PMID- 17126840 OWN - NLM STAT- MEDLINE DCOM- 20071227 LR - 20121115 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 194 IP - 2 DP - 2007 Oct TI - Catheter-based adenovirus-mediated anti-monocyte chemoattractant gene therapy attenuates in-stent neointima formation in cynomolgus monkeys. PG - 309-16 AB - We have previously demonstrated great benefit from anti-monocyte chemoattractant protein-1 (MCP-1) gene therapy by "systemic" transfer of an N-terminal deletion mutant of human MCP-1 (called 7ND) gene into skeletal muscle for treatment of restenosis and atherosclerosis. However, recent evidence suggests that "local" gene transfer may be a clinically relevant approach. We therefore tested the hypothesis that catheter-based adenovirus-mediated anti-MCP-1 gene therapy attenuates stent-associated neointima formation. Bare metal stents were implanted in iliac arteries of cynomolgus monkeys fed a high cholesterol diet. Immediately after the stenting procedure, normal saline or recombinant adenoviral vector containing LacZ or the 7ND gene was administered locally into the stenting site through a Remedy channel-delivery catheter. Compared to saline infusion or LacZ gene transfer, 7ND gene transfer markedly reduced inflammatory changes at an early stage and attenuated neointima formation after 4 weeks. This strategy also reduced the increased production of pro-inflammatory and growth-promoting factors such platelet-derived growth factor. No systemic adverse effects of 7ND gene transfer were detected. There were no significant differences in serum cholesterol levels among the three groups. These data suggest that catheter-based adenovirus-mediated anti-MCP-1 gene therapy may be a clinically relevant and feasible strategy for treatment of in-stent restenosis. FAU - Nakano, Kaku AU - Nakano K AD - Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, Japan. FAU - Egashira, Kensuke AU - Egashira K FAU - Ohtani, Kisho AU - Ohtani K FAU - Zhao, Gang AU - Zhao G FAU - Funakoshi, Kota AU - Funakoshi K FAU - Ihara, Yoshiko AU - Ihara Y FAU - Sunagawa, Kenji AU - Sunagawa K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061128 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Adenoviruses, Human/genetics MH - Animals MH - Antibody Formation MH - Chemokine CCL2/antagonists & inhibitors/*genetics MH - Coronary Restenosis/pathology/*therapy MH - Disease Models, Animal MH - Drug Delivery Systems MH - Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Macaca fascicularis MH - Male MH - Rabbits MH - Stents/*adverse effects MH - Transfection MH - Tunica Intima/pathology EDAT- 2006/11/28 09:00 MHDA- 2007/12/28 09:00 CRDT- 2006/11/28 09:00 PHST- 2006/06/29 00:00 [received] PHST- 2006/09/27 00:00 [revised] PHST- 2006/10/18 00:00 [accepted] PHST- 2006/11/28 09:00 [pubmed] PHST- 2007/12/28 09:00 [medline] PHST- 2006/11/28 09:00 [entrez] AID - S0021-9150(06)00649-6 [pii] AID - 10.1016/j.atherosclerosis.2006.10.029 [doi] PST - ppublish SO - Atherosclerosis. 2007 Oct;194(2):309-16. doi: 10.1016/j.atherosclerosis.2006.10.029. Epub 2006 Nov 28.