Abstract
Background: Paroxysmal Permeability Disorders (PPDs) are pathological conditions caused by periodic short lasting increase of endothelial permeability, in the absence of inflammatory, degenerative, ischemic vascular injury. PPDs include primary angioedema, idiopathic systemic capillary leak syndrome and some rare forms of localized retroperitoneal-mediastinal edema.Aim: to validate a microfluidic device to study endothelial permeability in flow conditions.Materials and Methods: we designed a microchannel network (the smallest channel is 30μm square section). Human Umbilical Vein Endothelial Cells (HUVECs) were cultured under constant shear stress in the networks. Endothelial permeability assessment was based on interaction of biotinylated fibronectin used as a matrix for HUVECs and FITC-conjugated avidin. The increase in endothelial permeability was identified as changes in fluorescence intensity detected by confocal fluorescent microscopy.Results: The microchannels were constantly perfused with a steady flow of culture medium, ensuring a physiologically relevant level of shear stress at the wall of ~0.2 Pa. Our preliminary results demonstrated that circulation of culture medium or plasma from healthy volunteers was associated with low fluorescence of fibronectin matrix. When bradykinin diluted in culture medium was perfused, an increase in average fluorescence was detected.Conclusion: Our microvasculature model is suitable to study endothelial functions in physiological flow conditions and in the presence of factors like bradykinin known as mediator of several PPDs. Therefore, it can be a promising tool to better understand the mechanisms underlying disorders of endothelial permeability.
Highlights
Paroxysmal Permeability Disorders (PPDs) are pathological conditions caused by periodic short lasting increase of endothelial permeability, in the absence of inflammatory, degenerative, ischemic vascular injury
In order to test endothelial cells’ behavior in a three dimensional dynamic model reproducing the influence of physiological flow and shear stress as an important part of “everyday life” of the endothelium, we developed and tested a “microvasculature-ona-chip” microfluidic device [40]
With HUVECs cultured in such channels, we find an average intensity of 38 ± 6, with fluorescence being detected within the cytoplasm of cells but not at the channel walls, which suggests that a large fraction of the intensity detected in the control and plasma conditions above correspond to FITC-avidin internalized by the cells without reaching the underlying walls
Summary
Paroxysmal Permeability Disorders (PPDs) are pathological conditions caused by periodic short lasting increase of endothelial permeability, in the absence of inflammatory, degenerative, ischemic vascular injury. PPDs include primary angioedema, idiopathic systemic capillary leak syndrome and some rare forms of localized retroperitoneal-mediastinal edema. The vascular endothelium is considered as a complex organ, which is responsible for the dynamic control of vessel functions, such as the transport of fluids and proteins from the intrato the extravascular space (and vice versa), the modulation of the immune response, the regulation of the balance between procoagulant and anticoagulant factors, nutrients’ trafficking, angiogenesis and the orchestration of organ development [1]. ECs’ membrane proteins allow tightly controlled and regulated passage of water, gases, electrolytes and small molecules through this intercellular space. The first one is controlled by the dynamic opening and closing of interendothelial junctions [2], the latter includes vesicular transport systems, fenestrae, and biochemical transporters [3]
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