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2016 ; 6
(ä): 37917
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gab.com Text
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English Wikipedia
Impaired Endothelial Nitric Oxide Synthase Homodimer Formation Triggers
Development of Transplant Vasculopathy - Insights from a Murine Aortic
Transplantation Model
#MMPMID27883078
Oberhuber R
; Riede G
; Cardini B
; Bernhard D
; Messner B
; Watschinger K
; Steger C
; Brandacher G
; Pratschke J
; Golderer G
; Werner ER
; Maglione M
Sci Rep
2016[Nov]; 6
(ä): 37917
PMID27883078
show ga
Transplant vasculopathy (TV) represents a major obstacle to long-term graft
survival and correlates with severity of ischemia reperfusion injury (IRI). Donor
administration of the nitric oxide synthases (NOS) co-factor tetrahydrobiopterin
has been shown to prevent IRI. Herein, we analysed whether tetrahydrobiopterin is
also involved in TV development. Using a fully allogeneic mismatched (BALB/c to
C57BL/6) murine aortic transplantation model grafts subjected to long cold
ischemia time developed severe TV with intimal hyperplasia (?-smooth muscle actin
positive cells in the neointima) and endothelial activation (increased P-selectin
expression). Donor pretreatment with tetrahydrobiopterin significantly minimised
these changes resulting in only marginal TV development. Severe TV observed in
the non-treated group was associated with increased protein oxidation and
increased occurrence of endothelial NOS monomers in the aortic grafts already
during graft procurement. Tetrahydrobiopterin supplementation of the donor
prevented all these early oxidative changes in the graft. Non-treated allogeneic
grafts without cold ischemia time and syngeneic grafts did not develop any TV. We
identified early protein oxidation and impaired endothelial NOS homodimer
formation as plausible mechanistic explanation for the crucial role of IRI in
triggering TV in transplanted aortic grafts. Therefore, targeting endothelial NOS
in the donor represents a promising strategy to minimise TV.