Back to Search
Start Over
Mycophenolate mofetil inhibits intimal hyperplasia and attenuates the expression of genes favouring smooth muscle cell proliferation and migration.
- Source :
-
Transplantation proceedings [Transplant Proc] 2005 Jan-Feb; Vol. 37 (1), pp. 164-6. - Publication Year :
- 2005
-
Abstract
- Aim: Intimal hyperplasia remains the leading cause of late graft failure following heart transplantation. The immunosuppressive drug mycophenolate mofetil has been shown to inhibit the development of intimal hyperplasia. This study aimed to assess the efficacy of a combination of mycophenolate mofetil, calcineurin inhibition, and sirolimus on the development of intimal hyperplasia.<br />Methods: Male Sprague-Dawley rats received mycophenolate mofetil (30 mg/kg per day) and either tacrolimus (0.1 mg/kg per day), cyclosporine (5 mg/kg per day), or sirolimus (0.05 mg/kg per day) and were compared to an untreated control group. All animals underwent left common carotid artery balloon angioplasty. Morphometric analysis was performed on representative transverse sections, and intima medial ratios calculated at 2 weeks. Profibrotic gene expression was assessed with competitive RT-PCR at 2 weeks for metalloproteinase-2, metalloproteinase-9, TIMP-1, collagen III, and TGF-beta. Sections were stained with sirius red, and extracellular matrix deposition was quantified.<br />Results: Mycophenolate mofetil in combination with rapamycin was associated with the greatest reduction in intimal thickening (intima medial ratio 0.79; range 0.45-0.86), compared to its combination with either cyclosporine (1.41; range 1.06-1.68, P < .02) or tacrolimus (0.93; range 0.81-1.37, P < .05) and controls (1.47; range 1.02-2.04, P < .005). Mycophenolate mofetil and rapamycin significantly inhibited all profibrotic genes studied compared to controls (P < .01) but there were no differences between tacrolimus and cyclosporine. Mycophenolate mofetil and sirolimus significantly attenuated extracellular matrix deposition compared to tacrolimus and cyclosporin (P < .023).<br />Conclusion: The benefits of mycophenolate mofetil in combination with sirolimus are preferential over those with cyclosporine or tacrolimus. Randomised trials are warranted to assess if mycophenolate mofetil should be an alternative agent to calcineurin-inhibitors when used in combination with sirolimus.
- Subjects :
- Animals
Carotid Artery, Common
Cell Division drug effects
Cell Movement drug effects
Cyclosporine pharmacology
Gene Expression Regulation drug effects
Hyperplasia prevention & control
Immunosuppressive Agents pharmacology
Male
Matrix Metalloproteinase 2 genetics
Matrix Metalloproteinase 9 genetics
Muscle, Smooth, Vascular drug effects
Muscle, Smooth, Vascular pathology
Mycophenolic Acid pharmacology
Rats
Rats, Sprague-Dawley
Sirolimus pharmacology
Tacrolimus pharmacology
Apoptosis drug effects
Gene Expression Regulation immunology
Muscle, Smooth, Vascular cytology
Mycophenolic Acid analogs & derivatives
Subjects
Details
- Language :
- English
- ISSN :
- 0041-1345
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Transplantation proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 15808582
- Full Text :
- https://doi.org/10.1016/j.transproceed.2005.01.049