Healing the Vasculature: Angioprotective Therapy Moves From the Bench to the Clinic

作者: Joannis E Vamvakopoulos , Einari Aavik , Pekka Häyry

DOI: 10.1016/J.TRRE.2004.04.001

关键词: TransplantationArteriosclerosisMetabolic riskImmunosuppressionSurgeryMalignancyImmunosuppressive treatmentIntensive care medicineMedicineVascular diseaseTransplant patient

摘要: Abstract Advances in immunosuppression have extended the lifetime of most types organ grafts, leading to improved long-term outcomes after transplantation. The fact that death transplant patient with a functioning graft currently represents cause late loss is sometimes viewed as testament this success. However, interpretation misleading because often results from systemic effects immunosuppressive treatment. Prominent among latter are atherosclerosis, infection, and malignancy. Vascular disease, manifesting arteriopathy, also contributes chronic allograft failure, another major loss. Overall, arteriosclerosis (systemic specific) accounts for about 50% loss, making it compelling therapeutic priority has yet be effectively tackled clinic. advent novel compounds angioprotective properties tighter control metabolic risk factors vascular disease potential overcome obstacle further improve outcomes. Targeted modulation growth factor hormone receptor activity by nonimmunosuppressive, low-molecular-weight complementary approach problem. Here we trace development assess promising therapies in, or approaching, clinic outline structured rationale their efficient evaluation.

参考文章(80)
Joannis E. Vamvakopoulos, Craig J. Taylor, Colin Green, Keith McNeil, John Wallwork, Reyna Goodman, Su M. Metcalfe, Interleukin 1 and chronic rejection: possible genetic links in human heart allografts. American Journal of Transplantation. ,vol. 2, pp. 76- 83 ,(2002) , 10.1034/J.1600-6143.2002.020113.X
Roope K. Sihvola, Jussi M. Tikkanen, Rainer Krebs, Eva M. Aaltola, Elisabeth Buchdunger, Outi Laitinen, Petri K. Koskinen, Karl B. Lemstr??m, Platelet-derived growth factor receptor inhibition reduces allograft arteriosclerosis of heart and aorta in cholesterol-fed rabbits. Transplantation. ,vol. 75, pp. 334- 339 ,(2003) , 10.1097/01.TP.0000045056.82561.0F
Dirk H. Walter, Kilian Rittig, Ferdinand H. Bahlmann, Rudolf Kirchmair, Marcy Silver, Toshinori Murayama, Hiromi Nishimura, Douglas W. Losordo, Takayuki Asahara, Jeffrey M. Isner, Statin Therapy Accelerates Reendothelialization A Novel Effect Involving Mobilization and Incorporation of Bone Marrow-Derived Endothelial Progenitor Cells Circulation. ,vol. 105, pp. 3017- 3024 ,(2002) , 10.1161/01.CIR.0000018166.84319.55
Clare R. Gregory, Steven Katznelson, Stephen M. Griffey, Andrew E. Kyles, Edwin R. Berryman, Fluvastatin in combination with rad significantly reduces graft vascular disease in rat cardiac allografts. Transplantation. ,vol. 72, pp. 989- 993 ,(2001) , 10.1097/00007890-200109270-00002
Koichi Shimizu, Seigo Sugiyama, Masanori Aikawa, Yoshihiro Fukumoto, Elena Rabkin, Peter Libby, Richard N. Mitchell, Host bone-marrow cells are a source of donor intimal smooth- muscle-like cells in murine aortic transplant arteriopathy. Nature Medicine. ,vol. 7, pp. 738- 741 ,(2001) , 10.1038/89121
Masaki Kitahara, Tatsuro Kanaki, Kyomi Toyoda, Chie Miyakoshi, Sakuya Tanaka, Taro Tamaki, Yasushi Saito, NK-104, a Newly Developed HMG-CoA Reductase Inhibitor, Suppresses Neointimal Thickening by Inhibiting Smooth Muscle Cell Growth and Fibronectin Production in Balloon-Injured Rabbit Carotid Artery Japanese Journal of Pharmacology. ,vol. 77, pp. 117- 128 ,(1998) , 10.1254/JJP.77.117
Camille Dambrin, Jochen Klupp, Tudor Bîrsan, Jorge Luna, Takeshi Suzuki, Tuan Lam, Peter Stähr, Bernard Hausen, Uwe Christians, Peter Fitzgerald, Gerald Berry, Randall Morris, Sirolimus (rapamycin) monotherapy prevents graft vascular disease in nonhuman primate recipients of orthotopic aortic allografts. Circulation. ,vol. 107, pp. 2369- 2374 ,(2003) , 10.1161/01.CIR.0000065576.80196.A4
Prabhtej S. Brara, Mehran Moussavian, Mark A. Grise, John P. Reilly, Mindy Fernandez, Richard A. Schatz, Paul S. Teirstein, Pilot trial of oral rapamycin for recalcitrant restenosis. Circulation. ,vol. 107, pp. 1722- 1724 ,(2003) , 10.1161/01.CIR.0000066282.05411.17