title: Adenoviral-mediated gene transfer induces sustained pericardial VEGF expression in dogs: effect on myocardial angiogenesis.
abstract: OBJECTIVE
  Angiogenic peptides like VEGF (vascular endothelial growth factor) and bFGF (basic fibroblast growth factor) have entered clinical trials for coronary artery disease. Attempts are being made to devise clinically relevant means of delivery and to effect site-specific delivery of these peptides to the cardiac tissue, in order to limit systemic side-effects. We characterized the response of the pericardium to delivery of a replication-deficient adenovirus carrying the cDNA for AdCMV.VEGF165, and assessed the effect of pericardial VEGF165 on myocardial collateral development in a canine model of progressive coronary occlusion.
  
  
  METHODS
  Ameroid constrictors were placed on the proximal left circumflex coronary artery of mongrel dogs. Ten days later, 6 x 10(9) pfu AdCMV.VEGF165 (n = 9). AdRSV.beta-gal (n = 9), or saline (n = 7) were injected through an indwelling pericardial catheter. Transfection efficiency was assessed by X-gal staining. Pericardial and serum VEGF levels were measured serially by ELISA. Maximal myocardial collateral perfusion was quantified with radiolabeled or fluorescent microspheres 28 days after treatment.
  
  
  RESULTS
  In AdRSV.beta-gal-treated dogs, there was extensive beta-gal staining in the pericardium and epicardium, with minimal beta-gal staining in the mid-myocardium and endocardium. Pericardial delivery of AdCMV.VEGF165 resulted in sustained (8-14 day) pericardial transgene expression, with VEGF levels peaking 3 days after infection (> 200 ng/ml) and decreasing thereafter. There was no detectable increase in serum VEGF levels. Maximal collateral perfusion, a principal correlate of collateral development and angiogenesis, was equivalent in all groups.
  
  
  CONCLUSIONS
  Adenoviral-mediated gene transfer is capable of inducing sustained VEGF165 expression in the pericardium; however, locally targeted pericardial VEGF delivery failed to improve myocardial collateral perfusion in this model.
authors.affiliation: Experimental Physiology and Pharmacology Section, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA. dlazarou@welch.jhu.edu
authors.forename: D F
authors.initials: DF
authors.lastname: Lazarous
authors.forename: M
authors.initials: M
authors.lastname: Shou
authors.forename: J A
authors.initials: JA
authors.lastname: Stiber
authors.forename: E
authors.initials: E
authors.lastname: Hodge
authors.forename: V
authors.initials: V
authors.lastname: Thirumurti
authors.forename: L
authors.initials: L
authors.lastname: Gonçalves
authors.forename: E F
authors.initials: EF
authors.lastname: Unger
mesh_terms: D000256:Adenoviridae / Q000235:genetics*; D000818:Animals; D003327:Coronary Disease / Q000378:metabolism / Q000628:therapy*; D004285:Dogs; D016228:Endothelial Growth Factors / Q000032:analysis / Q000097:blood / Q000235:genetics*; D005243:Feces / Q000821:virology; D005260:Female; D015870:Gene Expression; D018014:Gene Transfer Techniques; D005819:Genetic Markers; D015316:Genetic Therapy / Q000009:adverse effects / Q000379:methods*; D005822:Genetic Vectors / Q000008:administration & dosage*; D008222:Lymphokines / Q000032:analysis / Q000097:blood / Q000235:genetics*; D008297:Male; D018919:Neovascularization, Physiologic; D010490:Pericardial Effusion / Q000209:etiology; D010496:Pericardium / Q000737:chemistry / Q000378:metabolism* / Q000821:virology; D013997:Time Factors; D019076:Transgenes; D014556:Urine / Q000821:virology; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors; D001616:beta-Galactosidase / Q000235:genetics
chemical_list: D016228:Endothelial Growth Factors; D005819:Genetic Markers; D008222:Lymphokines; C467484:VEGFA protein, human; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors; D001616:beta-Galactosidase