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Original communication| Volume 105, ISSUE 1, P36-45, January 1989

Prelining of polytetrafluoroethylene grafts with cultured human endothelial cells isolated from varicose veins

  • G. Leseche
    Correspondence
    Reprint requests: G. Tobelem, servia d'Angiohématologie, INSERM U 150 et CNRS UA 334, Hôpital Lariboisiere, 6, Rue Guy-Patin, 73475 Paris Cedex 10, France.
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
  • A. Bikfalvi
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
  • E. Dupuy
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
  • G. Tobelem
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
  • B. Andreassian
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
  • J. Caen
    Affiliations
    From Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France

    Service d'Angiohématologie, Hôpital Lariboisière, Paris, France
    Search for articles by this author
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      Abstract

      Prelining graft material with autologous functioning endothelial cells might be one of the ultimate requirements to obtain a biocompatible surface. Accordingly, endothelial cells from stripped varicose veins were enzymatically harvested and grown on a fibronectin matrix. Proliferation was investigated in defined medium supplemented with various concentrations of endothelial cell growth supplement (ECGS) (25, up to 150 μg/ml) and heparin (10−8, up to 10−5mol/L): optimal growth required both 150 μg/ml of ECGS and 10−5mol/L heparin. Under these conditions, cell culture achieved cell densities at a confluence of 1.2 ± 1.1 105 cells/cm2 with a doubling time of 1 day. During subcultivation cultured cells consistently exhibited characteristic cobblestone morphology and immunofluorescent staining for factor VIII-related antigen, whereas prostacyclin production determined by enzyme-linked immunosorbent assay for 6-keto-prostaglandin F reached 21.1 ± 1.2 ng/106 cells after 15-minute stimulation with 1 U/ml of thrombin. Heparin-containing culture medium-endothelial cell interactions were particularly studied, and with iodine 125-heparin, binding was demonstrated with an apparent dissociation constant (Kd) of 0.36 ± 0.04 μmol/L. A cold storage technique at −80 °C was sought, and freezed cells were used to coat in vitro polytetrafluoroethylene grafts. Protein-treated material allowed cell attachment and growth to a confluent monolayer as assayed by light and scanning electron microscopy. These data validate the feasibility of prelining grafts in vitro with autologous functioning endothelial cells. This approach may be useful in improving the performance of small-caliber vascular grafts according to prostacyclin production and surface-bound heparin of these cells.
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