Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats

Ischemia/reperfusion injury (IRI) remains a challenge in coronary artery bypass grafting (CABG). Diabetic patients with coronary artery disease are more likely to require CABG and therefore run a high risk for cardiovascular complications. Conditioned medium (CM) from bone marrow-derived mesenchymal...

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Main Authors: Sevil Korkmaz-Icöz, Gianluca Sistori, Sivakkanan Loganathan, Alex Ali Sayour, Paige Brlecic, Tamás Radovits, Maik Brune, Matthias Karck, Gábor Szabó
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2022/7019088
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author Sevil Korkmaz-Icöz
Gianluca Sistori
Sivakkanan Loganathan
Alex Ali Sayour
Paige Brlecic
Tamás Radovits
Maik Brune
Matthias Karck
Gábor Szabó
author_facet Sevil Korkmaz-Icöz
Gianluca Sistori
Sivakkanan Loganathan
Alex Ali Sayour
Paige Brlecic
Tamás Radovits
Maik Brune
Matthias Karck
Gábor Szabó
author_sort Sevil Korkmaz-Icöz
collection DOAJ
description Ischemia/reperfusion injury (IRI) remains a challenge in coronary artery bypass grafting (CABG). Diabetic patients with coronary artery disease are more likely to require CABG and therefore run a high risk for cardiovascular complications. Conditioned medium (CM) from bone marrow-derived mesenchymal stem cells has been shown to have beneficial effects against IRI. We hypothesized that adding CM to physiological saline protects vascular grafts from IRI in diabetic rats. Bone-marrow derived cells were isolated from nondiabetic rat femurs/tibias, and CM was generated. As we previously reported, CM contains 23 factors involved in inflammation, oxidative stress, and apoptosis. DM was induced by streptozotocin administration. Eight weeks later, to measure vascular function, aortic rings were isolated and mounted in organ bath chambers (DM group) or stored in 4°C saline, supplemented either with a vehicle (DM-IR group) or CM (DM-IR+CM group). Although DM was associated with structural changes compared to controls, there were no functional alterations. However, compared to the DM group, in the DM-IR aortas, impaired maximum endothelium-dependent vasorelaxation in response to acetylcholine (DM 86.7±0.1% vs. DM-IR 42.5±2.5% vs. DM-IR+CM 61.9±2.0%, p<0.05) was improved, caspase-3, caspase-8, caspase-9, and caspase-12 immunoreactivity was decreased, and DNA strand breakage, detected by the TUNEL assay, was reduced by CM. We present the experimental finding that the preservation of vascular grafts with CM prevents endothelial dysfunction after IRI in diabetic rats. Targeting apoptosis by CM may contribute to its protective effect.
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spelling doaj-art-7a1a92956b7443d09bb0ecf4e05254f92025-08-20T02:07:16ZengWileyStem Cells International1687-96782022-01-01202210.1155/2022/7019088Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic RatsSevil Korkmaz-Icöz0Gianluca Sistori1Sivakkanan Loganathan2Alex Ali Sayour3Paige Brlecic4Tamás Radovits5Maik Brune6Matthias Karck7Gábor Szabó8Department of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryHeart and Vascular CenterDepartment of Medicine I and Clinical ChemistryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryIschemia/reperfusion injury (IRI) remains a challenge in coronary artery bypass grafting (CABG). Diabetic patients with coronary artery disease are more likely to require CABG and therefore run a high risk for cardiovascular complications. Conditioned medium (CM) from bone marrow-derived mesenchymal stem cells has been shown to have beneficial effects against IRI. We hypothesized that adding CM to physiological saline protects vascular grafts from IRI in diabetic rats. Bone-marrow derived cells were isolated from nondiabetic rat femurs/tibias, and CM was generated. As we previously reported, CM contains 23 factors involved in inflammation, oxidative stress, and apoptosis. DM was induced by streptozotocin administration. Eight weeks later, to measure vascular function, aortic rings were isolated and mounted in organ bath chambers (DM group) or stored in 4°C saline, supplemented either with a vehicle (DM-IR group) or CM (DM-IR+CM group). Although DM was associated with structural changes compared to controls, there were no functional alterations. However, compared to the DM group, in the DM-IR aortas, impaired maximum endothelium-dependent vasorelaxation in response to acetylcholine (DM 86.7±0.1% vs. DM-IR 42.5±2.5% vs. DM-IR+CM 61.9±2.0%, p<0.05) was improved, caspase-3, caspase-8, caspase-9, and caspase-12 immunoreactivity was decreased, and DNA strand breakage, detected by the TUNEL assay, was reduced by CM. We present the experimental finding that the preservation of vascular grafts with CM prevents endothelial dysfunction after IRI in diabetic rats. Targeting apoptosis by CM may contribute to its protective effect.http://dx.doi.org/10.1155/2022/7019088
spellingShingle Sevil Korkmaz-Icöz
Gianluca Sistori
Sivakkanan Loganathan
Alex Ali Sayour
Paige Brlecic
Tamás Radovits
Maik Brune
Matthias Karck
Gábor Szabó
Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
Stem Cells International
title Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
title_full Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
title_fullStr Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
title_full_unstemmed Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
title_short Bone Marrow Culture-Derived Conditioned Medium Recovers Endothelial Function of Vascular Grafts following In Vitro Ischemia/Reperfusion Injury in Diabetic Rats
title_sort bone marrow culture derived conditioned medium recovers endothelial function of vascular grafts following in vitro ischemia reperfusion injury in diabetic rats
url http://dx.doi.org/10.1155/2022/7019088
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