Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Progress and Prospects
  • Published:

Post-intervention vessel remodeling

Abstract

By-pass surgery and percutaneous transluminal (coronary) angioplasty, PT(C)A, are standard techniques for the treatment of vascular occlusions. Their usefulness is limited by by-pass graft failure and restenosis occuring after the procedures. Twenty percent of patients treated with PTCA/PTA need a new revascularization procedure within 6 months, despite a successful procedure. Stents are used to prevent restenosis in selected lesions, but in-stent restenosis also remains an important clinical problem. In this review we discuss progress of gene therapy for the treatment of post-PT(C)A restenosis, in-stent restenosis and by-pass graft stenosis over the last 2 years (2000–2002).

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Laitinen M et al. Catheter-mediated vascular endothelial growth factor gene transfer to human coronary arteries after angioplasty Hum Gene Ther 2000 11: 263–270

    Article  CAS  Google Scholar 

  2. Hiltunen MO, Turunen MP, Ylä-Herttuala S . Gene therapy methods in cardiovascular diseases Meth Enzymol 2002 346: 311–320

    Article  CAS  Google Scholar 

  3. Hiltunen MO et al. Biodistribution of adenoviral vector to nontarget tissues after local in vivo gene transfer to arterial wall using intravascular and periadventitial gene delivery methods FASEB J 2000 14: 2230–2236

    Article  CAS  Google Scholar 

  4. Nicklin SA et al. Selective targeting of gene transfer to vascular endothelial cells by use of peptides isolated by phage display Circulation 2000 102: 231–237

    Article  CAS  Google Scholar 

  5. Hall FL et al. Molecular engineering of matrix-targeted retroviral vectors incorporating a surveillance function inherent in von Willebrand factor Hum Gene Ther 2000 11: 983–993

    Article  CAS  Google Scholar 

  6. Ribault S et al. Chimeric smooth muscle-specific enhancer/promoters: valuable tools for adenovirus-mediated cardiovascular gene therapy Circ Res 2001 88: 468–475

    Article  CAS  Google Scholar 

  7. Gordon EM et al. Lesion-targeted injectable vectors for vascular restenosis Hum Gene Ther 2001 12: 1277–1287

    Article  CAS  Google Scholar 

  8. Nicklin SA et al. Efficient and selective AAV2-mediated gene transfer directed to human vascular endothelial cells Mol Ther 2001 4: 174–181

    Article  CAS  Google Scholar 

  9. Nicklin SA et al. Ablating adenovirus type 5 fiber-CAR binding and HI loop insertion of the SIGYPLP peptide generate an endothelial cell-selective adenovirus Mol Ther 2001 4: 534–542

    Article  CAS  Google Scholar 

  10. Nicklin SA et al. Ablating adenovirus type 5 fiber-CAR binding and HI loop insertion of the SIGYPLP peptide generate an endothelial cell-selective adenovirus Turunen MP et al. Peptide re-targeted adenovirus encoding tissue inhibitor of metalloproteinase-1 decreases restenosis after intravascular gene transfer. Mol Ther 2002 (in press).

  11. Ylä-Herttuala S, Martin JF . Cardiovascular gene therapy Lancet 2000 355: 213–222

    Article  Google Scholar 

  12. Kibbe MR et al. Optimizing cardiovascular gene therapy: increased vascular gene transfer with modified adenoviral vectors Arch Surg 2000 135: 191–197

    Article  CAS  Google Scholar 

  13. Hay CM et al. Enhanced gene transfer to rabbit jugular veins by an adenovirus containing a cyclic RGD motif in the HI loop of the fiber knob J Vasc Res 2001 38: 315–323

    Article  CAS  Google Scholar 

  14. Mizuguchi H et al. CAR- or alhav integrin-binding ablated adenovirus vectors, but not fiber-modified vectors containing RGD peptide, do not change the systemic gene transfer properties in mice Gene Therapy 2002 9: 769–776

    Article  CAS  Google Scholar 

  15. Eslami MH et al. Gene delivery to in situ veins: differential effects of adenovirus and adeno-associated viral vectors J Vasc Surg 2000 31: 1149–1159

    Article  CAS  Google Scholar 

  16. Skelly CL et al. Prevention of restenosis by a herpes simplex virus mutant capable of controlled long-term expression in vascular tissue in vivo Gene Therapy 2001 8: 1840–1846

    Article  CAS  Google Scholar 

  17. Roks AJ et al. Recombinant Semliki Forest virus as a vector system for fast and selective in vivo gene delivery into balloon-injured rat aorta Gene Therapy 2002 9: 95–101

    Article  CAS  Google Scholar 

  18. Airenne KJ et al. Baculovirus-mediated periadventitial gene transfer to rabbit carotid artery Gene Therapy 2000 7: 1499–1504

    Article  CAS  Google Scholar 

  19. Amabile PG et al. High-efficiency endovascular gene delivery via therapeutic ultrasound J Am Coll Cardiol 2001 37: 1975–1980

    Article  CAS  Google Scholar 

  20. Klugherz BD et al. Gene delivery from a DNA controlled-release stent in porcine coronary arteries Nat Biotechnol 2000 18: 1181–1184

