A Nonthoracotomy Myocardial Infarction Model in an Ovine Using Autologous Platelets

الملخص EN

There is a paucity of a biological large animal model of myocardial infarction (MI).

We hypothesized that, using autologous-aggregated platelets, we could create an ovine model that was reproducible and more closely mimicked the pathophysiology of MI.

Methods.

Mepacrine stained autologous platelets from male sheep (n=7) were used to create a myocardial infarction via catheter injection into the mid-left anterior descending (LAD) coronary artery.

Serial daily serum troponin measurements were taken and tissue harvested on post-embolization day three.

Immunofluorescence microscopy was used to detect the mepacrine-stained platelet-induced thrombus, and histology performed to identify three distinct myocardial (infarct, peri-ischemic “border zone,” and remote) zones.

Results.

Serial serum troponin levels (μg/mL) measured 0.0±0.0 at baseline and peaked at 297.4±58.0 on post-embolization day 1, followed by 153.0±38.8 on day 2 and 76.7±19.8 on day 3.

Staining confirmed distinct myocardial regions of inflammation and fibrosis as well as mepacrine-stained platelets as the cause of intravascular thrombosis.

Conclusion.

We report a reproducible, unique model of a biological myocardial infarction in a large animal model.

This technique can be used to study acute, regional myocardial changes following a thrombotic injury.