|
1
|
Zheleznova NN, Sun C, Patel N, Hall N, Williams KM, Zhang J, Wei J, Xiang L, Patel R, Soni S, Sheth D, Lai E, Qiu X, Hernandez Soto N, Liu R. Comparison of Different Animal Models in Hindlimb Functional Recovery after Acute Limb Ischemia-Reperfusion Injury. Biomedicines 2024; 12:2079. [PMID: 39335593 PMCID: PMC11428748 DOI: 10.3390/biomedicines12092079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2024] [Accepted: 09/10/2024] [Indexed: 09/30/2024] Open
Abstract
Acute limb ischemia (ALI) is a sudden lack of blood flow to a limb, primarily caused by arterial embolism and thrombosis. Various experimental animal models, including non-invasive and invasive methods, have been developed and successfully used to induce limb ischemia-reperfusion injuries (L-IRI). However, there is no consensus on the methodologies used in animal models for L-IRI, particularly regarding the assessment of functional recovery. The present study aims to compare different approaches that induce L-IRI and determine the optimal animal model to study functional limb recovery. In this study, we applied a pneumatic cuff as a non-invasive method and ligated the aorta, iliac, or femoral artery as invasive methods to induce L-IRI. We have measured grip strength, motor function, creatine kinase level, inflammatory markers such as nuclear factor NF-κB, interleukin-6 (IL-6), hypoxia markers such as hypoxia-induced factor-1α (HIF-1α), and evaluated the muscle injury with hematoxylin and eosin (H&E) staining in Sprague Dawley rats after inducing L-IRI. The pneumatic pressure cuff method significantly decreased the muscle strength of the rats, causing the loss of ability to hold the grid and inducing significant limb function impairment, while artery ligations did not. We conclude from this study that the tourniquet cuff method could be ideal for studying functional recovery after L-IRI in the rat model.
Collapse
Affiliation(s)
- Nadezhda N. Zheleznova
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Claire Sun
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Nakul Patel
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Nathan Hall
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Kristof M. Williams
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Jie Zhang
- Division of Nephrology at Boston Medical Center, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA 02118, USA; (J.Z.); (J.W.)
| | - Jin Wei
- Division of Nephrology at Boston Medical Center, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA 02118, USA; (J.Z.); (J.W.)
| | - Lusha Xiang
- United States Army Institute of Surgical Research, 3698 Chambers Pass BLDG 3611, Ft. Sam Houston, TX 78234, USA;
| | - Ridham Patel
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Sahil Soni
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Divya Sheth
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Enyin Lai
- Department of Physiology, Zhejiang University School of Medicine, Hangzhou 310058, China; (E.L.); (X.Q.)
| | - Xingyu Qiu
- Department of Physiology, Zhejiang University School of Medicine, Hangzhou 310058, China; (E.L.); (X.Q.)
| | - Nohely Hernandez Soto
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| | - Ruisheng Liu
- Department of Molecular Pharmacology and Physiology, University of South Florida College of Medicine, Tampa, FL 33612, USA; (N.N.Z.); (C.S.); (N.P.); (N.H.); (K.M.W.); (R.P.); (S.S.); (D.S.); (N.H.S.)
| |
Collapse
|
|
2
|
Zeng J, Liu J, Ni H, Zhang L, Wang J, Li Y, Jiang W, Wu Z, Zhou M. Mitochondrial transplantation reduces lower limb ischemia-reperfusion injury by increasing skeletal muscle energy and adipocyte browning. Mol Ther Methods Clin Dev 2023; 31:101152. [PMID: 38027061 PMCID: PMC10667789 DOI: 10.1016/j.omtm.2023.101152] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 11/03/2023] [Indexed: 12/01/2023]
Abstract
Recent studies have shown that mitochondrial transplantation can repair lower limb IRI, but the underlying mechanism of the repair effect remains unclear. In this study, we found that in addition to being taken up by skeletal muscle cells, human umbilical cord mesenchymal stem cells (hMSCs)-derived mitochondria were also taken up by adipocytes, which was accompanied by an increase in optic atrophy 1 (OPA1) and uncoupling protein 1. Transplantation of hMSCs-derived mitochondria could not only supplement the original damaged mitochondrial function of skeletal muscle, but also promote adipocyte browning by increasing the expression of OPA1. In this process, mitochondrial transplantation can reduce cell apoptosis and repair muscle tissue, which promotes the recovery of motor function in vivo. To the best of our knowledge, there is no study on the therapeutic mechanism of mitochondrial transplantation from this perspective, which could provide a theoretical basis.
