Tunica Adventitia Research Articles

Development and evaluation of innovative enteric-coated capsules for colon-specific delivery of hydrophilic biomaterials

ObjectiveThis research aims to design and evaluate an enteric-coated hard capsule dosage form for targeted delivery of biological materials, such as FMT (fecal microbiota transplant) or live microbes, to the distal parts of the GIT. The capsules are designed to be internally protected against destruction by hydrophilic filling during passage through the digestive tract. MethodsHard gelatin capsules and DRcapsTMcapsules based on HPMC and gellan were used to encapsulate a hydrophilic body temperature-liquefying gelatin hydrogel with caffeine or insoluble iron oxide mixture. Different combinations of polymers were tested for the internal (ethylcellulose, Eudragit® E, and polyvinyl acetate) and external (Eudragit® S, Acryl-EZE®, and cellacefate) coating. The external protects against the acidic gastric environment, while the internal protects against the liquid hydrophilic filling during passage. Coated capsules were evaluated using standard disintegration and modified dissolution methods for delayed-release dosage forms. ResultsCombining suitable internal (ethylcellulose 1.0 %) and external (Eudragit® S 20.0 %) coating of DRcapsTM capsules with the wiping and immersion method achieved colonic release times. While most coated capsules met the pharmaceutical requirements for delayed release, one combination stood out. Colonic times were indicated by the dissolution of soluble caffeine (during 120–720 min) measured by the dissolution method, and capsule rupture was indicated by the release of insoluble iron oxide (after 480 min) measured by the disintegration method. This promising result demonstrates the composition’s suitability and potential to protect the content until it’s released, inspiring hope for the future of colon-targeted delivery systems and its potential for the pharmaceutical and biomedical fields. ConclusionInnovative and easy capsule coatings offer significant potential for targeted drugs, especially FMT water suspension, to the GIT, preferably the colon. The administration method is robust and not considerably affected by the quantity of internal or external coatings. It can be performed in regular laboratories without specialized individual and personalized treatment equipment, making it a practical and feasible method for drug delivery.

Organic Coatings Reduce Dissolution Rate by an Order of Magnitude for Carbonate Minerals Produced by Marine Fish

AbstractMarine carbonate production and dissolution are important components of the global carbon cycle and the marine alkalinity budget. Global carbonate production by marine fish (ichthyocarbonate) has been estimated to be as high as 9.03 Pg CaCO3 yr−1; however, the fate of ichthyocarbonate is poorly understood. High magnesium concentrations in ichthyocarbonate would traditionally suggest rapid dissolution under current marine conditions, but a correlation between dissolution rate and mol%MgCO3 has not been observed. Here, we aim to determine the role of organic coatings on dissolution rates of ichthyocarbonate in marine environments. We applied a combination of petrographic, geochemical, and microCT approaches to assess the quantity and distribution of organic matter in ichthyocarbonate produced by two species of marine fish, the Gulf toadfish (Opsanus beta) and the Olive flounder (Paralichthys olivaceus). We show that organic matter, including external coatings and embedded organic material, is volumetrically significant, ranging from 8.5% to 32.3% of ichthyocarbonate by volume. Bleach oxidation of external organic matter coatings increased the dissolution rate of ichthyocarbonate by more than an order of magnitude, suggesting these coatings serve to reduce reactive surface area of the mineral fraction in ichthyocarbonate. Assuming that organic coatings do not influence sinking rates, external coatings extend the depth of ichthyocarbonate persistence in the water column by ∼12–15×. Therefore, organic coatings are an important determinant of the role of ichthyocarbonate in the marine carbon cycle.

Purcell-enhanced x-ray scintillation.

Scintillation materials convert high-energy radiation to optical light through a complex multistage process. The last stage of the process is spontaneous light emission, which usually governs and limits the scintillator emission rate and light yield. For decades, scintillator research focused on developing faster-emitting materials or external photonic coatings for improving light yields. Here, we experimentally demonstrate a fundamentally different approach: enhancing the scintillation rate and yield via the Purcell effect, utilizing optical environment engineering to boost spontaneous emission. This enhancement is universally applicable to any scintillating material and dopant when the material's nanoscale geometry is engineered. We design a thin multilayer nanophotonic scintillator, demonstrating Purcell-enhanced scintillation with 50% enhancement in emission rate and 80% enhancement in light yield. The emission is robust to fabrication disorder, further highlighting its potential for x-ray applications. Our results show prospects for bridging nanophotonics and scintillator science toward reduced radiation dosage and increased resolution for high-energy particle detection.

