The anatomical sources of neointimal cells in the arteriovenous fistula

2021 ◽  
pp. 112972982110118
Author(s):  
Roberto I Vazquez-Padron ◽  
Laisel Martinez ◽  
Juan C Duque ◽  
Loay H Salman ◽  
Marwan Tabbara

Neointimal cells are an elusive population with ambiguous origins, functions, and states of differentiation. Expansion of the venous intima in arteriovenous fistula (AVF) is one of the most prominent remodeling processes in the wall after access creation. However, most of the current knowledge about neointimal cells in AVFs comes from extrapolations from the arterial neointima in non-AVF systems. Understanding the origin of neointimal cells in fistulas may have important implications for the design and effective delivery of therapies aimed to decrease intimal hyperplasia (IH). In addition, a broader knowledge of cellular dynamics during postoperative remodeling of the AVF may help clarify other transformation processes in the wall that combined with IH determine the successful remodeling or failure of the access. In this review, we discuss the possible anatomical sources of neointimal cells in AVFs and their relative contribution to intimal expansion.

Biomaterials ◽  
2021 ◽  
pp. 121254
Author(s):  
Maheshika Somarathna ◽  
Patrick TJ. Hwang ◽  
Reid C. Millican ◽  
Grant C. Alexander ◽  
Tatyana Isayeva-Waldrop ◽  
...  

2018 ◽  
Vol 20 (2) ◽  
pp. 190-194
Author(s):  
Amirmohsen Jalaeefar ◽  
Arash Mohammadi Tofigh ◽  
Atoosa Gharib ◽  
Mohsen Khandaghy ◽  
Mohammad Reza Rahimi

Introduction: Arteriovenous fistula is the best choice for vascular access in hemodialysis patients. However, arteriovenous fistula dysfunction is a major clinical issue. The most common cause of arteriovenous fistula failure is intimal hyperplasia. In this study, we have investigated the effect of N-acetylcysteine on neo-intimal hyperplasia after arteriovenous fistula creation in rats. Methods: This study was conducted in 24 rats which were randomly divided into two groups: control and N-acetylcysteine groups. An end-to-side anastomosis was made between the femoral artery and vein. The control group received distilled water intraperitoneally while the animals in N-acetylcysteine group received 300 mg/kg/day of N-acetylcysteine via the same route. After 28 days, the thickness of intima and media was measured using hematoxylin and eosin. Results: There was no significant difference between the two groups regarding age ( p = 0.6) and weight ( p = 0.1). The mean intima thickness in N-acetylcysteine group was significantly less than control group (17 ± 20 and 119 ± 46 µm, respectively; p < 0.001). The mean intima/media thickness in the N-acetylcysteine group was significantly less than control group (0.5 ± 0.63 vs 2.05 ± 1.17 µm; p < 0.001). Conclusion: N-acetylcysteine is effective in inhibiting neo-intimal hyperplasia in a rat model of arteriovenous fistula.


2003 ◽  
Vol 284 (5) ◽  
pp. R1213-R1218 ◽  
Author(s):  
Michael A. Zimmerman ◽  
Leonid L. Reznikov ◽  
Amy C. Sorensen ◽  
Craig H. Selzman

Tumor necrosis factor-α (TNF-α) is an important mediator in the inflammatory response to vascular injury. The present study sought to determine the relative contribution of each TNF-α receptor subtype (p55 and p75) to intimal hyperplasia (IH) and characterize the mechanisms of transcriptional regulation after vascular injury. A murine model of wire carotid arterial injury was employed to induce IH in wild-type (WT), p55-deficient (p55−/−), and p75-deficient (p75−/−) mice. Compared with injured WT and p75−/− animals, p55−/− mice demonstrated a twofold reduction in IH. Additionally, p55−/− mice demonstrated a decrease in expression of nuclear factor-κB mRNA and protein. These observations suggest an important role for the p55 receptor in IH after mechanical endoluminal injury. Suppression of the transcriptional activator nuclear factor-κB may provide a mechanism by which p55-mediated IH is attenuated.


2013 ◽  
Vol 8 (10) ◽  
pp. 1750-1755 ◽  
Author(s):  
Michael Allon ◽  
Michelle L. Robbin ◽  
Carlton J. Young ◽  
Mark H. Deierhoi ◽  
Jeremy Goodman ◽  
...  

2001 ◽  
Vol 34 (4) ◽  
pp. 701-706 ◽  
Author(s):  
Feng Qin ◽  
Herbert Dardik ◽  
Audwin Pangilinan ◽  
Jody Robinson ◽  
Jennifer Chuy ◽  
...  

2017 ◽  
Vol 69 (1) ◽  
pp. 147-151 ◽  
Author(s):  
Juan C. Duque ◽  
Marwan Tabbara ◽  
Laisel Martinez ◽  
Jose Cardona ◽  
Roberto I. Vazquez-Padron ◽  
...  

2012 ◽  
Vol 43 (2) ◽  
pp. 224-231 ◽  
Author(s):  
R.L. Varcoe ◽  
A.B.P. Teo ◽  
M.H. Pelletier ◽  
Y. Yu ◽  
J.-L. Yang ◽  
...  

2016 ◽  
Vol 68 (3) ◽  
pp. 455-464 ◽  
Author(s):  
Marwan Tabbara ◽  
Juan C. Duque ◽  
Laisel Martinez ◽  
Luis A. Escobar ◽  
Wensong Wu ◽  
...  

2016 ◽  
Vol 3 (2) ◽  
pp. 323-345 ◽  
Author(s):  
M. Baalousha ◽  
G. Cornelis ◽  
T. A. J. Kuhlbusch ◽  
I. Lynch ◽  
C. Nickel ◽  
...  

A schematic summary of the most important transformation processes a NM may undergo during environmental transport, and the parameters of highest importance for inclusion in models of NM environmental fate and uptake.


Surgery ◽  
2018 ◽  
Vol 163 (4) ◽  
pp. 866-869 ◽  
Author(s):  
Juan C. Duque ◽  
Marwan Tabbara ◽  
Laisel Martinez ◽  
Angela Paez ◽  
Guillermo Selman ◽  
...  

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