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Circulation. 1998;98:249-255

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(Circulation. 1998;98:249-255.)
© 1998 American Heart Association, Inc.


Basic Science Reports

Prevention of Aneurysm Development and Rupture by Local Overexpression of Plasminogen Activator Inhibitor-1

Eric Allaire, MD; David Hasenstab, BS; Richard D. Kenagy, PhD; Barry Starcher, PhD; Monika M. Clowes, BA; ; Alexander W. Clowes, MD

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.

Background—Arterial 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 Results—Guinea pig–to-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 >=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.

Conclusions—The blockade of plasminogen activators prevents formation of aneurysms and arterial rupture by inhibiting MMP activation.


Key Words: plasminogen activators • genes • metalloproteinases • aneurysm • transplantation




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