In vitro modeling of nonhypoxic cold ischemia-reperfusion simulating lung transplantation.
OBJECTIVE
Although anoxia/reoxygenation of cultured cells has been used to model lung ischemia-reperfusion injury, this does not accurately mimic events experienced by lung cells while a lung is retrieved from a donor, stored, and transplanted. We developed an in vitro model of nonhypoxic ischemia-reperfusion injury to simulate these events.


METHODS
Human umbilical vein endothelial cells underwent simulated cold ischemia by replacing 37 degrees C culture media with 4 degrees C Perfadex (Vitrolife, Kungsbacka, Sweden) solution for 5 hours in 100% O(2). Culture dishes were allowed to warm to room temperature for 1 hour (implantation), and then Perfadex solution was replaced with 37 degrees C culture media (reperfusion).


RESULTS
During cold ischemia, the human umbilical vein endothelial cell filamentous actin cytoskeleton quickly became rearranged, and gaps developed in the previously confluent monolayer occupying 20% of the surface area. Simulated reperfusion resulted in reorganization to a confluent monolayer. Development of gaps was not due to enhanced necrosis based on lactate dehydrogenase retention assay. Endothelial cytoskeletal rearrangement could account for early edema caused by ischemia-reperfusion injury with reperfusion. Mitogen-activated protein kinase and nuclear factor kappaB activation occurred with simulated reperfusion despite normoxia. Levels of the proinflammatory cytokines interleukin 6 and interleukin 8 were significantly increased in media at the end of reperfusion.


CONCLUSIONS
Exposing human umbilical vein endothelial cells to simulated cold ischemia without hypoxia causes reversible cytoskeletal alterations, activation of inflammatory pathways, and elaboration of cytokines. Because this model accurately depicts events occurring during lung transplantation, it will be useful to explore mechanisms regulating lung cell response to this unique form of ischemia-reperfusion injury.
Casiraghi
Monica
M
Division of Cardiothoracic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Tatreau
Jason R
JR
Abano
John B
JB
Blackwell
John W
JW
Watson
Larry
L
Burridge
Keith
K
Randell
Scott H
SH
Egan
Thomas M
TM
D000199:Actins / Q000648:ultrastructure; D002478:Cells, Cultured; D050377:Cold Ischemia / Q000379:methods*; D003599:Cytoskeleton / Q000473:pathology; D004730:Endothelium, Vascular / Q000378:metabolism*; D006801:Humans; D015850:Interleukin-6 / Q000378:metabolism*; D016209:Interleukin-8 / Q000378:metabolism*; D016040:Lung Transplantation / Q000502:physiology*; D048055:Mitogen-Activated Protein Kinase 8 / Q000378:metabolism; D008954:Models, Biological; D014471:Umbilical Veins / Q000473:pathology
D000199:Actins; D015850:Interleukin-6; D016209:Interleukin-8; D048055:Mitogen-Activated Protein Kinase 8
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