title: Prostacyclin synthase gene transfer modulates cyclooxygenase-2-derived prostanoid synthesis and inhibits neointimal formation in rat balloon-injured arteries.
abstract: Previous studies have shown that prostacyclin (PGI(2)) synthase (PCS) gene transfer inhibits neointimal formation in balloon-injured arteries. However, the role of each cyclooxygenase (COX) isoform in this healing mechanism remains unknown. We hypothesized that overexpression of PCS may modulate COX-2-mediated prostaglandin (PG) metabolism. That is to say, excessive PGH(2) derived from COX-2 after balloon injury may be converted into PGI(2) rather than PGE(2) or thromboxane (TX) A(2) by overexpressed PCS. We examined the expression of COX isoforms and evaluated the role of COX-2 with regard to the effects of PCS gene transfer by using 4-(4-cyclohexyl-2-methyloxazol-5-yl)-2-fluorobenzenesulfonamide (JTE-522), a selective COX-2 inhibitor. Rats were divided into 4 groups in conjunction with PCS gene transfer and JTE-522 treatment. The PCS gene (30 microg) was transfected into rat balloon-injured arteries by a lipotransfection method. JTE-522 (30 mg/kg per day) was administered for 14 days after balloon injury. Immunohistochemical analysis demonstrated marked COX-2 expression on the neointima. PCS gene transfer markedly inhibited neointimal formation, but JTE-522 reversed this beneficial effect. PCS gene transfer augmented PGI(2) production and decreased PGE(2) production without affecting TXA(2) production, but JTE-522 inhibited this increase in PGI(2) production. In conclusion, PCS gene transfer modulated COX-2-mediated prostanoid synthesis and inhibited neointimal formation after balloon injury.
authors.affiliation: Internal Medicine II, Nagoya University School of Medicine, Nagoya, Japan.
authors.forename: Michiharu
authors.initials: M
authors.lastname: Yamada
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Numaguchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Okumura
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Harada
authors.forename: Keiji
authors.initials: K
authors.lastname: Naruse
authors.forename: Hideo
authors.initials: H
authors.lastname: Matsui
authors.forename: Takayuki
authors.initials: T
authors.lastname: Ito
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Hayakawa
mesh_terms: D000800:Angioplasty, Balloon / Q000009:adverse effects; D000818:Animals; D001557:Benzenesulfonates / Q000494:pharmacology; D002339:Carotid Arteries / Q000503:physiopathology; D051546:Cyclooxygenase 2; D003577:Cytochrome P-450 Enzyme System / Q000235:genetics*; D015232:Dinoprostone / Q000096:biosynthesis*; D018014:Gene Transfer Techniques; D015316:Genetic Therapy; D007150:Immunohistochemistry; D007213:Indomethacin / Q000494:pharmacology; D019746:Intramolecular Oxidoreductases / Q000235:genetics*; D007527:Isoenzymes / Q000037:antagonists & inhibitors / Q000378:metabolism*; D008297:Male; D008565:Membrane Proteins / Q000096:biosynthesis; D010080:Oxazoles / Q000494:pharmacology; D011451:Prostaglandin-Endoperoxide Synthases / Q000378:metabolism*; D011453:Prostaglandins / Q000096:biosynthesis*; D051381:Rats; D017207:Rats, Sprague-Dawley; D029701:Saccharomyces cerevisiae Proteins; D017539:Tunica Intima / Q000293:injuries / Q000473:pathology* / Q000503:physiopathology*; D000096926:Benzenesulfonamides
chemical_list: D001557:Benzenesulfonates; D051546:Cyclooxygenase 2; D003577:Cytochrome P-450 Enzyme System; D015232:Dinoprostone; D007213:Indomethacin; D019746:Intramolecular Oxidoreductases; D007527:Isoenzymes; D008565:Membrane Proteins; D010080:Oxazoles; D011451:Prostaglandin-Endoperoxide Synthases; D011453:Prostaglandins; D029701:Saccharomyces cerevisiae Proteins; C110453:4-(4-cyclohexyl-2-methyloxazol-5-yl)-2-fluorobenzenesulfonamide; D000096926:Benzenesulfonamides; C101352:GPI2 protein, S cerevisiae; C022461:prostacyclin synthetase