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J Am Coll Cardiol, 2005; 45:1574-1579, doi:10.1016/j.jacc.2005.01.048
© 2005 by the American College of Cardiology Foundation
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Endothelial Progenitor Cell Capture by Stents Coated With Antibody Against CD34

The HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) Registry

Jiro Aoki, MD*, Patrick W. Serruys, MD, PhD, FACC*,*, Heleen van Beusekom, MD, PhD*, Andrew T.L. Ong, MBBS, FRACP*, Eugene P. McFadden, MBChB, MD, FRCPI, FACC*, Georgios Sianos, MD, PhD*, Willem J. van der Giessen, MD, PhD*, Evelyn Regar, MD, PhD*, Pim J. de Feyter, MD, PhD, FACC*, H. Richard Davis, MSc{dagger}, Stephen Rowland, PhD{dagger} and Michael J.B. Kutryk, MD, PhD{ddagger}

* Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
{dagger} OrbusNeich, Fort Lauderdale, Florida
{ddagger} Terrence Donnelly Heart Centre, St. Michael’s Hospital, University of Toronto, Toronto, Canada



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Figure 1 Endothelial progenitor cell (EPC) capture coating technology.

 


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Figure 2 Overview (A) and details (left: B, C; mid: D, E; right: F) of the atherectomy specimen obtained six months following stent placement. Histology shows a mixture of myxoid (B, C) and fibrous material (F) consisting of smooth muscle cells (C, E) within variable amounts of extracellular matrix. Some fragments contained thrombus remnants (Th) (D, E) and calcifications (Ca) (F). A = elastin stain; B, D, F= hematoxylin eosin; C, E = immunocytochemistry for smooth muscle cell-specific alpha actin.

 


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Figure 3 Endothelial progenitor cell capture stent bioactivity (in vitro). The cell-binding activity of the HEALING-FIM and HEALING-II stents was compared with negative controls (bare stents). In the bioassay, stents were exposed to a suspension of human CD34+ cells (kg-1a cells, American Type Culture Collection) for 1 h with agitation. Excess cells are removed and bound cells are tagged with a fluorescent nuclear stain (DAPI, 4'6-diamidino-2-phenylindole). After rinsing, the stents were placed in a microplate for analysis in a fluorescent plate reader. The number of cells bound was calculated by interpolation from standard curve on the same plate.

 





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