PMID- 22533437 OWN - NLM STAT- MEDLINE DCOM- 20120906 LR - 20161125 IS - 1557-8577 (Electronic) IS - 1549-1684 (Linking) VI - 15 IP - 2 DP - 2012 Apr TI - Plasmonic photothermic and stem cell therapy of atherosclerotic plaque as a novel nanotool for angioplasty and artery remodeling. PG - 222-30 LID - 10.1089/rej.2011.1305 [doi] AB - BACKGROUND: Some modern angioplasty techniques drastically affect the geometry of the plaque and the lumen, but have some inherent clinical and technical limitations. METHODS: A total of 101 Yucatan miniature swine were allocated to the three following groups (34 pigs into 60/15- to 70/40-nm silica-gold nanoparticles (NPs), 34 swine into ferromagnetic group with iron-bearing NPs and delivery in hand of magnetic fields, and 33 in a sirolimus stenting control). Animals in the nanogroup were subdivided further into four subsets according to the delivery approach: (1) Intracoronary infused circulating stem progenitor cells (SPCs), including SP(+) (side population) cells, (2) intracoronary infused, ultrasound-mediated, albumin-coated, gas-filled microbubbles, (3) CD73(+)105(+) SPCs in the composition of a bioengineered on-artery patch (cardiac surgery), (4) CD73(+)CD105(+) SPCs engrafted by manual subadventitial injection (cardiac surgery). NPs were detonated with a microwatt near-infrared (NIR) laser (821 nm, 35-44 W/cm(2) for 7 min of exposure). RESULTS: Changes of the total atheroma volume (TAV; mm(3)) immediately after the laser irradiation at month 6 in the nanoshell, ferromagnetic, and control groups were -7.54%/-22.92%, -9.7%/-16.84%, and -10.5%/-7.06% (p<0.01), respectively, and in the subsets reached -2.79%/-21.92%, -6.26%/-15.24%, -4.6%/-31.21%, -16.5%/-23.3% (p<0.05), respectively. Some cases of atherothrombosis and distal embolism (23.5%) were documented only in the microbubbles subset. The impact of the therapy on the nonorganic part of the plaque-antiinflammative and antiapoptotic effects, signs of neovascularization, and restoration of artery function-were predominant in the observed subsets with SPCs (p<0.01). CONCLUSION: Nanoburning, especially in combination with stem cell technologies, is a very challenging technique for altering advanced plaque and holds the promise of revolutionizing state-of-the-art interventional cardiology, assuring destruction of plaque and functional restoration of the vessel wall. It could potentially become the current mechanical and pharmacological treatment. FAU - Kharlamov, Alexander N AU - Kharlamov AN AD - Department of Science, Ural Institute of Cardiology, Yekaterinburg, Russia. drskharlamov@gmail.com FAU - Gabinsky, Jan L AU - Gabinsky JL LA - eng PT - Journal Article PL - United States TA - Rejuvenation Res JT - Rejuvenation research JID - 101213381 RN - 0 (Albumins) RN - 7440-57-5 (Gold) RN - 7631-86-9 (Silicon Dioxide) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Albumins/chemistry MH - Angioplasty/*methods MH - Animals MH - Cell- and Tissue-Based Therapy/*methods MH - Coronary Vessels/*diagnostic imaging/pathology MH - Gold/chemistry MH - Magnetic Fields MH - Metal Nanoparticles/chemistry MH - Plaque, Atherosclerotic/*therapy MH - Silicon Dioxide/chemistry MH - Sirolimus/pharmacology MH - Stem Cells/*cytology MH - Swine MH - Swine, Miniature MH - Time Factors MH - Treatment Outcome MH - Ultrasonography, Interventional EDAT- 2012/04/27 06:00 MHDA- 2012/09/07 06:00 CRDT- 2012/04/27 06:00 PHST- 2012/04/27 06:00 [entrez] PHST- 2012/04/27 06:00 [pubmed] PHST- 2012/09/07 06:00 [medline] AID - 10.1089/rej.2011.1305 [doi] PST - ppublish SO - Rejuvenation Res. 2012 Apr;15(2):222-30. doi: 10.1089/rej.2011.1305.