Phagocytic activity and proinflammatory activation potential of smooth muscle cells of the Tunica intima of human aorta under experimental conditions

The aorta is the largest blood vessel in the body, which reaches a diameter of about 3 cm and is responsible for transporting oxygen-enriched arterial blood from the heart to tissues and organs. The aortic wall consists of three layers: the inner Tunica intima, the middle Tunica media and the outer Tunica adventitia. The layers of the aortic wall have a diverse cellular composition and include smooth muscle cells (SMCs), fibroblasts, endothelial cells, etc. Functional disorders in the cells of the intima of the human aorta can lead to various cardiovascular diseases (СVD), such as aneurysm and, as a result, dissection or rupture of the thoracic aorta. The cellular and molecular mechanisms of CVD development remain not fully understood, therefore, the study of the functional characteristics of various cell populations that make up the human aorta is an urgent task today. The aim is to evaluate the inflammatory response formed by cells that are part of the Tunica intima of the human aorta during phagocytosis of latex particles and internalization of low-density lipoproteins (LDL) to study their role in the development of aneurysms. The experiments were performed on smooth muscle cells (SMCs) isolated from the intima of the human aorta in patients with aneurysm. Phagocytic activity was studied by adding latex beads to the SMCs of Tunica intima, the ability to internalize LDL was evaluated using the BDP 630/650 dye and a biochemical method, the assessment of the ability to pro- and anti-inflammatory activation was studied using enzyme-linked immunosorbent assay (ELISA). Our results demonstrated that the absorption of latex beads and LDL stimulates the activation of interleukin secretion by smooth muscle cells that are part of the Tunica intima of the aorta, namely the proinflammatory cytokines IL-6 and IL-8. This fact may indicate that in the conditions of the body, the human aortic intima SMCs phenotype may switch from contractile to secretory or macrophage-like, which indicates the participation of this phenotypic cell transition in the process of aneurysm development.

Enhancing wetting and adhesion of stainless steel (SS304) surfaces with dielectric barrier discharge (DBD) plasma jet treatment

Enhancing the adhesion of coatings to metallic surfaces can be achieved through decontamination and increased surface energy. Among the various techniques used for functionalizing metallic surfaces, such as chemical etching, laser etching, flame treatment, and ultraviolet radiation; dielectric barrier discharge (DBD) plasma stands out as a promising option. It offers low-power, cost-effective, room-temperature operation and provides treatment with minimal alteration of subsurface properties. This study investigates using a DBD plasma jet to increase the treatment area, surface wettability, organic decontamination, and paint adhesion on stainless steel (SS304). The impact of different plasma treatments and aging times on the liquid contact angles and corresponding surface energies are experimentally examined. The results indicate that the surface energy of SS304 increases with treatment time. This is evident from the substantial reduction in water contact angles from 67° to 29° with 5s treatment time and to 18° with 60s treatment time. X-ray photoelectron spectroscopy (XPS) measurements are carried out to correlate this increase in surface energy to an increase in oxide bonds and decontamination of organic species, resulting in surface activation. However, it is observed that the plasma-treated surfaces exhibit no significant alterations in surface morphology, as confirmed through analyses of surface roughness and micro-hardness. Cross-hatch adhesion tests are carried out to demonstrate that the plasma surface treatment results in a significant improvement in surface adhesion to external coatings. Furthermore, the study evaluates the impact of DBD plasma jet treatment speed and dose on coating adhesion, providing valuable insights for making a trade-off between treatment quality and energy efficiency. The findings could extend the applicability of the DBD plasma jet to various areas, including anti-fogging surfaces, water harvesting, paints and coatings, and organic decontamination of surfaces.

