Apoptosis and cell proliferation after porcine coronary angioplasty

Angioplasty initiates a number of responses in the vessel wall including cellular migration, proliferation, and matrix accumulation, all of which contribute to neointima formation and restenosis. Cellular homeostasis within a tissue depends on the balance between cell proliferation and apoptosis. Pr...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1998-10, Vol.98 (16), p.1657-1665
Hauptverfasser: MALIK, N, FRANCIS, S. E, HOLT, C. M, GUNN, J, THOMAS, G. L, SHEPHERD, L, CHAMBERLAIN, J, NEWMAN, C. M. H, CUMBERLAND, D. C, CROSSMAN, D. C
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container_end_page 1665
container_issue 16
container_start_page 1657
container_title Circulation (New York, N.Y.)
container_volume 98
creator MALIK, N
FRANCIS, S. E
HOLT, C. M
GUNN, J
THOMAS, G. L
SHEPHERD, L
CHAMBERLAIN, J
NEWMAN, C. M. H
CUMBERLAND, D. C
CROSSMAN, D. C
description Angioplasty initiates a number of responses in the vessel wall including cellular migration, proliferation, and matrix accumulation, all of which contribute to neointima formation and restenosis. Cellular homeostasis within a tissue depends on the balance between cell proliferation and apoptosis. Profiles of apoptosis and proliferation were therefore examined in a porcine PTCA injury model over a 28-day period. Forty-two arteries from 21 pigs, harvested at the site of maximal injury at 1, 6, and 18 hours, and 3, 7, 14, and 28 days after PTCA, were examined (n=3 animals per time point). Uninjured arteries were used as controls. Apoptosis was demonstrated by the terminal uridine nick-end labeling (TUNEL) method, transmission electron microscopy (TEM), and DNA fragmentation. Cells traversing the cell cycle were identified by immunostaining for proliferating cell nuclear antigen (PCNA). Apoptosis was not detected in control vessels at all time points nor at 28 days after PTCA. Apoptotic cells were identified at all early time points with a peak at 6 hours (5.1+/-0.26%; compared to uninjured artery, P
doi_str_mv 10.1161/01.cir.98.16.1657
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E ; HOLT, C. M ; GUNN, J ; THOMAS, G. L ; SHEPHERD, L ; CHAMBERLAIN, J ; NEWMAN, C. M. H ; CUMBERLAND, D. C ; CROSSMAN, D. C</creator><creatorcontrib>MALIK, N ; FRANCIS, S. E ; HOLT, C. M ; GUNN, J ; THOMAS, G. L ; SHEPHERD, L ; CHAMBERLAIN, J ; NEWMAN, C. M. H ; CUMBERLAND, D. C ; CROSSMAN, D. C</creatorcontrib><description>Angioplasty initiates a number of responses in the vessel wall including cellular migration, proliferation, and matrix accumulation, all of which contribute to neointima formation and restenosis. Cellular homeostasis within a tissue depends on the balance between cell proliferation and apoptosis. Profiles of apoptosis and proliferation were therefore examined in a porcine PTCA injury model over a 28-day period. Forty-two arteries from 21 pigs, harvested at the site of maximal injury at 1, 6, and 18 hours, and 3, 7, 14, and 28 days after PTCA, were examined (n=3 animals per time point). Uninjured arteries were used as controls. Apoptosis was demonstrated by the terminal uridine nick-end labeling (TUNEL) method, transmission electron microscopy (TEM), and DNA fragmentation. Cells traversing the cell cycle were identified by immunostaining for proliferating cell nuclear antigen (PCNA). Apoptosis was not detected in control vessels at all time points nor at 28 days after PTCA. Apoptotic cells were identified at all early time points with a peak at 6 hours (5.1+/-0.26%; compared to uninjured artery, P&lt;0.001) and confirmed by characteristic DNA ladders and TEM findings. Regional analysis showed apoptosis within the media, adventitia, and neointima peaked at 18 hours, 6 hours, and 7 days after PTCA, respectively. In comparison, PCNA staining peaked at 3 days after PTCA (7.16+/-0.29%; compared to 1.78+/-0.08% PCNA-positive cells in the uninjured artery, P&lt;0.001). Profiles of apoptosis and cell proliferation after PTCA were discordant in all layers of the artery except the neointima. These profiles also differed between traumatized and nontraumatized regions of the arterial wall. Immunostaining with cell-type specific markers and TEM analysis revealed that apoptotic cells included vascular smooth muscle cells (VSMCs), inflammatory cells, and adventitial fibroblasts. These results suggest that the profile of apoptosis and proliferation after PTCA is regional and cell specific, and attempts to modulate either of these events for therapeutic benefit requires recognition of these differences.