A. Sasame et al., A study to determine if basic fibroblast growth factor (bFGF) reduces myocardial infarct size in acute coronary arterial occlusion, JPN HEART J, 40(2), 1999, pp. 165-178
We investigated the angiogenic and myocardial salvage effects of bFGF. Twel
ve beagles with ligated left anterior descending coronary arteries were div
ided into two groups: a FGF group administered bFGF intravenously, and a Co
ntrol group, after CAG immediately post-ligation. One week post-ligation, C
AG was repeated. The heart was sliced along the short axis. For each sectio
n, the fluorescein Na staining deficit area (DA) and ratio of DA to total a
rea (DAR), TTC staining of the infarct area (CA) and ratio of IA to total a
rea (IAR), and Masson trichrome staining of the fibrosed area (MA) and rati
o of MA to total area (MAR), were calculated. The increase in the number of
collateral vessels, seen on CAG from post-ligation to 1 week later, was si
gnificantly greater in the FGF group. No significant differences in IAR or
MAR were seen between the groups. However, DAR and DA/IA were significantly
less in the FGF group. In conclusion, bFGF had no effect on infarct size,
but stimulated the growth of collateral vessels and improved coronary blood
flow in IA.