PMID- 16567189 OWN - NLM STAT- MEDLINE DCOM- 20061026 LR - 20060328 IS - 1531-5037 (Electronic) IS - 0022-3468 (Linking) VI - 41 IP - 4 DP - 2006 Apr TI - Extracellular matrix dynamics associated with tissue-engineered intravascular sclerotherapy. PG - 757-62 AB - BACKGROUND: The extracellular dynamics after intravascular sclerotherapy with an injectable, fibroblast-based engineered construct is unknown. METHODS: Rabbits underwent ethanol sclerotherapy of a jugular vein segment. Control animals (n = 40) underwent no further treatment or an acellular collagen hydrogel was injected. Experimental animals (n = 20) received a tissue-engineered construct. After 1, 2, 4, and 20 to 24 weeks, segments were evaluated for collagen, glycosaminoglycan (GAG), matrix metalloproteinase (MMP) 2 and 9, and tissue inhibitors of MMP (TIMPs) 1 and 2 and scored on a scale of 0 to 3. Groups and time points were compared using nonparametric statistical analysis. RESULTS: Collagen content was higher in animals that received fibroblasts (P < .05). Glycosaminoglycan analysis showed a higher grade only at 1 week (P < .05). Collagen and GAG deposition were prominent at weeks 1 through 4, and decreased over time. Both MMP-2 and MMP-9 and TIMP-1 and TIMP-2 grade decreased with time (P < .01) in all groups, with no differences between groups. CONCLUSION: Enhancement of intravascular sclerotherapy by tissue engineering stems, at least in part, from increased local deposition of collagen and GAG. MMP and TIMPs may play a role in recanalization after experimental sclerotherapy. Tissue engineering may be a valuable adjunct for the treatment of vascular malformations. FAU - Vogel, Adam M AU - Vogel AM AD - Department of Surgery, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA. FAU - Smithers, C Jason AU - Smithers CJ FAU - Kozakewich, Harry P AU - Kozakewich HP FAU - Zurakowski, David AU - Zurakowski D FAU - Moses, Marsha A AU - Moses MA FAU - Burrows, Patricia E AU - Burrows PE FAU - Fauza, Dario O AU - Fauza DO FAU - Fishman, Steven J AU - Fishman SJ LA - eng PT - Journal Article PL - United States TA - J Pediatr Surg JT - Journal of pediatric surgery JID - 0052631 RN - 0 (Hydrogels) RN - 9007-34-5 (Collagen) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Animals MH - Collagen/*administration & dosage MH - Extracellular Matrix/*metabolism MH - Fibroblasts/*transplantation MH - Hydrogels/*administration & dosage MH - Injections MH - Matrix Metalloproteinases/*metabolism MH - Rabbits MH - Sclerotherapy/*methods MH - *Tissue Engineering EDAT- 2006/03/29 09:00 MHDA- 2006/10/27 09:00 CRDT- 2006/03/29 09:00 PHST- 2006/03/29 09:00 [pubmed] PHST- 2006/10/27 09:00 [medline] PHST- 2006/03/29 09:00 [entrez] AID - S0022-3468(06)00110-2 [pii] AID - 10.1016/j.jpedsurg.2006.02.021 [doi] PST - ppublish SO - J Pediatr Surg. 2006 Apr;41(4):757-62. doi: 10.1016/j.jpedsurg.2006.02.021.