Sustained inhibition of epsilon protein kinase C inhibits vascular restenosis after balloon injury and stenting.

Abstract:

BACKGROUND:ε protein kinase C (εPKC) is involved in vascular smooth muscle cell (VSMC) activation, but little is known about its function in vascular pathology. We aimed at assessing the role of εPKC in the development of restenosis. METHODS AND RESULTS:Rat models of aortic balloon injury with or without subsequent stenting were used. Rats were treated with the selective ψεPKC activator ε receptor for activated protein kinase C (ψεRACK), the selective εPKC inhibitor εV1-2, or saline. Both down-stream cascades of the platelet-derived growth factor receptor via extracellular signal-regulated kinase and Akt, respectively, were evaluated in vivo and in VSMC cultures. Intimal hyperplasia with luminal obliteration developed in saline-treated balloon-injured rat aortas (20.3±8.0%), and ψεRACK significantly promoted neointima development (32.4±4.9%, P=0.033), whereas εV1-2 significantly inhibited luminal narrowing (9.2±4.3%, P=0.039). εPKC inhibition led to significantly reduced VSMC extracellular signal-regulated kinase phosphorylation in vivo, whereas Akt phosphorylation was not markedly affected. Neointimal proliferation in vivo and platelet-derived growth factor-induced VSMC proliferation/migration in vitro were significantly inhibited by εV1-2. The inhibition of the platelet-derived growth factor pathway was mediated by inhibiting down-stream extracellular signal-regulated kinase and Akt phosphorylation. In vitro, εV1-2 showed inhibitory properties on endothelial cell proliferation, but that did not prevent reendothelialization in vivo. εV1-2 showed proapoptotic effects on VSMC in vitro. After stent implantation, luminal restenosis (quantified by optical coherence tomography imaging) was significantly reduced with εV1-2 (8.0±2.0%) compared with saline (20.2±9.8%, P=0.028). CONCLUSIONS:εPKC seems to be centrally involved in the development of neointimal hyperplasia. We suggest that εPKC inhibition may be mediated via inhibition of extracellular signal-regulated kinase and Akt activation. εPKC modulation may become a new therapeutic target against vascular restenosis.

journal_name

Circulation

journal_title

Circulation

authors

Deuse T,Koyanagi T,Erben RG,Hua X,Velden J,Ikeno F,Reichenspurner H,Robbins RC,Mochly-Rosen D,Schrepfer S

doi

10.1161/CIRCULATIONAHA.109.927640

subject

Has Abstract

pub_date

2010-09-14 00:00:00

pages

S170-8

issue

11 Suppl

eissn

0009-7322

issn

1524-4539

pii

122/11_suppl_1/S170

journal_volume

122

pub_type

杂志文章
  • Distinct downregulation of C-type natriuretic peptide system in human aortic valve stenosis.

    abstract:BACKGROUND:Aortic valve calcification is an actively regulated process that displays hallmarks of atherosclerosis. Natriuretic peptides (A-, B-, and C-type natriuretic peptides [ANP, BNP, and CNP]) have been reported to have a role in the pathogenesis of vascular atherosclerosis, but their expression in aortic valves i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.685743

    authors: Peltonen TO,Taskinen P,Soini Y,Rysä J,Ronkainen J,Ohtonen P,Satta J,Juvonen T,Ruskoaho H,Leskinen H

    更新日期:2007-09-11 00:00:00

  • Randomized trial of warfarin, aspirin, and clopidogrel in patients with chronic heart failure: the Warfarin and Antiplatelet Therapy in Chronic Heart Failure (WATCH) trial.

    abstract:BACKGROUND:Chronic heart failure remains a major cause of mortality and morbidity. The role of antithrombotic therapy in patients with chronic heart failure has long been debated. The objective of this study was to determine the optimal antithrombotic agent for heart failure patients with reduced ejection fractions who...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.108.801753

    authors: Massie BM,Collins JF,Ammon SE,Armstrong PW,Cleland JG,Ezekowitz M,Jafri SM,Krol WF,O'Connor CM,Schulman KA,Teo K,Warren SR,WATCH Trial Investigators.

