A simple mouse model of pericardial adhesions

Abstract Background Postoperative pericardial adhesions are considered a risk factor for redo cardiac surgery. Several large- and medium-size animal models of pericardial adhesions have been reported, but small animal models for investigating the development of anti-adhesion materials and molecular...

Full description

Bibliographic Details
Main Authors: Ai Kojima, Tomohisa Sakaue, Mikio Okazaki, Fumiaki Shikata, Mie Kurata, Yuuki Imai, Hirotomo Nakaoka, Junya Masumoto, Shunji Uchita, Hironori Izutani
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-019-0940-9
_version_ 1818457503989497856
author Ai Kojima
Tomohisa Sakaue
Mikio Okazaki
Fumiaki Shikata
Mie Kurata
Yuuki Imai
Hirotomo Nakaoka
Junya Masumoto
Shunji Uchita
Hironori Izutani
author_facet Ai Kojima
Tomohisa Sakaue
Mikio Okazaki
Fumiaki Shikata
Mie Kurata
Yuuki Imai
Hirotomo Nakaoka
Junya Masumoto
Shunji Uchita
Hironori Izutani
author_sort Ai Kojima
collection DOAJ
description Abstract Background Postoperative pericardial adhesions are considered a risk factor for redo cardiac surgery. Several large- and medium-size animal models of pericardial adhesions have been reported, but small animal models for investigating the development of anti-adhesion materials and molecular mechanisms of this condition are lacking. In this study, we aimed to establish a simple mouse model of pericardial adhesions to address this gap. Methods We administered blood, minocycline, picibanil, and talc into the murine pericardial cavity via one-shot injection. Micro-computed tomography analyses of contrast agent-injected mice were carried out for methodological evaluation. We investigated various dosages and treatment durations for molecules identified to be inducers of pericardial adhesion. The adhesive grade was quantified by scoring the strength and volume of adhesion tissues at sacrificed time points. Histological staining with hematoxylin and eosin and Masson’s trichrome, and immunostaining for F4/80 or αSMA was performed to investigate the structural features of pericardial adhesions, and pathological features of the pericardial adhesion tissue were compared with human clinical specimens. Results Administration of talc resulted in the most extensive pericardial adhesions. Micro-computed tomography imaging data confirmed that accurate injection into the pericardial cavity was achieved. We found the optimal condition for the formation of strong pericardial adhesions to be injection of 2.5 mg/g talc for 2 weeks. Furthermore, histological analysis showed that talc administration led to an invasion of myofibroblasts and macrophages in the pericardial cavity and epicardium, consistent with pathological findings in patients with left ventricular assistive devices. Conclusions We successfully established a simple mouse model of talc-induced pericardial adhesions, which mimics human pathology and could contribute to solving the clinical issues related to pericardial adhesions.
first_indexed 2024-12-14T22:43:37Z
format Article
id doaj.art-1db9e558eeb54225886e044d8e365cb8
institution Directory Open Access Journal
issn 1749-8090
language English
last_indexed 2024-12-14T22:43:37Z
publishDate 2019-06-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj.art-1db9e558eeb54225886e044d8e365cb82022-12-21T22:44:54ZengBMCJournal of Cardiothoracic Surgery1749-80902019-06-011411910.1186/s13019-019-0940-9A simple mouse model of pericardial adhesionsAi Kojima0Tomohisa Sakaue1Mikio Okazaki2Fumiaki Shikata3Mie Kurata4Yuuki Imai5Hirotomo Nakaoka6Junya Masumoto7Shunji Uchita8Hironori Izutani9Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineDepartment of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineDepartment of Thoracic, Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineDepartment of Pathology, Division of Analytical Pathology, Ehime University Graduate School of MedicineDivision of Integrative Pathophysiology Proteo-Science Center, Ehime University Graduate School of MedicineDepartment of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineDepartment of Pathology, Division of Analytical