Towards a Biohybrid Lung Assist Device: N-Acetylcysteine Reduces Oxygen Toxicity and Changes Endothelial Cells’ Morphology
Tóm tắt
The development of an endothelialized membrane oxygenator requires solution strategies combining the knowledge of oxygenators with endothelial cells’ biology. Since it is well known that exposing cells towards pure oxygen causes oxidative stress, this aspect has to be taken into account in the development of a biohybrid oxygenator system. N-Acetylcysteine (NAC) is known for its antioxidant properties in cells. We tested its applicability for the development of an endothelialized oxygenator model. Cultivating human umbilical vein derived endothelial cells (HUVEC) up to 6 days with increasing concentrations of NAC from 1 to 30 mM revealed NAC toxicity at concentrations from 20 mM. Cell density clearly decreased after radical oxygen species exposure in non-NAC pretreated cells compared to 20 mM NAC precultured HUVEC after 3 and 6 days. Also the survival rate after ROS treatment could be restored by incubation with NAC from 15 to 25 mM for all time points. NAC treated cells changed their morphology from typical endothelial cells’ cobblestone pattern to a fusiform, elongated configuration. Transformed cells were still positive for typical endothelial cell markers. Our present results show the potential of NAC for the protection of an endothelial cell layer in an endothelialized membrane oxygenator due to its antioxidative properties. Moreover, NAC induces a morphological change in HUVEC similar to dynamic cultivation procedures.
Tài liệu tham khảo
Basmadjian, D., M. V. Sefton, and S. A. Baldwin. Coagulation on biomaterials in flowing blood: some theoretical considerations. Biomaterials 18:1511, 1997.
Biglioli, P., A. Cannata, F. Alamanni, M. Naliato, M. Porqueddu, M. Zanobini, E. Tremoli, and A. Parolari. Biological effects of off-pump vs. on-pump coronary artery surgery: focus on inflammation, hemostasis and oxidative stress. Eur. J. Cardiothorac. Surg. 24:260, 2003.
Cai, T., G. Fassina, M. Morini, M. G. Aluigi, L. Masiello, G. Fontanini, F. D’Agostini, S. De Flora, D. M. Noonan, and A. Albini. N-acetylcysteine inhibits endothelial cell invasion and angiogenesis. Lab. Investig.: J Tech Methods Pathol 79:1151, 1999.
Cho, K. S., E. H. Lee, J. S. Choi, and C. K. Joo. Reactive oxygen species-induced apoptosis and necrosis in bovine corneal endothelial cells. Investig. Ophthalmol. Vis. Sci. 40:911, 1999.
Cotgreave, I., P. Moldeus, and I. Schuppe. The metabolism of N-acetylcysteine by human endothelial cells. Biochem. Pharmacol. 42:13, 1991.
Dewey, Jr, C. F., S. R. Bussolari, M. A. Gimbrone, Jr, and P. F. Davies. The dynamic response of vascular endothelial cells to fluid shear stress. J. Biomech. Eng. 103:177, 1981.
Diaz-Guzman, E., C. W. Hoopes, and J. B. Zwischenberger. The evolution of extracorporeal life support as a bridge to lung transplantation. Asaio J. 59:3, 2013.
Dietrich, M., N. Finocchiaro, S. Olszweski, J. Arens, T. Schmitz-Rode, J. Sachweh, S. Jockenhoevel, and C. G. Cornelissen. ENDOXY: development of a biomimetic oxygenator-test-device. PLoS ONE 10:e0142961, 2015.
Estrada, R., G. A. Giridharan, M. D. Nguyen, T. J. Roussel, M. Shakeri, V. Parichehreh, S. D. Prabhu, and P. Sethu. Endothelial cell culture model for replication of physiological profiles of pressure, flow, stretch, and shear stress in vitro. Anal. Chem. 83:3170, 2011.
Freedman, J. E. Oxidative stress and platelets. Arterioscler. Thromb. Vasc. Biol. 28:s11, 2008.
Gillissen, A., and D. Nowak. Characterization of N-acetylcysteine and ambroxol in anti-oxidant therapy. Respir. Med. 92:609, 1998.
