J Korean Surg Soc.
2000 Feb;58(2):161-170.
Effects of Postaglandin E1 on the Oxidative Stress Injury Index and the Expression of PCNA in Vein Grafts of Rabbit Carotid Arteries
- Affiliations
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- 1Department of Surgery, Seoul National University College of Medicine.
- 2Department of Pharmacology, Seoul National University College of Medicine.
- 3Department of Pathology, Seoul National University College of Medicine.
Abstract
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BACKGROUND: This study investigated the protective mechanism of Prostagladin E1 (PGE1) against
intimal hyperplasia after vein interposition grafts in rabbits. It has been demonstrated that active oxygen
species contribute to vascular smooth muscle cell growth via early cell cycle gene activation. We
attempted to study whether PGE1 had an effect on the inhibition of the oxidative stress injury index
(8-OHdG, MDA).
METHODS
Forty-eight jugular vein grafts were inserted into the carotid arteries of male hyperlipidemic
New Zealand white rabbits, which were divided into 2 groups (saline group and PGE1 group). Saline
and Prostaglandin E1 (0.1 microgram/kg/min) were administered as a continuous infusion for 2 hours every day
from just before graft interposition to harvest. The vein grafts were harvested at 6 hour, 1 day, 1 week,
and 2 week after grafting and rapidly stored in liquid nitrogen ( 70oC). 8-OHdG was measured by
using high performance liquid chromatography coupled with electrochemical detection (HPLC-EC), and
malondialdehyde (MDA) was measured by using thiobarbituric acid (TBA) assay. PC 10 index and
intimal thickness of the grafts were measured with a computer digitalized image analyzer.
RESULTS
There was no difference in 8-OHdG levels between the saline and the PGE1 groups. PGE1
had more inhibitory effect on the MDA level as an oxidative stress injury index, but its action was
restricted to 1 day. A morphometric analysis and an immunohistochemical study showed that the PGE1
group had more suppressive effects both in intimal thickeness and proliferating cell nuclear antigen
(PCNA) expression than the saline group (p<0.05). CONCLUSION: These results suggest that PGE1 is
effective in preventing intimal hyperplasia after vein interposition grafts in rabbits and may play a role
in inhibiting oxidative stress injury.