Pathology, Ehime University Graduate School of MedicineDepartment of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineDepartment of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of MedicineAbstract Background Postoperative pericardial adhesions are considered a risk factor for redo cardiac surgery. Several large- and medium-size animal models of pericardial adhesions have been reported, but small animal models for investigating the development of anti-adhesion materials and molecular mechanisms of this condition are lacking. In this study, we aimed to establish a simple mouse model of pericardial adhesions to address this gap. Methods We administered blood, minocycline, picibanil, and talc into the murine pericardial cavity via one-shot injection. Micro-computed tomography analyses of contrast agent-injected mice were carried out for methodological evaluation. We investigated various dosages and treatment durations for molecules identified to be inducers of pericardial adhesion. The adhesive grade was quantified by scoring the strength and volume of adhesion tissues at sacrificed time points. Histological staining with hematoxylin and eosin and Masson’s trichrome, and immunostaining for F4/80 or αSMA was performed to investigate the structural features of pericardial adhesions, and pathological features of the pericardial adhesion tissue were compared with human clinical specimens. Results Administration of talc resulted in the most extensive pericardial adhesions. Micro-computed tomography imaging data confirmed that accurate injection into the pericardial cavity was achieved. We found the optimal condition for the formation of strong pericardial adhesions to be injection of 2.5 mg/g talc for 2 weeks. Furthermore, histological analysis showed that talc administration led to an invasion of myofibroblasts and macrophages in the pericardial cavity and epicardium, consistent with pathological findings in patients with left ventricular assistive devices. Conclusions We successfully established a simple mouse model of talc-induced pericardial adhesions, which mimics human pathology and could contribute to solving the clinical issues related to pericardial adhesions.http://link.springer.com/article/10.1186/s13019-019-0940-9Pericardial adhesionsMouse modelTalc
spellingShingle Ai Kojima
Tomohisa Sakaue
Mikio Okazaki
Fumiaki Shikata
Mie Kurata
Yuuki Imai
Hirotomo Nakaoka
Junya Masumoto
Shunji Uchita
Hironori Izutani
A simple mouse model of pericardial adhesions
Journal of Cardiothoracic Surgery
Pericardial adhesions
Mouse model
Talc
title A simple mouse model of pericardial adhesions
title_full A simple mouse model of pericardial adhesions
title_fullStr A simple mouse model of pericardial adhesions
title_full_unstemmed A simple mouse model of pericardial adhesions
title_short A simple mouse model of pericardial adhesions
title_sort simple mouse model of pericardial adhesions
topic Pericardial adhesions
Mouse model
Talc
url http://link.springer.com/article/10.1186/s13019-019-0940-9
work_keys_str_mv AT aikojima asimplemousemodelofpericardialadhesions
AT tomohisasakaue asimplemousemodelofpericardialadhesions
AT mikiookazaki asimplemousemodelofpericardialadhesions
AT fumiakishikata asimplemousemodelofpericardialadhesions
AT miekurata asimplemousemodelofpericardialadhesions
AT yuukiimai asimplemousemodelofpericardialadhesions
AT hirotomonakaoka asimplemousemodelofpericardialadhesions
AT junyamasumoto asimplemousemodelofpericardialadhesions
AT shunjiuchita asimplemousemodelofpericardialadhesions
AT hironoriizutani asimplemousemodelofpericardialadhesions
AT aikojima simplemousemodelofpericardialadhesions
AT tomohisasakaue simplemousemodelofpericardialadhesions
AT mikiookazaki simplemousemodelofpericardialadhesions
AT fumiakishikata simplemousemodelofpericardialadhesions
AT miekurata simplemousemodelofpericardialadhesions
AT yuukiimai simplemousemodelofpericardialadhesions
AT hirotomonakaoka simplemousemodelofpericardialadhesions
AT junyamasumoto simplemousemodelofpericardialadhesions
AT shunjiuchita simplemousemodelofpericardialadhesions
AT hironoriizutani simplemousemodelofpericardialadhesions