[Endothelial cell injury and changes in anti-coagulation properties induced by burn serum in vitro].
The purpose of this study is to clarify the effect of burn rabbit serum on the function and structure of endothelial cells in vitro. Morphological study (inverted microscopy, scanning electron microscopy), and determinations of LDH, 6-keto-PGF1 alpha and tissue-type plasminogen activator in the culture medium, changes in the ability of anti-adhesion of platelet to endothelial cells and anti-aggregation property of platelet, etc. were performed. The main results and conclusions were as follows: (1) Rabbit serum obtained in the early stage exerted obvious toxic effects on endothelial cells, functional changes appeared earlier than structural, and in the later changes in intercellular junction and cellular surface appeared earlier; (2) Burn rabbit serum significantly reduced the ability of anti-adhesion of platelet to endothelial cell and anti-aggregation property of platelet, and it might be the primary cause of local micro-thrombosis; (3) Because of the destruction of endothelial surface, the ability of fibrinolysis of endothelial cells was reduced. The activity of tPA might be inhibited b PAI-1, although the content of tPA in the culture medium seemed to be increased after endothelial cell injury.