PMID- 12070121 OWN - NLM STAT- MEDLINE DCOM- 20020628 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 105 IP - 24 DP - 2002 Jun 18 TI - Essential role of monocyte chemoattractant protein-1 in development of restenotic changes (neointimal hyperplasia and constrictive remodeling) after balloon angioplasty in hypercholesterolemic rabbits. PG - 2905-10 AB - BACKGROUND: Renarrowing of dilated arterial sites (restenosis) hampers the clinical benefits of coronary angioplasty. Infiltration and activation of monocytes in the arterial wall mediated by monocyte chemoattractant protein-1 (MCP-1) might be a major cause of restenosis after angioplasty. However, there is no direct evidence to support a definite role of MCP-1 in the development of restenosis. Methods and Results- We recently devised a new strategy for anti-MCP-1 gene therapy by transfecting an N-terminal deletion mutant of the MCP-1 gene into skeletal muscles. We used this strategy to investigate the role of MCP-1 in the development of restenotic changes after balloon injury in the carotid artery in hypercholesterolemic rabbits. Intramuscular transfection of the mutant MCP-1 gene suppressed monocyte infiltration/activation in the injured arterial wall and thus attenuated the development of neointimal hyperplasia and negative remodeling. CONCLUSIONS: MCP-1-mediated monocyte infiltration is necessary in the development of restenotic changes to balloon injury in hypercholesterolemic rabbits. This strategy may be a useful and practical form of gene therapy against human restenosis. FAU - Mori, Emiko AU - Mori E AD - Department of Surgery and Science, Kyushu University School of Medical Sciences, Fukuoka, Japan. FAU - Komori, Kimihiro AU - Komori K FAU - Yamaoka, Terutoshi AU - Yamaoka T FAU - Tanii, Mitsugu AU - Tanii M FAU - Kataoka, Chu AU - Kataoka C FAU - Takeshita, Akira AU - Takeshita A FAU - Usui, Makoto AU - Usui M FAU - Egashira, Kensuke AU - Egashira K FAU - Sugimachi, Keizo AU - Sugimachi K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Chemokine CCL2) RN - 0 (RNA, Messenger) SB - IM MH - Angioplasty, Balloon/*adverse effects MH - Animals MH - Carotid Stenosis/diagnostic imaging/etiology/pathology MH - Cell Movement MH - Chemokine CCL2/genetics/*physiology MH - Constriction, Pathologic MH - Electroporation MH - Graft Occlusion, Vascular/diagnostic imaging/*etiology/pathology MH - Hypercholesterolemia/complications MH - Hyperplasia MH - Kinetics MH - Male MH - Monocytes/physiology MH - Muscle, Skeletal MH - RNA, Messenger/analysis MH - Rabbits MH - Ultrasonography EDAT- 2002/06/19 10:00 MHDA- 2002/06/29 10:01 CRDT- 2002/06/19 10:00 PHST- 2002/06/19 10:00 [pubmed] PHST- 2002/06/29 10:01 [medline] PHST- 2002/06/19 10:00 [entrez] AID - 10.1161/01.cir.0000018603.67989.71 [doi] PST - ppublish SO - Circulation. 2002 Jun 18;105(24):2905-10. doi: 10.1161/01.cir.0000018603.67989.71.