Treatment with hyperbaric oxygen affects endothelial cell fibrinolysis.
THE EUROPEAN JOURNAL OF SURGERY = ACTA CHIRURGICA 1999;
165:834-8. [PMID:
10533756 DOI:
10.1080/11024159950189302]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVE
To investigate the effect of hyperbaric oxygen treatment (HBO) on the thrombolytic properties of endothelial cells.
SETTING
University hospital, Sweden.
INTERVENTIONS
Human endothelial cells were derived from saphenous veins, and exposed to oxygen in a compression chamber at 2.5 atmospheres absolute (ATA, =250kPa). Cells exposed to 2.5 ATA with a gas mixture similar to air (HB Air), and unpressurised air-exposed cells served as controls.
MAIN OUTCOME MEASURES
Tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor type-1 (PAI-1).
RESULTS
Immediately after treatment there was a significant increase in t-PA protein in the medium in cultures treated with HBO compared with HB Air (p = 0.015, n = 6), and untreated controls (p = 0.015, n = 6). The PAI-1 concentration in media was also higher in the HBO-treated group compared with HB Air (p = 0.004, n = 6) and untreated controls (p = 0.004, n = 6). Six hours after treatment there was still a significant increase in PAI-1 in the HBO-treated group compared with untreated controls (p = 0.007, n = 6), but not with the pressure control. t-PA concentrations were similar. Specific mRNA for t-PA and PAI-1 was detectable immediately after treatment and six hours later in all experimental groups as assessed by reverse transcriptase polymerase chain reaction (RT-PCR). HBO increased the gene expression for both t-PA and PAI-1.
CONCLUSIONS
HBO affects endothelial cell function and its fibrinolytic response. These findings may have clinical relevance in hyperbaric medicine and trauma care.
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