To study the vascular endothelial cell injury under hyperthermia, human umbilical vein endothelial cells (HUVEC) were incubated for 60 min between 0°C and 50°C. Then, their morphological change, cell injury and their production of tissue plasminogen activator (tPA) and plasminogen activator inhibitor-1 (PAI-1) were examined. The results were as follows.
1. Morphological changes of HUVEC were observed by heating between 40°C and 43°C. Intercelluar space of HUVEC became wider and shape of HUVEC became round according to the increase of heating temperature.
2. From the experiment with fluorescent Fura-2, heat injury of HUVEC was deteced above 43°C.
3. Production of PAI-1 increased in HUVEC incubated at 40°C with significant difference and significantly decreased at 50°C. Production of tPA slightly increased in HUVEC incubated at 40°C and significantly decreased at 50°C.
4. The presence of PAI-1 in HUVEC was demonstrated by immunohistochemical blotting method against anti-human PAI-1 antibody.
In the present experiment the critical temperature of HUVEC was demonstrated to be 43°C, similarly in the previous data of clotting and fibrinolytic parameters. The fact that injury of HUVEC and increase of PAI-1 induced DIC, strongly supports our previous reports that whole body-heated rabbits show the symptoms of DIC.
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