testing them as a potential therapeutic targets. The IL-1beta expression is increased after 1 day of arterialization of vein segment in vivo and ex vivo and shall be an interesting target to be tested to influence the adaptation of venous grafts for therapeutic purpose

ASSUNTO(S)

vn vitro vasos coronários revascularização miocárdica analysis of oligonucleotideos sequence series coronarios vessels miocardium revascularization saphenous vein in vitro veia safena análise de sequência com séries de oligonucleotídeos

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