Heard, K. J. Acetylcysteine for acetaminophen poisoning. N. Engl. J. Med. 359:285, 2008.
Hess, C., B. Wiegmann, A. N. Maurer, P. Fischer, L. Moller, U. Martin, A. Hilfiker, A. Haverich, and S. Fischer. Reduced thrombocyte adhesion to endothelialized poly 4-methyl-1-pentene gas exchange membranes: a first step toward bioartificial lung development. Tissue Eng. Part A 16:3043, 2010.
Hong, S. Y., H. W. Gil, J. O. Yang, E. Y. Lee, H. K. Kim, S. H. Kim, Y. H. Chung, E. M. Lee, and S. K. Hwang. Effect of high-dose intravenous N-acetylcysteine on the concentration of plasma sulfur-containing amino acids. Korean J. Intern. Med. 20:217, 2005.
Kallet, R. H., and M. A. Matthay. Hyperoxic acute lung injury. Respir. Care 58:123, 2013.
Kokura, S., R. E. Wolf, T. Yoshikawa, D. N. Granger, and T. Y. Aw. Molecular mechanisms of neutrophil-endothelial cell adhesion induced by redox imbalance. Circ. Res. 84:516, 1999.
Levesque, M. J., R. M. Nerem, and E. A. Sprague. Vascular endothelial-cell proliferation in culture and the influence of flow. Biomaterials 11:702, 1990.
Maulik, N. Redox regulation of vascular angiogenesis. Antioxid. Redox Signal. 4:783, 2002.
Mitsumata, M., R. M. Nerem, R. W. Alexander, and B. Berk. Shear-stress inhibits endothelial-cell proliferation by growth arrest in the G0/G1 phase of the cell-cycle. FASEB J. 5:A527, 1991.
Mukherjee, T. K., A. K. Mishra, S. Mukhopadhyay, and J. R. Hoidal. High concentration of antioxidants N-acetylcysteine and mitoquinone-Q induces intercellular adhesion molecule 1 and oxidative stress by increasing intracellular glutathione. J. Immunol. 178:1835, 2007.
Park, H. S., H. Y. Jung, E. Y. Park, J. Kim, W. J. Lee, and Y. S. Bae. Cutting edge: direct interaction of TLR4 with NAD(P)H oxidase 4 isozyme is essential for lipopolysaccharide-induced production of reactive oxygen species and activation of NF-kappa B. J. Immunol. (Baltimore, MD: 1950) 173:3589, 2004.
Peek, G. J., F. Clemens, D. Elbourne, R. Firmin, P. Hardy, C. Hibbert, H. Killer, M. Mugford, M. Thalanany, R. Tiruvoipati, A. Truesdale, and A. Wilson. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health 6:163, 2006.
Rungatscher, A., M. Tessari, C. Stranieri, E. Solani, D. Linardi, E. Milani, A. Montresor, F. Merigo, B. Salvetti, T. Menon, and G. Faggian. Oxygenator is the main responsible for leukocyte activation in experimental model of extracorporeal circulation: a cautionary tale. Mediat. Inflamm. 2015. doi:10.1155/2015/484979.
Sala, R., E. Moriggi, G. Corvasce, and D. Morelli. Protection by N-acetylcysteine against pulmonary endothelial-cell damage induced by oxidant injury. Eur. Respir. J. 6:440, 1993.
Sato, M., M. J. Levesque, and R. M. Nerem. Micropipette aspiration of cultured bovine aortic endothelial-cells exposed to shear-stress. Arteriosclerosis 7:276, 1987.
Sun, S., Y. Yue, X. Huang, and D. Meng. Protein adsorption on blood-contact membranes. J. Membr. Sci. 222:3, 2003.
Wan, S., J. L. LeClerc, and J. L. Vincent. Inflammatory response to cardiopulmonary bypass: mechanisms involved and possible therapeutic strategies. Chest 112:676, 1997.
Wang, C., B. M. Baker, C. S. Chen, and M. A. Schwartz. Endothelial cell sensing of flow direction. Arterioscler. Thromb. Vasc. Biol. 33:2130, 2013.