    更新日期:2009-03-31 00:00:00

  • Endovascular therapies for peripheral arterial disease: an evidence-based review.

    abstract::Peripheral arterial disease is one manifestation of systemic atherosclerosis. The prevalence of peripheral arterial disease increases with the age of the population. It is important to remember the significant association of coincident coronary artery disease, which is the major cause of mortality in these patients. R...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.106.621391

    authors: White CJ,Gray WA

    更新日期:2007-11-06 00:00:00

  • Acute effect of intravenous dipyridamole on regional coronary hemodynamics and metabolism.

    abstract::The acute coronary hemodynamic and metabolic effects of intravenous dipyridamole were studied in 13 patients. Total left ventricular (LV), anterior (supplied by the left anterior descending coronary artery) and inferior (supplied by circumflex and right coronary arteries) regional flows and metabolic responses were as...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.2.333

    authors: Feldman RL,Nichols WW,Pepine CJ,Conti CR

    更新日期:1981-08-01 00:00:00

  • Patient selection and current practice strategy for off-pump coronary artery bypass surgery.

    abstract:OBJECTIVE:Previous studies comparing off-pump coronary artery bypass surgery (OPCABG) to conventional techniques utilizing cardiopulmonary bypass (CABG-CPB) have failed to provide patient selection guidelines. We sought to determine guidelines, attempting to rectify the limitations of previous studies. METHODS AND RES...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000089187.51855.77

    authors: Magee MJ,Coombs LP,Peterson ED,Mack MJ

    更新日期:2003-09-09 00:00:00

  • Thallium-201 myocardial scintigraphy in patients with triple-vessel disease and ischemic exercise stress tests.

    abstract::Thirty patients with triple-vessel coronary artery disease proven by angiography, symptomatic angina and a positive ECG stress test were evaluated with thallium-201 (201TI) scintigraphy. Twenty patients also had aortocoronary saphenous vein bypass surgery; 15 of them had repeat noninvasive evaluation. Seventy percent ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.59.4.714

    authors: Leppo J,Yipintsoi T,Blankstein R,Bontemps R,Freeman LM,Zohman L,Scheuer J

    更新日期:1979-04-01 00:00:00

  • Genetic components of the circadian clock regulate thrombogenesis in vivo.

    abstract:BACKGROUND:Myocardial infarction, stroke, and sudden death undergo diurnal variation. Although genes relevant to hemostasis and vascular integrity undergo circadian oscillation, the role of the molecular clock in thrombotic events remains to be established. METHODS AND RESULTS:A diurnal variation in the time to thromb...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.739227

    authors: Westgate EJ,Cheng Y,Reilly DF,Price TS,Walisser JA,Bradfield CA,FitzGerald GA

    更新日期:2008-04-22 00:00:00

  • Evidence Supporting the Existence of a Distinct Obese Phenotype of Heart Failure With Preserved Ejection Fraction.

    abstract:BACKGROUND:Heart failure (HF) with preserved ejection fraction (HFpEF) is a heterogeneous syndrome. Phenotyping patients into pathophysiologically homogeneous groups may enable better targeting of treatment. Obesity is common in HFpEF and has many cardiovascular effects, suggesting that it may be a viable candidate for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.026807

    authors: Obokata M,Reddy YNV,Pislaru SV,Melenovsky V,Borlaug BA

    更新日期:2017-07-04 00:00:00

  • The effects of airway pressure on cardiac function in intact dogs and man.

    abstract::Ventilation with positive end-expiratory pressure (PEEP) is associated with reduced cardiac output, but the mechanisms involved are controversial. Possible explanations include increased intrathoracic pressure, reflex changes in myocardial inotropism, pulmonary vascular obstruction and abnormal ventricular interaction...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.1.108

    authors: Rankin JS,Olsen CO,Arentzen CE,Tyson GS,Maier G,Smith PK,Hammon JW Jr,Davis JW,McHale PA,Anderson RW,Sabiston DC Jr

    更新日期:1982-07-01 00:00:00

  • Mitogenic effect of serotonin on vascular endothelial cells.

