Local MicroRNA Modulation Using a Novel Anti-miR-21-Eluting Stent Effectively Prevents Experimental In-Stent Restenosis
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Local MicroRNA Modulation Using a Novel Anti-miR-21-Eluting Stent Effectively Prevents Experimental In-Stent Restenosis. / Wang, Dong; Deuse, Tobias; Stubbendorff, Mandy; Chernogubova, Ekaterina; Erben, Reinhold G; Eken, Suzanne M; Jin, Hong; Li, Yuhuang; Busch, Albert; Heeger, Christian-H; Behnisch, Boris; Reichenspurner, Hermann; Robbins, Robert C; Spin, Joshua M; Tsao, Philip S; Schrepfer, Sonja; Maegdefessel, Lars.
In: ARTERIOSCL THROM VAS, Vol. 35, No. 9, 09.2015, p. 1945-1953.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Local MicroRNA Modulation Using a Novel Anti-miR-21-Eluting Stent Effectively Prevents Experimental In-Stent Restenosis
AU - Wang, Dong
AU - Deuse, Tobias
AU - Stubbendorff, Mandy
AU - Chernogubova, Ekaterina
AU - Erben, Reinhold G
AU - Eken, Suzanne M
AU - Jin, Hong
AU - Li, Yuhuang
AU - Busch, Albert
AU - Heeger, Christian-H
AU - Behnisch, Boris
AU - Reichenspurner, Hermann
AU - Robbins, Robert C
AU - Spin, Joshua M
AU - Tsao, Philip S
AU - Schrepfer, Sonja
AU - Maegdefessel, Lars
N1 - © 2015 American Heart Association, Inc.
PY - 2015/9
Y1 - 2015/9
N2 - OBJECTIVE: Despite advances in stent technology for vascular interventions, in-stent restenosis (ISR) because of myointimal hyperplasia remains a major complication.APPROACH AND RESULTS: We investigated the regulatory role of microRNAs in myointimal hyperplasia/ISR, using a humanized animal model in which balloon-injured human internal mammary arteries with or without stenting were transplanted into Rowett nude rats, followed by microRNA profiling. miR-21 was the only significantly upregulated candidate. In addition, miR-21 expression was increased in human tissue samples from patients with ISR compared with coronary artery disease specimen. We systemically repressed miR-21 via intravenous fluorescein-tagged-locked nucleic acid-anti-miR-21 (anti-21) in our humanized myointimal hyperplasia model. As expected, suppression of vascular miR-21 correlated dose dependently with reduced luminal obliteration. Furthermore, anti-21 did not impede reendothelialization. However, systemic anti-miR-21 had substantial off-target effects, lowering miR-21 expression in liver, heart, lung, and kidney with concomitant increase in serum creatinine levels. We therefore assessed the feasibility of local miR-21 suppression using anti-21-coated stents. Compared with bare-metal stents, anti-21-coated stents effectively reduced ISR, whereas no significant off-target effects could be observed.CONCLUSION: This study demonstrates the efficacy of an anti-miR-coated stent for the reduction of ISR.
AB - OBJECTIVE: Despite advances in stent technology for vascular interventions, in-stent restenosis (ISR) because of myointimal hyperplasia remains a major complication.APPROACH AND RESULTS: We investigated the regulatory role of microRNAs in myointimal hyperplasia/ISR, using a humanized animal model in which balloon-injured human internal mammary arteries with or without stenting were transplanted into Rowett nude rats, followed by microRNA profiling. miR-21 was the only significantly upregulated candidate. In addition, miR-21 expression was increased in human tissue samples from patients with ISR compared with coronary artery disease specimen. We systemically repressed miR-21 via intravenous fluorescein-tagged-locked nucleic acid-anti-miR-21 (anti-21) in our humanized myointimal hyperplasia model. As expected, suppression of vascular miR-21 correlated dose dependently with reduced luminal obliteration. Furthermore, anti-21 did not impede reendothelialization. However, systemic anti-miR-21 had substantial off-target effects, lowering miR-21 expression in liver, heart, lung, and kidney with concomitant increase in serum creatinine levels. We therefore assessed the feasibility of local miR-21 suppression using anti-21-coated stents. Compared with bare-metal stents, anti-21-coated stents effectively reduced ISR, whereas no significant off-target effects could be observed.CONCLUSION: This study demonstrates the efficacy of an anti-miR-coated stent for the reduction of ISR.
KW - Animals
KW - Antibodies, Antinuclear/pharmacology
KW - Cell Proliferation/drug effects
KW - Coated Materials, Biocompatible
KW - Coronary Restenosis/genetics
KW - Coronary Vessels/drug effects
KW - Disease Models, Animal
KW - Drug-Eluting Stents
KW - Female
KW - Gene Expression Regulation
KW - Graft Occlusion, Vascular/genetics
KW - Humans
KW - Male
KW - MicroRNAs/biosynthesis
KW - Microscopy, Electron, Scanning
KW - Middle Aged
KW - Muscle, Smooth, Vascular/drug effects
KW - Neointima/metabolism
KW - Prosthesis Design
KW - Rats
KW - Rats, Nude
U2 - 10.1161/ATVBAHA.115.305597
DO - 10.1161/ATVBAHA.115.305597
M3 - SCORING: Journal article
C2 - 26183619
VL - 35
SP - 1945
EP - 1953
JO - ARTERIOSCL THROM VAS
JF - ARTERIOSCL THROM VAS
SN - 1079-5642
IS - 9
ER -