Endovascular irradiation impairs vascular functional responses in noninjured pig coronary arteries

Autor: John Todd, Keith A. Robinson, Jinsheng Li, Jianhua Cui, Nicolas Chronos, Bunken Ebato, Hector De Leon
Rok vydání: 2002
Předmět:
Zdroj: Cardiovascular Radiation Medicine. 3:152-162
ISSN: 1522-1865
DOI: 10.1016/s1522-1865(03)00096-9
Popis: Purpose: To assess the effects of endovascular irradiation on vascular structure and function in pig coronary arteries in the absence of vascular injury. Methods and Materials: Vasomotor responses to contractions of KCl and prostaglandin F2α (PGF 2α ), relaxations to endothelium-dependent (substance P, A23187) and -independent (sodium nitroprusside, SNP) agents; endothelial morphology and superoxide anion (O 2 ·− ) production were investigated in control (naive), sham and irradiated (20 Gy, 32 P) arteries 1 month after irradiation. Results: Contractions to KCl and PGF 2α in the presence of l-NAME were significantly decreased, relaxations to substance P and A23187 were abolished and SNP-induced relaxation was potentiated in irradiated arteries compared to naive and sham-treated vessels. Scanning electron microscopy (SEM) revealed enlarged endothelial cells (ECs) exhibiting surface microvilli. O 2 ·− production was significantly increased in irradiated vessels (437.0±37.3 vs. 126.0±11.6 RLU/s/mg tissue, P Conclusions: One month after brachytherapy, normal pig coronary arteries showed abnormal vascular reactivity, altered endothelial morphology and increased production of O 2 ·− . Lack of relaxation to substance P and A23187 reflects ionizing radiation-mediated damage to ECs, whereas potentiation of relaxation to SNP suggests additional deleterious effects on medial smooth muscle cells (SMCs). Increased O 2 ·− production might have contributed to endothelial dysfunction by scavenging nitric oxide (NO).
Databáze: OpenAIRE