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Updated: Aug 29, 2026

Quantitation of Endothelial Cell Adhesiveness In Vitro
Published on: June 18, 2015
Influence of ionic and non-ionic radiographic contrast media on leukocyte adhesion molecules
Guy L J Vermeiren1, Roel Willems, Marc J Claeys
1Department of Intensive Care, University Hospital of Antwerp, Wilrijkstraat 10, B 2650 Edegem, Belgium.
Insights
Ionic radiographic contrast media (RCM) reduced granulocyte adhesion in vivo during coronary angiography, unlike non-ionic RCM. This contrasts with in vitro findings, highlighting RCM
Area of Science:
- Cardiovascular Research
- Immunology
- Medical Imaging
Background:
- Granulocytes play a key role in ischemia-reperfusion injury.
- Previous studies on coronary angiography often overlook the impact of radiographic contrast media (RCM) on granulocyte function.
- Understanding RCM effects is crucial for accurate leukocyte analysis during procedures.
Purpose of the Study:
- To evaluate the in vivo effect of ionic versus non-ionic RCM on granulocyte adhesion during coronary angiography.
- To investigate the in vitro influence of RCM ionicity and osmolarity on granulocyte adhesion molecules.
Main Methods:
- A randomized patient study (n=37) assessed granulocyte adhesion following ionic and non-ionic RCM administration.
- In vitro experiments examined the effects of different RCM properties on granulocyte adhesion molecules (CD11b expression).
- Serum osmolarity and CD11b expression (mean fluorescence intensity) were measured.
Main Results:
- Patient serum osmolarity increased significantly after RCM infusion (p < 0.05).
- Non-ionic RCM significantly upregulated CD11b expression in vivo (p < 0.05).
- Ionic RCM showed reduced in vivo CD11b expression but significantly decreased it in vitro (p < 0.05).
Conclusions:
- Ionic RCM demonstrated a significant reduction in granulocyte adhesion molecule upregulation in vivo.
- Ionic RCM exhibited opposing effects in vitro, decreasing CD11b expression.
- The distinct in vivo and in vitro effects of RCM on leukocytes necessitate careful consideration during functional analysis.
Background:
Many papers have focused on the importance of granulocytes in the process of reperfusion and ischemia. Most of the clinical studies measured several parameters of this process during and after coronary angiography, without taking into account the effect of the radiographic contrast media (RCM) used during this procedure.
Materials And Methods:
We performed a randomized patient study (n = 37) to evaluate the effect of ionic and non-ionic RCM on granulocyte adhesion during coronary angiography. We also evaluated the influence of the ionicity and osmolarity of the different substances on granulocyte adhesion molecules in in vitro experiments.
Results:
The osmolarity of patient serum samples increased from 302 +/- 1 to 309 +/- 1 mOsm/kg (p < 0.05) after infusion of RCM. The CD11b expression in the samples of the non-ionic RCM treated group increased from 221 +/- 21 MFI to 377 +/- 30 MFI (p < 0.05) measured as the absolute mean fluorescence intensity (MFI), yet did not alter significantly in the ionic RCM group. In contrast, the in vitro experiments showed a reduction of the CD11b expression from 360 +/- 70 MFI to 149 +/- 30 MFI (p < 0.05) in the ionic RCM group.
Conclusions:
The upregulation of adhesion molecules was significantly reduced in vivo with ionic RCM, while ionic substances caused opposite effects in vitro. This effect should be taken into account when performing leukocyte functional analysis of samples taken during angiography.
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