Document Detail


Gene therapy with extracellular superoxide dismutase protects conscious rabbits against myocardial infarction.
MedLine Citation:
PMID:  11294809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Extracellular superoxide dismutase (Ec-SOD) may protect the heart against myocardial infarction (MI) because of its extended half-life and capacity to bind heparan sulfate proteoglycans on cellular surfaces. Accordingly, we used direct gene transfer to increase systemic levels of Ec-SOD and determined whether this gene therapy could protect against MI.
METHODS AND RESULTS: The cDNA for human Ec-SOD was incorporated into a replication-deficient adenovirus (Ad5/CMV/Ec-SOD). Injection of this virus produced a high level of Ec-SOD in the liver, which was redistributed to the heart and other organs by injection of heparin. Untreated rabbits (group I) underwent a 30-minute coronary occlusion and 3 days of reperfusion. For comparison, preconditioned rabbits (group II) underwent a sequence of six 4-minute-occlusion/4-minute-reperfusion cycles 24 hours before the 30-minute occlusion. Control-treated rabbits (group III) were injected intravenously with Ad5/CMV/nls-LacZ, and gene-therapy rabbits (group IV) were injected with Ad5/CMV/Ec-SOD 3 days before the 30-minute occlusion. Both groups treated with Ad5 received intravenous heparin 2 hours before the 30-minute occlusion. Infarct size (percent risk area) was similar in groups I (57+/-6%) and III (58+/-5%). Ec-SOD gene therapy markedly reduced infarct size to 25+/-4% (P<0.01, group IV versus group III), a protection comparable to that of the late phase of ischemic preconditioning (29+/-3%, P<0.01 group II versus group I).
CONCLUSIONS: Direct gene transfer of the cDNA encoding membrane-bound Ec-SOD affords powerful cardioprotection, providing proof of principle for the effectiveness of antioxidant gene therapy against MI.
Authors:
Q Li; R Bolli; Y Qiu; X L Tang; Y Guo; B A French
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  103     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-11     Completed Date:  2001-05-31     Revised Date:  2013-05-10    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1893-8     Citation Subset:  IM    
Affiliation:
Cardiology Research Laboratory, Division of Cardiology, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, KY, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Arrhythmias, Cardiac / etiology,  physiopathology,  prevention & control
Blood Pressure / physiology
COS Cells
Consciousness
Free Radical Scavengers / metabolism,  therapeutic use
Gene Expression
Genetic Therapy*
Heart Rate / physiology
Heart Ventricles / pathology,  physiopathology
Humans
Male
Myocardial Infarction / genetics,  pathology,  therapy*
Myocardial Reperfusion Injury / complications
Organ Size
RNA, Messenger / genetics,  metabolism
Rabbits
Recombinant Fusion Proteins / genetics,  metabolism,  therapeutic use
Superoxide Dismutase / genetics,  metabolism*,  therapeutic use
Grant Support
ID/Acronym/Agency:
R01 HL043151/HL/NHLBI NIH HHS; R01 HL055757/HL/NHLBI NIH HHS; R01 HL058582/HL/NHLBI NIH HHS; R01HL-43151/HL/NHLBI NIH HHS; R01HL-55757/HL/NHLBI NIH HHS; R01HL-58582/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Free Radical Scavengers; 0/RNA, Messenger; 0/Recombinant Fusion Proteins; EC 1.15.1.1/Superoxide Dismutase

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