Background. Proteins adsorbed by bioprosthetic tissues after implantation p
lay a major role in the process of calcification. We investigated whether t
here are differences in protein adsorption between bovine pericardial and p
orcine valvular tissues that could correlate with the differences observed
clinically.
Methods. Glutaraldehyde-treated bovine pericardial and porcine valve sample
s were implanted subcutaneously in rats and retrieved 1 month after implant
ation. Total protein content was assessed by Lowry's method. Qualitative an
alysis was performed by polyacrylamide gel electrophoresis. Quantitative an
alysis was performed by densitometry.
Results. Total protein content showed a higher protein concentration in por
cine valve tissue than in pericardial tissue: 149 +/- 22.6 mug/mg dry tissu
e versus 108 +/- 12.7 mug/mg dry tissue (38% increase). In pericardial tiss
ue, four protein bands (17, 16, 15.5, and 13.5 kd) showed decreased concent
ration when compared with porcine valve tissue, whereas one band (11 kd) sh
owed increased concentration.
Conclusions. Significant differences were found in protein content between
bovine pericardial and porcine valve tissues. Correlations with clinical fi
ndings may lead to a better understanding of the mechanism involved in the
process of calcification, particularly the role played by the structure of
the tissues. (C) 2001 by The Society of Thoracic Surgeons.