Reduction of in-stent restenosis risk on nickel-free stainless steel by regulating cell apoptosis and cell cycle

PLoS One. 2013 Apr 26;8(4):e62193. doi: 10.1371/journal.pone.0062193. Print 2013.

Abstract

High nitrogen nickel-free austenitic stainless steel (HNNF SS) is one of the biomaterials developed recently for circumventing the in-stent restenosis (ISR) in coronary stent applications. To understand the ISR-resistance mechanism, we have conducted a comparative study of cellular and molecular responses of human umbilical vein endothelial cells (HUVECs) to HNNF SS and 316L SS (nickel-containing austenitic 316L stainless steel) which is the stent material used currently. CCK-8 analysis and flow cytometric analysis were used to assess the cellular responses (proliferation, apoptosis, and cell cycle), and quantitative real-time PCR (qRT-PCR) was used to analyze the gene expression profile of HUVECs exposed to HNNF SS and 316L SS, respectively. Flow cytometry analysis revealed that 316L SS could activate the cellular apoptosis more efficiently and initiate an earlier entry into the S-phase of cell cycle than HNNF SS. At the molecular level, qRT-PCR results showed that the genes regulating cell apoptosis and autophagy were overexpressed on 316L SS. Further examination indicated that nickel released from 316L SS triggered the cell apoptosis via Fas-Caspase8-Caspase3 exogenous pathway. These molecular mechanisms of HUVECs present a good model for elucidating the observed cellular responses. The findings in this study furnish valuable information for understanding the mechanism of ISR-resistance on the cellular and molecular basis as well as for developing new biomedical materials for stent applications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis / drug effects*
  • Apoptosis / genetics
  • Cell Adhesion / drug effects
  • Cell Cycle / drug effects*
  • Cell Cycle / genetics
  • Cell Proliferation / drug effects
  • Coronary Restenosis / etiology*
  • Coronary Restenosis / prevention & control*
  • Flow Cytometry
  • Fluorescence
  • Gene Expression Profiling
  • Human Umbilical Vein Endothelial Cells / cytology
  • Human Umbilical Vein Endothelial Cells / drug effects
  • Human Umbilical Vein Endothelial Cells / metabolism
  • Humans
  • Models, Biological
  • Nickel / pharmacology*
  • Optical Imaging
  • Real-Time Polymerase Chain Reaction
  • Risk Factors
  • Stainless Steel / pharmacology*
  • Stents / adverse effects*

Substances

  • austenitic steel
  • Stainless Steel
  • Nickel

Grants and funding

This work was financially supported by the National Basic Research Program of China (973 Program) (No. 2012CB619101) and the National Natural Science Foundation of China (No. 31070705, 31000428). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.