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.cir.98.16.1657</identifier><identifier>PMID: 9778332</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Actins - analysis ; Angioplasty, Balloon, Coronary - adverse effects ; Animals ; Antigens - analysis ; Apoptosis - physiology ; Biological and medical sciences ; Cell Division - physiology ; Cell Nucleus - ultrastructure ; Coronary Vessels - injuries ; Diseases of the cardiovascular system ; In Situ Nick-End Labeling ; Logistic Models ; Medical sciences ; Microscopy, Electron ; Muscle, Smooth, Vascular - immunology ; Muscle, Smooth, Vascular - ultrastructure ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Staining and Labeling ; Swine</subject><ispartof>Circulation (New York, N.Y.), 1998-10, Vol.98 (16), p.1657-1665</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Oct 20, 1998</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-c3fe69207a2712125486ed5b57244a6584cb8154465f6cb07cd27673f618af913</citedby><cites>FETCH-LOGICAL-c503t-c3fe69207a2712125486ed5b57244a6584cb8154465f6cb07cd27673f618af913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,3689,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2427313$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9778332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MALIK, N</creatorcontrib><creatorcontrib>FRANCIS, S. E</creatorcontrib><creatorcontrib>HOLT, C. M</creatorcontrib><creatorcontrib>GUNN, J</creatorcontrib><creatorcontrib>THOMAS, G. L</creatorcontrib><creatorcontrib>SHEPHERD, L</creatorcontrib><creatorcontrib>CHAMBERLAIN, J</creatorcontrib><creatorcontrib>NEWMAN, C. M. H</creatorcontrib><creatorcontrib>CUMBERLAND, D. C</creatorcontrib><creatorcontrib>CROSSMAN, D. C</creatorcontrib><title>Apoptosis and cell proliferation after porcine coronary angioplasty</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Angioplasty initiates a number of responses in the vessel wall including cellular migration, proliferation, and matrix accumulation, all of which contribute to neointima formation and restenosis. Cellular homeostasis within a tissue depends on the balance between cell proliferation and apoptosis. Profiles of apoptosis and proliferation were therefore examined in a porcine PTCA injury model over a 28-day period. Forty-two arteries from 21 pigs, harvested at the site of maximal injury at 1, 6, and 18 hours, and 3, 7, 14, and 28 days after PTCA, were examined (n=3 animals per time point). Uninjured arteries were used as controls. Apoptosis was demonstrated by the terminal uridine nick-end labeling (TUNEL) method, transmission electron microscopy (TEM), and DNA fragmentation. Cells traversing the cell cycle were identified by immunostaining for proliferating cell nuclear antigen (PCNA). Apoptosis was not detected in control vessels at all time points nor at 28 days after PTCA. Apoptotic cells were identified at all early time points with a peak at 6 hours (5.1+/-0.26%; compared to uninjured artery, P&lt;0.001) and confirmed by characteristic DNA ladders and TEM findings. Regional analysis showed apoptosis within the media, adventitia, and neointima peaked at 18 hours, 6 hours, and 7 days after PTCA, respectively. In comparison, PCNA staining peaked at 3 days after PTCA (7.16+/-0.29%; compared to 1.78+/-0.08% PCNA-positive cells in the uninjured artery, P&lt;0.001). Profiles of apoptosis and cell proliferation after PTCA were discordant in all layers of the artery except the neointima. These profiles also differed between traumatized and nontraumatized regions of the arterial wall. Immunostaining with cell-type specific markers and TEM analysis revealed that apoptotic cells included vascular smooth muscle cells (VSMCs), inflammatory cells, and adventitial fibroblasts. These results suggest that the profile of apoptosis and proliferation after PTCA is regional and cell specific, and attempts to modulate either of these events for therapeutic benefit requires recognition of these differences.