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Science 27 January 1995:
Vol. 267. no. 5197, pp. 518 - 522
DOI: 10.1126/science.7824950

Articles

Science, Vol 267, Issue 5197, 518-522
Copyright © 1995 by American Association for the Advancement of Science


articles

Cytostatic gene therapy for vascular proliferative disorders with a constitutively active form of the retinoblastoma gene product

MW Chang, E Barr, J Seltzer, YQ Jiang, GJ Nabel, EG Nabel, MS Parmacek, and JM Leiden

Department of Medicine, University of Chicago, IL 60637.

Vascular smooth muscle cell (SMC) proliferation in response to injury is an important etiologic factor in vascular proliferative disorders such as atherosclerosis and restenosis after balloon angioplasty. The retinoblastoma gene product (Rb) is present in the unphosphorylated and active form in quiescent primary arterial SMCs, but is rapidly inactivated by phosphorylation in response to growth factor stimulation in vitro. A replication-defective adenovirus encoding a nonphosphorylatable, constitutively active form of Rb was constructed. Infection of cultured primary rat aortic SMCs with this virus inhibited growth factor-stimulated cell proliferation in vitro. Localized arterial infection with the virus at the time of balloon angioplasty significantly reduced SMC proliferation and neointima formation in both the rat carotid and porcine femoral artery models of restenosis. These results demonstrate the role of Rb in regulating vascular SMC proliferation and suggest a gene therapy approach for vascular proliferative disorders associated with arterial injury.


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Acute Host-Mediated Endothelial Injury After Adenoviral Gene Transfer in Normal Rabbit Arteries : Impact on Transgene Expression and Endothelial Function.
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Isolation and Characterization of the 5'-Flanking Regulatory Region of the Human Natriuretic Peptide Receptor C Gene.
N. Yanaka, J. Kotera, and K. Omori (1998)
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Gene Therapy for Restenosis : Are We Ready?.
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Modulation of Growth Factor Action : Implications for the Treatment of Cardiovascular Diseases.
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Cardiovasc Res 35, 442-450
   Abstract »    Full Text »    PDF »
Adenovirus gene therapy for hypercholesterolemia, thrombosis and restenosis.
R. D Gerard and D. Collen (1997)
Cardiovasc Res 35, 451-458
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Efficient adenoviral gene transfer to early venous bypass grafts: comparison with native vessels.
K. M Channon, G. J Fulton, J. L Gray, B. H Annex, G. A Shetty, M. A Blazing, K. G Peters, P.-O. Hagen, and S. E George (1997)
Cardiovasc Res 35, 505-513
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Percutaneous delivery of the gax gene inhibits vessel stenosis in a rabbit model of balloon angioplasty.
L. Maillard, E. Van Belle, R. C Smith, A. Le Roux, P. Denefle, G. Steg, J. J Barry, D. Branellec, J. M Isner, and K. Walsh (1997)
Cardiovasc Res 35, 536-546
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Inhibition of Vascular Smooth Muscle Cell Proliferation and Neointimal Accumulation by Adenovirus-Mediated Gene Transfer of Cytosine Deaminase.
R. L. Harrell, M. A. S. Rajanayagam, A. M. Doanes, R. J. Guzman, E. A. Hirschowitz, R. G. Crystal, S. E. Epstein, and T. Finkel (1997)
Circulation 96, 621-627
   Abstract »    Full Text »
Downregulation of Cyclin G1 Expression by Retrovirus-Mediated Antisense Gene Transfer Inhibits Vascular Smooth Muscle Cell Proliferation and Neointima Formation.
N. L. Zhu, L. Wu, P. X. Liu, E. M. Gordon, W. F. Anderson, V. A. Starnes, and F. L. Hall (1997)
Circulation 96, 628-635
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p21CIP1-mediated inhibition of cell proliferation by overexpression of the gax homeodomain gene..
R C Smith, D Branellec, D H Gorski, K Guo, H Perlman, J F Dedieu, C Pastore, A Mahfoudi, P Denefle, J M Isner, et al. (1997)
Genes & Dev. 11, 1674-1689
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Protein Kinase C delta  Inhibits the Proliferation of Vascular Smooth Muscle Cells by Suppressing G1 Cyclin Expression.
S. Fukumoto, Y. Nishizawa, M. Hosoi, H. Koyama, K. Yamakawa, S. Ohno, and H. Morii (1997)
J. Biol. Chem. 272, 13816-13822
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Adenovirus-Mediated Transfer of a Dominant-Negative H-ras Suppresses Neointimal Formation in Balloon-Injured Arteries In Vivo.
H. Ueno, H. Yamamoto, S.-i. Ito, J.-J. Li, and A. Takeshita (1997)
Arterioscler Thromb Vasc Biol 17, 898-904
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p53 Expression Induces Apoptosis in Hippocampal Pyramidal Neuron Cultures.
J. Jordan, M. F. Galindo, J. H. M. Prehn, R. R. Weichselbaum, M. Beckett, G. D. Ghadge, R. P. Roos, J. M. Leiden, and R. J. Miller (1997)
J. Neurosci. 17, 1397-1405
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The DispatchTM catheter as a delivery tool for arterial gene transfer.
O. Tahlil, M. Brami, L. J Feldman, D. Branellec, and Ph.G. Steg (1997)
Cardiovasc Res 33, 181-187
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Accelerated Restitution of Endothelial Integrity and Endothelium-Dependent Function After phVEGF165 Gene Transfer.
T. Asahara, D. Chen, Y. Tsurumi, M. Kearney, S. Rossow, J. Passeri, J. F. Symes, and J. M. Isner (1996)
Circulation 94, 3291-3302
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Enhancer Stimulation Unmasks Latent Gene Transfer After Adenovirus-Mediated Gene Delivery Into Human Vascular Smooth Muscle Cells.
G. J. Clesham, H. Browne, S. Efstathiou, and P. L. Weissberg (1996)
Circ. Res. 79, 1188-1195
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In Vivo Gene Transfer and Gene Modulation in Hypertension Research.
V. J. Dzau and M. Horiuchi (1996)
Hypertension 28, 1132-1137
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Angiotensin II Activation of Cyclin D1-dependent Kinase Activity.
G. Watanabe, R. J. Lee, C. Albanese, W. E. Rainey, D. Batlle, and R. G. Pestell (1996)
J. Biol. Chem. 271, 22570-22577
   Abstract »    Full Text »    PDF »
Intimal Hyperplasia: Prospects for Its Control in the Human.
M. A. Golden (1996)
Vascular and Endovascular Surgery 30, 361-364
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