    Article  CAS  Google Scholar 

  21. Klugherz BD et al. Gene delivery to pig coronary arteries from stents carrying antibody-tethered adenovirus Hum Gene Ther 2002 13: 443–454

    Article  CAS  Google Scholar 

  22. Panetta CJ et al. A tissue-engineered stent for cell-based vascular gene transfer Hum Gene Ther 2002 13: 433–441

    Article  CAS  Google Scholar 

  23. Brasen JH et al. Angiogenesis, vascular endothelial growth factor and platelet-derived growth factor-BB expression, iron deposition, and oxidation-specific epitopes in stented human coronary arteries Arterioscler Thromb Vasc Biol 2001 21: 1720–1726

    Article  CAS  Google Scholar 

  24. Yoshimura S et al. Inhibition of intimal hyperplasia after balloon injury in rat carotid artery model using cis-element ‘decoy’ of nuclear factor-kappaB binding site as a novel molecular strategy Gene Therapy 2001 8: 1635–1642

    Article  CAS  Google Scholar 

  25. Nakamura T et al. Molecular strategy using cis-element ‘decoy’ of E2F binding site inhibits neointimal formation in porcine balloon-injured coronary artery model Gene Therapy 2002 9: 488–494

    Article  CAS  Google Scholar 

  26. Kipshidze NN et al. Intramural coronary delivery of advanced antisense oligonucleotides reduces neointimal formation in the porcine stent restenosis model J Am Coll Cardiol 2002 39: 1686–1691

    Article  CAS  Google Scholar 

  27. Maillard L et al. Effect of percutaneous adenovirus-mediated Gax gene delivery to the arterial wall in double-injured atheromatous stented rabbit iliac arteries Gene Therapy 2000 7: 1353–1361

    Article  CAS  Google Scholar 

  28. Leppanen O et al. Intimal hyperplasia recurs after removal of PDGF-AB and -BB inhibition in the rat carotid artery injury model Arterioscler Thromb Vasc Biol 2000 20: E89–E95

    Article  CAS  Google Scholar 

  29. Ding H et al. Adenovirus-mediated expression of a truncated PDGFbeta receptor inhibits thrombosis and neointima formation in an avian arterial injury model Thromb Haemost 2001 86: 914–922

    Article  CAS  Google Scholar 

  30. Hiltunen MO et al. Intravascular adenovirus-mediated VEGF-C gene transfer reduces neointima formation in balloon-denuded rabbit aorta Circulation 2000 102: 2262–2268

    Article  CAS  Google Scholar 

  31. Rutanen J et al. EGD-D is abundantly expressed in human arteries and gene transfer of VEGF-DΔNΔC reduces neointima formation in balloon-denuded rabbit aorta Mol Ther 2002 5: S354–S355

    Google Scholar 

  32. Hayashi K et al. In vivo transfer of human hepatocyte growth factor gene accelerates re-endothelialization and inhibits neointimal formation after balloon injury in rat model Gene Therapy 2000 7: 1664–1671

    Article  CAS  Google Scholar 

  33. Hayashi K et al. In vivo transfer of human hepatocyte growth factor gene accelerates re-endothelialization and inhibits neointimal formation after balloon injury in rat model Laukkanen MO. Adenovirus-mediated extracellular superoxide dismutase gene therapy reduces neointima formation in balloon denuded rabbit aorta. Circulation 2002 (in press).

  34. Quarck R et al. Adenovirus-mediated gene transfer of human platelet-activating factor-acetylhydrolase prevents injury-induced neointima formation and reduces spontaneous atherosclerosis in apolipoprotein E-deficient mice Circulation 2001 103: 2495–2500

    Article  CAS  Google Scholar 

  35. Zoldhelyi P et al. Local gene transfer of tissue factor pathway inhibitor regulates intimal hyperplasia in atherosclerotic arteries Proc Natl Acad Sci USA 2001 98: 4078–4083

    Article  CAS  Google Scholar 

  36. Golino P et al. Expression of exogenous tissue factor pathway inhibitor in vivo suppresses thrombus formation in injured rabbit carotid arteries J Am Coll Cardiol 2001 38: 569–576

    Article  CAS  Google Scholar 

  37. Atsuchi N et al. Combination of a brief irrigation with tissue factor pathway inhibitor (TFPI) and adenovirus-mediated local TFPI gene transfer additively reduces neointima formation in balloon-injured rabbit carotid arteries Circulation 2001 103: 570–575

    Article  CAS  Google Scholar 

  38. Puhakka HP et al. eptide re-targeted adenoviral combination gene therapy coding TIMP-1 and VEGF-C has a long term effect on reducing restenosis Mol Ther 2002 5: S163

    Google Scholar 

  39. Leppänen O et al. Combination of VEGF-C gene transfer and treatment with the PDGF receptor kinase inhibitor STI571 leads to persistent reduction in neointima formation in balloon-denuded rabbit aorta J Am Coll Cardiol 2002 39: 872

