在猪冠状动脉再狭窄模型中,全氟鲁烷气体微泡载体系统靶向递送反义可减少新内膜的形成

Nicholas N. Kipshidze , Thomas R. Porter , George Dangas , Hamid Yazdi , Fermin Tio , Feng Xie , David Hellinga , Jana Fournadjiev , Roswitha Wolfram , Rufus Seabron , Ron Waksman , Alexander Abizaid , Gary Roubin , Sriram Iyer , Martin B. Leon , Jeffrey W. Moses , Patrick Iversen
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引用次数: 20

摘要

假设反义磷酸二酯morpholino oligomer (PMO), AVI-4126,在动物模型中通过pluronic凝胶、局部输送导管和涂层支架输送后有效减少内膜形成。系统注射与全氟丁烷气体微泡载体结合的AVI-4126可提供更大的重复给药方案灵活性和降低程序复杂性。本研究旨在探讨基于全氟碳气体微泡载体(PGMC)系统递送AVI-4126对血管组织c-myc表达及支架置入术后再狭窄的影响。方法7头猪行支架植入术(3只/只)。5头猪静脉注射PGMC和2 mg AVI-4126 (AVI BioPharma)。其中两名作为对照组。术后4小时,处死3头猪,用高效液相色谱(HPLC)和Western blot对支架段进行分析。在慢性实验中,在28天处死4头猪(12个支架位置)。结果经shplc分析,治疗动物血浆样品中AVI-4126的含量极低。经处理的动脉的高效液相色谱显示很容易检测到AVI-4126的浓度。Western blot分析显示支架血管对c-myc有适度抑制。形态学测量显示,与对照组相比,AVI-4126/PGMC组新生内膜面积显著减少(分别为2.63±1.99 mm2和4.77±1.71 mm2, P< 0.05)。结论在猪冠状动脉支架模型中,PGMC载体全身靶向输送AVI-4126可显著抑制血管内膜形成。
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Systemic targeted delivery of antisense with perflourobutane gas microbubble carrier reduced neointimal formation in the porcine coronary restenosis model

Hypothesis

The antisense phosphorodiamidate morpholino oligomer (PMO), AVI-4126, has been effective in reducing neointimal formation in animal models following delivery by pluronic gels, local delivery catheters and coated stents. Greater flexibility of repeated-dosage regimens and reduced procedure complexity may be provided by systemic injection of AVI-4126 bound to perfluorobutane gas microbubble carriers. The purpose of this study was to investigate the effects of perfluorocarbon gas microbubble carrier (PGMC)-based systemic delivery of AVI-4126 on expression of the c-myc in vascular tissue and restenosis after stent implantation.

Methods

Seven pigs underwent stent implantation (3 stents/animal). Five pigs received IV injection of PGMC and 2 mg of AVI-4126 (AVI BioPharma). Two served as control. Four hours postprocedure, 3 pigs were sacrificed and stented segments analyzed by high-performance liquid chromatography (HPLC) and Western blot. In chronic experiments, 4 pigs (12 stent sites) were sacrificed at 28 days.

Results

HPLC analysis of plasma samples of treated animals showed minimal presence of AVI-4126. HPLC of the treated arteries demonstrated easily detected concentrations of AVI-4126. Western blot analysis of the stented vessels demonstrated modest inhibition of c-myc. Morphometry showed that the neointimal area was significantly reduced in the AVI-4126/PGMC group compared with control (2.63±1.99 vs. 4.77±.1.71 mm2, respectively, P<.05).

Conclusion

In the porcine coronary stent model, systemic targeted delivery of AVI-4126 using PGMC carrier significantly inhibited neointimal formation.

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