Local expression of platelet-activating factor-acetylhydrolase reduces accumulation of oxidized lipoproteins and inhibits inflammation, shear stress-induced thrombosis, and neointima formation in balloon-injured carotid arteries in nonhyperlipidemic rabbits

Local expression of platelet-activating factor-acetylhydrolase reduces accumulation of oxidized lipoproteins and inhibits inflammation, shear stress-induced thrombosis, and neointima formation in balloon-injured carotid arteries in nonhyperlipidemic rabbits
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DOI:
10.1161/circulationaha.104.476242
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发表时间:
2005-06-21
期刊:
影响因子:
37.8
通讯作者:
Ueno, H
Ueno, H
中科院分区:
医学1区
文献类型:
--
作者:
Arakawa, H;Qian, JY;Ueno, H

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血小板活化因子(PAF)和PAF样磷脂被PAF乙酰水解酶(PAF-AH)灭活.使用nonhypertrophemic动物,我们测试是否局部表达的PAF- AH到受伤的动脉可能会引起抗血栓形成和抗血栓形成effects.Method and Results -球囊损伤兔颈动脉感染时,损伤与腺病毒表达人血浆PAF- AH(AdPAF- AH)或细菌β-半乳糖苷酶(AdLacZ)或注入盐水。7天后,在所有AdLacZ感染和盐水灌注的动脉(对照)中观察到剪切应力诱导的血栓形成,但在AdPAF-AH处理的对侧动脉中消除,即使在肾上腺素或NO产生抑制剂存在下也是如此.损伤诱导的组织因子表达也被显著抑制。与对照组相比,AdPAF-AH组细胞间粘附分子-1、血管细胞粘附分子-1的表达和巨噬细胞浸润分别减少66%、66%和71%(P < 0.01),内膜面积和内膜/中膜比值分别减少43%和52%(P < 0.05)。损伤后1周内,氧化脂蛋白(OxLDL)已很容易积聚在动脉壁。然而,在AdPAF-AH处理的动脉中,这显著降低。对照组和AdPAF-AH治疗组家兔血液中OxLDL或总胆固醇自身抗体滴度无差异。结论-我们的研究结果首次表明,OxLDL在非高脂血症动物损伤后1周内在动脉中积累,并且PAF-AH的局部表达减少了这种积累,并发挥抗血栓,抗血栓形成,和抗增殖作用而不改变血浆PAF-AH活性水平或OxLDL自身抗体滴度。
Background - Platelet- activating factor ( PAF) and PAF- like phospholipids are inactivated by PAF- acetylhydrolase ( PAF- AH). Using nonhyperlipidemic animals, we tested whether local expression of PAF- AH into injured arteries might induce antithrombotic and antiinflammatory effects.Method and Results - Balloon- injured rabbit carotid arteries were infected at the time of injury with an adenovirus expressing either human plasma PAF- AH ( AdPAF- AH) or bacterial beta- galactosidase ( AdLacZ) or infused with saline. Seven days later, shear stress - induced thrombosis was observed in all AdLacZ- infected and saline- infused arteries ( controls) but eliminated in AdPAF- AH - treated contralateral arteries, even in the presence of epinephrine or an inhibitor of NO production. Injury- induced expression of tissue factor was also significantly suppressed. In AdPAF- AH - treated arteries compared with controls, the expressions of intercellular adhesion molecule- 1 and vascular cell adhesion molecule- 1 and macrophage infiltration were decreased by 66%, 66%, and 71%, respectively ( P < 0.01), and intimal area and intima/ media ratio were decreased on day 21 by 43% and 52%, respectively ( P < 0.05). Within 1 week after injury, oxidized lipoproteins ( OxLDL) had readily accumulated in the arterial wall. However, this was markedly reduced in the AdPAF- AH - treated arteries. No differences in the titers of autoantibodies to OxLDL or total cholesterol in blood were found between controls and AdPAF- AH - treated rabbits.Conclusions - Our results show for the first time that OxLDL accumulates in arteries in nonhyperlipidemic animals within 1 week after injury and that local expression of PAF- AH reduces this accumulation and exerts antiinflammatory, antithrombotic, and antiproliferative effects without changing the plasma levels of PAF- AH activity or titers of autoantibodies to OxLDL.