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The Annals of Thoracic Surgery, Vol 58, 1320-1325, Copyright © 1994 by The Society of Thoracic Surgeons
VF Blood, MG Magno, WF Bailey, Y Shi, L Yurgenev, F DiMeo, RN Edie and JD Mannion
In the presence of myocardial ischemia, chronic electrical stimulation of a
latissimus dorsi (LD) cardiomyoplasty enhances extramyocardial collateral
blood flow. We postulated that basic fibroblast growth factor (bFGF) may
mediate extramyocardial collateral formation. To test this hypothesis, LDs
from goats with cardiomyoplasties were probed for the presence of bFGF by
Western blot analysis and immunohistochemistry. Three groups were studied:
static LD cardiomyoplasty (group 1); LD cardiomyoplasty stimulated at a
2-Hz frequency for 6 weeks (group 2); and LD cardiomyoplasty electrically
stimulated and given human recombinant bFGF (group 3). There was no
evidence of bFGF in the left LDs of group 1 by Western blot. Basic
fibroblast growth factor-like immunoreactive evidence was found in the left
LDs of group 2 goats by both Western blot and immunohistochemistry. In the
right LDs of group 2, bFGF-like material was found by immunohistochemistry
but not by Western blot, which suggests that the tissue concentrations were
low (near the limits of detection). The left LDs of group 3 were positive
for bFGF by Western blot and immunohistochemistry. Group 3 right LDs were
positive for bFGF by immunohistochemistry. Immunohistochemical findings in
group 2 indicate that bFGF is present in goat skeletal muscle. Western blot
data from groups 1 and 2 suggest that bFGF may be increased in chronically
stimulated cardiomyoplasties. From findings in group 3, we conclude that
exogenous bFGF does not downregulate, and may upregulate, endogenous
production. These results support the possibility that skeletal muscle bFGF
is an important factor in extramyocardial collateral formation.
ARTICLES
Basic fibroblast growth factor identified in chronically stimulated cardiomyoplasties
Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania 19107.
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