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Adenovirus-mediated delivery of Fas ligand inhibits intimal hyperplasia after balloon injury in immunologically primed animals

Adenoviral constructs have been used for studies of injury-induced vascular hyperplasia in immunologically naive laboratory animals, but their usefulness for intra-arterial gene therapy may be limited by the prevalence of preexisting immunity to adenovirus in the patient population. Here, we explore...

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Published in:Circulation (New York, N.Y.) N.Y.), 1999-04, Vol.99 (14), p.1776-1779
Main Authors: ZHENGYU LUO, SATA, M, THAO NGUYEN, KAPLAN, J. M, AKITA, G. Y, WALSH, K
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description Adenoviral constructs have been used for studies of injury-induced vascular hyperplasia in immunologically naive laboratory animals, but their usefulness for intra-arterial gene therapy may be limited by the prevalence of preexisting immunity to adenovirus in the patient population. Here, we explored the efficacy of adenovirus-mediated transfer of Fas ligand, a cytotoxic gene with immunomodulatory properties, in inhibiting injury-induced vascular lesion formation in both naive and immunologically primed animals. Lesion formation was evaluated in balloon-injured carotid arteries of naive and adenovirus-immunized rats that were infected with adenoviral constructs expressing Fas ligand (Ad-FasL), the cyclin-dependent kinase inhibitor p21 (Ad-p21), or beta-galactosidase (Ad-betagal). In naive rats, Ad-FasL induced apoptosis in medial vascular smooth muscle cells and inhibited intimal hyperplasia by 60% relative to Ad-betagal-treated vessels (P
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M ; AKITA, G. Y ; WALSH, K</creator><creatorcontrib>ZHENGYU LUO ; SATA, M ; THAO NGUYEN ; KAPLAN, J. M ; AKITA, G. Y ; WALSH, K</creatorcontrib><description>Adenoviral constructs have been used for studies of injury-induced vascular hyperplasia in immunologically naive laboratory animals, but their usefulness for intra-arterial gene therapy may be limited by the prevalence of preexisting immunity to adenovirus in the patient population. Here, we explored the efficacy of adenovirus-mediated transfer of Fas ligand, a cytotoxic gene with immunomodulatory properties, in inhibiting injury-induced vascular lesion formation in both naive and immunologically primed animals. Lesion formation was evaluated in balloon-injured carotid arteries of naive and adenovirus-immunized rats that were infected with adenoviral constructs expressing Fas ligand (Ad-FasL), the cyclin-dependent kinase inhibitor p21 (Ad-p21), or beta-galactosidase (Ad-betagal). In naive rats, Ad-FasL induced apoptosis in medial vascular smooth muscle cells and inhibited intimal hyperplasia by 60% relative to Ad-betagal-treated vessels (P&lt;0.05), whereas the cytostatic agent Ad-p21 decreased lesion size by 58% (P&lt;0.05). In animals preimmunized with an adenoviral vector containing no transgene, Ad-FasL significantly inhibited neointima formation (73% reduction, P&lt;0.05), but Ad-p21 failed to inhibit neointima formation relative to controls. Immunologically primed rats displayed robust T-cell infiltration in Ad-p21- and Ad-betagal-treated vessels, but T-cell infiltration was markedly attenuated in Ad-FasL-treated vessels. Our data demonstrate that adenovirus-mediated Fas ligand delivery can inhibit intimal hyperplasia in both immunologically primed and naive animals, whereas the efficacy of an adenovirus-mediated p21 delivery is limited to immunologically naive animals. 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M</creatorcontrib><creatorcontrib>AKITA, G. Y</creatorcontrib><creatorcontrib>WALSH, K</creatorcontrib><title>Adenovirus-mediated delivery of Fas ligand inhibits intimal hyperplasia after balloon injury in immunologically primed animals</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Adenoviral constructs have been used for studies of injury-induced vascular hyperplasia in immunologically naive laboratory animals, but their usefulness for intra-arterial gene therapy may be limited by the prevalence of preexisting immunity to adenovirus in the patient population. Here, we explored the efficacy of adenovirus-mediated transfer of Fas ligand, a cytotoxic gene with immunomodulatory properties, in inhibiting injury-induced vascular lesion formation in both naive and immunologically primed animals. Lesion formation was evaluated in balloon-injured carotid arteries of naive and adenovirus-immunized rats that were infected with adenoviral constructs expressing Fas ligand (Ad-FasL), the cyclin-dependent kinase inhibitor p21 (Ad-p21), or beta-galactosidase (Ad-betagal). In naive rats, Ad-FasL induced apoptosis in medial vascular smooth muscle cells and inhibited intimal hyperplasia by 60% relative to Ad-betagal-treated vessels (P&lt;0.05), whereas the cytostatic agent Ad-p21 decreased lesion size by 58% (P&lt;0.05). In animals preimmunized with an adenoviral vector containing no transgene, Ad-FasL significantly inhibited neointima formation (73% reduction, P&lt;0.05), but Ad-p21 failed to inhibit neointima formation relative to controls. Immunologically primed rats displayed robust T-cell infiltration in Ad-p21- and Ad-betagal-treated vessels, but T-cell infiltration was markedly attenuated in Ad-FasL-treated vessels. Our data demonstrate that adenovirus-mediated Fas ligand delivery can inhibit intimal hyperplasia in both immunologically primed and naive animals, whereas the efficacy of an adenovirus-mediated p21 delivery is limited to immunologically naive animals. This study documents, for the first time, the therapeutic efficacy of intravascular adenoviral gene transfer in animals with preexisting immunity to adenovirus.</description><subject>Adenoviridae - genetics</subject><subject>Adenoviridae - immunology</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Carotid Arteries - drug effects</subject><subject>Carotid Arteries - pathology</subject><subject>Carotid Artery Diseases - pathology</subject><subject>Carotid Artery Diseases - prevention &amp; control</subject><subject>Catheterization</subject><subject>Diseases of the cardiovascular system</subject><subject>Fas Ligand Protein</subject><subject>Gene Transfer Techniques</subject><subject>Hyperplasia - prevention &amp; control</subject><subject>Immunization</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Membrane Glycoproteins - administration &amp; dosage</subject><subject>Membrane Glycoproteins - genetics</subject><subject>Membrane Glycoproteins - pharmacology</subject><subject>Radiotherapy. 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subjects Adenoviridae - genetics
Adenoviridae - immunology
Animals
Biological and medical sciences
Carotid Arteries - drug effects
Carotid Arteries - pathology
Carotid Artery Diseases - pathology
Carotid Artery Diseases - prevention & control
Catheterization
Diseases of the cardiovascular system
Fas Ligand Protein
Gene Transfer Techniques
Hyperplasia - prevention & control
Immunization
Male
Medical sciences
Membrane Glycoproteins - administration & dosage
Membrane Glycoproteins - genetics
Membrane Glycoproteins - pharmacology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rats
Rats, Sprague-Dawley
Tunica Intima - pathology
Vasculitis - prevention & control
title Adenovirus-mediated delivery of Fas ligand inhibits intimal hyperplasia after balloon injury in immunologically primed animals
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