PMID- 25240243 OWN - NLM STAT- MEDLINE DCOM- 20160607 LR - 20160125 IS - 1097-6809 (Electronic) IS - 0741-5214 (Linking) VI - 63 IP - 2 DP - 2016 Feb TI - Inhibitory effects of mesenchymal stem cells in intimal hyperplasia after balloon angioplasty. PG - 510-7 LID - S0741-5214(14)01624-3 [pii] LID - 10.1016/j.jvs.2014.08.058 [doi] AB - OBJECTIVE: Intimal hyperplasia is a major cause of restenosis after arterial bypass and balloon angioplasty. Induction of rapid re-endothelialization has been proposed to reduce intimal hyperplasia. The aim of this study was to evaluate the inhibitory effect of mesenchymal stem cells on intimal hyperplasia. METHODS: Male New Zealand white rabbits were fed 1% cholesterol diets from 1 week before balloon angioplasty to the day of harvest. After dissection of rabbit carotid arteries, balloon angioplasty was performed with a 2F Fogarty embolectomy catheter. The injured carotid artery was coated with a mixture of 7 x 10(6) human umbilical cord mesenchymal stem cells (HUC-MSCs) and fibrin matrix. The carotid arteries were harvested 2, 4, and 8 weeks thereafter, and immunofluorescent staining and quantitative real-time polymerase chain reaction analysis were performed. RESULTS: The intima/media ratio was significantly reduced in the group treated with HUC-MSCs compared with the nontreated group (Student t-tests, *P < .05). The area of re-endothelialization was significantly higher (Student t-tests, *P < .05) in the group treated with HUC-MSCs than in the nontreated group. Expression of angiogenic genes such as vascular endothelial growth factor, platelet-derived growth factor, kinase insert domain receptor 1, angiopoietin 1, and angio-associated migratory cell protein was increased (analysis of variance, P < .05) in the group treated with HUC-MSCs relative to the nontreated group. CONCLUSIONS: Our study showed that HUC-MSCs reduce the formation of intimal hyperplasia through rapid re-endothelialization. This result might be applied to development of stem cell-coated stents as well as to development of a stem cell-containing sheet coat for inhibition of intimal hyperplasia after angioplasty or surgery. CI - Copyright (c) 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. FAU - Kim, Ae-Kyeong AU - Kim AK AD - Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Min-Hee AU - Kim MH AD - Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Do-Hyung AU - Kim DH AD - Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Go, Ha-Nl AU - Go HN AD - Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Cho, Seung-Woo AU - Cho SW AD - Department of Biotechnology, Yonsei University, Seoul, Korea. FAU - Um, Soong Ho AU - Um SH AD - School of Chemical Engineering and SKKU Advanced Institute of Nanotechnology, Sungkyunkwan University, Seoul, Korea. FAU - Kim, Dong-Ik AU - Kim DI AD - Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address: dikim@skku.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140918 PL - United States TA - J Vasc Surg JT - Journal of vascular surgery JID - 8407742 RN - 0 (Angiogenic Proteins) SB - IM MH - Angiogenic Proteins/genetics/metabolism MH - *Angioplasty, Balloon MH - Animals MH - Carotid Arteries/metabolism/*pathology MH - Carotid Artery Injuries/etiology/genetics/metabolism/pathology/*surgery MH - Diet, High-Fat MH - Disease Models, Animal MH - Gene Expression Regulation MH - Humans MH - Hyperplasia MH - Macrophages/metabolism/pathology MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - *Neointima MH - Rabbits MH - Re-Epithelialization MH - Time Factors MH - Vascular Remodeling EDAT- 2014/09/23 06:00 MHDA- 2016/06/09 06:00 CRDT- 2014/09/22 06:00 PHST- 2014/05/16 00:00 [received] PHST- 2014/08/05 00:00 [accepted] PHST- 2014/09/22 06:00 [entrez] PHST- 2014/09/23 06:00 [pubmed] PHST- 2016/06/09 06:00 [medline] AID - S0741-5214(14)01624-3 [pii] AID - 10.1016/j.jvs.2014.08.058 [doi] PST - ppublish SO - J Vasc Surg. 2016 Feb;63(2):510-7. doi: 10.1016/j.jvs.2014.08.058. Epub 2014 Sep 18.