From the Department of Surgery, University of Washington, Seattle (D.H.,
R.D.K., M.M.C., A.W.C.), and the University of Texas Health Center at Tyler,
Department of Biochemistry (B.S.). Dr Allaire is currently at the Service de
Chirurgie Vasculaire, Hôpital H. Mondor, 51 Avenue du Maréchal de
Lattre de Tassigny, 94010 Créteil, France.
Correspondence to Alexander W. Clowes, MD, Department of Surgery, University of Washington School of Medicine, 1959 NE Pacific St, HSB Box 356410, Seattle, WA 98195-6410.
BackgroundArterial
aneurysms exhibit a loss of elastin and an increase in the
plasminogen activators urokinase
plasminogen activator (u-PA) and tissue
plasminogen activator (t-PA). Because u-PA,
t-PA, and plasmin have a limited proteolytic activity against elastin,
the role of plasminogen activators in the
aneurysmal disease is unclear. To investigate this question, we
overexpressed plasminogen activator
inhibitor-1 (PAI-1), an inhibitor of t-PA and
u-PA, in a rat model of aortic aneurysm.
Methods and ResultsGuinea pigto-rat aortic xenografts were
seeded with syngeneic Fischer 344 rat smooth muscle cells retrovirally
transduced with the rat PAI-1 gene (LPSN group) or the vector alone
(LXSN group). Some grafts were not seeded with cells (NO group).
Western blots showed increased PAI-1 in grafts from the LPSN group
compared with LXSN and NO groups. All grafts in the NO group (n=8) and
40% in the LXSN group ruptured between days 4 and 14. At 4 weeks in
the LXSN group, the remaining unruptured grafts (n=6) were
aneurysmal (diameter increase
ConclusionsThe blockade of plasminogen
activators prevents formation of aneurysms and
arterial rupture by inhibiting MMP activation.
© 1998 American Heart Association, Inc.
Basic Science Reports
Prevention of Aneurysm Development and Rupture by Local Overexpression of Plasminogen Activator Inhibitor-1
100%), whereas in the LPSN
group (n=6) none of the grafts had ruptured or were aneurysmal.
Elastin was preserved in the LPSN group. t-PA, the major PA expressed
in the model, was decreased in the LPSN group compared with the other
groups, as determined by zymography. Quantitative zymography showed
decreased levels of two matrix metalloproteinases (MMPs), a 28-kD
caseinase, and activated MMP-9 in the LPSN group.
Key Words: plasminogen activators genes metalloproteinases aneurysm transplantation
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