Shrinkage evolution and mechanism of self-curing concrete cooperatively cured with superabsorbent polymers and waterborne epoxy coatings

Shrinkage-induced cracking is a common phenomenon in concrete structures. To reduce concrete shrinkage, herein, a novel curing approach involving the concurrent application of internal superabsorbent polymers (SAPs) and external waterborne epoxy coatings (WECs) was adopted. Subsequently, the combined effects of the SAPs and WECs on the internal temperature, water retention behavior, relative humidity, and shrinkage performance of concrete were investigated. Furthermore, their underlying shrinkage-mitigation mechanisms were clarified and verified through mercury intrusion porosimetry tests. Results revealed that increasing the WEC application rates and number of spraying turns increased the relative humidities and reduced the shrinkage strains of the concrete specimens. The combined use of SAPs and WECs led to considerable reductions in the specimens’ humidity drop, water loss, and shrinkage values. The water losses of the concrete specimens exerted more considerable impacts on their relative humidity and shrinkage compared to their cumulative temperatures. Furthermore, the combination effects of the SAPs and WECs reduced the median pore diameters and increased the fractal dimensions of gel pores, thus triggered a reduce in capillary tension, and further mitigated the development of shrinkage strains. Overall, this study underscores the critical roles of evaporation, temperature, relative humidity, and pore-structure parameters on the shrinkage behavior of concrete. Additionally, it highlights the effectiveness of the combined application of SAP-based internal curing and WEC-based external curing, offering a feasible approach and technical support for reducing shrinkage in concrete structures.

Impact of anti-corrosion coatings and maintenance on high-strength bolt friction connections in C4 marine environment

High-strength bolt friction connections (HSBFCs) in steel constructions often employ exterior anti-corrosion coatings, and some connections in steel bridges extend these coatings to their friction surfaces. However, previous studies on HSBFCs have overlooked the influence of external anti-corrosion coatings and coatings on friction surfaces. This research investigates the impact of internal and external anti-corrosion coatings on shear performance through experimental testing. Shear tests were conducted on 43 connections under 17 different conditions, varying the presence of anti-corrosion coatings on friction surfaces and external coatings, including conditions of construction and maintenance. Calibration tests revealed varying anti-slip coefficients: sandblasted surfaces measured 0.44, below specification; epoxy zinc-rich primer coatings measured 0.27; and alcohol-soluble inorganic anti-rust primers measured 0.50, both meeting or exceeding specifications. Simulated C4 atmospheric corrosion environments and dry-wet alternating copper accelerated acetic acid salt spray tests were performed. Results indicate predictable indoor corrosion acceleration and significant shear capacity degradation (4.9 % to 19 %) despite external coating use. Coatings on friction surfaces delayed degradation, while external anti-corrosion coating effectiveness declined post-construction and maintenance. Analysis shows shear capacity degradation in unprotected connections was 1.5 to 1.8 times higher than protected counterparts, attributed to reduced anti-slip coefficients and bolt pre-tension loss.

A clinical application for arterial coupling and histomorphometric comparison of internal mammary and thoracodorsal arteries for safe use.

In breast reconstruction, arterial coupling has been reported to be more favorable in the thoracodorsal artery (TDA) than the internal mammary artery (IMA). This technique may help overcome anastomosis in a small, deep space. Understanding the arteries' mechanical properties is crucial for breast reconstruction's safety and success. Abdominal-based free flap breast reconstructions performed by a single surgeon between 2020 and 2022 were retrospectively analyzed. The patients were classified by microanastomosis technique (handsewn and coupler device) to compare the rate of vascular revision. Histomorphometric analysis of arterial coupling in TDA and IMA was performed in 10 fresh cadavers for comparing wall thickness and composition, including densities of elastic fiber, smooth muscle, and collagen. A total of 309 patients (339 reconstructed breasts) were included. There were 29 patients in the TDA handsewn group (A), 38 patients in the TDA coupler group (B), and 242 patients in the IMA handsewn group (C). The rates of arterial revision in groups A, B, and C were 0.00% (95%CI: 0.00%-11.03%), 2.5% (95%CI: 0.44%-12.88%), and 1.49% (95%CI: 0.58%-3.77%), respectively, with no statistically significant differences (p-value = .694). Histologically, the thickness of the tunica media and adventitia between IMA and TDA showed no significant difference. The density of elastic fiber was significantly higher in IMA (16.70%) than in TDA (0.79%) (p-value <.001). The histologic characteristics of TDA are more favorable for arterial coupling than those of IMA. Arterial coupling is a safe option in situations where TDA anastomosis must be performed through a narrow and deep incision.

