Evidence map›Paper›PMID 19939614›Full record

ArticleJournal of vascular surgery2010

Antioxidant therapy reverses impaired graft healing in hypercholesterolemic rabbits.

Michael A Rosenbaum, Keiko Miyazaki, Scott M Colles, Linda M Graham

Abstract read
In one paragraph

Article in Journal of vascular surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Michael A RosenbaumDepartment of Biomedical Engineering, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Keiko Miyazaki
Scott M Colles
Linda M Graham
Cleveland Clinic · US

Funding

EFFECT OF LIPIDS ON VASCULAR GRAFT HEALINGR01HL064357 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI GRAHAM, LINDA M · 2000 to 2021
$7.0M
SMOOTH MUSCLE CELLS AND GRAFT INTIMAL HYPERPLASIAR01HL041178 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GRAHAM, LINDA M · 1989 to 2009
$3.3M
Effect of Lipids on Vascular Graft HealingR56HL064357 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI GRAHAM, LINDA M · 2009 to 2009
$465k
Effect of Oxidized Lipids on Endothelial Migration and Vascular Graft HealingF32HL090205 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ROSENBAUM, MICHAEL AARIC · 2007 to 2008
$101k
RHEOLOGIC &GEOMETRIC FACTORS IN VASCULAR HOMEOSTASISR01HL041187 · NHLBI · MONTREAL GENERAL HOSPITAL · PI KARINO, TAKESHI · 1988 to 1991
–
NHLBI NIH HHS F32 HL090205NHLBI NIH HHS F32HL090205NHLBI NIH HHS HL41187NHLBI NIH HHS HL64357NHLBI NIH HHS R01 HL041178NHLBI NIH HHS R01 HL064357NHLBI NIH HHS R56 HL064357
6 · The paper itself

Abstract

objectiveLimited endothelial cell (EC) coverage and anastomotic intimal hyperplasia contribute to thrombosis and failure of prosthetic grafts. Lipid accumulation and lipid oxidation are associated with decreased EC migration and intimal hyperplasia. The goal of this study was to assess the ability of antioxidants to improve graft healing in hypercholesterolemic animals.

methodsRabbits were placed in one of four groups: chow plus N-acetylcysteine (NAC), chow plus probucol, chow with 1% cholesterol plus NAC, or chow with 1% cholesterol plus probucol. After 2 weeks, expanded polytetrafluoroethylene grafts (12 cm long x 4-mm internal diameter) were implanted in the abdominal aorta. Grafts were removed after 6 weeks and analyzed for cholesterol content, EC coverage, anastomotic intimal thickness, and the cellular composition of the neointima. Plasma samples were obtained to assess systemic oxidative stress. The data were compared with previously reported data from animals fed diets of chow and chow with 1% cholesterol.

resultsProsthetic grafts from rabbits fed chow with 1% cholesterol had significantly greater anastomotic intimal thickening and lower EC coverage than grafts from rabbits fed a regular chow diet. In hypercholesterolemic rabbits, antioxidant therapy decreased global oxidative stress as evidenced by a 40% decrease in plasma thiobarbituric acid reactive substances. In rabbits fed the chow with 1% cholesterol diet, NAC decreased intimal hyperplasia at the proximal anastomosis by 29% and significantly increased graft EC coverage from 46% to 71% (P = .03). Following a similar pattern, probucol decreased intimal hyperplasia by 43% and increased graft EC coverage to 53% in hypercholesterolemic rabbits.

conclusionsGlobal oxidative stress and anastomotic intimal hyperplasia are increased, and endothelialization of prosthetic grafts is significantly reduced in rabbits fed a high-cholesterol diet. Antioxidant treatment improves EC coverage and decreases intimal hyperplasia. Reducing oxidative stress may promote healing of prosthetic grafts.

Indexed as

Blood Vessel Prosthesis ImplantationAcetylcysteineAnimalsAntioxidantsAorta, AbdominalCell MovementCell ProliferationCholesterolDisease Models, AnimalEndothelial CellsHypercholesterolemiaHyperplasiaMacrophagesMuscle, Smooth, VascularMyocytes, Smooth MuscleOxidative Stress3-nitrotyrosineAcetylcysteineAntioxidantsCholesterolThiobarbituric Acid Reactive SubstancesTyrosine

Identifiers

PMID19939614
PMCPMC2814967
OpenAlexW2160822149

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.