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Global Translational Medicine                                          Elastolysis of porcine aortic adventitia



            and the aortas would have been discarded if not acquired   cell, was used to uniaxially measure the tensile properties
            for this study.                                    of isolated adventitial specimens (n = 30 for each of the
              Fifty aortic segments selected from the abdominal   five sets of samples). The thickness and width of strips
            region were used in this study. They were stored in a   (1 × 3 cm) were checked with a digital caliper (Digimax
            freezer (−80 C) and thawed when needed. The adventitial   Global Inc., Toronto, Canada). Thirty measurements
                      o
            specimens were prepared as previously reported . In   for each set of samples, that is, untreated, digested (1 h,
                                                     [21]
            brief, after removing the extraneous fat and connective   10 U/mL), digested (1 h, 10 U/mL)+irradiated, digested
            tissue from the external surface of the vessel, dissection   (48  h, 20 U/mL), digested (48  h, 20 U/mL)+irradiated,
            was initiated at a corner with a surgical scalpel, and the   were carried out along the longitudinal direction at a set
            adventitia was then carefully peeled off by hand.  gauge distance of 16  mm, and a speed of 10  mm/min.
                                                               The values of elastic modulus (Young’s modulus) were
            2.2. In vitro elastolysis                          calculated from the linear region of the recorded stress-
            Five sets of 10 adventitial specimens (5 × 3 cm each) were   strain plots. The mechanical testing was carried out in its
            soaked in phosphate-buffered saline (PBS) for 1  h, and   entirety by the same researcher.
            then each was placed in a Petri dish (6 cm in diameter).   2.5. Histology
            For elastolysis, an elastase solution containing 10 U/mL
            was prepared by diluting the original enzyme solution   Aortic adventitial tissue specimens, native or treated, were
            with an  aqueous solution made up of Tris buffer with   fixed in 10% neutral buffered formaldehyde solution for
            pH 7.8 (100 mM), calcium chloride (1 mM) and sodium   24 h, washed 3 times, and stored in PBS. The specimens
            azide (0.02% w/v). Portions (6 mL) of this elastase solution   were  then  placed  in  plastic  tissue  processing  cassettes
                                                                                                
                                                                                                     
            were added to the dishes to cover the samples in two of the   and processed for 9 h in the Tissue-Tek  VIP  6 Tissue
            sets. The dishes were then placed in an orbital shaker and   Processor (Sakura Finetek, Torrance, California, USA).
            shaken at 160 rpm for 1 h at 37°C. Two sets of 10 specimens   The processed samples were embedded in paraffin with the
            each were processed. One set was subjected to elastolysis   region of interest facing down. Sections (4-μm thick) were
            only; the second set was subjected to elastolysis and then   cut  with  a  Leica  RM2245  microtome  (Leica  Biosystems,
            irradiated. For comparison, a third set of 10  specimens   Nussloch, Germany) and collected onto labeled SuperFrost
            was subjected to the same protocol without elastolysis   Plus slides (Menzel-Gläser, Braunschweig, Germany).
            and irradiation. In a separate experiment, the fourth set of   The slides were manually stained using a Verhoeff-Van
            specimens was subjected to elastolysis in 20 U/mL elastase   Gieson stain kit (Australian Biostain, Traralgon, Australia)
            for 48 h, and the fifth set to the same protocol followed by   following  the  supplier’s  VVG/EVG  Protocol  and then
            irradiation. Following elastolysis, the samples were rinsed   coverslipped with the Tissue-Tek automated coverslipper.
            3 times in cold water. Before further testing, all specimens   The slides were then scanned with a ×40 objective using
            were kept in PBS at room temperature.              an Olympus VS120 Slide Scanner (Olympus, Sydney,
                                                               Australia), and images were acquired using the Olympus
            2.3. Irradiation procedure                         VS-ASW software (v2.9). Data were then visualized using
            The rectangular strips of adventitia scheduled for   the Olympus OlyVIA™ software (v3.1).
            irradiation (5 × 3 cm) were soaked in the RF solution for   2.6. Statistical analysis
            30  min at room temperature. Each specimen was then
            exposed to UV-A radiation (at a wavelength of 365 nm)   The plotted data point for n = 30 were displayed as mean
            generated by a UV Curing System OmniCure 1500      values ± standard error of the mean. For the statistical
            (Excelitas Technologies Corp., Waltham, Massachusetts,   comparison of the values in three groups, the GraphPad®
            USA). The localized irradiance on the target was monitored   Prism software (Version 6.0) was used to perform the one-
            with a radiometer Dymax ACCU-CAL 50 (Dymax Corp.,   way  analysis  of  variance  (ANOVA)  in  conjunction  with
            Torrington, Connecticut, USA). The required value for   Tukey-Kramer multiple comparisons. For the comparison
            the  irradiance  was  obtained  by  adjusting  the  distance   of two groups of values, a Student’s t-test was used.
            between the radiation source and the target. Each side of   3. Results and discussion
            the specimen was exposed to an irradiance of 45 mW/cm
                                                          2
            for 10 min.                                        In the quest for a better understanding of the pathogenesis
                                                               of aortic aneurysms, experimental selective enzymolysis
            2.4. Mechanical testing                            of the two major components (elastin and collagen) of the
            An Instron Materials Testing System Model #5943 (Instron,   vascular wall remained one of the preferred methodologies
            Norwood, Massachusetts, USA), equipped with a 50-N load   for creating aneurysmal animal models [23-25]  and— to a


            Volume 2 Issue 2 (2023)                         3                        https://doi.org/10.36922/gtm.0897
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