Integrated transcriptomics of human blood vessels defines a spatially controlled niche for early mesenchymal progenitor cells

Human blood vessel walls show concentric layers, with the outermost tunica adventitia harboring mesenchymal progenitor cells. These progenitor cells maintain vessel homeostasis and provide a robust cell source for cell-based therapies. However, human adventitial stem cell niche has not been studied in detail. Here, using spatial and single-cell transcriptomics, we characterized the phenotype, potential, and microanatomic distribution of human perivascular progenitors. Initially, spatial transcriptomics identified heterogeneity between perivascular layers of arteries and veins and delineated the tunica adventitia into inner and outer layers. From this spatial atlas, we inferred a hierarchy of mesenchymal progenitors dictated by a more primitive cell with a high surface expression of CD201 (PROCR). When isolated from humans and mice, CD201Low expression typified a mesodermal committed subset with higher osteogenesis and less proliferation than CD201High cells, with a downstream effect on canonical Wnt signaling through DACT2. CD201Low cells also displayed high translational potential for bone tissue generation.

Three-Dimensional Ultrastructure of Flower-Spray Nerve Endings in the Rat Carotid Sinus.

The flower-spray nerve endings are afferent nerve terminals in the carotid sinus that arise from carotid sinus nerve of glossopharyngeal nerve. However, the three-dimensional ultrastructural characteristics of flower-spray nerve endings and spatial relationships between the terminal parts and other cellular elements have not been fully understood. To elucidate their detailed relationship, backscattered electron imaging of serial sections was performed with a scanning electron microscope to produce a three-dimensional reconstruction of the flower-spray endings. The terminal parts of flower-spray endings were distributed horizontally approximately 5µm outside the external elastic membrane in the tunica adventitia of the internal carotid artery. The three-dimensional reconstruction showed that the terminal parts of flower-spray endings were flat with irregular contours and were partially covered by the thin cytoplasmic processes of Schwann cells. The complex consisting of the nerve terminals and associated Schwann cells was surrounded by a multilayered basement membrane. The terminal parts of the endings were also surrounded by fibroblasts with elastic fibers and collagen fibrils. Secretory vesicles without an electron-dense core were observed in the terminal parts of the endings. The accumulation of vesicles just below the axonal membrane was observed in terminal parts not covered by Schwann cell cytoplasmic processes on both the luminal and basal sides. Swollen mitochondria, concentric membranous structures, and glycogen granule-like electron-dense materials were often noted in some of the terminal parts of the endings and the parent axon. Collectively, the present results suggest that flower-spray endings are baroreceptors because their morphology was similar to other mechanoreceptors. Furthermore, flower-spray endings may be affected by glutamate secreted in an autocrine manner.

Structural Lightweight Concrete Containing Basalt Stone Powder

In spite of the demonstrated efficacy of basalt stone powder as a cost-effective and readily available additive in enhancing the mechanical properties and durability of ordinary-weight concrete, its application in Structural Lightweight Concrete (SLWC) remains unexplored. This study introduced a mixing design for SLWC incorporating Light Expanded Clay Aggregates (LECAs) and basalt stone powder with a subsequent evaluation of its strength and durability characteristics. The experimental procedure involved creating various samples, considering differing proportions of cement, water, basalt stone powder, sand, LECA, superplasticizer, and aerating agent. The compressive strength and density of the 28-day-cured concrete specimens were determined. An optimal SLWC with a compressive strength of 42 MPa and a density of 1715 kg/m3 was identified. The flexural and tensile strength of the optimal SLWC exceeded those of ordinary-weight concrete by 6% and 3%, respectively. Further evaluation revealed that the optimal SLWC exhibited 1.46% water absorption and an electrical resistivity of 139.8 Ohm.m. Notably, the high porosity of LECA contributed to the low durability of SLWC. To address this, cost-effective external coatings of emulsion and fiberglass were applied to enhance the durability of the SLWC. Four coating scenarios, including one-layer bitumen, two-layer bitumen, three-layer bitumen, and three-layer bitumen with fiberglass, were investigated. The measurements of electrical resistance and compressive strength revealed that the use of three layers of emulsion bitumen and fiberglass improved the durability of the concrete by over 90% when the SLWC was exposed to severe chloride attack. Consequently, the durability of the SLWC with an external coating surpassed that of ordinary-weight concrete.

Hydrogel Coatings of Implants for Pathological Bone Repair.