Collapse
Affiliation(s)
- Jiaqi Zeng
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
- Department of Vascular Surgery, Kunshan Traditional Chinese Medicine Hospital, Kunshan 215300, China
| | - Jianing Liu
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
| | - Haiya Ni
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
| | - Ling Zhang
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
| | - Jun Wang
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
| | - Yazhou Li
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
| | - Wentao Jiang
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - Ziyu Wu
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| | - Min Zhou
- Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210046, China
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
| |
Collapse
|
|
3
|
Korei C, Szabo B, Varga A, Barath B, Deak A, Vanyolos E, Hargitai Z, Kovacs I, Nemeth N, Peto K. Hematological, Micro-Rheological, and Metabolic Changes Modulated by Local Ischemic Pre- and Post-Conditioning in Rat Limb Ischemia-Reperfusion. Metabolites 2021; 11:metabo11110776. [PMID: 34822434 PMCID: PMC8625580 DOI: 10.3390/metabo11110776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 11/10/2021] [Accepted: 11/11/2021] [Indexed: 12/19/2022] Open
Abstract
In trauma and orthopedic surgery, limb ischemia-reperfusion (I/R) remains a great challenge. The effect of preventive protocols, including surgical conditioning approaches, is still controversial. We aimed to examine the effects of local ischemic pre-conditioning (PreC) and post-conditioning (PostC) on limb I/R. Anesthetized rats were randomized into sham-operated (control), I/R (120-min limb ischemia with tourniquet), PreC, or PostC groups (3 × 10-min tourniquet ischemia, 10-min reperfusion intervals). Blood samples were taken before and just after the ischemia, and on the first postoperative week for testing hematological, micro-rheological (erythrocyte deformability and aggregation), and metabolic parameters. Histological samples were also taken. Erythrocyte count, hemoglobin, and hematocrit values decreased, while after a temporary decrease, platelet count increased in I/R groups. Erythrocyte deformability impairment and aggregation enhancement were seen after ischemia, more obviously in the PreC group, and less in PostC. Blood pH decreased in all I/R groups. The elevation of creatinine and lactate concentration was the largest in PostC group. Histology did not reveal important differences. In conclusion, limb I/R caused micro-rheological impairment with hematological and metabolic changes. Ischemic pre- and post-conditioning had additive changes in various manners. Post-conditioning showed better micro-rheological effects. However, by these parameters it cannot be decided which protocol is better.
Collapse
Affiliation(s)
- Csaba Korei
- Department of Traumatology and Hand Surgery, Faculty of Medicine, University of Debrecen, Bartok Bela ut 2-26, H-4031 Debrecen, Hungary;
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
- Doctoral School of Clinical Medicine, University of Debrecen, Nagyerdei krt. 98, H-4032 Debrecen, Hungary
| | - Balazs Szabo
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
- Doctoral School of Clinical Medicine, University of Debrecen, Nagyerdei krt. 98, H-4032 Debrecen, Hungary
| | - Adam Varga
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
- Doctoral School of Clinical Medicine, University of Debrecen, Nagyerdei krt. 98, H-4032 Debrecen, Hungary
| | - Barbara Barath
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
- Doctoral School of Clinical Medicine, University of Debrecen, Nagyerdei krt. 98, H-4032 Debrecen, Hungary
| | - Adam Deak
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
| | - Erzsebet Vanyolos
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
| | - Zoltan Hargitai
- Clinical Center, Pathology Unit, Kenezy Campus, University of Debrecen, Bartok Bela ut 2-26, H-4031 Debrecen, Hungary; (Z.H.); (I.K.)
| | - Ilona Kovacs
- Clinical Center, Pathology Unit, Kenezy Campus, University of Debrecen, Bartok Bela ut 2-26, H-4031 Debrecen, Hungary; (Z.H.); (I.K.)
| | - Norbert Nemeth
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
- Correspondence: ; Tel./Fax: +36-52-416-915
| | - Katalin Peto
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond u. 22, H-4002 Debrecen, Hungary; (B.S.); (A.V.); (B.B.); (A.D.); (E.V.); (K.P.)
