Comparison of Anticoagulant Effects on Vein Grafts between Human TFPI Gene Transfection and Aspirin Oral Administration

• Published in: Journal of Huazhong University of Science and Technology. Medical sciences Vol. 28; no. 2; pp. 147 - 151
• Main Author: 冯德广 厉泉 张凯伦 蒋雄刚 冷松 邓荷萍 冯剑锷 孙图成 吴龙 周诚
• Format: Journal Article
• Language: English
• Published: Heidelberg Huazhong University of Science and Technology 01.04.2008; Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022,China%Department of Ultrasound Diagnosis, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022,China
• Subjects: Administration, Oral; Animals; Anticoagulants - metabolism; Aspirin - administration & dosage; Aspirin - metabolism; Coronary Artery Bypass; Disease Models, Animal; Humans; Lipoproteins - metabolism; Medicine; Medicine & Public Health; Plasmids - metabolism; Rabbits; Tissue Transplantation - methods; Transfection; Ultrasonography, Doppler - methods; Veins - transplantation; Venous Thrombosis - metabolism; 抗凝血剂; 移植技术; 阿斯匹林; aspirin; tissue factor pathway inhibitor; coronary artery bypass; venous thrombosis; transplants
• ISSN: 1672-0733; 1993-1352
• DOI: 10.1007/s11596-008-0208-4

To develop a more efficient antithrombotic way after coronary artery bypass grafting （CABG）, the anticoagulant effects were compared of human tissue factor pathway inhibitor （TFPI） gene transfection and aspirin oral administration （traditional method） on vein grafts. An eukaryotic expression plasmid pCMV-（Kozak） TFPI was prepared. Animal model of carotid artery bypass grafting was constructed. In operation, endothelial cells of vein grafts in TFPI group and empty plasmid control group were transfected with pCMV-（Kozak） TFPI and empty plasmid pCMV respectively, while no transfection was conducted in aspirin control group. After operation, aspirin （2 mg·kg^-1·d^-1） was administered （i.g.） in aspirin control group. Three days later, grafts （n=10） were harvested for RT-PCR, Western blotting and immunohistochemical analyses of exogenous gene expression and for pathological, scanning electron microscopic observation of thrombus. Thirty days later, the patency rates of remnant grafts （n= 10） were recorded by vessel Doppler ultrasonography. Human TFPI gene products were detected in gene transferred vein grafts. Three days later, thrombi were found in 7 animals of aspirin control group and in 8 animals of empty plasmid control group, but in only 1 of TFPI group （P〈0.01）. Thirty days later, 5 grafts were occluded in empty plasmid control group, but none of grafts was occluded in the other groups （P〈0.05）. The endothelial surfaces of grafts in both of the control groups were covered with aggregated erythrocytes and platelets, and it were not seen in TFPI group. It was suggested that the anticoagulant effects on vein grafts of human TFPI gene transfection are better than those of aspirin.