Inhibition of vein graft stenosis with a c-jun targeting DNAzyme in a cationic liposomal formulation containing 1,2-dioleoyl-3-trimethylammonium propane (DOTAP)/1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE)
Inhibition of vein graft stenosis with a c-jun targeting DNAzyme in a cationic liposomal formulation containing 1,2-dioleoyl-3-trimethylammonium propane (DOTAP)/1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE)
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DOI:
10.1016/j.ijcard.2013.05.092
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发表时间:
2013-10-09
影响因子:
3.5
通讯作者:
Khachigian, Levon M.
中科院分区:
文献类型:
--
作者:
Li, Yue;Bhindi, Ravinay;Khachigian, Levon M.
Background/objectives: Coronary artery bypass grafting(CABG) is among the most commonly performed heart surgical procedures. Saphenous vein graft failure due to stenosis impedes the longer-term success of CABG. A key cellular event in the process of vein graft stenosis is smooth muscle cell hyperplasia. In this study, we evaluated the effect of a DNAzyme(Dz13) targeting the transcription factor c-Jun in a rabbitmodel of vein graft stenosis in a cationic liposomal formulation containing 1,2-dioleoyl-3-trimethylammonium propane(DOTAP)/1,2-dioleoyl-sn-glycero-3-phosphoethanolamine(DOPE). Dz13 in DOTAP/DOPE has undergone preclinical toxicological testing, and a Phase I clinical trial we recently conducted in basal cell carcinoma cancer patients demonstrates that it is safe and well tolerated after local administration.Methods: Effects of Dz13 in a formulation containing DOTAP/DOPE on smoothmuscle cell(SMC) growth and c-Jun expression were assessed. Dz13 transfectionwas determined by cellular uptake of carboxyfluorescein-labeled Dz13. Autologous jugular vein to carotid artery transplantation was performed in New ZealandWhite rabbits to investigate the effect of the Dz13 in DOTAP/DOPE formulation on intimal hyperplasia.Results: Dz13/DOTAP/DOPE reduced SMC proliferation and c-Jun protein expression in vitro comparedwith an impotent form of Dz13 bearing a point mutation in its catalytic domain(Dz13.G > C). The Dz13(500 mu g)/DOTAP/DOPE formed lipoplexes that were colloidally stable for up to 1 h on ice(0 degrees C) and 30 min at 37 degrees C, allowing sufficient uptake by the veins. Dz13(500 mu g) inhibited neointima formation 28 d after end-to-side transplantation.Conclusions: This formulation applied to veins prior to transplantation may potentially be useful in efforts to reduce graft failure. (C) 2013 Elsevier Ireland Ltd. All rights reserved.