Hydrogels are well-suited for biomedical applications due to their numerous advantages, such as excellent bioactivity, versatile physical and chemical properties, and effective drug delivery capabilities. Recently, hydrogel coatings have developed to functionalize bone implants which are biologically inert and cannot withstand the complex bone tissue repair microenvironment. These coatings have shown promise in addressing unique and pressing medical needs. This review begins with the major functionalized performance and interfacial bonding strategy of hydrogel coatings, with a focus on the novel external field response properties of the hydrogel. Recent advances in the fabrication strategies of hydrogel coatings and their use in the treatment of pathologic bone regeneration are highlighted. Finally, challenges and emerging trends in the evolution and application of physiological environment-responsive and external electric field-responsive hydrogel coatings for bone implants are discussed.

Selection of Crosslinking Agents for Acrylic Resin Used in External Coatings for Aluminum Packaging in the Beverage Industry

Paints and coatings are widely used in various applications such as walls, cars, packaging, and food products. The quality of food packaging is essential due to its direct or indirect contact with food. The demand for high-quality food packaging is increasing due to the higher production and consumption rates. However, containers used in the beverage industry often face problems like scratches and abrasions during transportation. This study aimed to investigate different formulations of external coatings for beverage cans to improve their physical resistance properties and prevent corrosion and surface damage problems. The study involved reacting an acrylic resin with six different amino resins, including methylated melamine, butylated melamine, glycoluril, methylated urea, butylated urea, and benzoguanamine, in various proportions. The results of 25 formulated samples were compared based on properties such as adhesion, durability, and chemical resistance. The outcomes of the study showed significant differences among the crosslinking agents. Among all the crosslinking agents, methylated melamine showed the most favorable results in the analyses, proving to be effective in almost all tests.

Periarterial and Sub-adventitial Divestment Along with Triangle Operation and RAMPS for Pancreatic Body Cancer

BackgroundLocally advanced cancers of the pancreatic body can abut or involve the celiac axis, hepatic artery, or superior mesenteric artery. Recent evidence suggests that these tumors are amenable to surgery after neoadjuvant chemotherapy (Hackert et al., Locally advanced pancreaticcancer: neoadjuvant therapy with FOLFIRINOX results inresectability in 60 % of the patients. Ann Surg 264:457–463, 2016; Rangelova et al., Surgery improves survival after neoadjuvant therapy for borderline and locally advanced pancreatic cancer: a single-institution experience. Ann Surg 273:579–86, 2021). An arterial divestment technique can be used for these cancers to get an R0 clearance, thereby avoiding morbid arterial resections (Miao et al., Arterial divestment instead of resection for locally advanced pancreatic cancer (LAPC). Pancreatology 16:S59, 2016; Habib et al., Periadventitial dissection of the superior mesenteric artery for locally advanced pancreatic cancer: surgical planning with the “halo sign” and “string sign.” Surgery 169(5):1026–1031, 2021; Diener et al., Periarterial divestmentin pancreatic cancer surgery. Surgery 169(5):1026–31, 2020). Two techniques are described for arterial divestment. In the periarterial divestment technique, the plane of the dissection is between the tumor and the adventitia (Habib et al., Periadventitial dissection of the superior mesenteric artery for locally advanced pancreatic cancer: surgical planning with the “halo sign” and “string sign.” Surgery 169(5):1026–1031, 2021; Diener et al., Periarterial divestmentin pancreatic cancer surgery. Surgery 169(5):1026–31, 2020). In sub-adventitial dissection, the plane of dissection is between the tunica adventitia and the external elastic lamina (Gao et al., Sub-adventitial divestment technique for resecting artery-involved pancreatic cancer: a retrospective cohort study. Langenbecks Arch Surg 406:691–701, 2021). The TRIANGLE operation also is one of the surgical techniques to achieve R0 resection in locally advanced pancreatic cancer (Hackert et al., The TRIANGLE operation: radical surgery after neoadjuvant treatment for advanced pancreatic cancer: a single-arm observational study. HPB Oxford 19:1001–1007, 2017). This multimedia article aims to demonstrate peri-arterial and sub-adventitial divestment techniques as well as the TRIANGLE operation for a locally advanced cancer of the body of the pancreas. The video also highlights the technique of posterior radical antegrade modular pancreato-splenectomy (RAMPS) together with lymph node clearance.Patient and MethodsA 57-year-old women was detected to have pancreatic body adenocarcinoma with tumor contact of the artery and superior mesenteric artery. After neoadjuvant chemotherapy, she was planned to undergo surgical resection.ResultsThe surgical technique consisted of peri-arterial and sub-adventitial divestment, the TRIANGLE operation and RAMPS (Fig. 1). The procedure was performed within 240 min and involved blood loss of 250 mL. After the procedure, pancreatic leak (POPF-B), chyle leak and diarrhea developed, which were managed conservatively. The final histopathology showed residual, viable, moderately differentiated adenocarcinoma (ypT2N1M0) with all resection margins free.ConclusionThe surgical technique consisting of peri-arterial and sub-adventitial divestment, the TRIANGLE operation and RAMPS helps in R0 resection of locally advanced pancreatic body cancer without any compromise in oncologic outcomes and offers an alternative surgical approach to morbid arterial resection.

