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Roller, RE; Janisch, S; Kvas, E; Schnedl, WJ; Binder, BR; Wojta, J; Korninger, C.
Smooth muscle cell migration promoting activity of plasma predicts restenosis in patients with peripheral arterial occlusive disease undergoing angioplasty.
Thromb Haemost. 2000; 84(6):1113-1116 Doi: 10.1055/s-0037-1614179
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Leading authors Med Uni Graz
Roller-Wirnsberger Regina
Co-authors Med Uni Graz
Schnedl Wolfgang
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Abstract:
Efficacy of percutaneous transluminal angioplasty (PTA) is limited by restenosis occurring in a large proportion of patients. Smooth muscle cell (SMC) migration is a major pathomechanism of restenosis. We studied SMC migration inducing activity of plasma from patients with peripheral arterial occlusive disease (PAOD) undergoing PTA. SMC migration was determined in a two-dimensional assay system after addition of 1/25 plasma dilutions. Mean increase in migration area was 65.5 +/- 33.8% in normal controls and 67.7 +/- 53.2% in patients with PAOD. 6 hours after PTA, plasmatic migration inducing activity was largely unchanged. In 19/30 patients with restenosis (6 months after PTA) migration promoting activity (82.7 +/- 60.0) was significantly higher than in 11/30 patients with patent vessels (41.8 +/- 21.0; p = 0.03). No correlation of clinical risk factors with outcome was observed. A weak correlation was found between plasmatic migration promoting activity and levels of epidermal growth factor and transforming growth factor-beta. The capacity of human plasma to stimulate SMC migration in tissue culture can be used to assess the risk for restenosis after PTA in patients with PAOD.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Analysis of Variance -
Angioplasty, Balloon - adverse effects
Arterial Occlusive Diseases - metabolism
Arterial Occlusive Diseases - pathology
Case-Control Studies -
Cell Movement - drug effects
Culture Techniques -
Female -
Graft Occlusion, Vascular - etiology
Growth Substances - blood
Growth Substances - pharmacology
Humans -
Male -
Middle Aged -
Muscle, Smooth, Vascular - pathology
Peripheral Vascular Diseases - metabolism
Peripheral Vascular Diseases - pathology
Peripheral Vascular Diseases - therapy
Plasma - chemistry
Treatment Outcome -
Umbilical Arteries - cytology
Umbilical Arteries - drug effects

Find related publications in this database (Keywords)
peripheral arterial occlusive disease
angioplasty
restenosis
smooth muscle cells
growth factors
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