PMID- 18180053 OWN - NLM STAT- MEDLINE DCOM- 20090827 LR - 20131121 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 131 IP - 1 DP - 2008 Dec 17 TI - Effect of folate on neointima formation and matrix metalloproteinase-9 expression after balloon injury in hyperhomocysteinemic rabbits. PG - 59-65 LID - 10.1016/j.ijcard.2007.08.138 [doi] AB - BACKGROUND: It is known that hyperhomocysteinemia (Hhcy) is associated with the risk of restenosis after angioplasty. Folate can lower plasma homocysteine (Hcy) level and alleviate the Hhcy-induced neointima formation after balloon injury. This study aims to explore the mechanisms of folate in inhibiting neointima formation. METHODS: 24 New Zealand White rabbits were randomly divided into three groups: Control, 2% methionine (Meth) and 2% methionine+folate (Meth+folate). At the end of 8 experimental weeks, all rabbits underwent the balloon injury in abdominal aorta. 4 weeks following this procedure, plasma Hcy concentration, aortic maximal neointimal thickness (NT), neointimal area (NA), medial area (MA), and ratio of neointimal area to medial area (NA/MA), ultrastructure of vascular smooth muscle cells (VSMCs), and matrix metalloproteinase-9 (MMP-9) expression were detected by high performance liquid chromatography, histomorphometric analysis, transmission electron microscope (TEM) and real-time PCR, respectively. RESULTS: It was observed in our study that Hcy concentration, NT, NA, NA/MA and the expression of MMP-9 mRNA were higher in the Meth group than in the control. VSMCs in media exhibited typical synthetic phenotype in the Meth group compared with the transitional state between contractile phenotype and synthetic phenotype in the control group. However, in the rabbits treated with folate, Hcy concentration, NT, NA and MMP-9 mRNA expression were lower than those in the Meth group. The phenotype of VSMCs was close to that in the control group. CONCLUSION: This study suggested that folate could decrease the level of Hcy, reverse the Hhcy-induced exacerbation of neointima formation in rabbits following balloon injury, and the mechanisms in it may be related to the suppressive effect of folate on the expression of MMP-9 mRNA in arterial wall. FAU - Liu, Fenye AU - Liu F AD - Department of Traditional Chinese Medicine, Qilu Hospital Affiliated to Shandong University, Jinan 250012, Shandong, PR China. FAU - Zhang, Jidong AU - Zhang J FAU - Yu, Shudong AU - Yu S FAU - Wang, Rong AU - Wang R FAU - Wang, Bo AU - Wang B FAU - Lai, Liping AU - Lai L FAU - Yin, Huiqiu AU - Yin H FAU - Liu, Guilin AU - Liu G LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080103 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 RN - 935E97BOY8 (Folic Acid) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Animals MH - Aorta, Abdominal/drug effects/enzymology/injuries/pathology MH - Catheterization/*adverse effects MH - Folic Acid/*pharmacology/therapeutic use MH - Gene Expression Regulation, Enzymologic/drug effects/*physiology MH - Hyperhomocysteinemia/drug therapy/*enzymology/pathology MH - Male MH - Matrix Metalloproteinase 9/*biosynthesis MH - Rabbits MH - Tunica Intima/drug effects/*enzymology/pathology EDAT- 2008/01/09 09:00 MHDA- 2009/08/28 09:00 CRDT- 2008/01/09 09:00 PHST- 2007/04/29 00:00 [received] PHST- 2007/08/09 00:00 [revised] PHST- 2007/08/18 00:00 [accepted] PHST- 2008/01/09 09:00 [pubmed] PHST- 2009/08/28 09:00 [medline] PHST- 2008/01/09 09:00 [entrez] AID - S0167-5273(07)01932-8 [pii] AID - 10.1016/j.ijcard.2007.08.138 [doi] PST - ppublish SO - Int J Cardiol. 2008 Dec 17;131(1):59-65. doi: 10.1016/j.ijcard.2007.08.138. Epub 2008 Jan 3.