Document Detail


Ultrasound-enhanced thrombolytic effect of tissue plasminogen activator-loaded echogenic liposomes in an in vivo rabbit aorta thrombus model--brief report.
MedLine Citation:
PMID:  21441137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Ultrasound enhances thrombolysis when combined with a thrombolytic and a contrast agent. This study aimed to evaluate the thrombolytic effect of our tissue plasminogen activator (tPA)-loaded echogenic liposomes (ELIP) in an in vivo clot model, with and without ultrasound treatment.
METHODS AND RESULTS: The femoral arteries of New Zealand White rabbits (n=4 per group) were cannulated. The abdominal aortas were denuded, and thrombi were created using a solution of sodium ricinoleate plus thrombin. Rabbits were then randomly selected to receive tPA-loaded ELIP (200 μg of tPA/5 mg of lipid) or empty ELIP with or without pulsed (color) Doppler ultrasound (5.7 MHz) for 2 minutes. Thrombus was imaged and echogenicity analyzed before and after ELIP injection. Blood flow velocities were measured at baseline, after clot formation, and serially after treatment up to 15 minutes. tPA-loaded ELIP highlighted thrombus in the abdominal aorta more effectively than empty ELIP (P<0.05). Ultrasound enhanced the thrombolytic effect of tPA-loaded ELIP, resulting in earlier and more complete recanalization rates (P<0.001).
CONCLUSION: This study demonstrates effective highlighting of clots and thrombolytic effect of tPA-loaded ELIP in an in vivo rabbit aorta clot model. Doppler ultrasound treatment enhances this thrombolytic effect, resulting in earlier and more complete recanalization rates.
Authors:
Susan T Laing; Melanie Moody; Beverly Smulevitz; Hyunggun Kim; Patrick Kee; Shaoling Huang; Christy K Holland; David D McPherson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-03-24
Journal Detail:
Title:  Arteriosclerosis, thrombosis, and vascular biology     Volume:  31     ISSN:  1524-4636     ISO Abbreviation:  Arterioscler. Thromb. Vasc. Biol.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-19     Completed Date:  2011-07-26     Revised Date:  2012-02-29    
Medline Journal Info:
Nlm Unique ID:  9505803     Medline TA:  Arterioscler Thromb Vasc Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1357-9     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA. susan.t.laing@uth.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Aorta, Abdominal
Aortic Diseases / therapy*
Liposomes
Male
Rabbits
Thrombolytic Therapy / methods*
Thrombosis / therapy*
Tissue Plasminogen Activator / administration & dosage*
Ultrasonic Therapy*
Grant Support
ID/Acronym/Agency:
2R01-HL074002/HL/NHLBI NIH HHS; 2R01-NS047603/NS/NINDS NIH HHS; 3R01-HL059586/HL/NHLBI NIH HHS; R01 HL059586-02/HL/NHLBI NIH HHS; R01 HL059586-03/HL/NHLBI NIH HHS; R01 HL059586-04A2/HL/NHLBI NIH HHS; R01 HL059586-05/HL/NHLBI NIH HHS; R01 HL059586-06/HL/NHLBI NIH HHS; R01 HL059586-07/HL/NHLBI NIH HHS; R01 HL059586-08A1/HL/NHLBI NIH HHS; R01 HL059586-08A1W1/HL/NHLBI NIH HHS; R01 HL059586-09/HL/NHLBI NIH HHS; R01 HL059586-10/HL/NHLBI NIH HHS; R01 HL059586-11/HL/NHLBI NIH HHS; R01 HL074002-01A1/HL/NHLBI NIH HHS; R01 HL074002-02/HL/NHLBI NIH HHS; R01 HL074002-03/HL/NHLBI NIH HHS; R01 HL074002-04/HL/NHLBI NIH HHS; R01 HL074002-05A2/HL/NHLBI NIH HHS; R01 HL074002-06/HL/NHLBI NIH HHS; R01 HL074002-07/HL/NHLBI NIH HHS; R01 NS047603-02/NS/NINDS NIH HHS; R56 HL059586-08/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Liposomes; EC 3.4.21.68/Tissue Plasminogen Activator

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