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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1976-2-2
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pubmed:abstractText |
Fresh saphenous vein homografts are gaining popularity as conduits for femoral-popliteal or distal bypass grafts. Aside from major blood group compatibility, there is little clinical evidence that rejection is a significant factor in long-term patency. Some have suggested that blood vessels are weakly antigenic and others indicate that rejection does not endanger long-term patency. Transplantation and toxic damage were produced in experimental animals in order to compare healing processes. Both types of injuries produced early significant endothelial cell proliferation detected by H3-thymidine uptake. This response peaked at 5 days in transplants and ever-expanding islands of proliferating endothelium were present in aortas exposed to 20 percent sodium chloride, leading to healing in 3 to 4 months. In the transplanted vessels, total endothelial destruction occurred at 11 to 28 days, and cells of host origin determined by sex chromatin analysis gradually resurfaced those grafts that maintained patency. At 4 months only two of six carotid artery homografts were patent in unmodified dogs, and eight of nine were patent in animals given 1 mg. per kilogram of Imuran. All patent grafts were resurfaced by host cells. We conclude that rejection does play a role in long-term patency; that donor endothelium of living vascular grafts cannot maintain sufficient proliferative capacity to repair immunological damage; that small doses of Imuran significantly alter the rate of destruction leading to more orderly repair and patency; and that clinical trials utilizing one half the dose of Imuran required for kidney graft survival are likely to improve significantly the long-term patency rate of fresh arterial or venous homografts in man.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0039-6060
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
694-706
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pubmed:dateRevised |
2003-11-14
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pubmed:meshHeading |
pubmed-meshheading:1188613-Animals,
pubmed-meshheading:1188613-Aorta,
pubmed-meshheading:1188613-Arteries,
pubmed-meshheading:1188613-Azathioprine,
pubmed-meshheading:1188613-Carotid Arteries,
pubmed-meshheading:1188613-DNA,
pubmed-meshheading:1188613-Dogs,
pubmed-meshheading:1188613-Endothelium,
pubmed-meshheading:1188613-Graft Rejection,
pubmed-meshheading:1188613-Rats,
pubmed-meshheading:1188613-Rats, Inbred Strains,
pubmed-meshheading:1188613-Transplantation, Autologous,
pubmed-meshheading:1188613-Transplantation, Homologous,
pubmed-meshheading:1188613-Wound Healing
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pubmed:year |
1975
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pubmed:articleTitle |
Rejection and repair of endothelium in major vessel transplants.
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pubmed:publicationType |
Journal Article
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