    Article  Google Scholar 

  40. George SJ et al. Inhibition of late vein graft neointima formation in human and porcine models by adenovirus-mediated overexpression of tissue inhibitor of metalloproteinase-3 Circulation 2000 101: 296–304

    Article  CAS  Google Scholar 

  41. Ehsan A et al. Long-term stabilization of vein graft wall architecture and prolonged resistance to experimental atherosclerosis after E2F decoy oligonucleotide gene therapy J Thorac Cardiovasc Surg 2001 121: 714–722

    Article  CAS  Google Scholar 

  42. Ohno N et al. Accelerated reendothelialization with suppressed thrombogenic property and neointimal hyperplasia of rabbit jugular vein grafts by adenovirus-mediated gene transfer of C-type natriuretic peptide Circulation 2002 105: 1623–1626

    Article  CAS  Google Scholar 

  43. Ohno N et al. Accelerated reendothelialization with suppressed thrombogenic property and neointimal hyperplasia of rabbit jugular vein grafts by adenovirus-mediated gene transfer of C-type natriuretic peptide Grube, E. E2F Decoy-gene therapy in bypass grafts. American Heart Association 2001 Meeting (Plenary Session: Late Breaking Clinical Trials). 2001.

  44. Makinen K et al. Increased vascularity detected by digital subtraction angiography after VEGF gene transfer to human lower limb artery: a randomized, placebo-controlled, double-blinded phase II study Mol Ther 2002 6: 127–133

    Article  CAS  Google Scholar 

  45. Kutryk MJ et al. Local intracoronary administration of antisense oligonucleotide against c-myc for the prevention of in-stent restenosis. Results of the randomized investigation by the thoraxcenter of antisense dna using local delivery and ivus after coronary stenting (ITALICS) trial J Am Coll Cardiol 2002 39: 281–287

    Article  CAS  Google Scholar 

  46. Tsui LV et al. p27-p16 fusion gene inhibits angioplasty-induced neointimal hyperplasia and coronary artery occlusion Circ Res 2001 89: 323–328

    Article  CAS  Google Scholar 

  47. Wu CH et al. Inhibition of neointimal formation in porcine coronary artery by a Ras mutant J Surg Res 2001 99: 100–106

    Article  CAS  Google Scholar 

  48. Condorelli G et al. Mutated p21/WAF/CIP transgene overexpression reduces smooth muscle cell proliferation, macrophage deposition, oxidation-sensitive mechanisms, and restenosis in hypercholesterolemic apolipoprotein E knockout mice FASEB J 2001 15: 2162–2170

    Article  CAS  Google Scholar 

  49. Ascher E et al. Effect of p53 gene therapy combined with CTLA4Ig selective immunosuppression on prolonged neointima formation reduction in a rat model Ann Vasc Surg 2000 14: 385–392

    Article  CAS  Google Scholar 

  50. Luo Z et al. Enhancement of Fas ligand-induced inhibition of neointimal formation in rabbit femoral and iliac arteries by coexpression of p35 Hum Gene Ther 2001 12: 2191–2202

    Article  CAS  Google Scholar 

  51. Larson RA et al. Adenoviral-mediated uteroglobin gene transfer inhibits neointimal hyperplasia after balloon injury in the rat carotid artery J Vasc Surg 2000 32: 1111–1117

    Article  CAS  Google Scholar 

  52. Yamamoto K et al. Ribozyme oligonucleotides against transforming growth factor-beta inhibited neointimal formation after vascular injury in rat model: potential application of ribozyme strategy to treat cardiovascular disease Circulation 2000 102: 1308–1314

    Article  CAS  Google Scholar 

  53. Eto Y et al. Gene transfer of dominant negative Rho kinase suppresses neointimal formation after balloon injury in pigs Am J Physiol Heart Circ Physiol 2000 278: H1744–H1750

    Article  CAS  Google Scholar 

  54. Varenne O et al. Percutaneous gene therapy using recombinant adenoviruses encoding human herpes simplex virus thymidine kinase, human PAI-1, and human NOS3 in balloon-injured porcine coronary arteries Hum Gene Ther 2000 11: 1329–1339

    Article  CAS  Google Scholar 

  55. Lamfers ML et al. In vivo suppression of restenosis in balloon-injured rat carotid artery by adenovirus-mediated gene transfer of the cell surface-directed plasmin inhibitor ATF.BPTI Gene Therapy 2001 8: 534–541

    Article  CAS  Google Scholar 

  56. Izumi Y et al. Gene transfer of dominant-negative mutants of extracellular signal-regulated kinase and c-Jun NH2-terminal kinase prevents neointimal formation in balloon-injured rat artery Circ Res 2001 88: 1120–1126

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was supported by grants from Finnish Academy and Sigrid Juselius Foundation. We thank Ms Marja Poikolainen for preparing the manuscript.

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rutanen, J., Puhakka, H. & Ylä-Herttuala, S. Post-intervention vessel remodeling. Gene Ther 9, 1487–1491 (2002). https://doi.org/10.1038/sj.gt.3301866

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.gt.3301866

Keywords

This article is cited by

Search

Quick links