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Updated: Aug 18, 2026

Procedure for Human Saphenous Veins Ex Vivo Perfusion and External Reinforcement
Published on: October 1, 2014
Shear force regulates matrix metalloproteinase activity in human saphenous vein organ culture
M A Patterson1, C D Leville, C D Hower
1Division of Vascular Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, 53226, USA.
Background:
Development of vein graft intimal hyperplasia has been related both to shear force and to the activity of matrix metalloproteinases (MMPs). Little data are available regarding the effects of shear on MMP expression and activity. The aim of this study was to examine the relationship among shear force, metalloproteinase activity, and intimal thickening in human saphenous vein segments maintained in organ culture.
Materials And Methods:
Segments of human saphenous vein were cultured under static conditions, or perfused under low-flow and high-flow conditions in a perfusion apparatus for 7 days. Metalloproteinase levels and activities were measured using ELISA and substrate gel zymography, respectively. Intimal thickening was determined by morphometric analysis. Results were compared with control vein tissue, which was not subjected to organ culture, using a one-way ANOVA.
Results:
A 13% increase in proteolytic activity was noted on substrate gel zymography at 68-72 kDa in high-flow vein tissue. The protein content of MMP-2, MMP-9, tissue inhibitor of metalloproteinase-1 (TIMP-1), and TIMP-2 was increased in high-flow vein tissue by 21%, 126%, more than 100-fold, and 86%, respectively. In culture media bathing the outside of the vein, TIMP-2 was increased in high-flow specimens, while TIMP-1 was inversely related to flow rate. Intimal thickening was directly related to flow rates, and was progressively increased in the low-flow and high-flow groups by 3-fold and 4-fold, respectively.
Conclusions:
Metalloproteinase levels in human saphenous vein cultures are related to shear force. MMP levels and activity correlate with the degree of intimal thickening. This model may provide a valuable tool for the analysis of physical forces and their influence on intimal thickening in human saphenous vein.
Insights
High blood flow increases matrix metalloproteinase (MMP) activity and intimal thickening in human saphenous vein grafts. This suggests shear force influences vein graft disease progression.
Area of Science:
- Vascular Biology
- Biomedical Engineering
- Cardiovascular Research
Background:
- Vein graft intimal hyperplasia is linked to shear stress and matrix metalloproteinases (MMPs).
- Limited data exist on shear force's impact on MMP expression and activity.
- This study investigates the relationship between shear force, MMP activity, and intimal thickening in human saphenous vein organ cultures.
Purpose of the Study:
- To examine the relationship among shear force, metalloproteinase activity, and intimal thickening.
- To investigate the influence of varying flow rates on human saphenous vein segments in organ culture.
- To establish a model for analyzing physical forces' effects on intimal thickening.
Main Methods:
- Human saphenous vein segments were cultured under static, low-flow, or high-flow conditions for 7 days.
- Metalloproteinase levels and activities were quantified using ELISA and substrate gel zymography.
- Intimal thickening was assessed morphometrically and compared to control tissue.
Main Results:
- High flow increased proteolytic activity and MMP-2, MMP-9, TIMP-1, and TIMP-2 levels in vein tissue.
- Intimal thickening was directly proportional to flow rate, increasing 3-fold in low-flow and 4-fold in high-flow conditions.
- TIMP-2 increased with high flow in culture media, while TIMP-1 showed an inverse relationship with flow rate.
Conclusions:
- Metalloproteinase levels in human saphenous vein cultures are significantly influenced by shear force.
- MMP levels and activity demonstrate a strong correlation with the extent of intimal thickening.
- This organ culture model offers a valuable platform for studying the impact of physical forces on vein graft intimal hyperplasia.
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