The Controversy of Using Insufficient Great Saphenous Veins in Coronary Artery Bypass Grafting: A Comparative Morphological Analysis of Healthy and Insufficient Veins Related to the Possibility of Using Them as a Graft.

Despite advancements in coronary artery bypass grafting (CABG), the optimal choice of graft material remains a subject of investigation. This study aimed to comprehensively analyze the morphological characteristics of varicose veins, exploring their potential utilization in CABG compared to healthy veins. The study included 178 patients, categorized into two groups based on healthy and varicose veins. Morphological parameters, including maximum venous diameter, wall thickness, and specific changes in tunica intima (TI), tunica media (TM), and tunica adventitia (TA), were analyzed through microscopic evaluation. Varicose veins exhibited a significantly larger maximum venous diameter (p = 0.0001) and increased wall thickness (p = 0.0001) compared to healthy veins. Although varicose veins showed thickening in TI and TM, the differences were not statistically significant. Notably, disorganized smooth muscle bundles were more prevalent in varicose veins (p = 0.001), suggesting potential wall weakness. The absence of vasa vasorum in TA was significantly higher in varicose veins (p = 0.050), influencing vascularization considerations. The comparative morphological microscopic analysis of the specimens of healthy and varicose veins reveals significant differences between the groups, which make the conclusion of this study to plead for avoiding the use of varicose veins as a graft.

Phenotypic switching of vascular smooth muscle cells in atherosclerosis, hypertension, and aortic dissection.

Vascular smooth muscle cells (VSMCs) play a critical role in regulating vasotone, and their phenotypic plasticity is a key contributor to the pathogenesis of various vascular diseases. Two main VSMC phenotypes have been well described: contractile and synthetic. Contractile VSMCs are typically found in the tunica media of the vessel wall, and are responsible for regulating vascular tone and diameter. Synthetic VSMCs, on the other hand, are typically found in the tunica intima and adventitia, and are involved in vascular repair and remodeling. Switching between contractile and synthetic phenotypes occurs in response to various insults and stimuli, such as injury or inflammation, and this allows VSMCs to adapt to changing environmental cues and regulate vascular tone, growth, and repair. Furthermore, VSMCs can also switch to osteoblast-like and chondrocyte-like cell phenotypes, which may contribute to vascular calcification and other pathological processes like the formation of atherosclerotic plaques. This provides discusses the mechanisms that regulate VSMC phenotypic switching and its role in the development of vascular diseases. A better understanding of these processes is essential for the development of effective diagnostic and therapeutic strategies.

Anatomical View of the Internal Carotid Artery Occlusion in Japanese Black Cattle

The internal carotid artery (ICA) is a branch of the common carotid artery (CCA), along with the external carotid artery (ECA), which together provide the blood supply for the brain. The description of the ICA in cattle is vague, including denial of its existence or degeneration at an early stage after birth. This anatomical study investigated the internal carotid artery in Japanese black cattle. Sixty-five heads of Japanese black cattle aged from newborn to 13 years were dissected and injected with colored latex from the CCA after separating the head and body. Diameter measurements of the artery branches from the CCA on its bifurcation were conducted. Furthermore, a histological examination of the ICA wall’s structures, which consist of the tunica intima, tunica media, and tunica externa, was performed. The ICA of Japanese black cattle is closed on the left side after age 3 years, except for a small lumen at 13 years, whereas the right ICA remains open at all ages. The location of occlusion of the left internal carotid artery (LICA) shows thickness of the tunica intima and an increased connective tissue layer area. The diameter of the ICA does not differ between the left and right sides, and there is no correlation with age. Therefore, further studies are needed, especially of ICA occlusion related to Japanese black cattle’s physiology or cerebrospinal disease.

