Hypertonicity induces injury to cultured human endothelium: Attenuation by glutamine

Alessandro Parolari, Roberto Sala, Carlo Antona, Ovidio Bussolati, Francesco Alamanni, Paola Mezzadri, Valeria Dall'Asta, Gian C. Gazzola, Paolo Biglioli

Research output: Contribution to journalArticlepeer-review


Background. Although most preservation solutions as well as some cardioplegic solutions used for organ storage and transplantation are hypertonic, the effects of extracellular hypertonicity on endothelium are not well established. Aims of this study were to evaluate the response of cultured human saphenous vein endothelial cells to extracellular hypertonicity and to investigate the role of the amino acid glutamine in preventing endothelial damage in vitro. Methods. Eight distinct strains of human saphenous vein endothelial cells were studied. Hypertonic (350 and 400 mosm/kg) media were obtained by supplementing culture medium with sucrose. Cell viability was assessed in the absence or the presence of glutamine through the determination of cell number and protein content of the cultures. Confocal microscopy of cells loaded with the fluorescent dye calcein was also performed. Results. Exposure of human saphenous vein endothelial cells to hypertonic media without glutamine caused significant cell loss within 30 minutes. Cell loss progressed steadily during incubation and after 6 hours reached 50% at 350 mosm/kg and 65% at 400 mosm/kg. In the presence of 2 mmol/L glutamine, endothelial damage was completely prevented at 350 mosm/kg and significantly lessened at 400 mosm/kg compared with glutamine-flee media. Confocal microscopy showed that most hypertonicity-treated cells exhibited the typical features of an apoptotic death and confirmed the osmoprotective effect of glutamine. Conclusions. These results indicate that the supplementation of hypertonic storage solutions with glutamine might exert a partial osmoprotective effect and suggest that the relationship between endothelial damage and tonicity of storage and cardioplegic solutions should be carefully investigated.

Original languageEnglish
Pages (from-to)1770-1775
Number of pages6
JournalAnnals of Thoracic Surgery
Issue number6
Publication statusPublished - Dec 1997

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery


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