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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 F1α 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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Article info
Publication history
Accepted:
April 6,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.