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Endothelial cell injury induced by preservation solutions: a confocal microscopy study
Francesco Alamanni1, Alessandro Parolari, Rossana Visigalli
1Department of Cardiac Surgery, Centro Cardiologico-Fondazione I Monzino IRCCS, University of Milan, Italy.
The Annals of Thoracic Surgery
|May 23, 2002
Summary
Standard preservation solutions impact human vein endothelial cells differently. Celsior and University of Wisconsin solutions better preserve cell viability compared to Euro-Collins and St. Thomas solutions, which cause significant damage.
Area of Science:
- Vascular Biology
- Cell Preservation
- Organ Transplantation
Background:
- Standard preservation solutions are crucial for organ transplantation.
- Human greater saphenous vein endothelial cells are vital for vascular health.
- Assessing the impact of preservation solutions on endothelial cells is critical for improving graft survival.
Purpose of the Study:
- To evaluate the effects of commonly used preservation solutions on human greater saphenous vein endothelial cells.
- To compare the efficacy of Celsior, Euro-Collins, St. Thomas Hospital II, and University of Wisconsin solutions in preserving endothelial cell viability.
Main Methods:
- Human greater saphenous vein endothelial cells (eight strains) were incubated at 4°C for 6 or 24 hours in four different preservation solutions.
- Cells were subsequently reincubated in warm culture medium and observed for up to 48 hours.
- Cell viability was assessed using cell counting and confocal microscopy after calcein staining.
Main Results:
- Euro-Collins and St. Thomas solutions induced significant cell loss and morphological damage, with distinct alterations specific to each solution.
- Celsior and University of Wisconsin solutions demonstrated minimal impact on cell viability and morphology.
- Damage induced by a 6-hour incubation was reversible, whereas 24-hour incubation led to potentially irreversible injury.
Conclusions:
- Celsior and University of Wisconsin solutions effectively preserve endothelial cell viability and proliferative capacity.
- Euro-Collins and St. Thomas solutions cause severe, potentially irreversible damage, inducing apoptotic and necrotic changes, respectively.
- Solution choice is critical for minimizing endothelial cell injury during preservation.