PMID- 22023473 OWN - NLM STAT- MEDLINE DCOM- 20120820 LR - 20191112 IS - 1875-5631 (Electronic) IS - 1566-5232 (Linking) VI - 11 IP - 6 DP - 2011 Dec TI - Anti-inflammatory gene therapy for cardiovascular disease. PG - 442-6 AB - Inflammation in the vascular wall is an essential hallmark during the development of atherosclerosis, for which major leukocytes infiltrated in the lesions are monocytes/macrophages. Therefore, monocyte chemoattractant protein-1 (MCP-1) and its primary receptor CC chemokine receptor 2 (CCR2) are feasible molecular targets for gene therapy to inhibit monocyte/macrophage-mediated inflammation in atherogenesis. A mutant MCP-1 that lacks N-terminal 7 amino acids (7ND) has been shown to heterodimerize with native MCP-1, bind to CCR2 and block MCP-1-mediated monocyte chemotaxis by a dominant-negative manner. Gene therapy using intramuscular transfection with plasmid DNA encoding 7ND showed inhibitory effects on atherosclerosis in hypercholesterolemic mice, and neointima formation after vascular injury in animal models. Bare metal stents for coronary intervention were coated with multiple thin layers of biocompatible polymer with 7ND plasmid. The 7ND gene-eluting stent inhibited macrophage infiltration surrounding stent struts and in-stent neointima formation in rabbit femoral arteries and cynomolgus monkey iliac arteries. Finally, the authors describe new application of 7ND plasmid encapsulated in polymer nanoparticle (NP) that functions as gene delivery system with unique in vivo kinetics. NP-mediated 7ND gene delivery inhibited MCP-1-induced chemotaxis of mouse peritoneal macrophage ex vivo, which may be applicable for the treatment of atherosclerotic cardiovascular disease. In conclusion, anti-inflammatory gene therapy targeting MCP-1/CCR2 signal, with a novel NP-mediated gene delivery system, is a potent therapeutic strategy for the treatment of cardiovascular diseases. FAU - Matoba, Tetsuya AU - Matoba T AD - Department of Cardiovascular Medicine, Kyushu University Graduate, School of Medical Sciences, Fukuoka, Japan. FAU - Egashira, Kensuke AU - Egashira K LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Gene Ther JT - Current gene therapy JID - 101125446 RN - 0 (CCL2 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, CCR2) SB - IM MH - Animals MH - Arteriosclerosis/genetics MH - Atherosclerosis/genetics/therapy MH - Cardiovascular Diseases/genetics/*therapy MH - Chemokine CCL2/*genetics MH - *Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Humans MH - Inflammation/*genetics/therapy MH - Mice MH - Neointima/genetics MH - Rabbits MH - Receptors, CCR2/genetics MH - Stents EDAT- 2011/10/26 06:00 MHDA- 2012/08/21 06:00 CRDT- 2011/10/26 06:00 PHST- 2011/05/31 00:00 [received] PHST- 2011/06/22 00:00 [revised] PHST- 2011/06/22 00:00 [accepted] PHST- 2011/10/26 06:00 [entrez] PHST- 2011/10/26 06:00 [pubmed] PHST- 2012/08/21 06:00 [medline] AID - BSP/CGT/E-Pub/00094 [pii] AID - 10.2174/156652311798192888 [doi] PST - ppublish SO - Curr Gene Ther. 2011 Dec;11(6):442-6. doi: 10.2174/156652311798192888.