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Development of the Gene Therapy with a CRE Decoy ODN to Prevent Vascular Intimal Hyperplasia

https://asahikawa-med.repo.nii.ac.jp/records/6078
https://asahikawa-med.repo.nii.ac.jp/records/6078
bd88b436-4895-4ce1-a0d0-aa3df38bd343
名前 / ファイル ライセンス アクション
7255.pdf 7255.pdf (122.4 kB)
Item type 学位論文 / Thesis or Dissertation_02(1)
公開日 2019-08-01
タイトル
タイトル Development of the Gene Therapy with a CRE Decoy ODN to Prevent Vascular Intimal Hyperplasia
言語 en
言語
言語 jpn
キーワード
主題Scheme Other
主題 CRE
キーワード
主題Scheme Other
主題 Decoy
キーワード
主題Scheme Other
主題 Gene therapy
キーワード
主題Scheme Other
主題 Intimal hyperplasia
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_46ec
資源タイプ thesis
著者 内田, 大貴

× 内田, 大貴

ja 内田, 大貴

ja-Kana ウチダ, ダイキ

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著者 ローマ字
Uchida, Daiki
書誌情報 Journal of vascular surgery

発行日 2019-06-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 0741-5214
DOI
識別子タイプ DOI
関連識別子 10.1016/j.jvs.2019.02.042
識別番号 その他
内容記述タイプ Other
内容記述 PMID:31204215
学位授与番号
学位授与番号 10107A534
学位名
学位名 博士(医学)
学位授与機関
学位授与機関名 旭川医科大学
抄録
内容記述タイプ Abstract
内容記述 OBJECTIVE:
\nIntimal hyperplasia (IH) is the main cause of therapeutic failure after vascular and endovascular surgery. However, there is currently no targeted therapy for the treatment of IH. We recently reported that the inhibition of cyclic adenosine monophosphate response element (CRE) binding protein (CREB) activation is important in vein graft IH. We focused on a decoy oligodeoxynucleotide (ODN) therapeutic strategy for suppressing IH as a clinical application. The objective of this study was to confirm the therapeutic effect of a CRE decoy ODN in an animal model as a novel therapy for preventing intimal hyperplasia as the first step of the preclinical study of our strategy.
METHODS:
\nWe designed two phosphorothioate CREs and two scramble decoy ODNs and screened them using a CREB transcription assay to check their ability to bind to a CRE sequence. We chose a CRE decoy ODN with high first-binding ability and transfected it into vascular smooth muscle cells (VSMCs) in vitro. Proliferation and migration were assessed using MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) assays and modified Boyden chamber assays. We examined CRE activity using a luciferase reporter gene assay. We assessed the expression of messenger RNAs by quantitative real-time polymerase chain reaction. In a wire-injury mouse model (C57BL6, n = 6), CRE decoy ODN was transfected into the injured vessel wall using an ultrasound-sonoporation method in vivo. Mitogen-activated protein kinase-activated protein kinase 3 (MAPKAPK3) and four and a half LIM domains 5 (FHL5) expression of pregrafting vein remnants were assessed by immunohistologic analyses.
RESULTS:
\nCompared with scramble decoy ODN, the selected CRE decoy ODN could significantly decrease CRE activity (mean ± standard error of the mean: 0.20 ± 0.03 vs 1.00 ± 0.16, n = 6; P < .05) as shown by a luciferase reporter gene assay, VSMC proliferation (0.73 ± 0.04 vs 0.89 ± 0.02, n = 6; P < .05) and migration (96.4 ± 6.1 vs 311.4 ± 19.1 migrated VSMCs/well, n = 6; P < .05) after 24-hour transfection. The CRE decoy ODN significantly suppressed the formation of IH at injured vessel walls in an animal model, as analyzed by pathologic staining (0.20 ± 0.02 vs 0.56 ± 0.08, area of the intima/area of the artery vs the control after 21 days' transfection, n = 6; P < .05). Furthermore, MAPKAPK3 and FHL5, which are CREB activators, were significantly expressed in pregrafting vein remnants in diabetes mellitus patients.
CONCLUSIONS:
\nCREB-CRE signaling is an important mechanism of IH formation, and CRE decoy therapy can help preventing IH. This study is the first part of the preclinical study of our strategy.
資源タイプ
内容記述タイプ Other
内容記述 application/pdf
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内容記述タイプ Other
内容記述 application/pdf
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