Running title Compact and automated ex-vivo vessel culture systemThis is the peer reviewed version of the following article: Piola, M., Prandi, F., Bono, N., Soncini, M., Penza, E., Agrifoglio, M., Polvani, G., Pesce, M. and Fiore, G. B. (2013)
AbstractSaphenous vein (SV) graft disease represents an unresolved problem in coronary artery bypass grafting (CABG). After CABG, a progressive remodeling of the SV wall occurs, possibly leading to the lumen occlusion, a process termed intima hyperplasia (IH). The investigation of cellular and molecular aspects of IH progression is a primary endpoint toward the generation of occlusion-free vessels that may be used as 'life-long' grafts.While animal transplantation models have clarified some of the remodeling factors, the human SV pathology is far from being understood. This is also due to the lack of devices able to reproduce the altered mechanical load encountered by the SV after CABG. The manuscript describes the design of a novel ex vivo vein culture system (EVCS) capable to replicate the altered pressure pattern experienced by SV after CABG and reports the results of a preliminary biomechanical conditioning experimental campaign on SV segments. The EVCS applied a CAGB-like pressure (80-120 mmHg) or a venous-like perfusion (3 ml/min, 5 mmHg) conditioning to the SVs, keeping the segments viable in a sterile environment during 7-day-culture experiments. After CABG-like pressure conditioning, SVs exhibited a decay of the wall thickness, an enlargement of the luminal perimeter, a rearrangement of the muscle fibers, and a partial endothelium denudation.Considering these preliminary results, the EVCS is a suitable system to study the mechanical attributes of SV graft disease, and its use, combined with a well-designed biological protocol, may be of help in elucidating the cellular and molecular mechanisms involved in SV graft disease.