PMID- 28565801 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 13 IP - 5 DP - 2017 May TI - Inflammatory response associated with choke vessel remodeling in the extended perforator flap model. PG - 2012-2018 LID - 10.3892/etm.2017.4205 [doi] AB - Ischemic necrosis of the surgical flap is a common complication. The behavior of choke vessels has an important role in skin flap survival. However, the mechanism of choke vessel remodeling has remained elusive. The purpose of the present study was to investigate the possible association between inflammatory responses and choke vessel remodeling in the extended perforator flap model in rats. After flap elevation, the animals were randomly divided into three groups (n=6 in each) for tissue analysis at three, five or seven days after flap surgery. Six additional rats served as a control group (no flap elevation). Tissue samples were collected from the choke zone for histological, western blot and PCR analyses. Monocyte chemoattractant protein-1 (MCP-1) and tumor necrosis factor-alpha (TNF-alpha) as inflammatory cytokines were examined in the present study. Histopathological analysis showed that dilation of choke vessels and increased vessel wall thickness was obvious after flap elevation. It also showed edema, inflammation cell aggregation after the operation. Compared with the control group, the protein and mRNA expression levels of MCP-1 and TNF-alpha were significantly increased at days 3, 5 and 7 after flap elevation, while reaching a maximum at day 5. These findings indicated that inflammatory responses may have an important role in choke vessel remodeling. MCP-1 and TNF-alpha may be considered as potential targets for modulating the behavior of choke vessels. FAU - Qing, Liming AU - Qing L AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Lei, Pengfei AU - Lei P AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Tang, Juyu AU - Tang J AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Wu, Pangfeng AU - Wu P AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Wang, Long AU - Wang L AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Xie, Jie AU - Xie J AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. FAU - Hu, Yihe AU - Hu Y AD - Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China. LA - eng PT - Journal Article DEP - 20170308 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC5443226 OTO - NOTNLM OT - biomarkers OT - choke vessels OT - inflammation OT - perforator flap EDAT- 2017/06/02 06:00 MHDA- 2017/06/02 06:01 PMCR- 2017/03/08 CRDT- 2017/06/02 06:00 PHST- 2016/01/06 00:00 [received] PHST- 2016/12/23 00:00 [accepted] PHST- 2017/06/02 06:00 [entrez] PHST- 2017/06/02 06:00 [pubmed] PHST- 2017/06/02 06:01 [medline] PHST- 2017/03/08 00:00 [pmc-release] AID - ETM-0-0-4205 [pii] AID - 10.3892/etm.2017.4205 [doi] PST - ppublish SO - Exp Ther Med. 2017 May;13(5):2012-2018. doi: 10.3892/etm.2017.4205. Epub 2017 Mar 8.