Role of Glutaraldehyde in Calcification of Porcine Aortic Valve Fibroblasts

Glutaraldehyde-treated porcine aortic valve xenografts frequently fail due to calcification. Calcification in the prostheses begins intracellularly. In a previous study, various types of cell injury to canine valvular fibroblasts, including glutaraldehyde treatment, led to calcification. An influx o...

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Veröffentlicht in:The American journal of pathology 1999-03, Vol.154 (3), p.843-852
Hauptverfasser: Kim, Kookmin M., Herrera, Guillermo A., Battarbee, Harold D.
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Herrera, Guillermo A.
Battarbee, Harold D.
description Glutaraldehyde-treated porcine aortic valve xenografts frequently fail due to calcification. Calcification in the prostheses begins intracellularly. In a previous study, various types of cell injury to canine valvular fibroblasts, including glutaraldehyde treatment, led to calcification. An influx of extracellular Ca 2+ into the phosphate-rich cytosol was theorized to be the mechanism of calcification. To test the Ca 2+ influx theory, cytosolic Ca 2+ and P i concentrations were assessed in glutaraldehyde-treated porcine aortic valve fibroblasts, and their relationship to a subsequent calcification was studied. Glutaraldehyde caused an immediate and sustained massive cytosolic Ca 2+ increase that was dose dependent and a several-fold increase in P i. Calcification of cells followed within a week. The earliest calcification was observed in blebs formed on glutaraldehyde-treated cells. Live control cells or cells fixed with glutaraldehyde in Ca 2+-free solution did not calcify under the same conditions. Concomitant increases in Ca 2+ and P i in glutaraldehyde-treated cells appear to underlie the mechanism of calcification, and the presence of extracellular Ca 2+ during glutaraldehyde fixation promotes calcification.
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Calcification in the prostheses begins intracellularly. In a previous study, various types of cell injury to canine valvular fibroblasts, including glutaraldehyde treatment, led to calcification. An influx of extracellular Ca 2+ into the phosphate-rich cytosol was theorized to be the mechanism of calcification. To test the Ca 2+ influx theory, cytosolic Ca 2+ and P i concentrations were assessed in glutaraldehyde-treated porcine aortic valve fibroblasts, and their relationship to a subsequent calcification was studied. Glutaraldehyde caused an immediate and sustained massive cytosolic Ca 2+ increase that was dose dependent and a several-fold increase in P i. Calcification of cells followed within a week. The earliest calcification was observed in blebs formed on glutaraldehyde-treated cells. Live control cells or cells fixed with glutaraldehyde in Ca 2+-free solution did not calcify under the same conditions. 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subjects Animals
Aortic Valve - drug effects
Aortic Valve - metabolism
Aortic Valve - pathology
Aortic Valve - physiopathology
Biological and medical sciences
Calcinosis - chemically induced
Calcinosis - metabolism
Calcinosis - pathology
Calcinosis - physiopathology
Calcium - metabolism
Cardiology. Vascular system
Cells, Cultured
Cytosol - metabolism
Dose-Response Relationship, Drug
Endocardial and cardiac valvular diseases
Fibroblasts - drug effects
Fibroblasts - metabolism
Fibroblasts - pathology
Fibroblasts - physiology
Glutaral - metabolism
Glutaral - pharmacology
Heart
In Vitro Techniques
Medical sciences
Microscopy, Electron
Phosphates - metabolism
Regular
title Role of Glutaraldehyde in Calcification of Porcine Aortic Valve Fibroblasts
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