| |
Collapse
|
|
4
|
Aquarius R, Smits D, Gounis MJ, Leenders WPJ, de Vries J. Flow diverter implantation in a rat model of sidewall aneurysm: a feasibility study. J Neurointerv Surg 2017; 10:88-92. [DOI: 10.1136/neurintsurg-2016-012878] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Revised: 01/12/2017] [Accepted: 01/13/2017] [Indexed: 11/04/2022]
Abstract
BackgroundMore challenging animal models are needed to elucidate the efficacy of flow diverter (FD) designs and the mechanisms behind observed complications. The purpose of this study is to demonstrate the feasibility of implanting a FD in a sidewall aneurysm rat model.MethodsAn end-to-side anastomosis was created in the abdominal aorta of 36 rats using a decellularized donor pouch. A FD was subsequently implanted.ResultsAfter up to 3 months of follow-up, we observed that rats displayed normal growth and behavior. Mortality within the groups was low (2 rats, 5.6%). All aneurysms thrombosed after FD implantation and showed progressive soft tissue replacement of the thrombus during follow-up. The abdominal aortas remained patent.ConclusionsThis model can be used to test the effects of FDs in future studies.
Collapse
|
|
5
|
Aranyi P, Turoczi Z, Garbaisz D, Lotz G, Geleji J, Hegedus V, Rakonczay Z, Balla Z, Harsanyi L, Szijarto A. Postconditioning in major vascular surgery: prevention of renal failure. J Transl Med 2015; 13:21. [PMID: 25622967 PMCID: PMC4314807 DOI: 10.1186/s12967-014-0379-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 12/30/2014] [Indexed: 01/16/2023] Open
Abstract
Background Postconditioning is a novel reperfusion technique to reduce ischemia-reperfusion injuries. The aim of the study was to investigate this method in an animal model of lower limb revascularization for purpose of preventing postoperative renal failure. Methods Bilateral lower limb ischemia was induced in male Wistar rats for 3 hours by infrarenal aorta clamping under narcosis. Revascularization was allowed by declamping the aorta. Postconditioning (additional 10 sec reocclusion, 10 sec reperfusion in 6 cycles) was induced at the onset of revascularization. Myocyte injury and renal function changes were assessed 4, 24 and 72 hours postoperatively. Hemodynamic monitoring was performed by invasive arterial blood pressure registering and a kidney surface laser Doppler flowmeter. Results Muscle viability studies showed no significant improvement with the use of postconditioning in terms of ischemic rhabdomyolysis (4 h: ischemia-reperfusion (IR) group: 42.93 ± 19.20% vs. postconditioned (PostC) group: 43.27 ± 27.13%). At the same time, renal functional laboratory tests and kidney myoglobin immunohistochemistry demonstrated significantly less expressed kidney injury in postconditioned animals (renal failure index: 4 h: IR: 2.37 ± 1.43 mM vs. PostC: 0.92 ± 0.32 mM; 24 h: IR: 1.53 ± 0.45 mM vs. PostC: 0.77 ± 0.34 mM; 72 h: IR: 1.51 ± 0.36 mM vs. PostC: 0.43 ± 0.28 mM), while systemic hemodynamics and kidney microcirculation significantly improved (calculated reperfusion area: IR: 82.31 ± 12.23% vs. PostC: 99.01 ± 2.76%), and arterial blood gas analysis showed a lesser extent systemic acidic load after revascularization (a defined relative base excess parameter: 1st s: IR: 2.25 ± 1.14 vs. PostC: 1.80 ± 0.66; 2nd s: IR: 2.14 ± 1.44 vs. PostC: 2.44 ± 1.14, 3rd s: IR: 3.99 ± 3.09 vs. PostC: 2.07 ± 0.82; 4th s: IR: 3.28 ± 0.32 vs. PostC: 2.05 ± 0.56). Conclusions The results suggest a protective role for postconditioning in major vascular surgeries against renal complications through a possible alternative release of nephrotoxic agents and exerting a positive effect on hemodynamic stability.
Collapse
Affiliation(s)
- Peter Aranyi
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| | - Zsolt Turoczi
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| | - David Garbaisz
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| | - Gabor Lotz
- 2nd Department of Pathology, Semmelweis University, Budapest, Hungary.
| | - Janos Geleji
- Eötvös Loránd University, Faculty of Science, Institute of Mathematics, Budapest, Hungary.
| | - Viktor Hegedus
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| | - Zoltan Rakonczay
- First Department of Internal Medicine, University of Szeged, Szeged, Hungary.
| | - Zsolt Balla
- First Department of Internal Medicine, University of Szeged, Szeged, Hungary.
| | - Laszlo Harsanyi
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| | - Attila Szijarto
- 1st Department of Surgery, Semmelweis University, Budapest, Hungary.
| |
Collapse
|