PMID- 36210587 OWN - NLM STAT- MEDLINE DCOM- 20221011 LR - 20221215 IS - 2174-2030 (Electronic) IS - 0870-2551 (Linking) VI - 41 IP - 10 DP - 2022 Oct TI - Pirfenidone alleviates vascular intima injury caused by hyperhomocysteinemia. PG - 813-819 LID - S0870-2551(22)00254-2 [pii] LID - 10.1016/j.repc.2021.12.011 [doi] AB - OBJECTIVES: Hyperhomocysteinemia (HHcy) can induce vascular inflammatory and oxidative damage and accelerate intimal hyperplasia. This study investigated the protective effect of pirfenidone (PFD) on the recovery process of injured endothelial arteries during HHcy. MATERIALS AND METHODS: Thirty rabbits were randomly separated into three groups: A control group (n=10, standard rabbit chow), a model group (n=10, control diet plus 30 g methionine/kg food), and a PFD group (n=10, model diet plus oral administration of 90 mg/day of PFD). After 14 weeks of arterial injury, histopathological changes were determined. Plasma homocysteine (Hcy) concentrations, lipid profiles and oxidant and antioxidant status were evaluated. Macrophage infiltration was assessed using immunohistochemical staining. RESULTS: PFD supplementation decreased macrophage infiltration of iliac artery significantly without changes in blood lipids and Hcy concentrations. Compared with the model group, PFD restored superoxide dismutase and glutathione peroxidase activities and reduced malondialdehyde and reactive oxygen species levels. A high-methionine diet significantly increased neointimal area and the ratio between neointimal and media area. Systemic administration of PFD inhibited neointimal formation. CONCLUSIONS: PFD can partly alleviate intimal hyperplasia by inhibiting inflammatory and oxidative stress response induced by HHcy during endothelial injury. It may be a potential therapeutic agent for the prevention and treatment of endothelial injury-associated diseases such as atherosclerosis. CI - Copyright (c) 2022 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Kong, Junying AU - Kong J AD - Department of Emergency, Second Affiliated Hospital of Harbin Medical University, Harbin, Hei Long Jiang, China. FAU - Deng, Ying AU - Deng Y AD - Department of Emergency, Second Affiliated Hospital of Harbin Medical University, Harbin, Hei Long Jiang, China. Electronic address: tougaoshiyong@163.com. LA - eng LA - por PT - Journal Article PT - Randomized Controlled Trial, Veterinary DEP - 20220716 PL - Portugal TA - Rev Port Cardiol JT - Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology JID - 8710716 RN - 0 (Antioxidants) RN - 0 (Lipids) RN - 0 (Oxidants) RN - 0 (Pyridones) RN - 0 (Reactive Oxygen Species) RN - 0LVT1QZ0BA (Homocysteine) RN - 4Y8F71G49Q (Malondialdehyde) RN - AE28F7PNPL (Methionine) RN - D7NLD2JX7U (pirfenidone) RN - EC 1.11.1.9 (Glutathione Peroxidase) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM CIN - Rev Port Cardiol. 2022 Oct;41(10):821-822. PMID: 36210588 MH - Animals MH - Antioxidants/pharmacology/therapeutic use MH - Glutathione Peroxidase/pharmacology/therapeutic use MH - Homocysteine/pharmacology/therapeutic use MH - *Hyperhomocysteinemia/complications/drug therapy/pathology MH - Hyperplasia/pathology MH - Lipids MH - Malondialdehyde/pharmacology MH - Methionine/pharmacology/therapeutic use MH - Oxidants/pharmacology/therapeutic use MH - Pyridones MH - Rabbits MH - Reactive Oxygen Species/pharmacology/therapeutic use MH - Superoxide Dismutase/pharmacology/therapeutic use MH - Tunica Intima/pathology OTO - NOTNLM OT - Aterosclerose OT - Atherosclerosis OT - Hiperhomocisteinemia OT - Hiperplasia da neointima OT - Hyperhomocysteinemia OT - Inflammatory response OT - Lesao vascular OT - Neointimal hyperplasia OT - Oxidative stress OT - Resposta inflamatoria OT - Stress oxidativo OT - Vascular damage EDAT- 2022/10/11 06:00 MHDA- 2022/10/12 06:00 CRDT- 2022/10/10 02:07 PHST- 2021/09/29 00:00 [received] PHST- 2021/12/15 00:00 [revised] PHST- 2021/12/18 00:00 [accepted] PHST- 2022/10/10 02:07 [entrez] PHST- 2022/10/11 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] AID - S0870-2551(22)00254-2 [pii] AID - 10.1016/j.repc.2021.12.011 [doi] PST - ppublish SO - Rev Port Cardiol. 2022 Oct;41(10):813-819. doi: 10.1016/j.repc.2021.12.011. Epub 2022 Jul 16.