Lysyl oxidase expression in a rat model of arterial balloon injury

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Lysyl oxidase expression in a rat model of arterial balloon injury Vijay K. Nuthakki, MD, Paul S. Fleser, MD, Lauren E. Malinzak, MD, Marilyn L. Seymour, BS, Rose E. Callahan, MS, Phillip J. Bendick, PhD, Gerald B. Zelenock, MD, Charles J. Shanley, MD  Journal of Vascular Surgery  Volume 40, Issue 1, Pages 123-129 (July 2004) DOI: 10.1016/j.jvs.2004.02.028

Fig 1 Steady-state lysyl oxidase mRNA expression after balloon injury of the rat carotid artery or sham operation. Injured right and uninjured left common carotid arteries were harvested at 0, 0.25, 1, 3, 7, 14, 21, 28, 60, and 120 days after injury; sham-operated right and uninjured left common carotid arteries were harvested at 0, 3, 7, 14, 21, and 28 days after injury, and lysyl oxidase expression was evaluated with TaqMan reverse transcription polymerase chain reaction. In balloon-injured arteries levels were elevated to 184% of those in the contralateral uninjured artery by 3 days after injury (P = .0133, one-way analysis of variance). Elevated mRNA expression continued in a broad peak until 21 days, after which expression levels returned to and below those in the contralateral uninjured artery through 120 days. Data are expressed as mean ± SEM; n = 5 animals for all time points except day 3 (n = 8) and day 21 (n = 7). Expression is not significantly altered in sham-operated rat carotid arteries compared with contralateral control arteries. Data are expressed as mean ± SEM; n = 2 animals at each time point. There is a statistically significant increase in mean lysyl oxidase expression in balloon-injured vs sham-operated rat carotid arteries (P =.0160, one-way analysis of variance). Journal of Vascular Surgery 2004 40, 123-129DOI: (10.1016/j.jvs.2004.02.028)

Fig 2 Qualitative determination of lysyl oxidase expression in balloon-injured and contralateral uninjured rat carotid artery over time. Immunohistochemical staining of representative sections with a custom polyclonal antibody to lysyl oxidase and the labeled streptavidin biotin technique with Nova Red chromogen and hematoxylin counterstaining. Positive staining for lysyl oxidase in the intima is seen at the luminal edge and within the smooth muscle cell–containing layers of the hyperplastic intima at days 14 and 28 after injury (arrows). By 60 days only a scant amount of lysyl oxidase protein expression is seen in the intima. A minimal amount of constitutive protein expression is found surrounding the smooth muscle cells in the media of all sections, including control uninjured arteries. (All images, original magnification ×40.) Journal of Vascular Surgery 2004 40, 123-129DOI: (10.1016/j.jvs.2004.02.028)

Fig 3 Two-color immunohistochemical localization of lysyl oxidase and α-smooth muscle cell actin in balloon-injured rat carotid artery 28 days after injury. Immunostaining for α-smooth muscle cell actin was with a monoclonal antibody and Nova Red chromogen (red; white arrows). Immunostaining for lysyl oxidase was with a custom rabbit polyclonal antibody and diaminobenzidene chromogen (black; black arrows). Most cells in the neointima expressed α-smooth muscle cell actin, but lysyl oxidase was most strongly expressed by α-actin–positive cells primarily adjacent to the luminal surface. Lysyl oxidase expression in the media was mainly restricted to the perinuclear area of some actin-positive cells. (Original magnification ×40.) Journal of Vascular Surgery 2004 40, 123-129DOI: (10.1016/j.jvs.2004.02.028)

Fig 4 Mean maximal intimal area after balloon injury of the rat carotid artery. Intimal area was calculated with the Optimas image processing system from digitized photographs of hematoxylin and eosin–stained paraffin-embedded sections of rat carotid arteries. The injured arteries from all groups showed measurable intimal thickening at day 7, with an early increase in cellularity and maximal intimal area at day 28. Neointimal area decreased considerably by 60 days after injury, and approached baseline values by 120 days. The intimal area differed significantly across different days (P < .0001, two-way analysis of variance). Data are presented as mean intimal areas ± SEM; n = 5 animals for all time points except days 3, 7, and 21, where n = 7. Journal of Vascular Surgery 2004 40, 123-129DOI: (10.1016/j.jvs.2004.02.028)

Fig 5 Qualitative determination of changes in cellular composition of the vessel wall and matrix formation in balloon-injured rat carotid artery over time. Movat pentachrome stains nuclei and elastin fibers black; cell cytoplasm and muscle red; actin fibers intense red; proteoglycan, ground substance, and mucin blue; and collagen yellow. Increasing amounts of red staining, reflecting smooth muscle proliferation, are seen in the hyperplastic intimal layer of injured arteries over time through day 21 after injury. Total collagen is increased at days 21 and day 28. By days 60 and 120, as intimal area decreases collagen staining is reduced and increased blue staining is seen, reflecting the presence of proteoglycan and ground substance. Red staining is visible in the media in all sections, because of the presence of smooth muscle cells. (All images, original magnification ×40.) Journal of Vascular Surgery 2004 40, 123-129DOI: (10.1016/j.jvs.2004.02.028)