Mast cell activation and degranulation in acute artery injury : A target for post-operative therapy

Published 2023. This article is a U.S. Government work and is in the public domain in the USA..

The increasing incidence of cardiovascular disease (CVD) has led to a significant ongoing need to address this surgically through coronary artery bypass grafting (CABG) and percutaneous coronary interventions (PCI). From this, there continues to be a substantial burden of mortality and morbidity due to complications arising from endothelial damage, resulting in restenosis. Whilst mast cells (MC) have been shown to have a causative role in atherosclerosis and other vascular diseases, including restenosis due to vein engraftment; here, we demonstrate their rapid response to arterial wire injury, recapitulating the endothelial damage seen in PCI procedures. Using wild-type mice, we demonstrate accumulation of MC in the femoral artery post-acute wire injury, with rapid activation and degranulation, resulting in neointimal hyperplasia, which was not observed in MC-deficient KitW-sh/W-sh mice. Furthermore, neutrophils, macrophages, and T cells were abundant in the wild-type mice area of injury but reduced in the KitW-sh/W-sh mice. Following bone-marrow-derived MC (BMMC) transplantation into KitW-sh/W-sh mice, not only was the neointimal hyperplasia induced, but the neutrophil, macrophage, and T-cell populations were also present in these transplanted mice. To demonstrate the utility of MC as a target for therapy, we administered the MC stabilizing drug, disodium cromoglycate (DSCG) immediately following arterial injury and were able to show a reduction in neointimal hyperplasia in wild-type mice. These studies suggest a critical role for MC in inducing the conditions and coordinating the detrimental inflammatory response seen post-endothelial injury in arteries undergoing revascularization procedures, and by targeting the rapid MC degranulation immediately post-surgery with DSCG, this restenosis may become a preventable clinical complication.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

FASEB journal : official publication of the Federation of American Societies for Experimental Biology - 37(2023), 7 vom: 13. Juli, Seite e23029

Sprache:

Englisch

Beteiligte Personen:

Harper, Rebecca L [VerfasserIn]
Fang, Fang [VerfasserIn]
San, Hong [VerfasserIn]
Negro, Alejandra [VerfasserIn]
St Hilaire, Cynthia [VerfasserIn]
Yang, Dan [VerfasserIn]
Chen, Guibin [VerfasserIn]
Yu, Zhen [VerfasserIn]
Dmitrieva, Natalia I [VerfasserIn]
Lanzer, Jan [VerfasserIn]
Davaine, Jean-Michel [VerfasserIn]
Schwartzbeck, Robin [VerfasserIn]
Walts, Avram D [VerfasserIn]
Kovacic, Jason C [VerfasserIn]
Boehm, Manfred [VerfasserIn]

Links:

Volltext

Themen:

Acute arterial injury
Blood vessel
Cardiovascular disease
Coronary arterial disease
Journal Article
Mast cell
Neointima hyperplasia
Percutaneous coronary intervention
Research Support, Non-U.S. Gov't
Restenosis
Revascularization

Anmerkungen:

Date Completed 15.06.2023

Date Revised 07.07.2023

published: Print

Citation Status MEDLINE

doi:

10.1096/fj.202201745RR

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358122643