PMID- 14517168 OWN - NLM STAT- MEDLINE DCOM- 20031124 LR - 20220409 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 108 IP - 17 DP - 2003 Oct 28 TI - Anti-monocyte chemoattractant protein-1 gene therapy attenuates left ventricular remodeling and failure after experimental myocardial infarction. PG - 2134-40 AB - BACKGROUND: Increased expression of monocyte chemoattractant protein-1 (MCP-1) has recently been described in clinical and experimental failing heart. However, its pathophysiological significance in heart failure remains obscure. We thus determined whether MCP-1 is increased in post-myocardial infarction (MI) hearts and its blockade can attenuate the development of left ventricular (LV) remodeling and failure. METHODS AND RESULTS: Anterior MI was produced in mice by ligating the left coronary artery. After 4 weeks, MI mice exerted LV dilatation and contractile dysfunction in association with myocyte hypertrophy and interstitial fibrosis of noninfarcted LV. MCP-1 mRNA levels were increased by 40-fold in noninfarcted LV 1 day after ligation, which persisted until 28 days. To block the MCP-1 signals, an N-terminal deletion mutant of the human MCP-1 gene was transfected into the limb skeletal muscle 3 days before and 14 days after ligation. This method improved the survival rate of mice with MI at 4 weeks (61% versus 87%, P<0.05) as well as attenuated LV cavity dilatation and contractile dysfunction, interstitial fibrosis, recruitment of macrophages, and myocardial gene expression of tumor necrosis factor-alpha and transforming growth factor-beta compared with the nontreated MI mice despite the comparable infarct size calculated as percent LV circumference. CONCLUSIONS: The activation of MCP-1 expression contributes to the LV remodeling and failure after MI. An anti-MCP-1 gene therapy can be a useful novel strategy for preventing post-MI heart failure. FAU - Hayashidani, Shunji AU - Hayashidani S AD - Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Tsutsui, Hiroyuki AU - Tsutsui H FAU - Shiomi, Tetsuya AU - Shiomi T FAU - Ikeuchi, Masaki AU - Ikeuchi M FAU - Matsusaka, Hidenori AU - Matsusaka H FAU - Suematsu, Nobuhiro AU - Suematsu N FAU - Wen, Jing AU - Wen J FAU - Egashira, Kensuke AU - Egashira K FAU - Takeshita, Akira AU - Takeshita A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030929 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Tumor Necrosis Factor-alpha) RN - 11128-99-7 (Angiotensin II) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Angiotensin II/pharmacology MH - Animals MH - Chemokine CCL2/*antagonists & inhibitors/biosynthesis/genetics MH - Cytokines/biosynthesis MH - Disease Models, Animal MH - Disease Progression MH - Gene Expression Regulation/drug effects MH - Genetic Therapy/*methods MH - Heart Failure/etiology/pathology/*prevention & control MH - Humans MH - Immunohistochemistry MH - Male MH - Matrix Metalloproteinases/biosynthesis MH - Mice MH - Muscle, Skeletal/metabolism MH - Myocardial Infarction/*complications/pathology MH - Myocardium/metabolism/pathology MH - Sequence Deletion/genetics MH - Survival Rate MH - Tumor Necrosis Factor-alpha/pharmacology MH - Ventricular Dysfunction, Left/etiology/therapy MH - Ventricular Remodeling/*genetics EDAT- 2003/10/01 05:00 MHDA- 2003/12/03 05:00 CRDT- 2003/10/01 05:00 PHST- 2003/10/01 05:00 [pubmed] PHST- 2003/12/03 05:00 [medline] PHST- 2003/10/01 05:00 [entrez] AID - 01.CIR.0000092890.29552.22 [pii] AID - 10.1161/01.CIR.0000092890.29552.22 [doi] PST - ppublish SO - Circulation. 2003 Oct 28;108(17):2134-40. doi: 10.1161/01.CIR.0000092890.29552.22. Epub 2003 Sep 29.