Polyethylene Glycol Diisocyanate Decreases Platelet Deposition After Balloon Injury of Rabbit Femoral Arteries

作者: J.E.B. Burchenal , Christopher R. Deible , Timothy E. Deglau , Alan J. Russell , Eric J. Beckman

DOI: 10.1023/A:1015364024487

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摘要: Background: Platelet deposition after angioplasty remains problematic and may contribute to intimal hyperplasia restenosis. We proposed that polyethylene glycol diisocyanate (PEG-DISO), a polymer rapidly forms covalent linkages with amine residues on proteins, could mask thrombogenic vascular wall proteins from platelets, thereby abrogating acute platelet deposition. Methods Results: To test this hypothesis, we isolated the femoral arteries of 10 New Zealand White rabbits injured them 3 passes 2F Fogarty catheter which was inserted through distal arteriotomy. Immediately balloon injury, 111indium-labeled autologous platelets were infused peripherally randomly treated for 1 minute PEG-DISO solution in one artery control phosphate buffered saline vehicle contralateral artery. Following treatment, reflow initiated. The vessels harvested hour radioactivity quantified gamma counter. counts standardized by weight expressed as platelets/mg (mean ± SEM). onto (1.2 0.5) × 106 compared (5.6 4.2) (P < 0.005). Scanning electron micrographs vessel segment confirmed qualitatively less segments than segments. Conclusion: Treatment significantly inhibited injury. These data support hypothesis treatment masks surface adhesive receptors vivo resulting molecular barrier reduces damaged at least hour. formation molecularly thin thus be novel effective abrogate intravascular thrombosis have value

参考文章(19)
Peter C. Johnson, Richard A. Sheppeck, Trevor Macpherson, Kevin O. Garrett, Janine Janosky, Michael L. Bentz, Initial platelet deposition at the human microvascular anastomosis: effect on downstream platelet deposition to intact and injured vessels. Plastic and Reconstructive Surgery. ,vol. 90, pp. 650- 658 ,(1992) , 10.1097/00006534-199210000-00015
Herve Le Breton, Edward F. Plow, Eric J. Topol, Role of Platelets in Restenosis After Percutaneous Coronary Revascularization Journal of the American College of Cardiology. ,vol. 28, pp. 1643- 1651 ,(1996) , 10.1016/S0735-1097(96)00417-2
Laurence A. Harker, Role of platelets and thrombosis in mechanisms of acute occlusion and restenosis after angioplasty The American Journal of Cardiology. ,vol. 60, pp. 20- 28 ,(1987) , 10.1016/0002-9149(87)90479-6
H. Hertz, Available bilirubin binding sites of serum from newborns determined by a direct spectrometric method using bromphenol blue. Scandinavian Journal of Clinical & Laboratory Investigation. ,vol. 35, pp. 561- 568 ,(1975) , 10.1080/00365517509095781
J R Wilentz, T A Sanborn, C C Haudenschild, C R Valeri, T J Ryan, D P Faxon, Platelet accumulation in experimental angioplasty: time course and relation to vascular injury. Circulation. ,vol. 75, pp. 636- 642 ,(1987) , 10.1161/01.CIR.75.3.636
J. L. Hill-West, S. M. Chowdhury, M. J. Slepian, J. A. Hubbell, Inhibition of thrombosis and intimal thickening by in situ photopolymerization of thin hydrogel barriers Proceedings of the National Academy of Sciences of the United States of America. ,vol. 91, pp. 5967- 5971 ,(1994) , 10.1073/PNAS.91.13.5967
Patrick W. Serruys, Peter de Jaegere, Ferdinand Kiemeneij, Carlos Macaya, Wolfgang Rutsch, Guy Heyndrickx, Hakan Emanuelsson, Jean Marco, Victor Legrand, Pierre Materne, Jorge Belardi, Ulrich Sigwart, Antonio Colombo, Jean Jacques Goy, Paul van den Heuvel, Juan Delcan, Marie-angele Morel, A Comparison of Balloon-Expandable-Stent Implantation with Balloon Angioplasty in Patients with Coronary Artery Disease The New England Journal of Medicine. ,vol. 331, pp. 489- 495 ,(1994) , 10.1056/NEJM199408253310801
Christopher R. Deible, Patty Petrosko, Peter C. Johnson, Eric J. Beckman, Alan J. Russell, William R. Wagner, Molecular barriers to biomaterial thrombosis by modification of surface proteins with polyethylene glycol Biomaterials. ,vol. 19, pp. 1885- 1893 ,(1998) , 10.1016/S0142-9612(98)00098-2