Heart valve dysfunction resulting from cellular rejection in a novel heterotopic transplantation rat model View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-04

AUTHORS

F. B. S. Oei, M. J. P. Welters, L. M. B. Vaessen, R. L. Marquet, P. E. Zondervan, W. Weimar, A. J. JC. Bogers

ABSTRACT

Structural failure of heart valve allografts may be related to technical factors or immunological reactions. To circumvent nonimmunological factors a new rat implantation model was developed to study whether alloreactivity results in histopathological changes and valve dysfunction. Syngeneic (WAG-WAG, DA-DA) and allogeneic (WAG-BN, WAG-DA) transplantation was carried out using this new technique, and the function of explanted valves was assessed 21 days later by retrograde comptence testing. Additionally, grafts were examined using standard histological and immunohistochemical techniques. There was no leakage during retrograde injection in nine of tem syngeneic and two of ten allogeneic grafts. Microscopically, syngeneic valves appeared normal without fibrosis or intimal thickening, although CD8+ lymphocytes and macrophages were found in necrotic myocardial rim and adventitia. In contrast, allogeneic valves were deformed and noncellular, with extensive infiltration of CD4+, CD8+ and CD68+ cells in adventitia and media. Absence of fibrosis and intimal thickening in syngeneic transplanted valves indicated circumvention of nonimmunological factors. Allogeneic valve transplantation induces cellular infiltration in the graft with subsequent graft failure. More... »

PAGES

s528-s531

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001470050395

DOI

http://dx.doi.org/10.1007/s001470050395

DIMENSIONS

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132 Departments of Thoracic Surgery, Room Bd. 158, University Hospital Rotterdam-Dijkzigt, P. O. Box 2040, 3000 CA Rotterdam, The Netherlands e-mail: oei@inw1.azr.nl, Tel.: + 31–10–4635420, Fax: + 31–10–4 635430, NL
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