LANG Xiaoou,JI Shenquan,ZENG Ke.Beta irradiation inhibits neointimal formation in vein grafts[J].Chinese Journal of Radiological Medicine and Protection,2002,22(2):97-99
Beta irradiation inhibits neointimal formation in vein grafts
Received:July 21, 2001  
DOI:
KeyWords:Neointimal proliferation  Restenosis
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Author NameAffiliation
LANG Xiaoou Department of General Surgery, First Clinical College, China Medical University, Shenyang 110024, China 
JI Shenquan 沈阳医学院附属中心医院普通外科 
ZENG Ke 沈阳医学院附属中心医院普通外科 
李军 Department of General Surgery, First Clinical College, China Medical University, Shenyang 110024, China 
刘冰冰 Department of General Surgery, First Clinical College, China Medical University, Shenyang 110024, China 
马文峰 Department of General Surgery, First Clinical College, China Medical University, Shenyang 110024, China 
张强 Department of General Surgery, First Clinical College, China Medical University, Shenyang 110024, China 
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Abstract::
      Objective The study was to evaluate the effect of beta irradiation on intimal proliferation response in vein grafts.Methods An autogenous vein graft model was established in 40 rats by transplanting internal branch of jugular vein to carotid artery by end-to-end anastomosis.The vein was irradiated by 32 P before anastomosis.Four dose schedules were studied:(1) control graft(nonirradiated);(2) irradiated with 8 Gy;(3) 18 Gy;and (4) 36 Gy.The grafted veins were harvested at 2 weeks after the operation.IH (intimal hyperplasia) and SMC (smooth muscle cell) proliferation were histologically and immunohistochemically observed and analyzed by a computer digitalizing system.Results In 18 Gy and 36 Gy -irradiated grafts compared with the control,there was a significant decrease in the average intimal thickness ( P <0.05).There was no significant difference between the two irradiation groups ( P >0.05).Immunohistochemical analysis of PCNA indicated decrease of positive cells in both 18 Gy and 36 Gy groups compared with 8 Gy and the control group (P <0.01).There was no significant difference between 18 Gy and 36 Gy ( P >0.05) groups,and there was also no significant difference between 8 Gy and the control group ( P >0.05).ConclusionThese preliminary results demonstrate that proper dose of beta irradiation in vein graft inhibits smooth muscle cells proliferation and neointimal hyperplasia in rat.
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