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Am J Physiol Heart Circ Physiol 288: H408-H415, 2005. First published September 16, 2004; doi:10.1152/ajpheart.00176.2004
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Gene therapy for chronic myocardial ischemia using platelet-derived endothelial cell growth factor in dogs

Wei Li,1 Kuniyoshi Tanaka,1 Akio Ihaya,1 Yasuhisa Fujibayashi,2 Shinji Takamatsu,2 Kouichi Morioka,1 Masato Sasaki,1 Takahiko Uesaka,1 Tetsuya Kimura,1 Narihisa Yamada,1 Takeshi Tsuda,1 and Yukio Chiba1

1Second Department of Surgery and 2Biomedical Imaging Research Center, Faculty of Medical Sciences, University of Fukui, Fukui, Japan

Submitted 24 February 2004 ; accepted in final form 14 September 2004

Platelet-derived endothelial cell growth factor (PD-ECGF), also known as thymidine phosphorylase (TP), has been reported to possess angiogenic activity and to inhibit apoptosis. This study was performed to determine whether PD-ECGF/TP can be used to ameliorate chronic myocardial ischemia. Myocardial ischemia was created in 40 mongrel dogs by placement of an ameroid constrictor on the proximal left anterior descending coronary artery (LAD). Plasmid vector encoding human PD-ECGF/TP cDNA (pCIhTP group; n = 12), empty vector pCI (pCI group; n = 12), or saline (Saline group; n = 12) was directly injected into the LAD territory 3 wk after ameroid constrictor implantation. Myocardial blood flow was detected using PET at baseline, 3 wk after ameroid constrictor implantation, and 2 wk after therapeutic treatment. At the end of the experiment, the hearts were isolated for biological and histological analysis. In the pCIhTP group, the transfected heart strongly expressed PD-ECGF/TP. The size of the infarct was smaller in the pCIhTP group than in the pCI or Saline group. The number of apoptotic myocardial cells was decreased in the pCIhTP group compared with the control groups based on triple immunohistochemical staining for von Willebrand factor, {alpha}-actin smooth muscle cells, and single-strand DNA. The level of proapoptotic protein Bax markedly decreased in the pCIhTP group compared with the other groups. Double immunohistochemical staining for von Willebrand factor and {alpha}-actin smooth muscle cells demonstrated that angiogenesis and arteriogenesis occurred, and paralleled the changes in myocardial blood flow and myocardial function in the pCIhTP group. We conclude that genetic approaches using PD-ECGF/TP to target the myocardium are effective for alleviating chronic myocardial ischemia.

thymidine phosphorylase; angiogenesis; arteriogenesis; apoptosis; heart



Address for reprint requests and other correspondence: K. Tanaka, Second Dept. of Surgery, Faculty of Medical Sciences, Univ. of Fukui, 23-3 Shimoaizuki, Matsuoka-Cho, Yoshida-Gun, Fukui 9101193, Japan (E-mail: kunitan{at}fmsrsa.fukui-med.ac.jp)




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Arterioscler. Thromb. Vasc. Bio.Home page
W. Li, K. Tanaka, K. Morioka, T. Uesaka, N. Yamada, A. Takamori, M. Handa, S. Tanabe, and A. Ihaya
Thymidine Phosphorylase Gene Transfer Inhibits Vascular Smooth Muscle Cell Proliferation by Upregulating Heme Oxygenase-1 and p27KIP1
Arterioscler. Thromb. Vasc. Biol., July 1, 2005; 25(7): 1370 - 1375.
[Abstract] [Full Text] [PDF]




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