</description><subject>Actins - analysis</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Animals</subject><subject>Antigens - analysis</subject><subject>Apoptosis - physiology</subject><subject>Biological and medical sciences</subject><subject>Cell Division - physiology</subject><subject>Cell Nucleus - ultrastructure</subject><subject>Coronary Vessels - injuries</subject><subject>Diseases of the cardiovascular system</subject><subject>In Situ Nick-End Labeling</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Microscopy, Electron</subject><subject>Muscle, Smooth, Vascular - immunology</subject><subject>Muscle, Smooth, Vascular - ultrastructure</subject><subject>Radiotherapy. 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C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Apoptosis and cell proliferation after porcine coronary angioplasty</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1998-10-20</date><risdate>1998</risdate><volume>98</volume><issue>16</issue><spage>1657</spage><epage>1665</epage><pages>1657-1665</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Angioplasty initiates a number of responses in the vessel wall including cellular migration, proliferation, and matrix accumulation, all of which contribute to neointima formation and restenosis. Cellular homeostasis within a tissue depends on the balance between cell proliferation and apoptosis. Profiles of apoptosis and proliferation were therefore examined in a porcine PTCA injury model over a 28-day period. Forty-two arteries from 21 pigs, harvested at the site of maximal injury at 1, 6, and 18 hours, and 3, 7, 14, and 28 days after PTCA, were examined (n=3 animals per time point). Uninjured arteries were used as controls. Apoptosis was demonstrated by the terminal uridine nick-end labeling (TUNEL) method, transmission electron microscopy (TEM), and DNA fragmentation. Cells traversing the cell cycle were identified by immunostaining for proliferating cell nuclear antigen (PCNA). Apoptosis was not detected in control vessels at all time points nor at 28 days after PTCA. Apoptotic cells were identified at all early time points with a peak at 6 hours (5.1+/-0.26%; compared to uninjured artery, P&lt;0.001) and confirmed by characteristic DNA ladders and TEM findings. Regional analysis showed apoptosis within the media, adventitia, and neointima peaked at 18 hours, 6 hours, and 7 days after PTCA, respectively. In comparison, PCNA staining peaked at 3 days after PTCA (7.16+/-0.29%; compared to 1.78+/-0.08% PCNA-positive cells in the uninjured artery, P&lt;0.001). Profiles of apoptosis and cell proliferation after PTCA were discordant in all layers of the artery except the neointima. These profiles also differed between traumatized and nontraumatized regions of the arterial wall. Immunostaining with cell-type specific markers and TEM analysis revealed that apoptotic cells included vascular smooth muscle cells (VSMCs), inflammatory cells, and adventitial fibroblasts. These results suggest that the profile of apoptosis and proliferation after PTCA is regional and cell specific, and attempts to modulate either of these events for therapeutic benefit requires recognition of these differences.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>9778332</pmid><doi>10.1161/01.cir.98.16.1657</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Actins - analysis
Angioplasty, Balloon, Coronary - adverse effects
Animals
Antigens - analysis
Apoptosis - physiology
Biological and medical sciences
Cell Division - physiology
Cell Nucleus - ultrastructure
Coronary Vessels - injuries
Diseases of the cardiovascular system
In Situ Nick-End Labeling
Logistic Models
Medical sciences
Microscopy, Electron
Muscle, Smooth, Vascular - immunology
Muscle, Smooth, Vascular - ultrastructure
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Staining and Labeling
Swine
title Apoptosis and cell proliferation after porcine coronary angioplasty
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