Abstract
Aims:
In-stent restenosis remains a serious problem after the implantation of drug-eluting stents, which is attributable to neointima formation and re-endothelialization. Here, we tried to find a new method which aims at selectively inhibiting proliferation of vascular smooth muscle cells (VSMC) proliferation without inhibition of re-endothelialization.
Methods and results:
We used the smooth muscle-specific SM22alpha promoter in a recombinant lentiviral vector to drive overexpression of cell-cycle inhibitor, p27, in VSMCs. p27 effectively inhibited VSMC proliferation mediated by cell cycle arrest at the G0/G1 checkpoint. The SM22alpha-p27 lentiviral vector inhibited VSMC proliferation more effectively than paclitaxel. Rats infected with Lenti-SM22alpha-p27 had a significantly lower intima/media (I/M) ratio and also showed inhibition of restenosis on day 28 after balloon injury. Moreover, the repair of injured endothelium, and re-endothelialization of the carotid artery wall, was not affected by the smooth muscle cell-specific expression of p27.
Conclusion:
A recombinant lentiviral vector carrying the SM22alpha promoter was used to effectively infect and selectively overexpress p27 protein in VSMCs, leading to inhibition of intimal hyperplasia without compromising endothelial repair.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Antineoplastic Agents, Phytogenic / pharmacology
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Balloon Occlusion
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Carotid Arteries / pathology*
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Cell Proliferation*
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Cells, Cultured
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Cyclin-Dependent Kinase Inhibitor p27 / biosynthesis
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Cyclin-Dependent Kinase Inhibitor p27 / genetics*
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Endothelium, Vascular / physiopathology
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G1 Phase Cell Cycle Checkpoints
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Green Fluorescent Proteins / biosynthesis
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Green Fluorescent Proteins / genetics
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Lentivirus / genetics
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Male
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Microfilament Proteins / genetics*
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Muscle Proteins / genetics*
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Muscle, Smooth, Vascular / pathology
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Myocytes, Smooth Muscle / physiology*
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Neointima / metabolism
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Paclitaxel / pharmacology
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Rats, Wistar
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Vascular Remodeling
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Wound Healing
Substances
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Antineoplastic Agents, Phytogenic
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Microfilament Proteins
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Muscle Proteins
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enhanced green fluorescent protein
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transgelin
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Green Fluorescent Proteins
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Cyclin-Dependent Kinase Inhibitor p27
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Paclitaxel
Grants and funding
This work was supported by grants from Natural Science Foundation of China (81030021 to WW, 30870641 to LJ) and National Basic Research Program (2011CB504403 to WW) and Program for Changjiang Scholars and Innovative Research Team in University. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.