Abstract
Although prostaglandin I2 is used to treat pulmonary hypertension (PH), continuous intravenous administration is necessary. We investigated whether human PGIS (hPGIS) gene transfer using adeno-associated virus (AAV) vector was effective in treating an animal model of PH. PH was induced by subjecting mice to 10% O(2). Type 1-AAV-hPGIS was injected into the left thigh muscle after 24h. Significant PH was induced at 8 weeks, but AAV-hPGIS administration significantly inhibited the increase in RV systolic pressure. PH-induced BNP up-regulation in the RV was reduced to the control level. The severe medial thickening of pulmonary arteries in PH was significantly suppressed by AAV-hPGIS. The hPGIS gene was detected only on the injected side. No pathological changes were observed at the injected site. At 24 weeks, all PH mice were deceased, but 47% of AAV-hPGIS-treated mice survived. This study demonstrated that AAV-hPGIS administration was effective in treating PH and prolonging survival.
MeSH terms
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6-Ketoprostaglandin F1 alpha / metabolism
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Animals
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Cytochrome P-450 Enzyme System / genetics
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Cytochrome P-450 Enzyme System / metabolism*
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Dependovirus / genetics*
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Gene Expression
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Genetic Therapy / methods
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Genetic Vectors / genetics
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Green Fluorescent Proteins / genetics
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Green Fluorescent Proteins / metabolism
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Humans
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Hypertension, Pulmonary / etiology
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Hypertension, Pulmonary / pathology
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Hypertension, Pulmonary / therapy*
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Hypertrophy, Right Ventricular / pathology
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Hypertrophy, Right Ventricular / prevention & control
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Hypoxia / complications*
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Intramolecular Oxidoreductases / genetics
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Intramolecular Oxidoreductases / metabolism*
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Lung / metabolism
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Lung / pathology
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Male
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Mice
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Mice, Inbred C57BL
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Microscopy, Fluorescence
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Muscle, Skeletal / metabolism
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Muscle, Skeletal / pathology
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NIH 3T3 Cells
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Organ Size
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Promoter Regions, Genetic / genetics
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Recombinant Fusion Proteins / genetics
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Recombinant Fusion Proteins / metabolism
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Reverse Transcriptase Polymerase Chain Reaction
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Survival Analysis
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Transfection / methods
Substances
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Recombinant Fusion Proteins
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Green Fluorescent Proteins
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6-Ketoprostaglandin F1 alpha
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Cytochrome P-450 Enzyme System
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Intramolecular Oxidoreductases
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prostacyclin synthetase