Macrophage Depletion by Clodronate-Containing Liposomes Reduces Neointimal Formation After Balloon Injury in Rats and Rabbits

Autor: Reuven Reich, Evgeny Moerman, Jukka Mönkkönen, Jianchuan Gao, Irith Gati, Haim D. Danenberg, Ilia Fishbein, Gershon Golomb
Rok vydání: 2002
Předmět:
Zdroj: Circulation. 106:599-605
ISSN: 1524-4539
0009-7322
DOI: 10.1161/01.cir.0000023532.98469.48
Popis: Background — Inflammation is critical to vascular repair after mechanical injury. Excessive inflammation enhances neointimal formation and restenosis. We examined whether transient systemic inactivation of macrophages at the time of vascular intervention could attenuate the degree of expected restenosis. Methods and Results — Liposomal clodronate (LC) inhibited the growth of cultured macrophages but had no effect on endothelial or smooth muscle cells and suppressed neointimal hyperplasia in hypercholesterolemic rabbits and rats after intravenous administration of LC, with no adverse effects. LC treatment reduced the number of blood monocytes and decreased macrophage infiltration in the injured arteries as well as smooth muscle cell proliferation, interleukin-1β transcription, and production and matrix metalloproteinase-2 activity. Conclusions — Macrophages play a pivotal role in vascular repair after mechanical arterial injury. Systemic inactivation and depletion of monocytes and macrophages by LC reduce neointimal hyperplasia and restenosis.
Databáze: OpenAIRE