    abstract:BACKGROUND:Recent studies indicate that serotonin (5-HT) has a growth-promoting effect on several different cell types, including smooth muscle cells. After percutaneous transluminal coronary angioplasty, there is damage and denudation of vascular endothelial cells, which promotes platelet aggregation at the site of in...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.4.1919

    authors: Pakala R,Willerson JT,Benedict CR

    更新日期:1994-10-01 00:00:00

  • Primary outcomes for resuscitation science studies: a consensus statement from the American Heart Association.

    abstract:BACKGROUND AND PURPOSE:The guidelines presented in this consensus statement are intended to serve researchers, clinicians, reviewers, and regulators in the selection of the most appropriate primary outcome for a clinical trial of cardiac arrest therapies. The American Heart Association guidelines for the treatment of c...

    journal_title:Circulation

    pub_type: 杂志文章,实务指引

    doi:10.1161/CIR.0b013e3182340239

    authors: Becker LB,Aufderheide TP,Geocadin RG,Callaway CW,Lazar RM,Donnino MW,Nadkarni VM,Abella BS,Adrie C,Berg RA,Merchant RM,O'Connor RE,Meltzer DO,Holm MB,Longstreth WT,Halperin HR,American Heart Association Emergency Cardiova

    更新日期:2011-11-08 00:00:00

  • Mortality after 16 years for participants randomized to the Multiple Risk Factor Intervention Trial.

    abstract:BACKGROUND:A mortality follow-up of 12,866 men was conducted 16 years after randomization to special intervention (SI) or usual care (UC) groups of the Multiple Risk Factor Intervention Trial to assess the long-term effect of cardiovascular risk factor intervention on coronary heart disease (CHD), cardiovascular death ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.94.5.946

    authors:

    更新日期:1996-09-01 00:00:00

  • Treatment of hypertension and its effect on cardiovascular risk factors: data from the Framingham Heart Study.

    abstract::Analysis of the Framingham Heart Study experience between 1958 and 1970 showed a progressive increase in the rate of treatment and control of hypertension. With cross-sectional criteria to define diastolic hypertension, the treatment rate rose from 35% in 1958 through 1960 to 69% in 1968 through 1970 (p less than .001...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.1.22

    authors: Shea S,Cook EF,Kannel WB,Goldman L

    更新日期:1985-01-01 00:00:00

  • Clinical Outcomes and Cost-Effectiveness of Fractional Flow Reserve-Guided Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease: Three-Year Follow-Up of the FAME 2 Trial (Fractional Flow Reserve Versus Angiography for Multive

    abstract:BACKGROUND:Previous studies found that percutaneous coronary intervention (PCI) does not improve outcome compared with medical therapy (MT) in patients with stable coronary artery disease, but PCI was guided by angiography alone. FAME 2 trial (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation) compa...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.031907

    authors: Fearon WF,Nishi T,De Bruyne B,Boothroyd DB,Barbato E,Tonino P,Jüni P,Pijls NHJ,Hlatky MA,FAME 2 Trial Investigators.

    更新日期:2018-01-30 00:00:00

  • Effects of verapamil on left ventricular systolic and diastolic function in patients with hypertrophic cardiomyopathy: pressure-volume analysis with a nonimaging scintillation probe.

    abstract::To investigate the effects of verapamil on left ventricular systolic and diastolic function in patients with hypertrophic cardiomyopathy, we studied 14 patients at catheterization with a nonimaging scintillation probe before and after serial intravenous infusions of low-, medium-, and high-dose verapamil (total dose 0...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.5.1062

    authors: Bonow RO,Ostrow HG,Rosing DR,Cannon RO 3rd,Lipson LC,Maron BJ,Kent KM,Bacharach SL,Green MV

    更新日期:1983-11-01 00:00:00

  • Comparison of high-dose with low-dose aspirin in patients with mechanical heart valve replacement treated with oral anticoagulant.

    abstract:BACKGROUND:There are no reported studies on the safety and efficacy of low-dose aspirin with low-intensity oral anticoagulation in patients with heart valve replacement. In this study, we compared the use of 100 mg/d aspirin with 650 mg/d aspirin in the prevention of systemic embolism and vascular death in patients wit...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.94.9.2113

    authors: Altman R,Rouvier J,Gurfinkel E,Scazziota A,Turpie AG

    更新日期:1996-11-01 00:00:00

  • BMP9 and BMP10 Act Directly on Vascular Smooth Muscle Cells for Generation and Maintenance of the Contractile State.

