title: Prelining of polytetrafluoroethylene grafts with cultured human endothelial cells isolated from varicose veins.
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 micrograms/ml) and heparin (10(-8), up to 10(-5)mol/L): optimal growth required both 150 micrograms/ml of ECGS and 10(-5)mol/L heparin. Under these conditions, cell culture achieved cell densities at a confluence of 1.2 +/- 1.1 10(5) 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 F1 alpha reached 21.1 +/- 1.2 ng/10(6) 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 mumol/L. A cold storage technique at -80 degrees 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.
authors.affiliation: Service de Chirurgie Vasculaire et Thoracique, Hôpital Beaujon, Clichy, France.
authors.forename: G
authors.initials: G
authors.lastname: Leseche
authors.forename: A
authors.initials: A
authors.lastname: Bikfalvi
authors.forename: E
authors.initials: E
authors.lastname: Dupuy
authors.forename: G
authors.initials: G
authors.lastname: Tobelem
authors.forename: B
authors.initials: B
authors.lastname: Andreassian
authors.forename: J
authors.initials: J
authors.lastname: Caen
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D002448:Cell Adhesion; D002455:Cell Division; D002469:Cell Separation; D002478:Cells, Cultured; D003080:Cold Temperature; D003584:Cytological Techniques; D004730:Endothelium, Vascular / Q000378:metabolism / Q000473:pathology / Q000648:ultrastructure; D006493:Heparin / Q000378:metabolism; D006801:Humans; D008855:Microscopy, Electron, Scanning; D011138:Polytetrafluoroethylene; D011309:Preservation, Biological; D012501:Saphenous Vein / Q000378:metabolism / Q000473:pathology; D014648:Varicose Veins / Q000473:pathology
chemical_list: D011138:Polytetrafluoroethylene; D006493:Heparin