title: A novel in vivo rabbit model of abdominal aortic aneurysm induced by periarterial incubation of papain.
abstract: OBJECTIVE
  The objective of this study was to determine the possibility of creating a novel animal model of abdominal aortic aneurysm (AAA) in rabbits by the periarterial application of papain.
  
  
  METHODS
  Twelve New Zealand white rabbits were randomized into two groups: (1) the papain group, which received 2mg of papain (n = 8) and (2) the control group, which received physiologic saline solution (n = 4). A 1-cm aortic segment proximal to the bifurcation was isolated, and its adventitia was incubated with papain for 20 minutes. The rabbits underwent intravenous digital subtraction angiography (IVDSA) 5 and 21 days after the operation. The animals were then humanely killed for histomorphometric and immunohistochemical studies.
  
  
  RESULTS
  All animals in the papain group developed AAA, with an average aneurysm diameter of 4.0 ± 0.6 and 4.1 ± 0.4 mm on days 5 and 21, respectively. No aneurysms were seen in the control group. On day 5, the papain-incubated aortas exhibited thinned and disorganized aortic walls, with decreased smooth muscle cells (SMCs) and fragmented and almost nonexistent elastic lamella. Media thickening, intimal hyperplasia, and smooth muscle cell regeneration were obvious on day 21. Immunostaining of matrix metalloproteinase (MMP)-9 and RAM11 showed strong expression in the papain group. On the contrary, the control group did not present histologic alterations and showed almost no expression of MMP-9 and RAM11.
  
  
  CONCLUSIONS
  A novel in vivo rabbit model of AAA can be induced through periarterial application of papain for 20 minutes. This model is similar to an elastase-induced aneurysm model and could be useful to clarify AAA pathogenesis and endovascular treatment intervention.
authors.affiliation: Department of Radiology, Affiliated First Hospital, China Medical University, Shenyang, China.
authors.forename: Yonghua
authors.initials: Y
authors.lastname: Bi
authors.forename: Ke
authors.initials: K
authors.lastname: Xu
authors.forename: Hongshan
authors.initials: H
authors.lastname: Zhong
authors.forename: Xun
authors.initials: X
authors.lastname: Qi
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zhang
authors.forename: Yicheng
authors.initials: Y
authors.lastname: Ni
mesh_terms: D015901:Angiography, Digital Subtraction; D000818:Animals; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000378:metabolism; D017544:Aortic Aneurysm, Abdominal / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000378:metabolism; D015415:Biomarkers / Q000378:metabolism; D004195:Disease Models, Animal; D007150:Immunohistochemistry; D020780:Matrix Metalloproteinase 9 / Q000378:metabolism; D010206:Papain; D011817:Rabbits; D013997:Time Factors
chemical_list: D015415:Biomarkers; D010206:Papain; D020780:Matrix Metalloproteinase 9