Stress and Vascular Responses: Anti-inflammatory Therapeutic Strategy Against Atherosclerosis and Restenosis After Coronary Intervention

Bibliographic Details
Title: Stress and Vascular Responses: Anti-inflammatory Therapeutic Strategy Against Atherosclerosis and Restenosis After Coronary Intervention
Authors: Shiro Kitamoto, Kensuke Egashira, Akira Takeshita
Source: Journal of Pharmacological Sciences, Vol 91, Iss 3, Pp 192-196 (2003)
Publisher Information: Elsevier, 2003.
Publication Year: 2003
Collection: LCC:Therapeutics. Pharmacology
Subject Terms: Therapeutics. Pharmacology, RM1-950
More Details: Atherosclerosis and restenosis after percutaneous coronary interventions have become major issues in public health in Western countries. Recent studies have revealed that inflammation plays an important role in pathogenesis of cardiovascular diseases. Vascular injury may involve an inflammatory response, which accelerates the recruitment and activation of monocytes through monocyte chemoattractant protein-1 (MCP-1). MCP-1 expression has been shown to be increased in atherosclerotic lesions and balloon injured arteries. Recently, we have devised a new strategy for anti-MCP-1 gene therapy by transfecting mutant MCP-1 gene into skeletal muscle. This mutant MCP-1 has been shown to work as a dominant-negative inhibitor of MCP-1. We here demonstrate that this strategy limited progression of pre-existing atherosclerotic lesions and improved the lesion composition into a more stable phenotype in the hypercholesterolemic mice. This strategy also suppressed monocyte infiltration/activation in the injured site and markedly inhibited restenotic changes (neointimal hyperplasia) in the carotid artery in rabbits, rats, and monkeys after balloon injury or stent implantation. Therefore, MCP-1-mediated monocyte infiltration is essential in the development of restenotic changes as well as atherosclerosis progression. MCP-1 can be a practical therapeutic target for human restenosis and atherosclerosis.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1347-8613
Relation: http://www.sciencedirect.com/science/article/pii/S1347861319327331; https://doaj.org/toc/1347-8613
DOI: 10.1254/S1347-8613(19)32733-1
Access URL: https://doaj.org/article/1b55a473404e42f496fb89c2e06ec907
Accession Number: edsdoj.1b55a473404e42f496fb89c2e06ec907
Database: Directory of Open Access Journals
More Details
ISSN:13478613
DOI:10.1254/S1347-8613(19)32733-1
Published in:Journal of Pharmacological Sciences
Language:English