PMID- 21241757 OWN - NLM STAT- MEDLINE DCOM- 20111027 LR - 20161125 IS - 1872-8294 (Electronic) IS - 0169-409X (Linking) VI - 63 IP - 8 DP - 2011 Jul 18 TI - Regulatory systems for hypoxia-inducible gene expression in ischemic heart disease gene therapy. PG - 678-87 LID - 10.1016/j.addr.2011.01.003 [doi] AB - Ischemic heart diseases are caused by narrowed coronary arteries that decrease the blood supply to the myocardium. In the ischemic myocardium, hypoxia-responsive genes are up-regulated by hypoxia-inducible factor-1 (HIF-1). Gene therapy for ischemic heart diseases uses genes encoding angiogenic growth factors and anti-apoptotic proteins as therapeutic genes. These genes increase blood supply into the myocardium by angiogenesis and protect cardiomyocytes from cell death. However, non-specific expression of these genes in normal tissues may be harmful, since growth factors and anti-apoptotic proteins may induce tumor growth. Therefore, tight gene regulation is required to limit gene expression to ischemic tissues, to avoid unwanted side effects. For this purpose, various gene expression strategies have been developed for ischemic-specific gene expression. Transcriptional, post-transcriptional, and post-translational regulatory strategies have been developed and evaluated in ischemic heart disease animal models. The regulatory systems can limit therapeutic gene expression to ischemic tissues and increase the efficiency of gene therapy. In this review, recent progresses in ischemic-specific gene expression systems are presented, and their applications to ischemic heart diseases are discussed. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Kim, Hyun Ah AU - Kim HA AD - Department of Bioengineering, College of Engineering, Hanyang University, Seoul 133-791, Republic of Korea. FAU - Rhim, Taiyoun AU - Rhim T FAU - Lee, Minhyung AU - Lee M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110115 PL - Netherlands TA - Adv Drug Deliv Rev JT - Advanced drug delivery reviews JID - 8710523 RN - 0 (Hypoxia-Inducible Factor 1) SB - IM MH - Animals MH - Disease Models, Animal MH - *Gene Expression Regulation MH - Genetic Therapy/*methods MH - Humans MH - Hypoxia/genetics MH - Hypoxia-Inducible Factor 1/genetics/metabolism MH - Myocardial Ischemia/physiopathology/*therapy EDAT- 2011/01/19 06:00 MHDA- 2011/10/28 06:00 CRDT- 2011/01/19 06:00 PHST- 2010/11/15 00:00 [received] PHST- 2010/12/29 00:00 [revised] PHST- 2011/01/05 00:00 [accepted] PHST- 2011/01/19 06:00 [entrez] PHST- 2011/01/19 06:00 [pubmed] PHST- 2011/10/28 06:00 [medline] AID - S0169-409X(11)00007-X [pii] AID - 10.1016/j.addr.2011.01.003 [doi] PST - ppublish SO - Adv Drug Deliv Rev. 2011 Jul 18;63(8):678-87. doi: 10.1016/j.addr.2011.01.003. Epub 2011 Jan 15.