title: Ceramide-coated balloon catheters limit neointimal hyperplasia after stretch injury in carotid arteries.
abstract: Neointimal hyperplasia at the site of surgical intervention is a common and deleterious complication of surgery for cardiovascular diseases. We hypothesized that direct delivery of a cell-permeable growth-arresting lipid via the balloon tip of an embolectomy catheter would limit neointimal hyperplasia after stretch injury. We have previously demonstrated that sphingolipid-derived ceramide arrested the growth of smooth muscle cell pericytes in vitro. Here, we show that ceramide-coated balloon catheters significantly reduced neointimal hyperplasia induced by balloon angioplasty in rabbit carotid arteries in vivo. This ceramide treatment decreased the number of vascular smooth muscle cells entering the cell cycle without inducing apoptosis. In situ autoradiographic studies demonstrated that inflating the balloon catheter forced cell-permeable ceramide into the intimal and medial layers of the artery. Intercalation of ceramide into vascular smooth muscle cells correlated with rapid inhibition of trauma-associated phosphorylation of extracellular signal-regulated kinase and protein kinase B. These studies demonstrate the utility of cell-permeable ceramide as a novel therapy for reducing neointimal hyperplasia after balloon angioplasty.
authors.affiliation: Department of Pharmacology, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: R
authors.initials: R
authors.lastname: Charles
authors.forename: L
authors.initials: L
authors.lastname: Sandirasegarane
authors.forename: J
authors.initials: J
authors.lastname: Yun
authors.forename: N
authors.initials: N
authors.lastname: Bourbon
authors.forename: R
authors.initials: R
authors.lastname: Wilson
authors.forename: R P
authors.initials: RP
authors.lastname: Rothstein
authors.forename: S W
authors.initials: SW
authors.lastname: Levison
authors.forename: M
authors.initials: M
authors.lastname: Kester
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D000818:Animals; D017209:Apoptosis / Q000502:physiology; D020212:Carotid Artery Injuries / Q000188:drug therapy* / Q000378:metabolism / Q000473:pathology*; D016893:Carotid Stenosis / Q000188:drug therapy / Q000378:metabolism / Q000473:pathology; D002518:Ceramides / Q000494:pharmacology*; D004195:Disease Models, Animal; D006965:Hyperplasia; D020928:Mitogen-Activated Protein Kinases / Q000378:metabolism; D009131:Muscle, Smooth, Vascular / Q000201:enzymology / Q000293:injuries / Q000473:pathology; D011183:Postoperative Complications / Q000188:drug therapy / Q000473:pathology / Q000517:prevention & control; D011817:Rabbits; D017539:Tunica Intima / Q000201:enzymology / Q000293:injuries / Q000473:pathology
chemical_list: D002518:Ceramides; C109343:dihydroceramide; C101954:N-caproylsphingosine; D020928:Mitogen-Activated Protein Kinases