    abstract::Background: Vascular smooth muscle cells (VSMCs) show a remarkable phenotypic plasticity allowing acquisition of contractile or synthetic states but critical information is missing about the physiological signals, promoting formation and maintenance of contractile VSMCs in vivo. BMP9 and BMP10 are known to regulate en...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.047375

    authors: Wang L,Rice M,Swist S,Kubin T,Wu F,Wang S,Kraut S,Weissmann N,Böttger T,Wheeler M,Schneider A,Braun T

    更新日期:2020-12-18 00:00:00

  • Statin-sensitive dysregulated AT1 receptor function and density in hypercholesterolemic men.

    abstract:BACKGROUND:Hypercholesterolemia causes an upregulation of vascular angiotensin II type 1 (AT1) receptor expression in cell culture and animal models. The presented studies were undertaken to examine AT1 receptor overexpression in hypercholesterolemic men and therapeutic interventions thereof by HMG CoA reductase inhibi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.21.2131

    authors: Nickenig G,Bäumer AT,Temur Y,Kebben D,Jockenhövel F,Böhm M

    更新日期:1999-11-23 00:00:00

  • Inhibition of platelet-dependent thrombosis by local delivery of heparin with a hydrogel-coated balloon.

    abstract:BACKGROUND:Systemic administration of heparin can decrease mortality and morbidity of acute ischemic coronary syndromes such as unstable angina and myocardial infarction. Hemorrhage is the major limiting factor in the clinical use of systemic heparin. The objective of the present study was to determine whether local de...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.7.1697

    authors: Nunes GL,Thomas CN,Hanson SR,Barry JJ,King SB 3rd,Scott NA

    更新日期:1995-10-01 00:00:00

  • Unexpected interaction between beta-adrenergic blockade and heart rate variability before and after myocardial infarction. A longitudinal study in dogs at high and low risk for sudden death.

    abstract:BACKGROUND:Heart rate (HR) variability is a marker of tonic cardiac autonomic activity and contributes in assessing risk for sudden death after myocardial infarction. Recent clinical observations have indicated that attenuation of HR variability, which occurs after myocardial infarction, may be transient. This study ad...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.2.976

    authors: Adamson PB,Huang MH,Vanoli E,Foreman RD,Schwartz PJ,Hull SS Jr

    更新日期:1994-08-01 00:00:00

  • Mortality benefits and the implantable cardioverter-defibrillator.

    abstract::The automatic implantable cardioverter-defibrillator (ICD) is highly effective in reducing sudden death rates in patients with life-threatening ventricular tachyarrhythmias. However, the magnitude of the ability of the ICD to improve overall survival is less certain. Data supporting the contention that the ICD prolong...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.89.4.1851

    authors: Sweeney MO,Ruskin JN

    更新日期:1994-04-01 00:00:00

  • Inhibition of phosphodiesterase type 5 by the activator of nitric oxide-sensitive guanylyl cyclase BAY 41-2272.

    abstract:BACKGROUND:By the formation of cGMP, nitric oxide (NO)-sensitive guanylyl cyclase (GC) acts as the effector for the signaling molecule NO and mediates the relaxation of vascular smooth muscle and the inhibition of platelet aggregation. The compounds YC-1 and BAY 41-2272 are regarded as NO-independent activators and sen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000126286.47618.BD

    authors: Mullershausen F,Russwurm M,Friebe A,Koesling D

    更新日期:2004-04-13 00:00:00

  • Ischemia-induced interleukin-8 release after human heart transplantation. A potential role for endothelial cells.

    abstract:BACKGROUND:Interleukin-8 (IL-8) secreted from endothelial cells is a powerful neutrophil chemoattractant and activator. We hypothesized that human endothelial cells deprived of oxygen would secrete IL-8, which might translate into elevated IL-8 production after cardiac ischemia. Furthermore, we hypothesized that corona...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.92.9.428

    authors: Oz MC,Liao H,Naka Y,Seldomridge A,Becker DN,Michler RE,Smith CR,Rose EA,Stern DM,Pinsky DJ

