LONG-TERM PRESERVATION OF VASCULAR ENDOTHELIUM AND SMOOTH-MUSCLE

Citation
R. Ingemansson et al., LONG-TERM PRESERVATION OF VASCULAR ENDOTHELIUM AND SMOOTH-MUSCLE, The Annals of thoracic surgery, 59(5), 1995, pp. 1177-1181
Citations number
13
Categorie Soggetti
Surgery
ISSN journal
00034975
Volume
59
Issue
5
Year of publication
1995
Pages
1177 - 1181
Database
ISI
SICI code
0003-4975(1995)59:5<1177:LPOVEA>2.0.ZU;2-Y
Abstract
This study was performed in organ baths on 400 ring segments of infrar enal aorta taken from 40 Sprague-Dawley rats that had been randomized into five groups. Contractility was tested with the thromboxane analog ue U-46619. Acetylcholine was used to elicit endothelium-dependent rel axing factor (EDRF). The results obtained from vessels preserved at 4 degrees C for 6, 12, 24, and 36 hours were compared with those from au tologous vessels studied immediately after harvesting. Vessels preserv ed in Euro-Collins solution showed a 46% (p < 0.01) decrease in contra ctility after 12 hours of storage; after 24 hours only weak contractio ns could be elicited, and after 36 hours they had lost their ability t o contract. The EDRF function was slightly reduced after 12 hours and could not be investigated after 24 and 36 hours. With the University o f Wisconsin solution (UW) and the low-potassium-dextran-glucose soluti on Perfadex no decrease in contractility was seen in the first 24 hour s, but at 36 hours the vessels preserved in UW had lost 40% (p < 0.01) and those preserved in Perfadex 30% (p < 0.05) of their contractility . The EDRF function was significantly reduced by about 15% after 6, 15 and 24 hours in both the UW and the Perfadex groups. At 36 hours, ves sels stored in Perfadex had lost 41% (p < 0.001) and those stored in U W 17% (p < 0.01) of their EDRF function. Vessels stored in Krebs solut ion (the only solution containing calcium) manifested no reduction in contractility throughout the 36-hour test period, but a marked decreas e in EDRF function was seen at 6 hours (12%; p < 0.05), 12 hours (31%; p < 0.05), 24 hours (68%; p < 0.001), and 36 hours (86%; p < 0.001). Vessels stored in heparinized blood maintained good contractility the first 24 hours, but after 36 hours a 30% (p < 0.05) loss of contractil ity was seen; the EDRF function was good for a period of up to 12 hour s, but showed a decrease in relaxation capacity after 24 hours (39%; p < 0.05) and after 36 hours (70%; p < 0.001). To conclude, UW and Perf adex gave good preservation for 24 hours. After 36 hours, UW was sligh tly better for the endothelium whereas Perfadex was slightly better fo r the smooth muscle function. Euro-Collins solution was not a suitable solution for long-term preservation of blood vessels. Considering the excellent results obtained with Krebs solution regarding contractilit y, we suggest that the addition of calcium to UW and Perfadex will imp rove their ability to preserve smooth muscle function during prolonged storage.