E. Sirois et al., GROWTH-FACTORS AND BIOLOGICAL SUPPORTS FOR ENDOTHELIAL-CELL LINING - IN-VITRO STUDY, International journal of artificial organs, 16(8), 1993, pp. 609-619
Endothelial cell covering over the vascular prosthesis luminal surface
is a process that may require the presence of growth factors (GFs) an
d extracellular matrix supports. Endothelialization could be improved
by combining both GFs and an extracellular matrix analog. In the prese
nt study, different biological substrates made of type I or IV collage
ns, gelatin, fibronectin, fibrin, laminin, chondroitin sulphate, hepar
an sulphate, heparin or hyaluronic acid were used to support endotheli
al cell culture. An endothelial cell growth supplement (ECGS) was inco
rporated in (group 1) or overlaid on (group 2) the substrates; or pres
ent in medium (group 3); or absent (group 4). GF binding assay using I
-125 bFGF showed that more GF remained combined to the substrates in g
roup 2 than those in group 1. Growth and morphology of human umbilical
vein endothelial cells were sequentially analyzed in vitro for 8 days
using DNA (nuclei counts) and F-actin labelings. Growth was relativel
y stable for the first 48 hours, later in groups 1, 2 and 4, cell deat
h was observed on all the substrates except for fibronectin. Growth fa
ilure could be related to the degradation or inefficient release of EC
GS. In group 3, growth increased and confluency was reached within 5-8
days on all the substrates except for gelatin and type I collagen. Co
nfluent cells containing actin filaments were organized on glycoprotei
ns and disorganized on glycosaminoglycans and fibrin. Despite that gly
coproteins can enhance cell adhesion and lining pattern, GFs continual
ly delivered in a fresh soluble form seem to be the appropriate condit
ion to obtain an endothelial cell lining.