PMID- 12658058 OWN - NLM STAT- MEDLINE DCOM- 20031014 LR - 20190724 IS - 0160-2446 (Print) IS - 0160-2446 (Linking) VI - 41 IP - 4 DP - 2003 Apr TI - Ramatroban, a thromboxane A2 receptor antagonist, prevents macrophage accumulation and neointimal formation after balloon arterial injury in cholesterol-fed rabbits. PG - 571-8 AB - Macrophage infiltration appears to play an important role in restenosis after arterial intervention. Monocyte chemoattractant protein-1 (MCP-1) is a major chemotactic factor for macrophages. We have previously shown that ramatroban, a thromboxane A(2) (TXA(2)) receptor antagonist, diminished the expression of MCP-1 in human vascular endothelial cells. The aim of this study was to evaluate whether, after balloon angioplasty of atherosclerotic arteries, ramatroban would reduce MCP-1 expression, macrophage accumulation, and neointimal formation. New Zealand white rabbits were fed a cholesterol-rich diet for 4 weeks, and the abdominal aorta of the rabbits were injured by a 2-French Fogarty catheter. They were randomized to receive 1 or 5 mg/kg daily of ramatroban (n = 7 or n = 8) or saline (n = 6). At 4 weeks after balloon angioplasty, the intimal hyperplasia and the macrophage-positive area in the intima by the ramatroban treatment was significantly reduced. Monocyte chemoattractant protein-1 gene expression in injured aortas of the ramatroban-treated group was significantly less evident than in the vehicle-treated group. Thromboxane A(2) receptor blockade by ramatroban for 4 weeks after balloon angioplasty in the atherosclerotic rabbits prevented macrophage infiltration through MCP-1 downregulation and neointimal formation. FAU - Ishizuka, Toshiaki AU - Ishizuka T AD - Department of Medical Engineering, National Defense Medical College, Tokorozawa, Saitama, Japan. TIR2@aol.com FAU - Matsumura, Kouji AU - Matsumura K FAU - Matsui, Takemi AU - Matsui T FAU - Takase, Bonpei AU - Takase B FAU - Kurita, Akira AU - Kurita A LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (Carbazoles) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, Thromboxane) RN - 0 (Sulfonamides) RN - 97C5T2UQ7J (Cholesterol) RN - P1ALI72U6C (ramatroban) SB - IM MH - Angioplasty, Balloon/*adverse effects/methods MH - Animals MH - Aorta, Abdominal/drug effects/metabolism/pathology MH - Carbazoles/*pharmacology MH - Chemokine CCL2/biosynthesis/genetics MH - Cholesterol/*pharmacology MH - Dose-Response Relationship, Drug MH - Gene Expression Regulation/drug effects/physiology MH - Macrophages/*drug effects/pathology MH - Male MH - Rabbits MH - Receptors, Thromboxane/antagonists & inhibitors/physiology MH - Sulfonamides/*pharmacology MH - Tunica Intima/*drug effects/metabolism/pathology EDAT- 2003/03/27 05:00 MHDA- 2003/10/15 05:00 CRDT- 2003/03/27 05:00 PHST- 2003/03/27 05:00 [pubmed] PHST- 2003/10/15 05:00 [medline] PHST- 2003/03/27 05:00 [entrez] AID - 10.1097/00005344-200304000-00009 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 2003 Apr;41(4):571-8. doi: 10.1097/00005344-200304000-00009.