PMID- 22054652 OWN - NLM STAT- MEDLINE DCOM- 20120209 LR - 20161125 IS - 1552-6259 (Electronic) IS - 0003-4975 (Linking) VI - 93 IP - 1 DP - 2012 Jan TI - Novel small-caliber vascular grafts with trimeric Peptide for acceleration of endothelialization. PG - 156-63; discussion 163 LID - 10.1016/j.athoracsur.2011.07.055 [doi] AB - BACKGROUND: Both rapid endothelialization and the prevention of intimal hyperplasia are essential to improve the patency of small-caliber vascular grafts (SCVGs). Using the peptide array based screening system, we identified the peptide CAG (cysteine-alanine-glycine), which has a high affinity for endothelial cells and a low adhesive property for smooth muscle cells (SMCs). In this article, we report an in vivo analysis of novel vascular grafts that were constructed with a biodegradable polymer (poly-epsilon-caprolactone [PCL]) containing CAG peptide. METHODS: The novel SCVG, which measured 0.7 mm in diameter and 7 mm in length, was fabricated using the electrospinning technique. Carotid arterial replacement was performed on Sprague-Dawley rats using SCVGs with (group CAG) or without CAG (group C). Histologic and biochemical assessments were performed at 1, 2, and 6 weeks after implantation. RESULTS: The ratio of endothelialization was significantly higher in group CAG compared with group C (CAG versus C, 64.4+/-20.0% versus 42.1+/-8.9% at 1 week; p=0.017; 98.2+/-2.3% versus 72.7+/-12.9% at 2 weeks; p=0.001; and 97.4+/-4.6% versus 76.7+/-5.4% at 6 weeks; p<0.001). Additionally, Western blot analysis showed that the level of endothelial nitric oxide synthase (eNOS) at 1 week in group CAG was significantly higher than that in group C (CAG versus C, 1.20+/-0.37 versus 0.34+/-0.16; p=0.013), and that alpha-smooth muscle actin (ASMA) at 6 weeks in group CAG was significantly lower than that in group C (CAG versus C, 0.89+/-0.06 versus 1.25+/-0.22; p=0.04). CONCLUSIONS: The graft with CAG promoted rapid endothelialization and the potential for inhibition of intimal hyperplasia. CI - Copyright (c) 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. FAU - Kuwabara, Fumiaki AU - Kuwabara F AD - Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Narita, Yuji AU - Narita Y FAU - Yamawaki-Ogata, Aika AU - Yamawaki-Ogata A FAU - Kanie, Kei AU - Kanie K FAU - Kato, Ryuji AU - Kato R FAU - Satake, Makoto AU - Satake M FAU - Kaneko, Hiroaki AU - Kaneko H FAU - Oshima, Hideki AU - Oshima H FAU - Usui, Akihiko AU - Usui A FAU - Ueda, Yuichi AU - Ueda Y LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111104 PL - Netherlands TA - Ann Thorac Surg JT - The Annals of thoracic surgery JID - 15030100R RN - 0 (Caproates) RN - 0 (Lactones) RN - 56RE988L1R (caprolactone) SB - IM MH - Absorbable Implants MH - Animals MH - Arterial Occlusive Diseases/*surgery MH - *Blood Vessel Prosthesis MH - *Caproates MH - Disease Models, Animal MH - Endothelium, Vascular/*pathology MH - Hyperplasia MH - *Lactones MH - Male MH - Miniaturization MH - Muscle, Smooth, Vascular/*pathology MH - Prosthesis Design MH - Rats MH - Rats, Sprague-Dawley EDAT- 2011/11/08 06:00 MHDA- 2012/02/10 06:00 CRDT- 2011/11/08 06:00 PHST- 2011/05/05 00:00 [received] PHST- 2011/07/12 00:00 [revised] PHST- 2011/07/19 00:00 [accepted] PHST- 2011/11/08 06:00 [entrez] PHST- 2011/11/08 06:00 [pubmed] PHST- 2012/02/10 06:00 [medline] AID - S0003-4975(11)01817-0 [pii] AID - 10.1016/j.athoracsur.2011.07.055 [doi] PST - ppublish SO - Ann Thorac Surg. 2012 Jan;93(1):156-63; discussion 163. doi: 10.1016/j.athoracsur.2011.07.055. Epub 2011 Nov 4.