Impact Assessment of Pituitary Adenylate Cyclase Activating Polypeptide (PACAP) and Hemostatic Sponge on Vascular Anastomosis Regeneration in Rats

The proper regeneration of vessel anastomoses in microvascular surgery is crucial for surgical safety. Pituitary adenylate cyclase-activating polypeptide (PACAP) can aid healing by decreasing inflammation, apoptosis and oxidative stress. In addition to hematological and hemorheological tests, we examined the biomechanical and histological features of vascular anastomoses with or without PACAP addition and/or using a hemostatic sponge (HS). End-to-end anastomoses were established on the right femoral arteries of rats. On the 21st postoperative day, femoral arteries were surgically removed for evaluation of tensile strength and for histological and molecular biological examination. Effects of PACAP were also investigated in tissue culture in vitro to avoid the effects of PACAP degrading enzymes. Surgical trauma and PACAP absorption altered laboratory parameters; most notably, the erythrocyte deformability decreased. Arterial wall thickness showed a reduction in the presence of HS, which was compensated by PACAP in both the tunica media and adventitia in vivo. The administration of PACAP elevated these parameters in vitro. In conclusion, the application of the neuropeptide augmented elastin expression while HS reduced it, but no significant alterations were detected in collagen type I expression. Elasticity and tensile strength increased in the PACAP group, while it decreased in the HS decreased. Their combined use was beneficial for vascular regeneration.

Development of a Novel Hierarchically Biofabricated Blood Vessel Mimic Decorated with Three Vascular Cell Populations for the Reconstruction of Small-Diameter Arteries.

The availability of grafts to replace small-diameter arteries remains an unmet clinical need. Here, the validated methodology is reported for a novel hybrid tissue-engineered vascular graft that aims to match the natural structure of small-size arteries. The blood vessel mimic (BVM) comprises an internal conduit of co-electrospun gelatin and polycaprolactone (PCL) nanofibers (corresponding to the tunica intima of an artery), reinforced by an additional layer of PCL aligned fibers (the internal elastic membrane). Endothelial cells are deposited onto the luminal surface using a rotative bioreactor. A bioprinting system extrudes two concentric cell-laden hydrogel layers containing respectively vascular smooth muscle cells and pericytes to create the tunica media and adventitia. The semi-automated cellularization process reduces the production and maturation time to 6 days. After the evaluation of mechanical properties, cellular viability, hemocompatibility, and suturability, the BVM is successfully implanted in the left pulmonary artery of swine. Here, the BVM showed good hemostatic properties, capability to withstand blood pressure, and patency at 5 weeks post-implantation. These promising data open a new avenue to developing an artery-like product for reconstructing small-diameter blood vessels.

Histopathological Validation of Microvascular Anastomosis using Two-Throw Reef Knots - An Experimental Study.

Knot configuration is an important but relatively neglected topic in microvascular anastomosis literature. To study the differences between end-to-end microvascular anastomosis performed with two-throw reef knots as compared to traditional three-throw knots in a rat femoral artery model at the histological level. Sprague Dawley rats underwent end-to-end microvascular anastomosis of the right femoral artery (one-way-up method). The rats were divided into two groups: two-throw reef knots versus traditional three-throw knots. The patency was checked by the standard empty refill method. After 2 weeks, the rats underwent re-exploration. An anastomotic segment was sent for histological analysis. Histological alterations including luminal patency and changes in Tunica intima, Tunica media, and Tunica adventitia were compared between the two groups. Twenty-nine rats were operated on by the senior author (17 by three-throw and 12 by two-throw reef knots). In the two-throw reef knot group versus the traditional three-throw knot group, the immediate patency rates were 100% versus 82.4%, and the delayed patency rates were 90.9% versus 62.5%, respectively. The histopathological patency rates were concordant with delayed patency rates. Subintimal proliferation and fibrosis were comparable in both groups. Adventitial granulomas were noted in all, irrespective of the knotting technique. Tunica media preservation rates for the two-throw reef knot versus the traditional three-throw knot group were 63.6% versus 0%. Five rats were operated by the beginner in the field, all by two-throw reef knots (to assess the safety of this new method in the hands of a beginner). Microvascular anastomosis performed with two-throw reef knots appears not only feasible but better in terms of anastomosis patency. Histological superiority in terms of Tunica media preservation further validates the technique.