    更新日期:1995-11-01 00:00:00

  • Short-term vasodilator effect of captopril in patients with severe mitral regurgitation is parasympathetically mediated.

    abstract:BACKGROUND:Few data exist regarding the effects of angiotensin converting enzyme inhibitors in patients with regurgitant valvular lesions. We postulated an immediate improvement in cardiac performance with captopril in mitral regurgitation, which, in a hemodynamically compensated group of patients, might be mediated th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.2049

    authors: Wisenbaugh T,Essop R,Sareli P

    更新日期:1991-11-01 00:00:00

  • The pathogenesis of coronary plaques, thromboses, and hemorrhages: an evaluative review.

    abstract::The initial appearance and continuous development of a coronary plaque depends on a combination of hemodynamic trauma, deposition of excess cholesterol, and accretion and incorporation of thrombogenic elements as well as fully formed mural thrombi. Plaques become life-threatening when rupture of their intimal surface ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Friedman M

    更新日期:1975-12-01 00:00:00

  • Intravascular ultrasound imaging of human coronary arteries in vivo. Analysis of tissue characterizations with comparison to in vitro histological specimens.

    abstract:BACKGROUND:Intravascular ultrasound imaging was performed in 27 patients after coronary balloon angioplasty to quantify the lumen and atheroma cross-sectional areas. METHODS AND RESULTS:A 20-MHz ultrasound catheter was inserted through a 1.6-mm plastic introducer sheath across the dilated area to obtain real-time imag...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.3.913

    authors: Tobis JM,Mallery J,Mahon D,Lehmann K,Zalesky P,Griffith J,Gessert J,Moriuchi M,McRae M,Dwyer ML

    更新日期:1991-03-01 00:00:00

  • Comparison of transendocardial and intracoronary CD34+ cell transplantation in patients with nonischemic dilated cardiomyopathy.

    abstract:BACKGROUND:In an open-label blinded study, we compared intracoronary and transendocardial CD34(+) cell transplantation in patients with nonischemic dilated cardiomyopathy. METHODS AND RESULTS:Of the 40 patients with dilated cardiomyopathy, 20 were randomized to receive intracoronary injection and 20 received transendo...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.112.000230

    authors: Vrtovec B,Poglajen G,Lezaic L,Sever M,Socan A,Domanovic D,Cernelc P,Torre-Amione G,Haddad F,Wu JC

    更新日期:2013-09-10 00:00:00

  • Long-term follow-up of patients with the antibiotic-sterilized aortic homograft valve inserted freehand in the aortic position.

    abstract::A series of 252 isolated aortic homograft valves in 248 patients have been followed for 9 to 16.5 years (mean 10.8). The valves were sterilized in antibiotic solution and stored in a nutrient medium at 4 degrees C and were nonvital. There were 15 in-hospital deaths (6%) and a mortality of 2.7% in patients undergoing a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.75.4.768

    authors: Barratt-Boyes BG,Roche AH,Subramanyan R,Pemberton JR,Whitlock RM

    更新日期:1987-04-01 00:00:00

  • Diverse mechanisms of unexpected cardiac arrest in advanced heart failure.

    abstract::To define the mechanisms of unexpected cardiac arrest in advanced heart failure, we reviewed the causes of cardiac arrest as established from electrocardiographic monitoring and from clinical and autopsy data in patients hospitalized for cardiac transplantation evaluation and management of advanced heart failure (mean...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.6.1675

    authors: Luu M,Stevenson WG,Stevenson LW,Baron K,Walden J

    更新日期:1989-12-01 00:00:00

  • Coronary sinus morphology in patients with atrioventricular junctional reentry tachycardia and other supraventricular tachyarrhythmias.

    abstract:BACKGROUND:Coronary sinus access by electrode catheters is easier in patients with atrioventricular junctional reentry tachycardia (AVJRT) than in patients with other supraventricular tachyarrhythmias. The reason for this has not been addressed. METHODS AND RESULTS:The size and shape of the proximal coronary sinus wer...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.3.436

    authors: Doig JC,Saito J,Harris L,Downar E

    更新日期:1995-08-01 00:00:00