Document Detail


Gene transfer of COX-1 improves lumen size and blood flow in carotid bypass grafts.
MedLine Citation:
PMID:  19361808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In autologous saphenous vein grafts, prostacyclin (PGI(1)), a vasoprotective molecule produced by normal endothelial cells, is down-regulated compared with ungrafted saphenous veins and normal carotid arteries. Reduced PGI(2) synthesis may contribute to local platelet deposition, vascular smooth muscle cell (VSMC) accumulation, atherosclerosis, and ultimately failure of venous bypass grafts. We have examined whether gene transfer-mediated overexpression of COX-1 in grafted veins (1) increases PGI(2) and cyclic AMP (cAMP) production, (2) leads to vasodilation and improved local blood flow in the presence of hypercholesterolemia, and (3) reduces neointima formation. MATERIALS AND METHODS: Jugular veins from New Zealand-White rabbits were incubated for 30 min ex vivo with 1 x 10(10) PFU/mL of an adenoviral vector encoding COX-1 (AdCOX-1; n = 10) or empty control (n = 10) and grafted to the carotid arteries. The rabbits were placed on a high-cholesterol diet for 4 w, and blood flow and histomorphometry of the grafts were assessed. RESULTS: In the AdCOX-1 group, blood flow was significantly increased (16.0 +/- 3.3 versus 12.5 +/- 3.3 mL/min; P < 0.05) compared with controls, and luminal area (8.9 +/- 1.4 versus 5.3 +/- 1.2 mm(2); P < 0.01) and outer circumference were larger. In six identically treated rabbits, graft PGI(2) and cAMP synthesis was increased at 72 h in AdCOX-1 compared with controls. CONCLUSION: Our data suggest a 30-min ex vivo exposure of vein grafts to AdCOX-1 increased local synthesis of PGI(2) and cAMP after graft surgery and resulted in better graft lumen and blood flow at 4 w.
Authors:
Harald C Eichstaedt; Qi Liu; Zhiqiang Chen; George C Bobustuc; Toya Terry; James T Willerson; Pierre Zoldhelyi
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Publication Detail:
Type:  Journal Article     Date:  2009-01-03
Journal Detail:
Title:  The Journal of surgical research     Volume:  161     ISSN:  1095-8673     ISO Abbreviation:  J. Surg. Res.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-7     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Inc. All rights reserved.
Affiliation:
Wafic Said Molecular Cardiology and Gene Therapy Research Laboratory, Texas Heart Institute at St Luke's Episcopal Hospital, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cholesterol / blood
Cyclic AMP / biosynthesis*
Cyclooxygenase 1 / genetics*,  metabolism
Epoprostenol / biosynthesis*
Gene Therapy*
Hypercholesterolemia / physiopathology
Jugular Veins / metabolism,  physiopathology,  transplantation*
Rabbits
Regional Blood Flow
Vasodilation*
Chemical
Reg. No./Substance:
35121-78-9/Epoprostenol; 57-88-5/Cholesterol; 60-92-4/Cyclic AMP; EC 1.14.99.1/Cyclooxygenase 1

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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